Off The Record – April 2017

News from Nunwell  Surgery

WISH – Wellbeing, Information and Signposting for Herefordshire.

At the surgery we are often asked for information and advice on a huge range of topics related to people’s health and wellbeing. This might range from how to claim Disability Benefits, what housing is available, Support  Groups for patients and carers, care options etc, etc. It is particularly important that this information is up to date and accurate but, in particular, relevant to where an individual or family lives. This local relevance is particularly important in a rural area like ours; fortunately help is at hand through a Herefordshire service called WISH. This can be accessed either online,  by e mail, telephone or in person via the Hereford library or various ‘pop – ups’ across the county including at The HOPE Centre and Public Hall, Bromyard. I would encourage you to try out this facility when you are looking for such local information.

Office opening: Monday, Tuesday, Wednesday & Thursday  9:30am – 5:00pm

Friday 9:30am – 6:30pm

Saturdays 10:00am – 4:00pm

Blood Pressure.

Many of you will be aware that blood pressure is a key marker of our state of health. Sometimes it is too low, e.g. when someone has had diarrhoea or vomiting resulting in dehydration. More commonly we are concerned about high blood pressure which is a risk factor for heart disease, stroke, kidney disease, etc. In most situations this is a result of a combination of genetic and/ or lifestyle factors (the latter includes weight problems, dietry salt, alcohol and stress). Certainly, from the age of 40 years it is important to get your blood pressure checked at least every 5 years. This can be done via your local pharmacy, practice nurse or other healthcare settings, e.g. occupational nurse, ‘pop-ups’. These days it is also possible to buy blood pressure monitoring machines. Some people get nervous having their blood pressure checked, resulting in artificially high readings. Do not worry if you have a high reading but see us to discuss this at the surgery where we can arrange 24 hour blood pressure monitoring which tends to eliminate this so called ‘white coat’ effect. Certain other tests including blood sample, urine sample and a heart tracing (ECG) tend to identify those at real risk. Management will vary from lifestyle modification through to a range of blood pressure lowering medications. Correct management of this condition is very important to reduce the risk of heart disease, stroke and certain forms of dementia. People with diabetes are at particular risk from high blood pressure with all the complications outlined above but also threatening loss of sight and kidney disease. This means that we attempt to control high blood pressure even more tightly in those with diabetes.  Please see someone to get your blood pressure checked if it has not been done in the last 5 years, and / or accept invitations to NHS checks, and / or come back for follow-up appointments when advised to do so. It is much better to identify a condition early and manage it appropriately in a preventative sense rather than trying to salvage a situation such as a stroke or heart disease.

More information about your heart is available at



Patient Access is a 24 hour online service/ mobile application which you can use in your own time, day or night. This will enable you to:

  • Book an appointment.
  • Order repeat prescriptions.
  • Change your address details.

To register:


  1. (This will give you a user ID for future logins).
  2. To complete the registration process bring two forms of identification to Reception/Dispensary at Nunwell Surgery; one with a photograph, and the other with your current address.



  1. Bring two forms of identification to Reception/Dispensary at Nunwell Surgery; one with a photograph, and the other with your current address. Nunwell Surgery will supply you with your logon details.