Wye Valley NHS Trust

Macmillan cancer information and support service

There is now strong evidence to say that homebirth is as safe as giving birth in hospital with many other psycho-social benefits.  Hutton et al (2019) state that ‘The risk of perinatal or neonatal mortality was not different when birth was intended at home or in hospital’. The Birthplace Study which involved 17,000 cases showed that homebirth is just as safe as giving birth in hospital for second or subsequent births. A possible explanation for this is that labouring in hospital is much more likely to involve interventions, which can interfere with normal physiology and cause further problems such as…

This privacy notice tells you what to expect from us when you contact us or use our services and you provide us with your information.

This page contains links to information leaflets to explain our service and help with the development of your baby and child's speech and language.   Leaflets include advice on talking to your baby during pregnancy, from 0 to 6 months, 6 to 12 months, 1 to 2 years. 2 to 3 years. use of television, dummies, and what to do if you are having difficulty understanding your child's speech. Talking to your baby bump during pregnancyTalking with your baby from 0 to 6 monthsTalking with your baby from 6 to 12 monthsTalking with your baby from 1 to 2 yearsTelevision…

Blood tests help us to ensure that the medication is being used safely and not causing any harmful effects. When you first start a DMARD, such as Methotrexate or Sulfasalazine, you will need 2 weekly blood tests for 6 weeks, then monthly thereafter. Once your condition is stable on the medication, your blood tests should be every 2 to 3 months, unless required more often. We also check your bloods when you are on a biologic drug, and we will let you know the required frequency for each specific biologic. Should there be any cause for concern, either your GP…

The Trust offers video consultations to some of our patients, as appropriate. The decision to offer this type of appointment will be made by a medical professional depending on your individual care needs. Video consultations are easy to use and are often more convenient for our patients. The Trust uses the MS Teams Bookings application for video consultations, which is a secure web-based platform for patients with pre-arranged video consultation appointments. The patient will receive a link either by email or text to join the MS Teams meeting and by clicking on the provided link on their mobile device or…

The service provides the following: Home visits: For newly diagnosed patients within 2 weeks of their diagnosis. This appointment usually is approximately 2 hours in length For initiation of injection training for the disease modifying training Follow up visit 4 weeks after injection commencement For patients who are in Nursing homes for symptom review and support For patients who are unable to attend clinics for symptom review and support Clinic locations: Sarum House MS Therapy Centre Leominster hospital Ross Hospital Ledbury Hospital Bromyard hospital Kington GP Practice Llandrindod Wells GP Practice Hereford Oxygen & Wellness Therapy Centre Video and Telephone…

Reasons you may be offered an induction of labour  The following circumstances in pregnancy may result in an induction of labour being offered to you: Post-dates pregnancy Advanced maternal age (40 years of age or more) Suspected big baby Suspected small baby Diabetes Pre-eclampsia Reduced fetal movements IVF If your waters break before tightenings start Obstetric Cholestasis Skip to the factsheet that is relevant to you, so you can start to make a fully informed decision on whether you would like an induction of labour.  Post-dates pregnancy A term pregnancy is classed as anything between 37 and 42 weeks. The…

Injection site reactions include redness, itching, pain or swelling at the injection site. They mostly occur 1 to 2 days after an injection and go away within 3 to 5 days. Change the injection site each time you inject (e.g. rotate from one leg to another leg). Apply a cold compress to the injection site. Antihistamine tablets can help. If you continue to experience problems please contact us and we will be able to provide you further advice.

If you have forgotten or were not able to take your Biologic drug at the right time, take it as soon as you remember. Your next dose of biologic will need to be taken with the usual time gap between injections for your type of biologic. This will mean that the day of the week you normally take your drug will change. For example, if you take weekly Etanercept, and inject on Tuesdays. You might forget to take your weekly injection on a Tuesday, but then remember on Wednesday and take it then; you would then need to change your…