Service Overview The service aims to actively promote bladder and bowel continence.  We are able to identify and assess patients, give advice and best management for their incontinence needs, helping to improve their quality of life.  The service provides clinical assessment, advice and support for patients and their families.  We work closely with GPs, district nurses, occupational therapists, physiotherapists, the dementia team, mental health, social services and care agencies to ensure a seamless service is provided.  We provide teaching to health and social care professionals.  Accessibility/Acceptability The service is offered to people four years and older who are registered with…

The respiratory physiology service at Wye Valley NHS Trust provides a service in respiratory, exercise and sleep physiology, for inpatients and outpatients from the Trust. The department provides a comprehensive range of investigations in order to: Aid diagnosis Give an objective assessment of how a condition affects the patient’s functionally Display and define the contribution of any secondary condition Monitor improvement with treatment or deterioration with time  Investigations are performed on patients with various types of lung disease, cardiac and oesophageal conditions and, on occasions, patients being considered for non-thoracic surgery when their cardio-pulmonary state gives cause for concern. Patients…

  All patients are given verbal advice on self-care at initial assessment and this is followed up with written information. Information is reiterated at follow-up appointments. Carers often attend with the most vulnerable and we include them in the discussions where appropriate. Patients and carers can often manage simple foot care if shown how to use nail nippers or a good nail file effectively. We advise on where to obtain the appropriate equipment. We also advise on appropriate footwear again giving advice on where to obtain suitable accommodating footwear e.g. for oedematous feet. A range of information leaflets are available…

External Links British Stammering Association National site: information and support on stammering Connect Charity site: Connect is a charity for people living with Aphasia, a communication disability which usually occurs after stroke Elklan National site: offers accredited courses for those working throughout pre-school, primary and secondary education in mainstream and specialist settings as well as parents and carers I CAN Charity site: supporting children and young people with speech, language and communication difficulties Introducing Solid Foods Information for introducing solids to your baby, as used by our Health Visiting Team Little People's Plates National site: offers advice to parents on…

Having a baby should be one of the most exciting times in your life. Sadly, we know that some babies die during pregnancy, or in the days following birth. We can only imagine this is an extremely difficult time for you and we are very sorry for your loss. All of our maternity staff are trained as part of their mandatory training to provide support and offer gold standard care to bereaved families. Our specialist bereavement midwife, Abbie Hughes, will guide you through some of the difficult choices, co-ordinate and provide individualised care throughout your journey, for as little or long as needed.  Please see below contact details for Abbie.…

Mr Chris Paliobeis, MD, FRCS                          Consultant Orthopaedic and Trauma Surgeon. Special Interests: Hip Surgery, Hip and Groin Problems in the Young Adult, Knee Surgery, Trauma Surgery and Musculoskeletal Oncology Qualifications Mr Paliobeis is a Consultant Orthopaedic Surgeon who moved to Herefordshire in January 2012 when he joined the orthopaedic team at the County Hospital. His specialist interest lies in trauma, knee and hip conditions. In particular he specialises in the treatment of young adults with a hip problem. Mr Paliobeis has experience as a consultant orthopaedic surgeon since 2010,…

Back to Cardiac Services The Coronary Care Unit (CCU) and Lugg Ward The Coronary Care Unit (CCU) and Lugg Ward at Hereford County Hospital are the designated places for people who are admitted with heart problems.   The Coronary Care Unit, (signposted ‘Cardiac Care Unit’), is situated on the first floor at Hereford County Hospital.  It is a six-bedded unit and cares for patients who: •      have had heart attacks (known as myocardial infarction, often abbreviated to MI) •      require monitoring and assessment of chest pain •      with severe arrhythmias (irregular, slow or fast heart beats) that require treatment such as…

Back to Cardiac Services The Heart Function team are experienced nurses who have undertaken extended training in managing heart function problems. They work closely with the consultant cardiologists and other health care teams.  We aim to help you and your family and/or carer to: Access education and ongoing support and monitoring Benefit from evidence-based medications, procedures & rehabilitation Improve your confidence Improve your quality of life Avoid hospital admissions Shorten any stays in hospital Who can benefit from a consultation with a Heart Function Nurse? You can benefit if you have been told by a doctor that you have Left Ventricular…

Job Title: Consultant Orthopaedic and Trauma Surgeon Qualifications Mr Oakley studied Medicine at Glasgow University, graduating in 1991. His specialist registrar training was on the Northern Regional Orthopaedic Training Programme whilst living in Durham. In 2001, he passed his FRCS (Tr & Orth) and completed an Arthroplasty Fellowship at the Royal Orthopaedic Hospital, Birmingham, and a Trauma fellowship in Denver, Colorado, USA. He returned, as a Consultant, to Hereford in 2003. Research interests include hip and knee replacement, and arthroscopic knee surgery. Research papers on: Day Surgery Hernias (BJS) DVT Prophylaxis (BMJ) Hip Fractures (Injury) Fixation of Clavicle Fractures (EFFORT)…

Dermatology The Dermatology department is based at the Gaol Street Health Centre, with some surgery being performed at the County Hospital. A wide range of services are offered to help diagnose and manage adults and children with skin, hair and nail problems. We manage a wide range of inflammatory skin conditions and skin cancers in an out-patient and in-patient setting. We are proud of our multi-disciplinary approach to managing our service and patients with Doctors, Nurses and healthcare assistants trained in specialist areas of practice including skin surgery, Phototherapy, Photochemotherapy, Photodynamic therapy, Iontophoresis, patch testing, biological therapies and wound care. We work closely…