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…

We've created a portal for patients which brings together all the important information and leaflets that you need in one place.   What is the patient portal? The new patient portal is an online platform that allows patients to access information about their healthcare, securely via their chosen device e.g. laptop/phone/tablet. View a video about the portal by clicking here   What information/facility is available via the portal? The patient portal provides a convenient way for patients to view; Outpatient appointment details Maxims appointment letters and associated leaflets Clinical letters Relevant point of contact – telephone contact for each service…

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)…

About the Upper Gastrointestinal (GI) team The Upper GI (Gastrointestinal) Service at Hereford County Hospital is made up of a skilled and supportive team, including surgeons, specialist nurses, gastroenterologists, radiologists, pathologists, and oncologists. Together, we assess and treat conditions affecting the upper part of your digestive system, including your oesophagus (gullet), stomach, gallbladder, bile ducts, and liver. We provide care for a wide range of non-cancerous (benign) conditions, such as gallstones, acid reflux, and hernias. If a more serious (cancerous) condition is suspected, we will arrange the appropriate investigations and refer you to our specialist cancer team (Upper GI Cancer…

Herefordshire Speech and Language therapy service can offer support for the following types of feeding, eating and swallowing difficulties: Ongoing Difficulties with bottle/breastfeeding Difficulties weaning onto solid foods Restricted diet/ extreme responses to food Swallowing difficulties associated with a range of medical and developmental conditions We cannot offer support for eating difficulties which are purely behavioural in origin.  However, these can be difficult to distinguish from other types of feeding difficulty and so assessment may be appropriate to establish the nature of the eating difficulty and identify alternative sources of support if necessary. Making a referral  Parents/Carers Herefordshire Speech 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…

The third stage of labour is the time between when your baby has been born and the birth of the placenta. Your womb will continue to contract and will be reducing in size. As your womb becomes smaller the placenta will comes away from the side of the uterus and move down into your vagina. As this happens you will have some blood loss as the blood vessels that were connecting the placenta and the uterus will temporarily bleed. The blood loss reduces once the blood vessels constrict and close up the space where your placenta was attached. Physiological third…

Deep Vein Thrombosis This is when a blood clot forms in the deep vein of the calf, leg or pelvis. Women are more at risk of developing a blood clot during pregnancy and after having a baby and a caesarean section can further increase this risk.  Therefore it is essential to look out for possible symptoms. Symptoms can include: A red, hot swollen leg Your entire leg being swollen or a feeling of heaviness Tenderness or pain in your leg which may only be felt when standing or walking  A DVT can lead to a pulmonary embolism (PE), this is…

Colorectal Surgery at The County Hospital is provided by a multidisciplinary team of surgeons, gastroenterologists, radiologists, pathologists, oncologists and specialist nurses.  Outpatient assessment, investigation, treatment and follow-up are provided for all colorectal surgical conditions, including colorectal cancer, inflammatory bowel conditions (crohns’ disease and ulcerative colitis), functional bowel disorders (constipation and incontinence) and anorectal conditions (fistula-in-ano, fissures, haemorrhoids etc.).  Minimally invasive (laparoscopic) colorectal surgery is well developed, and enhanced recovery is provided by a dedicated team of doctors, physiotherapists, dieticians, specialist and ward nurses and other staff.  Colorectal surgical patients are admitted to Frome ward and Primrose Unit (Elective). Day case…

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…