Can you sign me off work? If you are off work sick for 7 days or less, you do not need a fit note unless there are limitations that your workplace has imposed on you. If you are off work sick for more than 7 days, your employer will usually ask for a fit note (or Statement of Fitness for Work, doctor’s note) provided by your GP. If you have been admitted to hospital under the Rheumatology team, we can provide you with a clinical letter and you will also have you discharge summary. Can you complete my PIP paperwork?…

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…

After your baby is born your midwife will ask whether you would like your baby to have a Vitamin K supplement. It is known that newborn babies have about 30% to 60% of the vitamin K an adult would have stored in their liver. It isn’t known why this is or if there is a reason for this. However, a very small amount of babies are born very deficient in Vitamin K and go on to develop Vitamin K Deficiency Bleeding (VKDB). VKDB can cause bleeding from the nose, umbilicus, mouth or into the brain which can in turn cause…

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.

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…

Herefordshire Tuberculosis Service

Wye Valley Community Diagnostic and Treatment Centre A brand new facility in the heart of Hereford.  When did the Wye Valley Community Diagnostic and Treatment Centre open? The building opened in September 2025 and welcomed it’s first patients. What is a Community Diagnostic Centre (CDC)? Nationally Community Diagnostic Centres are springing up to provide a broad range of elective diagnostics away from acute facilities reducing pressure on hospitals and giving patients quicker and more convenient access to tests. As part of a national programme, a number of CDCs are now open across England. Some are based alongside acute hospitals, others…

The Neurophysiology department at The County Hospital provides a comprehensive neurophysiology diagnostic service to both inpatients and outpatients. Investigations include EEG (Electroencephalogram), Ambulatory EEG, Multiple Sleep Latency Testing and Evoked Responses. The service also provides physiologist and consultant led nerve conduction studies and consultant only electromyography (EMG). We accept GP referrals for most of our investigations.  All GP referrals can now be made via the NHS e-referral system. The department consists of a Service Manager, Consultant Neurophysiologist, 2 Clinical Physiologists, a Medical Secretary and an Administrative Assistant. Links with other Services The department works closely with the neurology, paediatric and…

Health chiefs in England are encouraging parents to be aware of the signs of respiratory illnesses in young children, as data from Public Health England (PHE) shows cases are starting to rise in parts of the country. Respiratory illnesses, including colds and respiratory syncytial virus (RSV) are very common in young children and we see them every year. Last winter, due to the various restrictions in place to reduce the spread of COVID-19, there were far fewer infections in younger people. This means many will not have developed immunity and so we may see more cases this year than in…

Refer yourself here for maternity care If you are newly pregnant, you can now enter your details on a secure website (see link below) that will send a referral straight to our community midwifery team. You don’t need to contact your GP or make an appointment with them – we will tell them about your pregnancy. However, if you have any urgent concerns about your health during early pregnancy, please do contact your GP for advice. The best time to fill in the online form is when you are 6 to 7 weeks pregnant. We will then phone you to arrange…