Practice News

SAMARITANS

Whatever you're facing 

We're here to listen 

Call free day or night on 116 123

E-mail jo@samaritans.org

Write to us at Freepost SAMARITANS LETTERS 

samaritans.org 

International Day for the Elimination of Violence Against Women, 25th November (may also be called White Ribbon Day)

Every ten minutes, a woman is killed. International Day for the Elimination of Violence Against Women raises awareness about all forms of violence against women. Wear orange as a bright and optimistic colour; this represents hope and a future free from violence against women and girls.
https://www.redcross.org.uk/stories...asylum-seekers/what-is-violence-against-women

Carers Rights 20th November

Carers Rights Day is about raising awareness of the rights that the UK’s 5.8 million unpaid carers are entitled to – to help them get the support they need and the recognition they deserve. This year, the theme is ‘Know your rights, use your rights’. As a carer, knowing your rights empowers you and helps you to reach the support you so need, to reduce the pressure when you’re caring for others.
https://www.carersuk.org/news-and-campaigns/our-campaigns/carers-rights-day/

Being a carer is hard. There are no set hours and you’re often caring for someone close to you.
Every day, 12,000 people become unpaid carers for a partner, family member or friend. They may not even view themselves as carers. But who looks after you when you’re looking after someone else? All carers deserve to understand their rights and be supported to use them if they wish. Discover more here: https://www.carersuk.org/news-and-campaigns/our-campaigns/carers-rights-day

International Men's Day 19th November

This day shines a light on those forever changed by losing someone to suicide.

In the UK, around 6,000 people die by suicide every year – and research shows that around 147 people are affected by every single loss. The grief is deep, complex and long-lasting.

It’s important to know you’re not alone. https://uksobs.com/

Antimicrobial Resistance Awareness Week, 18th to 24th November

Not every illness needs antibiotics. Resistance to antibiotics is a growing concern, so help to preserve their efficacy for when they’re really needed!

• Always take antibiotics as prescribed
• Never miss a dose
• Complete a course in full
• Vaccinate yourself and your family

Keep antibiotics for when they’re really needed. You could save a life.

Sugar Awareness Week 17th to 23rd November

Did you know that nine in ten children, and four in five adults, in the UK are eating more sugar than recommended? This raises the risk of obesity, type 2 diabetes and tooth decay – starting from childhood.

This week is all about raising awareness, making informed choices and calling for better food policies to support healthier lives.
(Factsheet here: https://www.actiononsugar.org/resources/#d.en.488879)

This Sugar Awareness Week, the theme is ‘Cutting Through the Sweet Talk: What You See Isn’t What You Eat’, highlighting the importance of looking past marketing and packaging.

Terms such as ‘smart snacking’ can distract from the nutritional value of a food.

• Always read the label
• Swap sugary drinks for water
• Choose whole, unprocessed snacks

Try the NHS food scanner to look into labels in more detail: https://www.nhs.uk/healthier-families/food-facts/nhs-food-scanner-app/

National Self- Care Week 17th to 23rd November

It’s Self-Care Week, and your annual reminder to set aside some time for you.

We’re living longer lives, but not necessarily healthier, with chronic conditions on the rise. Managing stress, well-being and physical health all contribute to a healthy mind and body.

Try some of these ideas:
https://nshcs.hee.nhs.uk/training-s...-handbook/self-care-ideas-to-get-you-started/

Demand for health services has risen significantly in recent years, with long-term conditions growing. Preventive health is key to a healthier future for both your mental and physical well-being, and self-care is at the heart of this.

Try these self-care ideas:

• Take a mindful walk
• Try meditation
• Set boundaries – it’s okay to say no
• Speak to someone if you’re struggling
• Do one thing that brings you joy

Self-care looks different for everyone – find what works for you.

UK Malnutrition Week 17th to 23rd November

UK Malnutrition Week aims to increase understanding of the dangers, risk factors and signs of malnutrition and dehydration.
Malnutrition is a serious condition that happens when your diet doesn’t contain the right amount of nutrients, affecting millions of people in the UK. There are many factors contributing to this statistic – the rising cost of living, food and energy prices, and social isolation.

Find out how to access help and support. If you’re concerned, please make an appointment with our team.
https://www.nhs.uk/conditions/malnutrition/treatment/

Disability History Month 14th November to 20th December

This Disability History Month, we recognise and celebrate the history, achievements and voices of disabled people – while reflecting on the ongoing fight for equality, inclusion and human rights.

World Diabetes Day 14th November

Seven in ten people of working age are living with diabetes. The workplace can present many challenges to manage this condition. This World Diabetes Day, it’s a new opportunity for inclusivity and change at work. #DiabetesLife

Transgender Awareness Week, 13th to 19th November, with Transgender Day of Remembrance (TDOR) on 20th November

Trans Awareness Week helps to raise the visibility of transgender and gender non-conforming people, and addresses the issues the community faces.

Show you’re an ally with these few tips:

• Respecting pronouns – use an individual’s chosen pronouns
• Listening to trans voices – hear and validate
• Learn – Spend time understanding more, such as sex assigned at birth, gender identity, and gender expression

Read this guide on being a trans ally. https://lgbt.foundation/help/a-guide-to-being-a-trans-ally/

Remembrance Day 11th November

Today, we remember. On Remembrance Day, we honour the brave men and women who sacrificed their lives in service for our freedom.

At 11am, please join our silence to reflect, respect and never forget.

Anti Bullying Week 10th to 14th November

This year, the theme of Anti-Bullying Week is ‘Power for Good’.

Every year, bullying impacts on the lives of so many people, and silence means it carries on. Use your ‘Power for Good’ to speak up and raise awareness when you see bullying, face to face or online.

40% of children were bullied over the last year. Bullying can be in person or online, and includes physical, verbal, emotional and discriminatory behaviour (e.g., racist, homophobic, disability-related). Let’s use our ‘Power for Good’ and stop this harmful behaviour this Anti-Bullying Week.
https://www.nspcc.org.uk/keeping-children-safe/types-of-abuse/bullying-and-cyberbullying/

Odd Socks Day 10th November

To celebrate the start of Anti-Bullying Week, Odd Socks Day is held in many schools, and even in some workplaces! It’s all about celebrating what makes someone unique, showing how we are all different, and that acceptance is key! https://www.bbc.co.uk/newsround/50334197

Social Media Kindness

9th November, Social Media Kindness Day, is the annual reminder of the need to post thoughtfully all year round.

We understand that it can be difficult to get an appointment sometimes, or you may have to wait for a callback, but we’re doing our best to help you while under huge pressure. Our team are people too, and online posts left in frustrated haste can be hurtful.

If you’ve got a concern about any aspect of our service, please speak to the Practice Manager. We’re always happy to hear from you.

In a world where you can be anything, be kind!

Mouth Cancer Awareness

Mouth (oral) cancer can start in any part of the mouth – most commonly, on the side of the tongue or the floor of the mouth. Early diagnosis saves lives.

Know the warning signs:

• Mouth ulcer or sore that doesn’t heal after three weeks
• Red or white patches in the mouth
• Persistent mouth or tongue pain

Early detection changes lives. If you’re worried, make an appointment.
https://www.macmillan.org.uk/cancer-information-and-support/head-and-neck-cancer/mouth-cancer

Lung Cancer Awareness

Understanding the signs and symptoms of lung cancer can help with an early diagnosis. This useful video helps to explain the two types of lung cancer, exploring symptoms, testing, stages and treatment options. https://youtu.be/n6TE-Nkws6Q

Did you know lung cancer can affect anyone, not just smokers? This month is a great opportunity to raise awareness of this devastating disease and to help save lives. If you find that any of the following symptoms are affecting you, and last more than three weeks, make an appointment with your GP:

• Persistent cough
• Coughing up blood
• Chest pain or shortness of breath
• Unexplained weight loss or fatigue
• Repeated chest infections

Early detection saves lives.
https://www.macmillan.org.uk/cancer...lung-cancer/signs-and-symptoms-of-lung-cancer

Winter Weather Warnings and Staying Warm

Feeling the chill this winter? Keeping warm is essential for your well-being and health. Here are a few tips on warming up when it’s cold outside:

• Reduce draughts where you can
• Layer up – wear lots of layers of thinner clothing
• Cover extremities – hats, gloves, thick socks and scarves
• Eat healthily with plenty of hot drinks
• Avoid alcohol
• Keep moving

Keeping the cold at bay can help you to stay healthy over these wintry months.
https://www.ageuk.org.uk/informatio...keep-well-this-winter/stay-healthy-in-winter/

If you’re retired and struggling with costs this winter, check if you’re eligible for the winter fuel payment. If you were born before 22nd September 1959, you could get help to pay your heating bills for the winter of 2025 to 2026.
https://www.gov.uk/winter-fuel-payment

MOVEMBER

Movember is here to change the face of men’s health. Too many men are dying before their time, and growing a moustache in November is a conversation starter for those difficult topics that could save lives. https://uk.movember.com/?home

*Trigger warning*

Did you know that in the UK, three out of four suicides are by men? This has to change. This month is a time to focus on men’s mental health, prevention and health promotion.

Have you noticed a friend’s change in mood? Maybe they’re not around as much, or they’re going through life changes? Reaching out can make all the difference. https://uk.movember.com/men-s-health/spot-the-signs

Pancreatic Cancer Awareness Month

Light up your life with purple on 20th November 2025 to commemorate World Pancreatic Cancer Day. Whether you or someone close to you, or you simply show support for the cause, taking part in Purple Lights for pancreatic cancer helps to raise awareness of this devastating disease. https://purplelightsuk.org/

Pancreatic cancer often causes no symptoms in the early stages. When symptoms do appear, they’re the same in men and women and often vague or intermittent. This can mean it’s sometimes missed. Understanding and knowing the symptoms to look out for can help with early diagnosis, which results in improved outcomes.

Look out for:

• Unexplained upper abdominal pain
• Sudden weight loss or loss of appetite
• Indigestion, bloating or early fullness after small meals
• Nausea or vomiting, especially after fatty foods
• Fatigue or general weakness

If you’re worried, please make an appointment via our online request form.
https://www.pancreaticcancer.org.uk/information/signs-and-symptoms-of-pancreatic-cancer/

Peri/Menopause and emotional wellbeing

Hertfordshire Talking Therapies offers psychological help and employment support for people experiencing a wide range of common emotional difficulties. It is part of the NHS Talking Therapies, for anxiety and depression programme.

How can we support:
Peri/Menopause is a life transition that all people who have or have had menstrual cycles go through. It is characterised by hormonal fluctuations and decreasing levels of the hormones oestrogen, progesterone and testosterone.
Many people find these changes overwhelming and difficult to navigate. It can be hard to talk about how you are feeling and ask for help, but you do not have to struggle alone; there is support available.

More information can be found here Peri menopause / Menopause leaflet

Right to Choose: ASD & ADHD Assessment Pathways

What is Right to Choose?
In England, under the NHS, you now have a legal right to choose your mental healthcare provider, including for Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) assessments. This service, offered through the NHS, is free of charge.

Introduction to Right to Choose Referrals
Did you know that NHS patients have the legal right to select their mental healthcare provider? This important right allows you to explore alternative providers if the waiting time for an ADHD or ASD assessment is too long. Right to Choose, introduced in 2018, is still a relatively new system, and many patients may not be aware of these options.

Who Can Offer Right to Choose Assessments?
Several clinics across the UK offer Right to Choose ADHD and/or ASD assessments. To be eligible to provide this service, clinics must also offer the same service to the NHS in England. Private-only clinics are not eligible. Checking a provider’s website is a good way to determine if they offer the services you need.

Which Providers Offer Right to Choose Assessments?
The list of clinics offering Right to Choose assessments is constantly evolving. Currently, several clinics are available, but there may be other providers worth researching as well.

Important Resources

• ADHD & Right to Choose referrals: Visit the ADHD website for more information.
• ASD & Right to Choose referrals: Visit the National Autistic Society website for helpful details.

Things to Consider About Right to Choose
It’s important to note that many clinics offering these assessments can diagnose ADHD or ASD but may not provide medication titration. This means you might need a local NHS referral if medication is required to manage symptoms.

When Can You Not Use Right to Choose?
There are certain restrictions on eligibility for Right to Choose referrals. You are not eligible if:

• You require urgent or emergency treatment.
• You are already receiving care for the condition you are seeking an assessment for.
• The provider you choose cannot provide appropriate care for your condition.
• You are a prisoner or in specific secure settings such as a secure hospital or under the Mental Health Act.
• You are a serving member of the armed forces.

How to Request a Right to Choose Referral from Your GP
Have an open conversation with your GP about your concerns regarding ADHD or ASD. Your GP may suggest a referral for an official assessment. With extensive waiting times for ADHD and ASD assessments in Hertfordshire, Right to Choose can offer faster alternatives, reducing the long wait for diagnosis and support.

What Happens After Choosing a Clinic?
Once you select a clinic, either you or your family (if the patient is a child) will need to research and decide which provider to choose. Your GP cannot advise on which clinic to select. After making your choice, email or send an admin E-consult with your selection and any relevant forms to ensure an efficient referral process. The NHS standard contract (section 7.9) dictates the use of the e-RS referral system but does not require the use of a form to accompany such a referral. Your GP will make the referral by letter but will not complete forms created by the providers.

How Much Quicker Will Right to Choose Be?
The speed of the assessment depends on your chosen clinic and whether they offer medication titration. Generally, Right to Choose assessments can take anywhere from 12 weeks to 12 months—much quicker than the local NHS alternatives, which have waiting times of up to 7 years. If a clinic offers a diagnosis but not medication titration, you may need an additional referral for post-diagnostic support,which can take up to 24 months locally. Your GP will not initiate specialist medication and will only prescribe once the patient is stable on a dose and if the provider can meet the same standard for shared care as local NHS services.

Why Choose Right to Choose If Medication May Not Be Easily Accessible?
Many patients find that a diagnosis is sufficient for obtaining additional support from schools or employers, or they may not need medication at all for managing their conditions.

Further Questions?
If you have additional questions, a simple call to your surgery may provide answers. For further research, here are some helpful resources:

Information on ADHD

• AHD UKD: A charity offering free advice and information on ADHD and Right to Choose referrals
• ADHD Foundation: The UK’s leading neurodiversity charity, offering services for those who live with ADHD, Autism, Dyslexia, DCD, Dyscalculia, OCD, Tourette’s Syndrome and more
• NHS Website
• Mind: ADHD and mental health

Information on ASD

• National Autistic Society: offer support and advise for autistic people in the UK and their families
• Autism Speaks: Autism Speaks is dedicated to creating an inclusive world for all individuals with autism throughout their lifespan
• NHS Website
• Mind: Autism and mental health

Supporting Dads

Calling all dads in Hertfordshire!

Discover a wealth of resources and support tailored just for you at the Families First Support for Dads webpage. Whether you're looking for parenting tips, local activities, or advice, we've got you covered. What you'll find:-

- Parenting advice and tips

- Local events and activities

- Support services and resources

- Community connections

Visit our page and be the best dad you can be!

www.hertfordshire.gov.uk/familiesfirstdads

Healthy Herts

Their aim is to promote cardiovascular health and well-being throughout the local community in Hertfordshire, England.

Whether you're managing cardiovascular conditions, concerned about your heart health, or caring for a family member, they're here to provide support.

Explore the website for valuable resources, including links to support organisations, frequently asked questions, and a form where you can express interest in participating in their events.

Collaborating closely with the practice team, they're committed to refining the referral process, ensuring tailored support through local charities and social prescribers. For more information or to get involved, please reach out to the practice directly or complete their contact form.

Blood Tests

A notice from West Herts Teaching Hospitals NHS Trust

You now need to book an appointment for a blood test

From December 1st you can register with the online system to book appointments from December 14th