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General health questionnaire

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Home Blood Pressure Readings

Click here to download Home Blood Pressure Reading guide

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If this is above 135, your GP needs to know.

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If this is above 85, your GP needs to know.

FAST alcohol screening:

Pint of regular beer/lager/cider

Alcopop or can of lager

Glass of wine (175ml)

Single measure of spirits

Bottle of wine

2 units

1.5 units

2 units

1 unit

9 units

If you are 16 or over, please complete the following questions

Questions:

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Only answer the following questions if your score is 2 or more

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Scoring: a total of 3 or above indicates hazardous or harmful drinking.

If you scored 3 or more and are interested in finding out a bit more, please ask the receptionist for the longer alcohol audit questionnaire and leaflet.

 

Ethnicity:

Please tick the ethnic group which you feel most accurately describes you. These are National codes as defined by the 2001 Census.

 

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Further information

Zero Tolerance Statement

Our staff come to work to care for others, and it is important for all members of the public and our staff to be treated with respect.
We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similary way.

We take seriously any threatening, abusive or violent behaviour againist any of our staff or patients. if a patient is violent or abusive, they will be asked to stop. if they persist, we may exercise our rights to take action to have them removed, immediately if necessary from our pratice list.

The practice considers thratening behaviour to be:

Attempted or actual aggressive threatening physical actions made towards any member of staff.
The use of aggressive, threatening or abusive language, (including raising of the voice, swearing and cursing, shouting) which threatens or intimidates staff.
In line with the rest of the NHS, and to ensure this is fully observed we have a Zero Tolerance policy in place, whereby any aggressive or violent behaviour towards our staff will not be tolerated under any circumstances.

Anyone giving verbal abuse to members of the staff will be sent a letter from the Practice stating that this behaviour will not be tolerated and may result in the removal from the Practice patient list. There will be no appeal process.

We hope that you will understand and welcome this policy which is in place for the best interest of our hard working staff as well as our patients.

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