Your Health

We want to ensure all our patients can get the right care, at the right time and in the right place. However we know it can sometimes be confusing to know what is available locally and where to go to get the right NHS services you need.

The pages linked below have information to help you find the right health services for you.

You can find information on more specific health areas in the sliders below.

Stop Look Care Booklet

The Stop Look Care booklet  Download Stop_Look_Care_Booklethas been designed to support Care Workers/Carers who work in any registered service in Brighton & Hove. It is aimed to support carers with undertaking the National Care Certificate. Alternatively it can be used as a reference guide for families and personal assistants to promote awareness of certain needs and encourage referral if concerns are identified.

Care workers and Carers are in the ideal position to recognise changes in an individual’s condition by monitoring them and or recognising any deterioration in a person’s wellbeing, this book aims to increase awareness and supports the Care worker/Carer to refer on when appropriate. It highlights:

  • Why different aspects of observation and care are important
  • What to look for
  • What action to take

Fertility

Please follow the link for Fertility Frequently Asked Questions Download 2015 10 22 Frequently Asked Questions.pdf

If you are looking for the CCG's policies relating to fertility, you can find them on the Fertility Information for Clinicians page.

End of Life Care

NHS Choices End of Life Care Guide

The NHS Choices End of Life Care Guide may be useful for people who are caring for someone who is dying, or for people who want to plan in advance for their own end of life care.

It explains what you can expect from end of life care, including palliative care to control pain and other symptoms and psychological, social and spiritual support.

You can also find information about your rights and choices, including refusing treatment, setting down your wishes for your future treatment, and how to give someone the legal right to make decisions for you if you are no longer capable.

The guide also contains information about talking to your family and carers about dying and about your wishes.

Make It Your Decision

Compassion in Dying has created the Make It Your Decision website to help people plan for their care at the end of life.  You can find more information on the Make It Your Decision website here

Planning Your Future Care

The information leaflet Planning Your Future Care is available in Arabic, Bengali, Mandarin Chinese, Polish, Punjabi and Urdu as well as English.

Let's Talk About Death and Dying

Age UK's leaflet to help people talk about death and dying with their family and friends is available on the Age UK website

The People Caring for You at Home - Their Roles Explained

The leaflet called 'The People Caring for You at Home - Their Roles Explained' ( Download Jigsaw Leaflet_Aug2016 (3).pdfgives details on professionals who work with people receiving end of life care in their own homes.  You can find this leaflet in the table below.

Carers

If you're caring for someone nearing the end of their life, you can find [link] information for Carers here

Carers

If you are looking for information on Continuing Health Care, Personal Health Budgets or Funded Nursing Care, please see the Continuing Healthcare page.

Further information

You can find information for carers on the Carer's Centre website

Eating Well

Please follow the link to find information on Eating Well to Stay Healthy, including information on preparing food for the person you care for.

Stop Look Care Booklet

The Stop Look Care booklet ( Download Stop_Look_Care_Booklethas been designed to support Care Workers/Carers who work in any registered service in Brighton & Hove. It is aimed to support carers with undertaking the National Care Certificate. Alternatively it can be used as a reference guide for families and personal assistants to promote awareness of certain needs and encourage referral if concerns are identified.

Care workers and Carers are in the ideal position to recognise changes in an individual’s condition by monitoring them and or recognising any deterioration in a person’s wellbeing, this book aims to increase awareness and supports the Care worker/Carer to refer on when appropriate. It highlights:

  • Why different aspects of observation and care are important
  • What to look for
  • What action to take

Children and Young People

Every parent or carer wants to know what to do when a child is ill, how to take care of them at home, and when to call for a doctor or emergency services.

Learn how to spot the signs and symptoms of serious illnesses using the CCG's Interactive Guide to Common Childhood Illnesses. This easy-to-use guide was produced with input from the Royal Alexandra Children's Hospital, local GPs and health visitors.

You can also find lots of information on what to do when your child is ill in this helpful video (subtitled version available here).  

Call NHS 111

If you are worried about your child's condition and can't get to see your GP, call 111 (free from landlines and mobiles) for help and advice. The phoneline is open 24 hours a day, every day of the year.

NHS 111 in Brighton and Hove is run by our local ambulance service and can:

  • Refer you to the Out of Hours service.  The service can send a doctor out to you or make an appointment for you at its clinic at the front of Brighton's Royal Sussex County Hospital.  It is open from 18.00 to 8.00 on week nights, and throughout the day and night at weekends. 
     
  • Call you an ambulance if it is agreed that your child needs to go to the A&E department at The Royal Alexandra Children's Hospital
     
  • Refer you to the Out of Hours service for an urgent prescription
     
  • Give you advice 

Search online for urgent care services open now

Visit the #HelpMyNHS website for information on service that are open at evenings and weekends.

Mental health

For information on local mental health support for children and young people, please see the Mental Health page

SEND

Information on the help and support available locally for children and young people aged 0 to 25 with special educational needs and/or a disability (SEND), and their families, is outlined in the Local Offer. It covers health, education, social care, leisure, preparing for adulthood and more.  

Code of Practice

Brighton & Hove CCG is committed to fulfilling its responsibilities as outlined in the Special educational needs and disability code of practice: 0 to 25 years: Statutory guidance for organisations which work with and support children and young people who have special educational needs or disability (2015) and the NHS Mandate.

The Code of Practice Guidance sets out the principles contained within section 19 of the Children and Families Act 2014.

Brighton & Hove CCG are working closely with the local authority in progressing joint commissioning arrangements covering 0 to 25 years, and our commitment is outlined in the Commissioning Strategy: Health and Wellbeing of Children, young people and families 2015 to 2020.

Long Term Conditions

Living with a long term condition

As we get older we are more likely to develop a long term condition.  Although it can make life more difficult, with good support in place it is possible to live well with a long term condition.  You GP can help you to manage a long term condition.  It's also possible to get some care at home if it's needed. 

You can find a helpful Long Term Condition Assessment Tool on the NHS Choices website.

Dementia

Dementia is a group of symptoms caused by specific brain disorders. The most common cause is Alzheimer’s disease, but it can also be the result of a stroke or mini-strokes or other conditions. 

You can find more information about dementia and the adult social care support that is available locally on the Brighton and Hove City Council website

Brighton and Hove Memory Assessment Service

If you are worried about your own memory or that of a close friend or relative, visit your GP who can organise a referral to the HERE Memory Assessment Service.

The service is provided by HERE in partnership with the Alzheimer's SocietySussex Partnership NHS Foundation Trust and the Brighton and Hove Carers Centre.

Cancer

Please see the Cancer page for more information

Sexual Health and Family Planning

Sexual Health and Contraception Service

The Brighton and Hove Sexual Health and Contraception (SHAC) Service is open to all and you don't need a GP referral; it is a free service, including prescriptions. You will be given the choice of seeing a male or female member of staff.

If you have any symptoms and need to be seen urgently, please phone to speak with a member of the team.

Call: 01273 523388

The SHAC service offers a range of services, including:

Brighton Station Health Centre

If you need emergency contraception or sexual health tests and cannot get to a GP or pharmacist, the Sexual Health Clinic at Brighton Station Health Centre is open from 8:00 to 19:00 every day of the week, including weekends (you can use the walk-in service or call 01273 203058 to book an appointment).

Pharmacy

Pharmacies do more than dispense prescriptions and medicines. Many also offer:

  • Screening (chlamydia or allergy screenings)
  • Emergency contraception
  • Pregnancy testing

You can find more infomation on local pharmacies on the Medicines and Pharmacies page.

Health Support for Trans People

Brighton and Hove CCG is working to support improvements to trans peoples' experience of healthcare.  

We are providing support and resources to help patients talk to clinicians about their gender identity, and to improve clinicians' expertise in caring for trans patients. You can find resources for clinicians here.

Cancer screening for trans patients

Please see the Screening page for can find information about cancer screening for trans patients.

Five things to know before you speak to your GP

Below you can find useful advice on talking to a GP about gender identity, written for this page by a local Brighton and Hove patient.

1.  There's no one way to be trans and no one way to transition

In early life, some trans patients don't immediately identify as trans, because on the rare occasions they have seen trans people in the media they always seemed so different from themselves. Even positive representations of trans people often seem to tell the same old story of being 'born in the wrong body' - words that some trans people never use to describe their own experience.

It's important to know that 'trans' doesn't mean any one thing - gender, gender identity and gender expression are all really personal for trans people just as much as they are for anyone else. People want different things, have different experiences and priorities and 'trans' will mean different things to different people.

When you go to see your doctor you don't have to fit a set mould of 'what a trans person should want' or 'what a trans person should look like' and you shouldn't have to pretend to be someone you're not. Their job is to help you identify and access the care you need to live your best life, or to refer you to someone else who can. That might be hormones, surgery, therapies, information, any combination of those things or something else entirely.

2.  You're entitled to your privacy

Curiosity can get the better of people sometimes - people can ask lots of questions. Other times, staff may not know how to deal with certain administrative issues around transition and can be under the false impression that trans people need to 'prove' themselves by disclosing highly personal information.

When the trans patient is in a medical environment, they can sometimes feel embarrassed, a little intimidated, and often feel like they need to answer all of the questions someone is asking. If someone asks you an inappropriate, personal question that's not related to your care, you do not have to answer it. You have every right to say 'I don't think that's relevant' or 'I don't think it's appropriate for you to be asking me that'. If you're not sure why you're being asked a question, you have every right to ask why someone needs to know that information about you, and make a decision about what you are comfortable sharing.

3.  Do your research - it's okay to ask your GP questions

While your doctor should help you to access the care you need, no-one knows everything, not even your GP. Even if you're not entirely sure what you want from the NHS at the moment, or may want in the future, it can be really helpful to have a good idea of the different options which might be available to you before your appointment. You can find and share this information on websites, social media channels and through local trans support groups.

Having done your research, take notes to help yourself remember. It can be really helpful to take some of these notes into your appointment - you don't need to tell your GP all the details you might have jotted down, but it can help you both to make sure you get the treatment or referrals you need without having to make multiple appointments.  That said, don't automatically underestimate the medical knowledge your GP may have in this and other related areas. It can be really helpful to ask your GP if they have any particular insight which may be useful - especially if you have any existing medical conditions that they're helping you to manage.

4.  There are people who can help - you don't have to go alone

It's your body, your identity and your wellbeing at stake so it's hugely important to make yourself heard. Clinical environments can be a little intimidating sometimes and it can feel difficult to assert yourself, but what happens at your GP and other appointments has a major impact on your life and you need to have a voice in those spaces.

You are the most important person in the room. If you feel like your GP has misunderstood what you're telling them or they're recommending something that you don't think is going to work for you then it's important to put your viewpoint forward. This way you can either discuss alternatives together, or they can work to explain themselves better to help put your mind at rest. 

Other times, even just going to your GP with certain issues can feel like a real challenge - you could be worried that you might face discrimination or a lack of understanding and that can have a really negative impact on your experience. In all of these instances it can be really helpful to have someone else with you who does understand, who can help you to make sure you say everything you need to say and to stand up for you if necessary. You are absolutely entitled to take someone into your appointment with you - this might be a friend, partner, carer, family member or advocate. It's best to discuss the appointment in advance with them to make it clear exactly what you want from the appointment, what type of support you want from them and any concerns you might have.

5.  You have the right to dignity and a high standard of care

While it's great to see the positive steps taken towards trans inclusion and equality, both in the NHS and more broadly, navigating the NHS as a trans person can still be really hard work. You have the right to be respected in your identity, you have the right to not be asked inappropriate and invasive questions, you have the right to privacy, you have the right to access the treatment you need, and you have the right to receive that treatment and care to a high standard. We have one of the best healthcare systems in the world - make sure you get the best out of it.

Patient Transport Service

The Patient Transport Service (PTS) is provided by South Central Ambulance Service NHS Foundation Trust (SCAS) 

How do patients access the Patient Transport Service?

The first journey using the Patient Transport Service must be booked by a healthcare professional or by calling the Central Booking Line

Call: 03001 239841

The Central Booking Line is open between 07:00-20:00 Monday to Saturday, and between 08:00-17:00 Sundays and Bank Holidays.

You can book subsequent journeys and manage your bookings either through the Central Booking Line, or online at https://managemybooking.scas.nhs.uk/patientzone 

You can find a leaflet with more information on using the Patient Transport service by following the link: Download Sussex NEPTS Patient Leaflet - Mar 2017.pdf

Who can use the service?

PTS is for patients who have been clinically assessed as having a condition that means:

  • They need assistance for a journey to/from a healthcare appointment, and/or;
  • It may be medically harmful to their health to travel by other means.

All patients requesting PTS are taken through an eligibility screening process that consists of a number of clinically-designed questions about an individual’s condition and mobility. This process has been designed to make sure that all patients with a medical need for transport receive it.

Several categories of patient journey are not covered by the current PTS in Sussex. These include: neonatal transport; paediatric intensive care transport; journeys for patients who live outside of Sussex; and journeys for patients who are detained under Section 136 of the Mental Health Act.

How can patients give feedback?

You can feed back to the service via the South Central Ambulance Service website.

Patient feedback forms are also available in PTS vehicles.

Information for Health Professionals

Information on the PTS for health professionals can be found on the Non-Emergency Patient Transport Service page.

Patient Support Groups

We are lucky in Brighton and Hove/High Weald Lewes Havens to have a large number of support groups for patients, run by both the voluntary sector and the NHS.

A good support network of people who are going through the same experiences can really help if you are living with a health condition.

If you are looking for a group to help and support you in managing your health, visit Brighton & Hove's My Life website.  Here you can find information on local support groups for patients living with physical and mental health conditions.

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