welcome to ledbury health partnership

working together to provide our patients with a compassionate, holistic and effective patient centred healthcare service
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passionate about SERVING THE COMMUNITY OF LEDBURY AND the SURROUNDING AREAS

Ledbury Health Partnership is committed to serving the local community and offering high quality healthcare in an appropriate setting. Our team of doctors, nurses, healthcare assistants, paramedics, pharmacists and admin staff are all passionate about providing our patients with the highest level of care within the resources that are available to us. Ledbury Health Partnership offers a range of NHS and private services to our patients. We also work closely with a number of other health and social care professionals to be able to offer a holistic and patient centred service.

As you may already be aware, the NHS and GPs surgeries have struggled a great deal in recent months, due to the Covid-19 pandemic, staff having to self-isolate, staff shortages and sickness. This is why it is now even more important than ever, that you are able to reach the best person for your concerns or worries, as quickly and easily as you can. Please take a few minutes to watch this informational video, with regards as to what your various options may be, or the best places to go for help and support, to ensure you get the best results, as quickly and easily as possible.

ORDERING URGENT MEDICATIONS

If your medication is LISTED HERE, AND YOU HAVE RUN OUT, then we will process your prescription on the same day, as missing a dose may cause you harm, however, if your medication is not listed here, it will not be processed urgently, as it is not deemed clinically urgent, and a missed dose will not be detrimental to your health.

We do understand that you may run out of medication from time to time, and that you may be concerned about this, but please be assured that your GP has advised that missing a dose or two of your medications will not be detrimental to your overall health, and as such, it is not classed as an urgent prescription, so will be processed in the normal way for routine repeat prescriptions.

For some prescribed medications, like these listed, missing a dose may cause patient harm, so requests for these medications will be processed urgently to ensure doses are not missed. We understand that it is important to take your medication regularly and as prescribed by the doctor, but on occasions where the medication requested is not considered urgent by the doctors in this practice, your health will not be compromised by missing a dose on occasion, BUT please do your best to order your prescription on time in the future.

Please check the below list of urgent medications, with generic name examples (not exhaustive)
and examples of brand names (also not exhaustive)



Abnormal heart rhythm
Bisoprolol, Carvedilol, Sotalol, Propranolol, Atenolol, Verapamil, Amiodarone, Diltiazem, Digoxin
Cardicor, Tenormin, Cordarone, Slozem, Adizem, Tildiem

Analgesics
Co-codamol, codeine, dihydrocodeine, morphine, fentanyl
Zapain, Kapake, DHC, DF118, Zomorph, Oramorph,Matrifen, Duragesic 

Angina
GTN (Glyceryl trinitrate), isosorbide mononitrate, nicorandil
Nitrolingual, Imdur, Elantan, Ikorel 



Antidepressants
Fluoxetine, sertraline, citalopram, escitalopram
Lustral

Antipsychotics
Aripiprazole, Olanzapine, Risperidone
Abilifly, Zyprexa, Risperdal

Asthma/ COPD
Salbutamol, Terbutaline, formoterol
Ventolin, Salamol, Symbicort, Fostair

Direct Oral Anticoagulants (DOACs)
Apixaban, rivaroxaban, edoxaban and dabigatran
Eliquis, Xarelto, Pradaxa, Lixiana 

Epilepsy
sodium valproate/ valproic acid, levetiracetam, lamotrigine, phenytoin, clobazam, clonazepam eslicarbazine, oxcarbazepine, perampanel, rufinamide, topiramate, zonisamide
Epilim Epival, Episenta, Convulex; Keppra,Desitrend; Lamictal; Epanutin, Dilantin 

Immune therapy and cancer drugs
ciclosporin, tacrolimus, chlorambucil
Neoral, Sandimmun, Prograf

Insulin
Insulin aspart, insulin, lispro, insulin glargine
Absaglar, Apidra, Fiasp, Novorapid, Novomix, Lantus, Levemir, Humulin, Humalog, Toujeo 

Lithium
Lithium carbonate
Priadel, Camcolit

Methotrexate once weekly
Methotrexate 

Oral antidiabetics
Gliclazide
Diamicron, Zicron 

Oral contraceptives/ patch/ vaginal ring  21/28 day supply
Desogestrel, ethinylestradiol/ levonorgestrel, ethinylestradiol /drospirenone, norethisterone 350mcg,
Cerrelle, Cerazette, Microgynon, Rigevidon, Cilest, Levest, Yasmin, Evra, Nuvaring, Noriday 

Oral Steroids
Prednisolone, dexamethasone, fludrocortisone 

Palliative care medication

Parkinson’s disease medication
co-careldopa, co-beneldopa, entacapone, pramipexole, rotigotine
Sinemet, Madopar, Comtess, Mirapexin, Oprymea, Sastravi, Neupro

Warfarin

When you request an urgent on the day appointment the receptionist will ask you the nature of your problem. This is purely so they can direct you to the most appropriate healthcare professional to deal with your ailment.

Rest assured our Practice Nurses and our Primary Care Practitioner are highly skilled and experienced professionals who, in the rare event they need help, will be able to speak directly to a GP for assistance.

Please don’t forget there are many services available for you, depending on your condition.

· Self-care – This is the best choice to treat minor illnesses and injuries such as hangovers, coughs, colds, grazes, small cuts, norovirus or sore throats. Many of these can be treated at home, simply with over-the-counter medicines and plenty of rest.

· Pharmacy – Pharmacists can give advice on and treat a range of symptoms. They can support you with things such as diarrhoea, earaches, painful coughs, sticky eyes, teething and rashes.

· NHS 111 – You can access 111 online or via the telephone. This is for any urgent but non-life threatening health concerns. They will be able to signpost you to the relevant service and provide advice where appropriate or arrange for a healthcare professional to call you.

· A&E / 999 – You should only attend A&E or dial 999 in a life-threatening emergency such as severe bleeding, breathing difficulties and severe chest pain.

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