Services provided

Unfortunately, the practice does not provide this service. Liverpool CCG is responsible for the commissioning of the city wide service, principally funding the main treatment centres (eg Garston).

As the practice receives no additional funding to undertake blood taking, providing this service would necessitate our nurses being taken away from duties such as chronic disease management.

Chronic disease management clinics monitor patients with health problems including Coronary Heart Disease, Stroke, Heart Failure, Diabetes, COPD and Asthma.

These are run by our practice nurses who offer regular checks on blood pressure, blood tests such as cholesterol, and breathing tests. The purpose of these clinics is to ensure that all our patients receive the best quality care as defined by the latest guidelines.

Everyone is at risk of developing heart disease, stroke, type 2 diabetes or kidney disease. But these diseases can often be prevented, and NHS Health Check can help you by assessing your risk and giving you personalised advice on how to reduce it.
The NHS Health Check is for adults in England between the ages of 40 and 74. http://www.nhs.uk/Planners/NHSHealthCheck/Pages/NHSHealthCheck.aspx

Dr Disley joined the Surgery in October 2000 and has since developed a specialist interest in the management of Diabetes.

The Surgery provides an innovative, well-attended, Diabetes One-Stop Clinic on alternate Wednesday mornings and Viv Thomson, Deputy Practice Manager, oversees the appointments.

Patients visit Mr Chris Harrison (Chiropodist), Sr Samantha Walker/ Sr Sheila Anderson (Practice Nurses) and also have input from Dr Disley when required or requested. In addition, they are accompanied in the clinic once per month by a Diabetes Nurse Specialist from the Liverpool Diabetes Partnership. She provides expert advice in all aspects of Diabetes management.

Both Dr Disley and Nurse Sheila Anderson have received training in Insulin starts and titration. They have also developed the necessary skills for commencing and monitoring the newer injectable GLP-1 therapies.

Over the years, the Practice Nurses and Dr Disley have developed close working relationships with Consultants and Sr Vicky Alabraba, Diabetes Nurse Specialist at the Royal Liverpool Hospital and liaise with, and refer to, the Community Diabetes Nurse Specialists when they require input for Housebound or Care Home Patients.

The practice runs a Minor Surgery service in which skin conditions such as moles, warts or skin tags are removed under local anaesthetic by Dr Paul Johnson.

Anyone keen to access this service would do so by making an appointment with Dr Johnson.

 When you first learn that you're pregnant you can self refer to a midwife via the Liverpool Women's Early Access Service

http://www.liverpoolwomens.nhs.uk/Our_Services/Maternity/Liverpool_Womens_Early_Access_Service.aspx

Chris Harrison runs our in house chiropody sessions.

Chris has a Diabetic clinic on a Wednesday morning and a routine clinic on a Tuesday afternoon.

Appointments are made by either our doctors or nurses.

Here at the Ash Surgery we offer counselling on a one to one basis, this takes place in private room upstairs within the surgery. The service is strictly private and confidential. The theoretical methods we use involve person centered counselling, psychodynamic counselling, CBT, Brief Therapy and Couple counselling. These types of counselling can be applied to the    following issues: - bereavement, depression, childhood issues, sexual abuse, relationships, bullying, work related stress, low self-esteem, anxiety and tension. We have a counselling coordinator, Bev, who manages a team of 11 counsellors. It is Bev’s job to assess the patients’ needs within an initial phone call, the patient is then placed with the most suitable counsellor for their needs, this way we can achieve the best possible outcome. If you feel that you may benefit from this service please discuss with  one of our doctors.

Asthma patients can be seen for assessment, education, advice and supervision or alteration of treatment. The aim of this clinic is to diagnose accurately, treat efficiently and get the best possible results, following the British Thoracic Society’s guidelines. The clinic provides individual management plane and follow-up care.