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The surgery will be closed on Monday 7 April (Bank Holiday). For urgent medical advice, please call NHS 111.
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2 items due for repeat
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Medical Notes
Last visit: 5 Feb 2025
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Upcoming Appointments
31
Mar
Diabetes annual review β Dr Patel
GP
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March 2026
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My Upcoming Appointments
31
Mar
Diabetes annual review β Dr Patel
GP
βΉοΈ Before your appointment
- Arrive 5 minutes early
- Bring your NHS card or photo ID
- Bring a list of current medications
- Fast for at least 8 hours before blood tests
- To cancel, please give at least 24 hours' notice
Medical Notes
Your consultation history from Elmwood Surgery
All
GP
Nurse
Specialist
Phone
Dr S. Patel
Annual diabetes review. HbA1c: 58 mmol/mol β above target (aim <53). Weight: 94kg, BMI: 30.2. BP: 144/88 mmHg. Continues on Metformin 1g twice daily and Lisinopril 10mg. Increase Metformin counselled; patient to trial dietary changes for 8 weeks before dose adjustment. Referral to practice dietitian made. Foot check: no ulceration, sensation intact. Eye screening referral sent. Repeat HbA1c and U&E in 3 months.
Nurse T. Okafor
Annual asthma review. Peak flow: 490 L/min (personal best 520). Inhaler technique assessed β adequate. Continues on Salbutamol 100mcg PRN and Beclometasone 200mcg twice daily. Symptoms well controlled; no hospital admissions since last review. Advised to keep rescue inhaler accessible at all times. Flu vaccination administered (right arm, no adverse reaction). Next review in 12 months.
Dr R. Ahmed
Patient called with 4-day history of lower back pain following heavy lifting at work. No red flag symptoms (no bladder/bowel changes, no leg weakness, no fever). Advised rest, regular paracetamol and ibuprofen (with food). Safety-net advice given. Referral for physiotherapy considered if not improved in 6 weeks. Fit note issued for 1 week (unable to perform manual handling).
Dr F. Nguyen β Diabetology, St Mary's Hospital
Outpatient review for Type 2 diabetes management. HbA1c trend improving from 67 to 61 mmol/mol over 18 months. Current regimen of Metformin adequate at present. SGLT2 inhibitor (Empagliflozin) discussed as future option if glycaemic targets remain unmet; to be initiated in primary care if indicated. Renal function satisfactory. No evidence of diabetic nephropathy. Discharged back to GP care with 6-monthly HbA1c monitoring.
Dr S. Patel
Presented with a 2-week history of low mood, poor sleep, and reduced motivation. PHQ-9 score: 12 (moderate depression). Work-related stress identified as contributing factor. Started on Sertraline 50mg. Referred to IAPT (Talking Therapies). Safety assessment completed β no active suicidal ideation. Review in 4 weeks to assess medication tolerance and response. Sick note issued for 2 weeks.
My Medications
Manage your repeat prescriptions and request reorders
π Repeat Prescriptions
Metformin 1g tablets
1 tablet twice daily with food Β· 56 day supply
Repeat prescription
Due: 4 Apr 2026
Lisinopril 10mg tablets
1 tablet once daily Β· 28 day supply
Repeat prescription
Due: 6 Apr 2026
Beclometasone 200mcg inhaler
2 puffs twice daily (preventer) Β· 1 inhaler
Repeat prescription
Due: 12 Apr 2026
Salbutamol 100mcg inhaler
1β2 puffs as required (reliever) Β· 1 inhaler
Acute β as needed
Due: 15 Apr 2026
Sertraline 50mg tablets
1 tablet once daily in the morning Β· 28 day supply
Requires GP review
Review needed
βΉοΈ About repeat prescriptions
Repeat prescriptions are normally ready within 2 working days. Please order with sufficient notice. If your medication is marked "Requires GP review", you will need to book an appointment before a new prescription can be issued. Prescriptions can be collected from reception or sent directly to your nominated pharmacy.
Messages
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Dr S. Patel
HbA1c results β action needed
Your latest blood test results are available...
Elmwood Surgery
Dietitian referral appointment
We have arranged a referral for you to see our practice...
Elmwood Surgery
Flu vaccination invitation
We are pleased to invite you to book your annual flu...
Dr R. Ahmed
Blood pressure home monitoring
Following your last appointment, please record your...
HbA1c results β action needed
Dr S. Patel Β· 19 March 2026
Dear James,
Your latest HbA1c result has come back at 61 mmol/mol. While this is a small improvement from your previous reading, it remains above our target of 53 mmol/mol for diabetes management.
I would like to discuss whether we should consider adjusting your Metformin dose or adding a second medication. Please book an appointment at your earliest convenience.
Your latest HbA1c result has come back at 61 mmol/mol. While this is a small improvement from your previous reading, it remains above our target of 53 mmol/mol for diabetes management.
I would like to discuss whether we should consider adjusting your Metformin dose or adding a second medication. Please book an appointment at your earliest convenience.
Thank you Dr Patel. I have been trying to improve my diet β I'll book in for next week. Is there anything I can do in the meantime?
That's great to hear, James. In the meantime, try to reduce refined carbohydrates and sugary drinks. Regular walking after meals (10β15 minutes) can also help lower post-meal blood sugar. We'll review everything at your appointment.
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βοΈ Registered Surgery
Elmwood Surgery
45 Elmwood Avenue, Bognor Regis, West Sussex, PO22 8TR
Tel: 01243 555 100 Β· Fax: 01243 555 101
Opening hours: MonβFri 08:00β18:30
Registered GP: Dr S. Patel