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Back to Rapid Cardiology The two carotid arteries are the main vessels that supply blood to the brain. They originate from the main arteries of the body (the aorta and brachiocephalic artery) in the chest and travel up through the neck and into the skull. Atherosclerosis of the right or left carotid artery is the most common cause of a stroke. A carotid duplex scan is a technique to take a picture of these arteries using sound waves (ultrasound). A sound-wave transducer is placed gently on the neck. The walls and interior of the artery are visualised and the velocity…
The County Hospital children's ward has been transformed into a colourful magical wonderland thanks to a local artist. Nurses on the children's ward, inspired by the work of local artist, Tom Roberts, fundraised for the design of a mural, to create a welcoming, familiar, and colourful environment for the children they care for. The beautiful mural meanders through the corridors, playroom, treatment rooms and patient bays and gives a brighter outlook for the children, parents and staff. The mural gives the children a focal point to help distract them when having procedures, and helps aid their recovery by creating a…
Our Special Care Baby Unit team is working towards the full UNICEF Baby Friendly Initiative (BFI) ‘Neonatal’ Accreditation. We have successfully completed stages one and two of the accreditation process, demonstrating our commitment to delivering high quality family integrated care, supporting families in their chosen method of feeding.  In addition to this, as a wider maternity service, we are proud to be the first NHS maternity service in the West Midlands to be awarded the prestigious UNICEF Gold Baby Friendly Award in 2026, which is the highest level of accreditation.  If your baby is admitted to the special care baby unit, you may feel…
Back to Orthopaedics   Upper Limb Orthopaedic Physiotherapy Practitioner Qualifications BSc (Hons) Physiotherapy 1993 – Coventry MMACP 2003 – Brighton (Member of the Manipulation Association of Chartered Physiotherapists) MSc Musculoskeletal Physiotherapy 2004 – Brighton Surgical Skills and Theatre training 2015-7 Outpatient services Monday and Wednesday all day. Operating times Monday afternoon weekly Carpal tunnel release. Friday morning injections under imaging 1:4. Conditions treated Carpal tunnel syndrome Dupuytrens contracture Trigger finger/thumb Ulnar nerve entrapment Tennis elbow Frozen Shoulder De Quervains tenosynovitis Ganglions of the hand OA base of thumb Shoulder instability Rotator Cuff arthropathy Osteoarthritis of the shoulder Tonia’s background is…
The human resources and organisational development directorate incorporates the following teams/departments: Recruitment The recruitment team provides a central recruitment service, processing all advertisements, applications and contracts of employment for the Trust and managing the Disclosure and Barring Service (DBS) checking service. The team is based at Franklin Barnes Building in Hereford. Medical Recruitment The medical recruitment team provides a central recruitment service for all medical staffing appointments, which includes pre-employment checks for all medical and dental staff groups. The team is based at Franklin Barnes Building in Hereford. Temporary staffing The temporary staffing team provide a centralised service to the…
Inflammatory arthritis activity can vary and there will be times when it is manageable and other times when you may experience flare-ups. A flare-up of your inflammatory arthritis may include symptoms such as worsening of joint pain, swelling, stiffness, fatigue and general “unwell” feeling. Flare-ups are unpredictable and can start suddenly or after an illness such as a chest or urinary infection or a stressful period (physical or mental). Triggers may not always be identifiable. You must seek urgent medical attention if you have a joint that becomes red, hot, swollen, and painful and a fever, as this may suggest…
Please ask your midwife about antenatal colostrum harvesting.  There are many reasons why you might choose to do this, regardless of your feeding goals. It is of particular benefit where your baby is at risk of having low blood sugars after birth for instance, if you are diabetic or taking certain medications.  Your midwife will give you a pack with all you need to get started and explain when it is safe to do so.  Colostrum is the first milk produced by your body.  This starts in pregnancy as your body prepares for the birth of your baby. It is…
There are lots of simple things that you can do to help you stay steady on your feet, whether you are worried about falling, are fit and active, or have difficulty with your mobility. Be active You can help to prevent falls by staying fit and active. Physical activity helps to improve mobility, strength, balance, flexibility and stamina. There are a variety of ways to be active which can include gardening, housework, walking, swimming and exercise classes. If you are already active, Tai Chi and dancing are good activities to help you keep good balance and stronger muscles and bones.…
Infant feeding and Baby Friendly Status We are proud to be the first NHS maternity service in the West Midlands to be awarded the prestigious UNICEF Gold Baby Friendly Award in 2026, which is the highest level of accreditation.  The award recognises the maternity team’s long-term excellence in providing infant feeding support to families to a high standard, helping to ensure a positive experience, and giving babies the best possible start in life. Since first achieving Baby Friendly Status in 2019, Wye Valley NHS Trust’s (WVT) maternity team has continued to strengthen and build on this to meet UNICEF’s evidence‑based Gold standard, which is…
DMARDs (Disease Modifying Anti-Rheumatic Drugs) Biologics JAK-inhibitors Azathioprine Abatacept Baricitinib Ciclosporin Adalimumab Filgotinib Hydroxychloroquine Anakinra Tofacitinib Leflunomide Apremilast Upadacitinib Methotrexate Belimumab   Mycophenolate Certolizumab pegol Sulfasalazine Etanercept Tacrolimus Golimumab   Infliximab Ixekizumab Rituximab Sarilumab Secukinumab Tocilizumab Ustekinumab Please note that some of these treatments have multiple brand names.

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