Wye Valley NHS Trust

What is an Apprenticeship? An Apprenticeship is an on-the-job training program that develops an employees’ competence in the key skills they need to perform in their job role. At the same time, apprentices get a paying job with valuable training while they work towards a nationally recognised apprenticeship qualification. What does an Apprenticeship involve? You will work in a role which will include learning on the job, and study time allocated for you to complete your qualification so you can maintain a good work/life balance. You will be fully supported throughout your Apprenticeship by your manager and workplace coach, so…

What is it? Pulmonary rehabilitation (PR) is a supervised programme of exercise and education, designed for the treatment of people with a long-term lung condition who are troubled by breathlessness.  Who is it for? If you have any of the following conditions you may benefit from Pulmonary Rehabilitation: • Chronic Obstructive Pulmonary Disease (COPD) • Interstitial Lung Disease (ILD) • Bronchiectasis Who and where we are we? The Pulmonary Rehabilitation services within Wye Valley NHS trust is run by the Physiotherapy team who deliver the Pulmonary Rehab programme to patients throughout Herefordshire.  It is currently based off site at Hinton…

What will happen during my induction of labour? Your midwife will ask to take your observations (blood pressure, temperature, pulse, oxygen levels, breathing rate) The midwife will then ask to monitor your baby’s heartrate continuously for around 30 minutes on a CTG monitor Your midwife will then ask for your consent to carry out a vaginal examination to assess your cervix The midwife will then insert the prostaglandin (Propess) high in your vagina Your baby’s heart rate will then be monitored for another 30 minutes to check baby hasn’t immediately been affected To help encourage tightenings, it is important to…

Aromatherapy is a great way to individualise your birth environment and to help you feel more relaxed.  Relaxation is key in labour, as this can help you release more oxytocin - the love hormone which helps labour progression. The use of aromatherapy in labour and birth has been found to reduce the need for stronger forms of pain relief. One study found that the need for opioid pain relief reduced from 6% down to 0.4% (Burns et al, 2000). Aromatherapy is a complementary therapy that uses essential oils, derived from plants, for their therapeutic benefit.  The benefits are wide-ranging and…

Wye Valley NHS Trust was recognised by UNICEF in 2019 for work with mothers and newborn babies and awarded Baby Friendly Status.  If your baby is admitted to the special care baby unit, you may feel a little overwhelmed at all the information that you receive with regard to feeding your baby. The staff on the special care baby unit will support you to establish your chosen method of feeding once your baby is able to start enteral feeding. Initially, your baby may require intravenous fluids until we are able to start giving them some milk feeds. If your baby…

Your midwife will talk to you about your choices for contraception when you are being discharged from the hospital. Contraception should ideally be commenced 21 days after giving birth. The most reliable form of contraceptive is the implant or the coil, this is because it doesn’t rely on the user to remember to take it. However, everyone has a different health history and therefore this may limit your options, for example if you have a personal or family history of bloods clots, cancer, diabetes, asthma or migraines. Your GP will also discuss contraception with you at your 8 week postnatal…

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…

About the Service School Nurses are public health nurses working in the community, they are registered nurses with an additional public health nursing qualification. School Nurses have specialist knowledge and skills to enable them to work with children and young people aged from 5-19. The School Nursing team is comprised of School Nurses, Community Staff Nurses and School Nurse Assistants and as a service we are committed to supporting students, therefore a student may accompany us and be present during contacts. If you would prefer for a student to not be present please let your School Nurse know. The School…

  For most pain conditions, pain medication is a choice for symptom relief rather than a necessity to stop a disease process. Any treatment with medicines results in a balance of benefits and harms; if the medicine doesn’t relieve the symptoms then the result of taking the medicine is harm only. Medication can be helpful in acute or short-term pain, and may be used in persistent pain but the latest research shows us that pain medications can become less effective over time and also cause unpleasant side-effects, even increasing sensitivity to pain. That is why it is important to incorporate…

What we do Children’s Physiotherapy is a specialist community physiotherapy service for babies, children and young people living in Herefordshire.  Children’s physiotherapists have additional knowledge and experience of child development and childhood disabilities.  Children’s physiotherapists are responsible for the assessment and physical rehabilitation of children and young people who are identified as having difficulties with the development of gross motor skills and mobility as a result of accident, injury, disease or disability.  They also see children with specific conditions such as Cystic Fibrosis, Juvenile Idiopathic Arthritis, Chronic Fatigue Syndrome, gait anomalies and life-limiting conditions.  Children’s’ physiotherapists use a variety of…