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Managing Saliva Problems in Motor Neurone Disease (MND)

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Managing Saliva Problems in Motor Neurone Disease (MND)

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Use of Referral Proformas - BMA Statement

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Use of Referral Proformas - BMA Statement

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East Kent COPD Primary Care Management Guidelines

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East Kent COPD Primary Care Management Guidelines

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Professional Support and Wellbeing Service PSWS

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Professional Support and Wellbeing Service PSWS

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Support for trainees: Anxiety, stress, career, clinical skills, conduct, culture, exam support, language support, Neurodivergence, health conditions

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The KSS PSWS is a bespoke and confidential service dedicated to helping postgraduate doctors in training across the Kent, Surrey and Sussex region to fulfil their career potential. It is currently available to doctors in the KSS General Practice and Foundation training programmes. KSS Public Health doctors should access the Thames Valley PSWS. Doctors in other postgraduate specialist training programmes should contact the London PSU for support.

Why does the PSWS exist?

For most doctors there are times in their careers when additional support is needed. This can be for many different reasons, from personal, physical or mental health concerns to family issues, career worries and workplace stress. There is support available to all doctors in training via their Supervisor, through their Specialty School and within their Trust. However, for some doctors it is helpful to have confidential support from outside these settings, particularly when training and progression is affected. This is where the PSWS can help.

The PSWS tailors its service to the individual, depending on your needs. We recognise that there is no "one size fits all" - we are all unique and medical training is complex. Please be assured that we put your support and wellbeing at the heart of what we do.

Once we have received a referral, we will allocate you one of our experienced Case Managers who will help you through the challenges you are facing, with the aim of supporting you to continue training with confidence. You may be referred to one of our specialist services which include enhanced exam support, personal coaching, advanced communications/language support, neurodivergence assessment and support, and careers coaching.

For any urgent enquires please contact us directly at england.ksspsws.se@nhs.net

To access the service a referral form will need to be completed by a suitable educator within your local education team. The form should be discussed together, and your educator will complete the online KSS PSWS Referral Form. The PSWS are best able to help you and your educators when we understand how the issues you are facing impact on your training and what support has already been offered or provided. The educator is usually your Educational Supervisor, but you can also approach and discuss any issues impacting your training with your Clinical Supervisor, College Tutor, Training Programme Director, Head of School or Director of Medical Education.

If for any reason you feel that you can't discuss your needs or issues with anyone within your education team, then please contact the PSWS at england.ksspsws.se@nhs.net for a confidential conversation with one of our team. You can also contact us if you have any questions about the support we can provide you. Your educator can contact us if there is a more urgent issue for us to consider.

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Professional Support and Wellbeing Service - Working across Kent, Surrey and Sussex

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Supporting KSS postgraduate doctors and dentists in training The KSS PSWS is a bespoke and confidential service dedicated to helping […]

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Dysfunctional Uterine Bleeding Treatment Options - Patient information

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Dysfunctional Uterine Bleeding Treatment Options - Patient information

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Patient - ASRS V5 screening tool.docx - New ADHD Assessment

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Patient - ASRS V5 screening tool.docx - New ADHD Assessment

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Info leaflet for patient

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Calculate UKMEC category for contraception

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UKMEC Category

Definition of category

A condition for which there is no restriction for the use of the method

A condition where the advantages of using the method generally outweigh the theoretical or proven risks

A condition where the theoretical or proven risks usually outweigh the advantages of using the method.
The provision of a method requires expert clinical judgement and/or referral to a specialist contraceptive provider,
since use of the method is not usually recommended unless other more appropriate methods are not available or not acceptable

A condition which represents an unacceptable health risk if the method is used

For use by clinicians to easily visualise and compare between the different hormonal and intrauterine contraception methods, based on the UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) guidelines from the Faculty of Sexual and Reproductive Healthcare (FSRH). Click here to go to the FSRH website for more information.

Please note: This website is not affiliated with the FSRH.

Disclaimer: To be used as an educational resource only. Not to be used alone to guide clinical decisions or patient care.

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Calculate UKMEC score to easily compare between different contraception methods - both hormonal and intrauterine contraception

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Urology Primary Care Guidelines (Cumbria)

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Urology Primary Care Guidelines (Cumbria)

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East Kent 2WW 2 Week Wait Rapid Access Cancer Proformas

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East Kent 2WW 2 Week Wait Rapid Access Cancer Proformas

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Allergic Rhinitis East Kent Local Guideline

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Allergic Rhinitis East Kent Local Guideline

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https://bjgp.org/content/66/644/e225

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East Kent Rape Crisis Centre in Canterbury

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We are a charity staffed by trained individuals, offering support for survivors of sexual violence and coercion of any age or gender. East Kent Rape Crisis Centre are a Kent-based organisation located in Canterbury.

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East Kent Rape Crisis Centre in Canterbury

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We are a charity staffed by trained individuals, offering support for survivors of sexual violence and coercion of any age or gender. East Kent Rape Crisis Centre are a Kent-based organisation located in Canterbury.

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East Kent Rape Crisis Centre in Canterbury

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We are a charity staffed by trained individuals, offering support for survivors of sexual violence and coercion of any age or gender. East Kent Rape Crisis Centre are a Kent-based organisation located in Canterbury.

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You should do this exercise while standing.

Swinging your arm from front to back is one repetition.

With a table or chair next to you for support, lean forward so that one arm hangs straight down. Place your other hand on the table or chair for support.

Slowly swing your free arm backwards and forwards and gradually increase the length of the swing.

You should do this exercise while standing.

Swinging your arm from left to right is one repetition.

With a table or chair next to you for support, lean forward so that one arm hangs straight down. Place your other hand on the table or chair for support.

Slowly swing your free arm from left to right and gradually increase the length of the swing.

You should do this exercise while standing.

Rotating your arm clockwise and anti-clockwise is one repetition.

With a table or chair next to you for support, lean forward so that one arm hangs straight down. Place your other hand on the table or chair for support.

Slowly rotate your free arm clockwise as if drawing a circle with your hand and occasionally change direction.

Gradually increase the size of the circle.

You should do this exercise while lying down. A good place to do this exercise is on your bed.

Bringing your arms up, over and back down again is one repetition.

Lie on your back with your arms by your sides and your knees bent.

Clasp your hands in front of your body.

Lift your arms up over your body.

Continue to lift your arms so that they end up straight over your head.

Bring your arms back over the body and down. Your hands should now be clasped in front of your body once again.

You should do this exercise lying on your side. A good place to do this exercise is on your bed.

Lifting the weight up and down in one repetition.

Lie on your right side with a cushion to support your neck. Your left arm should be bent at a right angle out in front of your body. You can place a light weight (like a tin of beans) in your left hand if you like.

Keeping your arm bent and a right angle, lift your hand so that it points towards the ceiling.

Gently bring your arm back to the starting position.

You should do this exercise while standing.

Bringing your arms up and down is one repetition.

Stand facing a wall with your arms at right angles out in front. Your thumb should be facing away from the wall and your forearms should be aligned with the wall.

Keep your shoulder blades back and gently squeeze together the muscles in this area, then slowly raise both arms upwards. Keep your shoulder blades back and together. Maintain the shoulder blade starting position as far as you can.

Slowly lower your arms to return to the starting position.

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Exercises for shoulder muscle and joint problems

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If you have a shoulder problem, there are exercises that you can do to help you move normally as you recover. Learn how to do these with our video tutorials

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Beech House Sexual Assault Referral Centre (SARC)

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Beech House Sexual Assault Referral Centre (SARC)

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Management of Ozempic Wegovy etc in current shortage.

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HRT Preparations and Equivalent Alternatives

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HRT Preparations and Equivalent Alternatives

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Fitness Certificates - Ivy Court Policy Leaflet

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Fitness Certificates - Ivy Court Policy Leaflet

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Mental Capacity Assessment - Ivy Court Policy Leaflet

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Mental Capacity Assessment - Ivy Court Policy Leaflet

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Head and Neck Cancer Risk Assessment Tool

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Head and Neck Cancer Risk Assessment Tool

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Symptom Based Risk Calculator for Head And Neck Cancer Referral

Please select YES or NO based on presence or absence of given symptoms in your patient as appropriate. Press "Calculate" to obtain the probability value for head and neck cancer. An urgent referral will be recommended if probability is ≥8%, the optimal threshold point for this model. The abstract of the paper on which this calculator is based can be found here.

*indicates a field that is required in order to obtain a calculation.

1: Tikka T, Pracy P, Paleri V. Refining the head and neck cancer referral guidelines: a two-centre analysis of 4715 referrals. Clin Otolaryngol. 2016 Feb;41(1):66-75. doi: 10.1111/coa.12597.

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Local Antimicrobial Prescribing Guidance 

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Local Antimicrobial Prescribing Guidance 

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Royal College of Pathologists Guide to Causes of Death

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Royal College of Pathologists Guide to Causes of Death

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https://www.rcpath.org/static/c16ae453-6c63-47ff-8c45fd2c56521ab9/G199-Cause-of-death-list.pdf

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After any knee problem, it's important to get movement and strength back. This supports tissue healing and will help you get moving again.

You may not be able to return to your usual exercise levels immediately and improvements may be slow to start with. However, a gradual return to normal activities is the best way to get good short and long term results after a knee problem.

When doing exercise you should listen to your pain levels, especially in the early stages. You may find that these exercises increase your symptoms slightly in the beginning. However, they should get easier over time and, with regular practice, can help to improve movement in the knee.

If the exercises do cause some discomfort then taking prescribed medication from your GP or pharmacist may help to keep you exercising.

The exercises in these videos are suitable for most people.

Please ensure you do these exercises in a safe environment. Only try these exercises if you are feeling well enough.

If you start to feel unwell stop these exercises immediately.

If this is the first time you have attempted these exercises please read the information below before starting.

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Exercises for knee muscle and joint problems

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After any knee problem, it's important to get movement and strength back. This supports tissue healing and will help you get moving again. You may not be able to return to your usual exercise levels immediately and improvements may be slow to start with.

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East Grinstead Referral Burns Plastics Referral Service TRIPS

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East Grinstead Referral Burns Plastics Referral Service TRIPS

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Use this link to make direct referrals for plastics/burns injuries to East Grinstead. You will need to sign up with an NHS account.

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The Ivy Court Formulary advises on our preferred prescribing options. Please review this.

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ICS Formulary 2022 Practice (Website).xlsx

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The Ivy Court Formulary advises on our preferred prescribing options. Please review this.

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ICS Formulary 2022 Practice (Website).xlsx

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Death Certification Guidance Document Post 2022 changes

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Death Certification Guidance Document Post 2022 changes

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guidance on death certification process after expiry of coronavirus act.

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Devon Health Trust Medication and Choice Information Since 

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Devon Health Trust Medication and Choice Information Since 

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Useful website with many information leaflets on drugs for patients.

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Coronavirus (COVID-19)

For information and advice, please read our coronavirus page. Read More.

The Choice and Medication website offers information about mental health conditions and the medications used in the mental health setting to help make informed decisions about treatment and medication.

You can access the Choice and Medication website to find a range of information, including:

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Coronavirus (COVID-19) For information and advice, please read our coronavirus page. Read More. The Choice and Medication website offers information about mental health conditions and the medications used in the mental health setting to help make informed decisions about treatment and medication.

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Guide to parental responsibility - V4.0 Jan 2023

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Guidance on when you can return to work as a healthcare worker after testing positive for COVID 19.

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Managing healthcare staff with symptoms of a respiratory infection or a positive COVID-19 test result

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Patient-facing healthcare staff who have no symptoms of a respiratory infection are no longer required to test for COVID-19 on a regular basis.

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Domestic Abuse - Guidelines on Note Recording

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Domestic Abuse - Guidelines on Note Recording

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Kent Support Level Guidance - Child Safeguarding

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Kent Support Level Guidance - Child Safeguarding

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Guidance on Support Levels

https://www.kscmp.org.uk/guidance/kent-support-levels-guidance

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Nitrofurantoin - Long Term Use Monitoring

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Nitrofurantoin - Long Term Use Monitoring

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An NHS/Ivy Court Logo backdrop to use for video calls in Teams and Whereby

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Guide for nausea and Vomiting not formally reaching level of HG diagnosis.

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Safeguarding Alerts - Using "Concern Expressed" Codes

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Safeguarding Alerts - Using "Concern Expressed" Codes

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Setting Individual Medication Review Dates in EMIS

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Setting Individual Medication Review Dates in EMIS

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Setting Medication Review Dates

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When to use Aspirin vs Clopidogrel vs DOAC or both!

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Post Vasectomy Instructions 6

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Post-Vasectomy Instructions 5

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Post Vasectomy Instructions 4

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Post-Vasectomy Instructions 3

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Post-Vasectomy Instructions 2

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Post-Vasectomy Instructions 1

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Infertility Instructions 6

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Infertility Instructions 5

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Infertility Instructions 4

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Infertility instructions 3

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Infertility Instructions 2

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Infertility Instructions 1

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New GP Advice line to Psychiatry.