If you need support with Pain and how to access services available to you with reference to this topic, you can visit this website Pain : NHS Gloucestershire ICB

Physio Self-Referral Support

The musculoskeletal physiotherapy service offers a wide range of expert assessment and treatment options. Utilising specialist skills, the team works together to provide comprehensive patient-centred treatment. This is based on current, up-to-date research that empowers patients to improve their musculoskeletal health and facilitates prompt return to function, work or sport. 

Physiotherapy helps patients with restoring movement and function of limbs and muscles when affected by injury, illness or disability. It can also help in the management of long-term conditions; empowering patients to effectively self-manage their symptoms and remain independent. 

Physiotherapists maintain health by helping patients to manage pain and prevent further problems. It is likely that as part of your physiotherapy treatment you will be given a rehabilitation programme to complete at home. Exercise and activity is important to help your muscles and joints remain strong and resilient. 

The self-referral service allows you to refer yourself to a physiotherapist without having to see your GP first. 

For more information and the self-referral link; Adult Musculoskeletal Physiotherapy > Glos Health & Care NHS Foundation Trust

ADHD shared care protocol

Please view the documents below for information on The Chipping Surgery and Gloucestershire ICB shared care agreement policy following ADHD diagnosis.

Shared Care Agreement Policy

Adult incidence is 3-4%

ADHD is a heterogenous behavioural syndrome characterised by symptoms of hyperactivity, impulsivity, and inattention.

Methylphenidate, atomoxetine, lisdexamfetamine and dexamfetamine are licensed in children over 6 and adolescence. NICE recommends methylphenadineas first line in adults with ADHD.

NICE guidelines state that treatment should only be initiated by appropriately qualified health care providers with expertise in ADHD.

NICE recommends that continued prescribing and monitoring of drug therapy may be performed by GPs under shared care arrangements, ensuring clear lines of communication between primary and secondary care are maintained.

The Chipping Surgery is not taking on any new shared care arrangements with regard to ADHD medications at this time. As per GMC guidance, if a GP is not confident to undertake these roles, then he/she is under no obligation to do so.

Right to choose partners e.g., Psychiatry UK, ADHD 360, Clinical partners;

https://adhduk.co.uk/right-to-choose/

https://g-care.glos.nhs.uk/pathway/429/resource/5#chapter_2833

Guidance – July 2024

The clinicians at the surgery will be happy to discuss any issues with gender and make referral if requested for any patient over the age of 18.

Please arrange a face to face appointment with one of our GP’s if you would like to discuss this further.

We are experiencing an increasing volume of enquiries relating to the private prescription of weight loss injections (such as Mounjaro, Wegovy).

If you are seeking these treatments privately, please be aware that the decision to prescribe rests with the prescriber and therefore our clinicians will not advise or give an opinion on your suitability for the treatment. It is up to the prescriber to be satisfied that the treatment is safe and appropriate. In order to do so they may require access to information from your medical record. In this instance we would advise you to present your healthcare record from the NHS app.

Alternatively, you can request a “patient summary” by submitting an admin query on our online contact form. Please allow three working days for a response.