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PH Hosted Resource – Keeping fit and active (other language versions)

PH Hosted Resources – Want to stop smoking when you are pregnant? (English language version)

PH Hosted Resources – Want to stop smoking when you are pregnant? (Alternative language versions)

This suite of leaflets has been put together in response to concerns expressed by GPs that there was a lack of brief information readily available to them to pass on to people with dementia (or, if more appropriate, someone who is caring for a person with dementia).

The leaflets have been prepared by colleagues at Alzheimer Scotland, in conjunction with the Scottish Dementia Working Group

The aim of the leaflets is to provide people with dementia, and / or a person who cares for them, with useful information on a range of topics that can be provided at an appropriate time for the person. Most are addressed to people with dementia, thought they will all be of relevance to carers, too.

An outline of content of the leaflets is provided below. 

  • 3 Jan 2018 About dementia
    This describes dementia, with information about symptoms; Alzheimer’s disease; what someone should do if they are worried about their symptoms; and information about treatment and research.
  • 3 Jan 2018 About young onset dementia
    This leaflet provides information about the types of dementia that people under 65 might have, and information about living with the condition that is relevant for younger people who are more likely still to be in work. It describes some of the supports that are available. There are some services that are specific to people living in the city of Glasgow. However, advice and guidance on all aspects of dementia is available to anyone through Alzheimer Scotland’s 24 hour Freephone Dementia Helpline on 0808 808 3000 and from local Alzheimer Scotland services.
  • 3 Jan 2018 Adults with incapacity act
    This describes the rights of a person with dementia; the aims and principles of the act; the meaning of “incapacity” and ways to safeguard a person’s welfare.
  • 3 Jan 2018 Getting help caring for someone with dementia – information for carers
    This leaflet is aimed at carers and encourages them to seek help with that role. It explains the sources and types of help available, including the new link worker posts.
  • 3 Jan 2018 Healthy living with dementia
    Gives advice about diet, exercise, social activity and maintaining contacts, and the importance of looking after other aspects of one’s health.
  • 3 Jan 2018 Managing money
    This leaflet introduces the concept of the Power of Attorney and describes other ways that someone with dementia can be helped to manage their finances.
  • 3 Jan 2018 Planning for the future – financial, legal and care issues
    This leaflet discusses Anticipatory Care Plans; introduces the concept of Power of Attorney; outlines the importance of making a will and the status of any property someone has should they need to go into a care home.
  • 3 Jan 2018 Powers of attorney – financial and welfare
    This provides detailed information about Powers of Attorney – what they cover, how they are created, who can be an attorney and what to do with the Power of Attorney document.

Hosted Resources – these are resources hosted by IM on behalf of services where there has not been, for historical reasons, a dedicated microsite.

The Research and Evaluation team provides the following services:

  • Complete project management of population surveys such as the adult health and well-being survey and the schools survey
  • Advice and support to colleagues across the health sector in designing, implementing, analysing and commissioning research.  This includes evaluation of community based health programmes and evaluation of innovative approaches to health improvement
  • Building organisational expertise in research and evaluation by offering training in key research skills, advice on research governance issues and research clinics
  • Advice and support in database management/design
  • Pushing the boundaries of public health by exploring overarching themes in research, such as tobacco control, studying under-investigated determinants of health such as work on Green Spaces or Arts & Health and evaluating interventions addressing inequalities and health such as Integration Through Safety for Asylum Seekers
  • Enhancing organisational learning from research and evaluation by organising a comprehensive, accessible seminar programme across Greater Glasgow & Clyde

If you require any further information you can contact the Research and Evaluation Team at:

Contact.Research@ggc.scot.nhs.uk

Cervical skills training is only available to staff working in NHS Greater Glasgow and Clyde and Argyll Bute.

Core training (1 day training – training for new smear takers)

Core Training for New Smear Takers

This is aimed at those who have never undertaken cervical screening education.

The initial training programme consists of a one day course followed by both practical and self directed learning.  

This takes the form of

  • Observation of two fully person centred cervical screening consultations by practice assessor
  • Completion of 5 supervised person centred cervical screening consultations
  • 5 indirect supervised person centred cervical screening consultations
  • Attendance for 1 session at colposcopy
  • A Quality Improvement project
  • Completion of log book

The submitted evidence of the consolidation/assessment process will result in certification.

Please remember that you are accountable for you own practice and should work within your own limitations at all times.

Entry requirements

  • Student must be a qualified practicing Nurse/Midwife or qualified Medical Doctor
  • The student is able to complete the training criteria within a 26 week period
  • Student must have a practice assessor
  • NHS email
  • SCCRS login/ password

Students are to required to complete pre-course eLearning modules which will be forwarded once registration has been completed.

Please note spaces are limited to 25 per course.

Course fee: £75

Update training (three yearly half day update for current smear takers

Cervical Skills Update Training

This is aimed at those who have previously complete the core Cervical Skills Training. Update training is required to be completed every 3 years. Smear takers will update knowledge and skills; increase awareness of current practice; and address unsatisfactory smears. 

Please note spaces are limited to 30 per course.

Course fee: £30

All training sessions will include new and updated content to bring you up to date with the scheduled changes to screening.

If you have any queries, please contact ggc.phsu.admin@nhs.scot

White Powder Incident

Members of the public who have been exposed to a suspect biological agent should receive an initial 10 days’ ciprofloxacin as prophylaxis against anthrax, plague, tularaemia or other biological agent (unless contraindicated – doxycycline is an alternative – see below). This is a precaution until laboratory results for the agent are known. Initial and follow-up treatments can be provided under the emergency PGDs below.

Anthrax – children aged 12 yrs and over and adults

Tularemia – children aged 12 yrs and over and adults

Plague – children aged 12 yrs and over and adults

Anthrax – children under 12 yrs

Tularemia- children under 12 yrs

Plague – children under 12 yrs

NHSGGC Authorisation Forms for PGDs

Exposure to Radiactive Iodine – adults and children 

Measles

Measles is a notifiable disease under the Public Health (Scotland) Act 2008.

Measles should be considered if the patient has:

  • Fever ≥38°C AND
  • Generalised maculopapular rash AND
  • Either cough, coryza or conjunctivitis (ref HPS)

GPs should take a throat swab as soon as possible when measles is clinically suspected. The swab should be expressed into the Viral PCR Sample Solution vial (VPSS) and sent off to the West of Scotland Specialist Virology Centre at the GRI.  If VPSS is not available, swabs can be cut off and sent dry in a sterile container. This should be avoided whenever possible as the virus remains infectious and sensitivity is reduced. VPSS inactivates and preserves the pathogen genome for PCR testing.

TrakCare item: Adult maculopapular rash – virus PCR – Set (See WoSSVC under Rash testing – maculopapular)

TrakCare item: Paediatric maculopapular rash – virus PCR – Set 

GP electronic request (ICE / EMIS / Vision) item: Maculopapular rash PCR-current infection

Measles Communication

Letter 1

Letter 2

Notification

GPs should notify the PHPU Health Protection Nurse by calling 0141 201 4917  

On notification, the HPN will assess the individual epidemiological features of the case: –

Immunisation history –  any known vaccination history or history of measles?     (The vaccine effectiveness of a single dose of MMR is around 90% and approximately 95% for two doses.  Although vaccine failure is rare, it can occur, particularly after a single dose)

Travel – any travel within and outside the UK during the incubation period, with an assessment of whether travel was in an area where measles is known to be circulating?

Ethnic and cultural/religious background – are there details on the patient’s ethnicity, and importantly, whether the patient is a member of an under-vaccinated population group (e.g. Charedi Orthodox Jewish community, Steiner community)?

Epidemiological link – is there a known epidemiological link with another laboratory or epidemiologically confirmed case?

WHO Measles Surveillance

If the PHPU clinician agrees that the case meets the definition of a possible measles, an oral fluid kit (MMR salivary kit) for IgM testing will be sent out – previously sent to GP surgeries, these are now being posted from the PHPU directly to patients/parents/guardians who are requested to forward the sample directly to PHE Colindale using the labelled packaging supplied. MMR kits, which meet the WHO requirements of measles investigation to satisfy elimination criteria, are sent out even if PCR testing is negative.

Exclusion of a confirmed case

People with confirmed measles should be excluded from their usual place of work or study or from shared childcare facilities or any other shared space until at least four days after the rash has developed. The case should be advised to self isolate and to avoid contact with vulnerable groups during this time. For more info click on link

MUMPS

Mumps is a notifiable disease under the Public Health (Scotland) Act 2008.  

Oral fluid testing (MMR salivary kit) for suspected mumps cases ceased on 1st April 2018.  

Mumps can be diagnosed clinically. However, if a GP is keen to have laboratory confirmation of suspected mumps cases, the PCR test is available from the WoSSVC.  A buccal (inner cheek) mouth swab should be expressed into the VPSS vial and sent off to the WoSSVC (GRI).  When Viral PCR Sample Solution (VPSS) is not available, swabs can be cut off and sent dry in a sterile container.  

TrakCare item:  Mumps PCR – current infection

GP electronic request (ICE / EMIS / Vision) item: Mumps PCR – current infection

Ordering VPSS

Please email the WoSSVC (west.ssvc@nhs.net ) to order Viral PCR solution (VPSS) and include:

  1. The requesting location address (inc. the postcode)
  2. The number of VPSS vials required
  3. Name, telephone number and email address of a contact in case of questions regarding the order 

Alternatively requests for VPSS can be made via the office 0141 201 8722.