myCOPD is the complete app for patients living with COPD. Perfect your inhaler technique with our easy-to-follow inhaler videos and learn how to manage your COPD from world experts. Record daily steps and any exercise in our Activity Diary from the comfort of your home and get the very best in COPD care. As well as getting access to this fantastic app, you can also access free coaching support from the local respiratory teams to help you to get started and build your confidence when using myCOPD. To get your FREE access to the approved NHS myCOPD app and coaching support please follow this link: myCOPD self referral form
What is myCOPD?
myCOPD is a digital therapeutic app that can support people with COPD, empowering them to better manage their condition day-to-day to improve their disease control and subsequent demand on NHS resources.
myCOPD provides a range of resources designed to improve disease awareness and support patients to proactively manage their condition through risk factor management and lifestyle modification. Features of the app include pulmonary rehabilitation videos, videos on inhaler techniques, COPD checklists and lung function tests, weather and pollution forecasting, self-management plans and inhaler diaries along with notifications to keep users on track.
Used as an integral part of service delivery by clinical teams, the ‘my COPD Clinical Dashboard’ can be used to support effective goals and facilitate hybrid and remote delivery models of care.
“Since starting myCOPD both myself, my wife and my family have noticed how much more I can do. I watch the videos to make sure I take my inhalers correctly and have started exercising three times a week using the videos. Now I can walk faster than my wife!” Michael, 74, Havant
Privacy Notice
The Surgery store your records electronically in our clinical systems. At enrolment on the myCOPD platform, your information will be shared and stored electronically with myMHealth. The information that The Surgery will share with myMHealth is your name, date of birth, NHS number and email address. myMHealth has its own privacy policy which can be found here at www.mymhealth.com/privacy. In addition, your demographic information (i.e. name, date of birth and app usage) will be analysed as part of an evaluation project hosted by the Healthier Together group.
This phone App aim is to enable you to trust your recovery, understand when and where to seek help if needed and help you to prevent and manage further episodes. Your Healthcare Professionals cannot be with you 24/7 but we can.
GetUBetter is one app for all conditions – your recovery, prevention and support.
The app does the following:
Provides personalised and tailored recovery which responds to how you are feeling.
Supports and guides day-by-day and step-by-step.
Connects you to your local healthcare providers, treatment and support services e.g. GP practice, physiotherapy or well-being services.
How it works:
Your local Healthcare Provider (e.g. GP practice, Physio or Occupational Health service) will give you the app for a specific problem such as lower back pain, neck pain or knee pain (sometimes more than one).
They ask you to provide an email address of your choice.
This email address is used to register and link you to your local recovery journey for that problem.
For each condition you will have to answer a few questions, these help us keep you safe and guide your recovery, so thank you for your patience. We then provide all the advice, guidance, videos, simple exercises, and a symptom checker to support your day-by-day, end-to-end recovery journey.
This app incorporates the “getUBetter – lower back pain” and “Wandsworth Lower back pain” recovery apps. “A rather clever app from getUBetter, giving patients a managed Back Pain recovery program” Backcare.org.uk
Important information: This app is not a substitute for seeing a Health Professional. If you have any concerns or changing symptoms, please seek help.
The app is suitable for:
New or recent onset of clinical conditions (within 12 weeks)
If you have been advised or chose to self-manage your injury
Whilst you wait for treatment on the NHS, at your Occupational Health or privately (e.g. Physiotherapy)
The app is not suitable for:
Under 18-year old
People with worsening neurological symptoms (numbness, weakness, problems with bowel or bladder)
People with a known diagnosis such as infection, rheumatological problems, neurological problems, cancer, kidney, fracture, and pelvic organ pain
People that are requiring ongoing close medical intervention or monitoring
People with very severe, worsening symptoms
Pregnancy-related problems.
Please note: We aim to support you through your recovery journey. Our app is not a substitute for medical assessment or treatment and if at any point you have any concerns please seek medical advice.
We provide numerous services in the pharmacy including advice for minor illnesses, and various contraceptive advice. We have a fully private soundproof room available if you wish to discuss anything confidentially. Just ask if you would prefer to talk in private.
Medicines Use Review (MUR)
This is a consultation with one of our pharmacists to help you get the most out of your medicines and answer any questions you may have about your treatment. This service is completely free. This service is available by appointment only. Please ask for a medicine use review when booking.
I think I might be pregnant
If you think you could be pregnant you should do a pregnancy test as soon as possible.
You can get a free test at any of the Bristol Sexual Health Service clinics – if you think you may be pregnant please do a home pregnancy test. If this is positive and you would like to discuss your options with a GP please contact The Surgery. For more information please click here.
You can buy a test to do it yourself from the pharmacy or supermarket.
You can carry out a pregnancy test from the first day of a missed period. Tests that are done earlier than this may not be accurate.
If the test is positive, this means you are pregnant. All pregnancy tests, when carried out correctly and at the right time, are reliable. This includes tests that you buy from the pharmacy or supermarket to do yourself. If you don’t have regular periods, and the test is negative, you should repeat the test at least three weeks (21 days) from the last time that you had unprotected sex.
I have had a positive pregnancy test. What are my choices?
You now need to think about what you want to do: continue with the pregnancy and keep the baby, or continue with the pregnancy and have the baby adopted, or end the pregnancy by having an abortion
What should I do if I want to continue the pregnancy?
You should contact our Reception and notify us providing your name, address and the date of your last menstrual period. We will book you an appointment to meet the Midwife. Please visit us and collect Pregnancy Information Pack and Vitamins from our Reception. If you have any concerns about your pregnancy or significant past health problems please make an appointment to discuss with a Doctor.
What should I do if I want an abortion?
Please call our booking line 0117 927 6362. Our booking staff will ask you for your name and address and your GP’s name and address (if you have one) and make an appointment for you. Please follow this link for more details.
What should I do if I’m not sure?
If you are having difficulty reaching a decision, it is often useful to talk it over with people you can trust and having accurate information can help.
You may wish to talk to family and friends – or it might be easier to talk to someone who is not so close to you.
Often it is best to book an appointment to find out how many weeks pregnant you are, get some accurate information about abortion and pregnancy and talk about your option with health professionals. Staff at the Bristol Pregnancy Advisory Service is able to help you resolve any conflicting emotions and reach the right decision for you. They recognise that this may take some time. If you do decide to end the pregnancy you will be given another appointment on a different date for an abortion itself.
We are proud to offer services through our housebound Urgent Care team supporting our GPs in making visits to patients in their homes when they are unable to access services at the surgery.
Our definition of ‘Housebound‘ is:
A patient is housebound if they are unable to leave their home at all, or if they require significant assistance to leave the house due to illness, frailty, surgery, disability, mental ill-health, or nearing the end of life. For these reasons a person who is housebound would be unable to receive their healthcare in a GP practice or Clinic.
As well as our GPs we have two Community Nurse Practitioners who make urgent visits where required. They are supplemented by our Long Term Conditions Community Nurse who provides proactive routine health checks for our housebound patients.
If you or someone you know in our area is housebound and would like further information on this please contact us for more information.
Contraception
All our doctors and sexual health nurses are trained in contraception and can offer advice on all forms of contraception including pills, injections, implants, IUD and IUS coils.
If you are considering starting or changing your contraception, please book a phone appointment with a sexual health nurse or one of our doctors.
Our sexual health nurses and some doctors are trained in fitting and removing IUD and IUS coils and the contraceptive implant. If you are interested please book a phone consultation for advice before the procedure can take place.
We can provide testing and screening for sexually transmitted infections, cervical screening and emergency contraception.
If you wish to discuss your contraceptive options or start a new type of contraception – please make an appointment with a GP or our Nurse Practitioners. We offer a full range of contraceptive options including long-acting reversible methods (LARCs). Please see the individual sections below for more information about each method of contraception offered.
There are different methods of emergency contraception:
The ‘morning after pill’ works within 3 days after sex, but it works better the sooner you take it.
The emergency IUS/IUD (also known as the coil), can be used up to 5 days after sex and is the most effective
If you need the morning-after pill please call UWE Health Center reception (0117 328 6666) before 11 am so that you can be seen by the GP or Nurse Practitioner on duty for a free prescription that day. At the same appointment, it will be possible to discuss other contraception options and if it is necessary for screening for sexually transmitted diseases such as chlamydia.
If you are under 25 there are other places to get emergency contraception:
80% of Bristol Pharmacies will also provide free emergency contraception to the under 25s – click here to find your nearest Pharmacies
If you are over 25, emergency contraception pills are still free but you will need a prescription from your surgery or alternatively, you can attend one of Bristol’s NHS Walk-in Centres.
Contraceptive pills
If you are considering starting the contraceptive pill you should see the GP or our Nurse Practitioners to discuss your options and ensure that the type of pill chosen is the safest and most appropriate for you to take. This will involve discussing your past medical history and that of your family. We will also need to weigh you, ask questions about your lifestyle and measure your blood pressure.
We normally issue an initial prescription for 3 months supply of your contraceptive pill. If after 3 months, you are happy with the pill you are taking and have no concerns, you should book an appointment with the UWE practice nurse for a pill check. If there are no problems we will issue 6 months of your contraceptive pill and put it on repeat so that you can have a further prescription without being seen. After this, you will need to have annual pill checks with the practice nurse.
If you have problems you want to discuss, please book an appointment with a GP or the Nurse Practitioner.
Effectiveness Over 99% effective at preventing pregnancy. Less than one in 100 implant users will get pregnant in a year.
How it works A small, flexible rod is put under the skin of your upper arm. It releases the hormone progesterone. It stops ovulation (releasing an egg), thickens cervical mucus to stop sperm from reaching an egg, and thins the lining of the uterus (womb) to prevent a fertilised egg from implanting.
How long does it last It works for 3 years but can be taken out sooner.
How it affects periods Your periods may stop, be irregular or longer.
How it affects fertility Your fertility returns to normal as soon as the implant is removed.
How it’s inserted/removed A doctor or nurse numbs the skin in the inner area of your upper arm with a local anaesthetic and inserts the implant. It takes a few minutes and feels similar to having an injection. To remove it, the doctor or nurse uses a local anaesthetic, makes a small cut and gently pulls the implant out. More about the contraceptive implant.
How it works A small plastic and copper device is put into the uterus (womb). The copper prevents sperm from surviving and alters your cervical mucus to prevent sperm from reaching an egg. An IUD may also stop a fertilised egg from implanting in the uterus.
How long does it last It works for 5 or 10 years, depending on the type but it can be taken out sooner. If fitted after age 40, it can stay in place until after menopause when contraception is no longer needed.
How it affects periods Your periods may be heavier or more prolonged or more painful.
How it affects fertility Your fertility returns to normal as soon as the IUD is taken out.
How it’s inserted/removed A doctor or nurse will insert the IUD. Your appointment will last around 20–30 minutes. Inserting the IUD usually takes about 5 minutes. It can be uncomfortable or painful for some people and you may be offered a local anaesthetic. The IUD has threads that hang through the cervix (opening of the uterus) into the top of your vagina. A doctor or nurse can remove the IUD by pulling gently on the threads. More about the IUD.
Effectiveness Over 99% effective at preventing pregnancy. Less than one in 100 IUS users will get pregnant in a year.
How it works A small, T-shaped plastic device, which releases the hormone progesterone, is put into the uterus (womb). This thins the uterus lining to prevent a fertilised egg from implanting and thickens cervical mucus to prevent sperm from reaching an egg.
How long does it last It works for 5 years (Mirena and Kyleena) but can be removed sooner. If fitted after age 45, Mirena can stay in place for contraception until after menopause, when contraception is no longer needed.
How it affects periods With Mirena, your periods usually become lighter, shorter, and less painful. They may stop altogether. With Kyleena, the smaller, lower hormone IUS your periods are usually weaker, shorter or sometimes stop.
How it affects fertility Your fertility returns to normal as soon as the IUS is taken out.
How it is inserted/removed A doctor or nurse will insert the IUS. Your appointment will last around 20–30 minutes. Inserting the IUS usually takes about 5 minutes. It can be uncomfortable or painful for some people and you may be offered a local anaesthetic. The IUS has threads that hang through the cervix (opening of the uterus) into the top of your vagina. A doctor or nurse can remove the IUS by gently pulling the threads. More about the IUS.
Please see the below pdf files with brief information about each of the methods we can apply:
Chlamydia is a sexually transmitted disease that may not cause any symptoms but may result in long term infertility. If you have never been tested, or have had a new partner in the past year, please order a self-testing kit online here. Alternatively, collect a test kit from UWE Health Centre or The Old School Surgery and return it once completed. This is a FREE service and we encourage patients under 25 to participate.
Testing is confidential and results are texted to you. If you have symptoms such as a discharge please make an appointment to see the nurse practitioner or doctor.
HANDi has been developed by the paediatric team at Musgrove Park Hospital to provide expert support to parents/carers and medical professionals looking after children with the most common childhood illnesses:
Diarrhoea (gastroenteritis)
Chesty child (wheezing and asthma)
Chesty baby (bronchiolitis)
High temperature
Abdominal pain
Common newborn problems
Parent/carer guidance includes illness-specific home assessment guidelines, signposting to the appropriate local healthcare setting, and illness information. Each of the 6 most common childhood illnesses has a Home Care Plan to help parents/carers provide the best support for their child.
Assessment guidelines are provided for healthcare professionals in the community and in the hospital environment. Guidelines have been developed using a traffic light system that guides professionals to the most appropriate healthcare advice, support or referral for the individual child. These integrated guidelines should help parents/carers feel that they are getting consistent advice wherever and whenever their child is seen.
Both parents/carers and healthcare professionals are encouraged to look at each of the three pathways for each of the 6 most common conditions.
Within the app, you can choose the Bristol Royal Hospital for Children to tailor the information to the Bristol area with important contact numbers and websites.
Download links for the HANDi App:
Chargeable Services (Non-NHS Work)
The following fees are BMA recommendations for non-NHS work (prices may vary depending on the amount of work required):
Allowance
Charge
GP report for insurance applicants
£104
GP supplementary reports
£27
Certificates
Straightforward certificates of fact
£18
More complex certificates
Private sick note (incapacity certificate) required by the patient for presentation to an employer except for those which the doctor is obliged to provide for statutory sick pay purposes
£30 to £63
Accident or sickness insurance certificate – a short certificate of incapacity without examination for the patient to claim under accident or sickness insurance
£30 to £63
Freedom from infection certificate, eg for school, travel or employment
£30 to £63
Validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form
£30 to £63
Health club brief written report to certify that a patient is fit for exercise
£30 to £63
School fees and holiday insurance certificates
£30 to £63
Work in surgery
Extract from records
£67
Report on a pro forma, no examination (eg 20 minutes)
£89.50
Written report without examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes)
£133
GPs
Work in surgery, indicating time element where appropriate
£186.20
Extract from records
£48.40
Report on pro forma (eg 20 minutes)
£61.90
Report written (eg 30 minutes)
£94.15
Medical examination and report in surgery (eg 45 minutes)
£135.20
Session (eg 3 hours)
£560.60
Work out of surgery including boards, tribunals, lectures
Up to one hour
£94.15
Up to two hours
£188.30
Three hour session
£282.45
Certificate (no time element involved)
£19.80
Community service certificate for offenders who fail to attend (Scotland only)
£40.60
Consultant fees for driver licensing
Blood test only
£39.00
Consultant series 2
£42.00
Consultant examination
£136.50
Consultant VOC (vocational) exercise test
£136.50
Copy of visual fields
£42.00
Use of hospital facilities
£102.50
Stress echocardiogram
£500.00
Report from records
£102.50
Perfusion scan
£550.00
GP fees for driver licensing
VOC (vocational) GP certificate
£12.50
GP series 2
£40.00
GP examination
£85.00
Cervical screening (a smear test)
Cervical screening is one of the best ways to protect yourself from cervical cancer.
What is cervical screening? Cervical screening is not a test for cancer, it’s a test to help prevent cancer.
Cervical screening (a smear test) checks the health of your cervix. The cervix is the opening to your womb from your vagina.
It’s not a test for cancer, it’s a test to help prevent cancer.
All women and people with a cervix aged 25 to 64 should be invited by letter.
During the screening appointment, a small sample of cells will be taken from your cervix.
The sample is checked for certain types of human papillomavirus (HPV) that can cause changes to the cells of your cervix. These are called “high-risk” types of HPV.
If these types of HPV are not found, you do not need any further tests.
If these types of HPV are found, the sample is then checked for any changes in the cells of your cervix. These can then be treated before they get a chance to turn into cervical cancer.
You’ll get your results by letter, usually in about 2 weeks. It will explain what happens next.
You may need more help and support with cervical screening for many reasons.
Speak to the GP at our surgery if you have questions about cervical screening invitations, results or any symptoms you have.
Support for everyone
For more information and support about going for cervical screening, results and treatment, you can contact Jo’s Cervical Cancer Trust by:
The PHE helpdesk does not have access to medical records and is not able to provide medical advice or screening results. Speak to our Surgery for information about your cervical screening test or results.
