Self help

Please select a condition from the list below for helpful information on how to self help from home.

Muscle and joint problems – Musculoskeletal

Physio self-management

The getUBetter app is provided free of charge by Gloucestershire ICB for patients registered at The Chipping Surgery. It can be accessed on a Smartphone or on the Web and guides you day by day through a sequence of exercises and tips to help you get better from a range of new or recurrent musculoskeletal conditions:

  • Lower back pain
  • Back and leg pain
  • Neck pain
  • Shoulder pain
  • Ankle pain
  • Knee pain
  • Soft tissue lower limb
  • Hip pain

You will be referred to the App by one of our GPs or physio, or you can self-register by following app.getubetter.com/request-access.

Please use an email address that is unique to you and select the condition you need help to manage. You will then be sent an email with all the information you need to get started.

You can download the getUBetter App to your Smartphone for easiest access or use the Webapp.

If you develop another condition register again with the same email address, select your new condition and it will be added to your account.

The app will also connect you to your local; treatment, healthcare providers or support services if needed like physiotherapy.

You can also use the following self referral link; https://web.glos.nhs.uk/PhysiotherapySelfReferral/

Attention Deficit Hyperactivity Disorder (ADHD)

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

NHS Gloucestershire ICB: ADHD shared care requests (PDF)

ADHD shared care protocol

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, lisdexamfatamine 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 will undertake shared care of ADHD medication in adults provided:

  1. They are under NHS care as per ICB guidance.
  2. The patient’s condition is stable.
  3. The dose of ADHD medication is stable.
  4. The GP is provided with sufficient information to ensure they are confident to adequately monitor the patient.
  5. Support and advice regarding aspects of treatment will be provided by the specialist team.

If a GP is not confident to undertake these roles, then he/she is under no obligation to do so.

GP monitoring:

  1. 6 monthly pulse, blood pressure and weight with face-to-face GP appointment to assess for adverse effects and ongoing need for medication.
  2. Annual bloods for FBC, U&E, TFTs, LFTs and HBA1C.
  3. Ensure monitoring tests are done.
  4. Check annual review with provider is ongoing. If not, encourage to book or discontinue medication.

If patient initially sees private provider for diagnosis, patient is to self-fund treatment, but GP will make NHS referral. GP will take on prescribing once seen by NHS and stable on treatment.

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

Gender Dysphoria

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.