Physical Health Monitoring Clinic – Fairnington Centre
Information leaflet about the Physical Health Monitoring Clinic in the Fairnington Centre, Hexham; including services offered, who the clinic is for and how to be referred.
This leaflet may not be reproduced in whole or in part, without the permission of Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
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Introduction
This leaflet provides you with information that you will find useful whilst attending the Physical Health Monitoring Clinic. If you are not sure about anything in this leaflet please ask a member of staff.
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What is the Physical Health Monitoring Clinic?
The Physical Health Monitoring Clinic is based within the West Northumberland Community Treatment Team base at the Fairnington Centre, Hexham.
The services provided at the clinic are as follows:
• Clozapine Monitoring
• Clozapine Initiation
• Phlebotomy
• Lithium Monitoring
• Lithium Initiation
• High Dose Antipsychotic Treatment (HDAT) Monitoring
• Physical Health Monitoring for people prescribed antipsychotic medication
• Physical Health Monitoring for Eating Disorder -
Why do I need to attend the Physical Health Monitoring Clinic?
The services provided by the Physical Health Monitoring Clinic support your overall treatment plans.
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Arriving at the Physical Health Monitoring Clinic
When you arrive in the Physical Health Monitoring Clinic, you will meet one of our mental health clinicans, who work within the department. They will explain what will happen during the time you may be in receipt of our services.
• Please note that referral to any of our clinics will need to be made through your care co-ordinator or your Consultant Psychiatrist.
• The clinic staff liaise closely with your Care Co-ordinator, your Consultant Psychiatrist, your GP and any others that you may have contact with in the community.
• The Physical Health Monitoring Clinic provides services for out-patients.
• Staff at the Physical Health Monitoring Clinic will be happy to provide information to you and/or your carer about any treatment or therapy that may be recommended for you. -
How long will I be there?
People usually attend appointments in the Physical health Monitoring Clinic for approximately one hour depending on which service you are receiving.
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What sort of things happen at the Physical Health Monitoring Clinic?
We offer these services on certain days each week. You will be informed by letter of when you are able to attend.
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Services provided are:
Clozapine Monitoring and Initiation
Clozapine (Clozaril) is an anti-psychotic drug that requires special monitoring, as it has a relatively high risk of causing a serious disorder of the white blood cells (agranulocytosis). The Physical Health Monitoring Clinic has direct links to the Clozaril Patient Monitoring Service (CPMS) and St. George’s Hospital pharmacy to ensure and maintain a safe service.
When you are first prescribed Clozapine you need to be monitored closely for a period of two weeks whilst the dose of medication is being gradually increased. This is a specific protocol determined by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust. This needs to be done safely either in a hospital setting or within a Physical Health Monitoring Clinic.You can only take Clozapine if your blood count is monitored on a regular basis. Most service users taking Clozapine in Northumberland attend one of the Physical Health Monitoring Clinics for:
• blood sampling
• side effect monitoring
• physical health monitoring
• wellbeing advice, education and information.Phlebotomy
The taking of blood samples as requested by your Consultant Psychiatrist or Care
Co-ordinator.Lithium Monitoring and Initiation
Lithium is used to help treat the symptoms of bipolar affective disorder, it can help make “highs and lows” less extreme or occur less often. It can take some time for Lithium to have its full effect. It may be used on its own or with other medicines. When you first start taking Lithium, there are various tests which need to be done before you commence treatment. There are also ongoing tests/bloods which need to be done three monthly. You will also be monitored closely for side effects. Physical health monitoring, wellbeing advice, education and other information will be completed during consultation.HDAT Monitoring (High Dose Antipsychotic Monitoring)
Sometimes if you are prescribed various different medications you will need to have a specific set of tests/blood samples every three months. You will also need to be closely monitored for side effects. Physical health monitoring, wellbeing advice, education and other information will be completed during consultation.Physical Health Monitoring for Eating Disorder/difficulties
If you are under the care of the Community Treatment Team Eating Disorder Pathway physical health monitoring is an important part of your care plan and will be offered in our clinic. Your results will be monitored by our team and responded to accordinglyAntipsychotic Monitoring
We will offer physical health monitoring in line with antipsychotic monitoring guidance or we will arrange for this to be done at your GP surgery. -
Interpreters
If you would like an interpreter, staff will be able to help you to get one.
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Travel information
You need to make your own way to the Physical Health Monitoring Clinic for your appointment. Your Care Co-ordinator will be able to help you to make arrangements if necessary or will be able to help/advise you regarding travel arrangements. Please contact us should you experience any difficulties and we will be happy to try to help resolve them.
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What if I have a comment, suggestion, compliment or complaint about the service?
If you want to make a comment, suggestion, compliment or complaint you can:
• talk to the people directly involved in your care
• ask a member of staff for a feedback form, or complete a form on the Trust website www.cntw.nhs.uk (click on the ‘Contact Us’ tab)
• telephone the Complaints Department 0191 245 6672
• email [email protected] Please note that information sent to the Trust via email is sent at your own risk
• We are always looking at ways to improve services. Your feedback allows us to monitor the quality of our services and act upon issues that you bring to our attention.
You can provide feedback in the following ways:
– the quickest way for you to do this is to complete our short online survey at
www.cntw.nhs.uk/poy
– complete a Points of You survey, available from staff. -
Useful contacts
• Pharmacy (Clozapine enquiries) Tel: 0191 245 6606
• National Institute for Health and Clinical Excellence (NICE)
Tel: 0300 323 0140
Website: www.nice.org.uk
• Pharmacy Medicines Information Line Tel: 0191 245 6604 (Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust) -
References
A full list of references is available on request from the Patient Information Centre Tel: 0191 246 7288
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Other formats, references and review
Further information about the content, reference sources or production of this leaflet can be obtained from the Patient Information Centre. If you would like to tell us what you think about this leaflet please get in touch.
This information can be made available in a range of formats on request (eg Braille, audio, larger print, easy read, BSL or other languages). Please contact the Patient Information Centre
Tel: 0191 246 7288Published by the Patient Information Centre
2021 Copyright, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Ref, PIC/739/1121 November 2021V5
www.cntw.nhs.uk Tel: 0191 246 7288
Review date 2024