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Your clinician may recommend the PIFU pathway if it is safe for you to manage your own follow-up appointments. Once you and your clinician agree you should go onto a PIFU pathway, your clinician will discuss with you the signs and symptoms of when your Rheumatology condition is active, which will also be highlighted in your clinical letter. You should contact us to arrange an appointment if you experience any of those signs and symptoms. If you are put on a PIFU transfer pathway, at the end of the agreed timeframe, you will receive an appointment. If you do not…
Referrals are accepted from GPs  via eRS, Service name: Herefordshire Chronic Pain Self-Management Service – Gloucestershire Hospitals Trust RTE Other healthcare professionals by letter emailed to ghn-tr.PainMgtAdmin@nhs.net    Please include information about: any diagnosis, duration and location of pain, past or ongoing investigations and treatments, past medical history and drug history, any mental health problems, relevant beliefs or expectations and any other information which might be useful. Any communication issues such as need for an interpreter.  
General Scans (including x-ray, MRI and CT scan) Please note that depending on scan you had, there is usually a time gap between having the scan and the results becoming available to us. Once the report has been made available, the clinician will receive a copy, this will then be reviewed and you will either receive the results via a results letter, telephone call or be informed of the results at your next appointment. Bone Density Scan/DEXA queries - 01432 364 189.
If you are unable to attend your appointment it is important to let us know as soon as possible. To cancel your appointment, please call the telephone number on your appointment letter, or call our Referral Management Centre 01432 257 810. We understand that patients sometimes cannot attend their hospital appointments or their child's appointment, for reasons such as child care responsibilities, transport difficulties, or feeling unwell. However, it’s important that patients make every effort to attend, and if unable to attend please do let us know in advance, so that we can keep the patient on our list, re-book…
Birth Story 1 – An emergency caesarean section ‘I had my daughter 7 weeks early on the 7th January 2022 by category 1 caesarean section. I had come in during the middle of the night for monitoring as baby’s movements felt very off. I had felt her move, but my gut instinct was telling me something was wrong. Thought I'd just go in and she would be fine on the monitor, put my mind at rest and I could go home to bed. Turned out baby was in distress and within an hour of being on the monitor, I had…
Further reading  Royal College of Obstetrics and Gynaecology: Induction of labour, information for patients https://www.rcog.org.uk/en/patients/patient-leaflets/induction-of-labour---information-for-people-who-use-nhs-services/  NICE, Induction of Labour guideline   National Childbirth Trust https://www.nct.org.uk/sites/default/files/related_documents/Newburn%20Induction%20of%20labour%20pp12-13.pdf  Why Induction Matters by Rachel Reed (Book - 2018)  MidwifeThinking.com - Rachel Reed   Inducing labour, making informed decisions by Dr Sara Wickham (Book - 2018)  In Your Own Time: How western medicine controls the start of labour and why this needs to stop by Dr Sara Wickham (Book - 2021)  Your human rights during your birth  Obstetric Cholestasis  Appendix  Risks associated with having a caesarean section include:  Higher than normal blood loss – haemorrhage Infection Injury…
Welcome to Wye Valley NHS Trust Community Midwifery, our aim is to support you and your family through pregnancy, labour and after the birth. As a team of Community Midwives we aim to provide the highest standard of care support and advice. We offer of range of options where to give birth to your baby, either in hospital, or at home. It is our aim to help you achieve your ideal birth experience, be that in the home or within the hospital. We have five Community Midwifery Teams providing care to the women of Herefordshire. Your named midwife is linked…
The Rheumatology Service at Hereford County Hospital focuses on inflammatory arthritis and connective tissue disease. Our service provides: Early diagnosis and long-term management to preserve joint function and prevent major organ damage. Expertise in diagnosis and management of patients with complex systemic inflammatory disease. Special interest in early inflammatory arthritis and vasculitis. Ultrasound service and intra-articular and soft tissue injections. Education and specialist knowledge to patients, their families and carers about their disease, drugs, and monitoring. Rheumatology patient telephone and email advice service. Physiotherapy led clinics for Inflammatory Back Pain, Axial Spondyloarthropathies, Hypermobility Syndromes and Fibromyalgia Peripheral clinic in Llandrindod…
We are passionate about women having a positive experience and individualised care. Feedback from families is essential for us to continue improving our service. You will find that on each ward that you visit there are QR codes, which lead to surveys about the care you’ve received. We really appreciate any feedback you give us, be it positive or something we need to work on. This section will explain how you can give feedback, read some birth stories from people who have received care from us and learn more about the Maternity Voices Partnership. We are proud to report that our Maternity Service…
Please bring your appointment letter with you to your appointment. Please also ensure you bring your full address, telephone number, GP details and red book. If you are unable to attend, please contact us as soon as possible on 01432 349620 Please ensure that you do not bring other children to the appointment, this is to ensure that your child is not distracted during the assessment. Please let us know if you require an interpreter. Please note mobile phones must be switched off when in the Children’s Hearing Centre as they can cause interference with the testing equipment.  

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