Some studies associate moderate alcohol intake, one per day, with less risk of heart disease. However there are many effective alternatives to reducing heart disease without the addition of alcohol.


Alcohol is a drug that depresses the brain. We all know the cheeriness that can come with the first drink, but alcohol can actually cause severe depression. Alcohol has no vitamin or mineral content, but plenty of calories.


If you are a heavy drinker, alcohol will be doing damage to parts of the body you cannot see. Some long term effects of drinking


Liver Disease
High Blood Pressure
If you have any questions your doctor or practice nurse will happily discuss individual queries regarding lowering the risk of coronary heart disease and especially ‘bad’ cholesterol.


Below is a table which indicates how your weight can be affected by regular drinking. An occasional drink as part of a calorie controlled diet is better than a drink in addition to your diet.


No. of alcohol units
1 pint of lager/beer
180 – 300
2 units
1 glass of wine
1 unit
1 vodka and orange
1 unit
1 gin and tonic
1 unit
1 whisky and dry ginger
1 unit
1 rum and coke
1 unit


In recent years the number of people who drink and drive has decreased dramatically with education and legislation. Alcohol is however still a major cause of road traffic accidents.


If you are pregnant, every time you have an alcoholic drink your baby is getting one too.



If you are concerned about your alcohol intake or that of a relative or friend, the surgery will be able to advise you on a safe course of action.


Alcoholics Anonymous Helpline - 0845 769 7555



A practical guide to help with bereavement 

After the death of a loved one you need to do several things.

Firstly, if you are alone, we suggest that you contact a relative or a friend who will be able to support you at a very difficult time. You should contact the surgery on 01273 464640 to inform the staff. A doctor will need to certify death but this does not have to be immediate. Do not worry if this happens when we are closed. The out of hour’s doctor is always available by contacting NHS 111. If the death is expected, a doctor does not always visit, but they will explain this when they talk to you. The doctor will also issue a death certificate and the surgery will liaise with you for its collection.

When you feel able, you should contact the Funeral Director of your choice. One of their staff will come to the house and help you with the arrangements. You will be given plenty of time to make decisions and do not hesitate to ask for what you want. You can go ahead and make funeral arrangements before you are in possession of the death certificate.

Once you have the certificate you will need to register the death. This can be done locally at the Registrar’s office, based in Shoreham Health Centre. It is however by appointment only so you will need to ring 01273 466040 and arrange a time to suit you. If you are not local they can explain how to register the death at a Registrar’s office nearer your home.

Please feel free to contact the surgery staff at any time and we will do our utmost to help you through a very difficult time.

Local Funeral Directors 

Caring Lady 01273 464647 

Bakers 01273 418464 

Tribes 01273 452169

Philip Evans 01273 870870


Prior to immunisation many children suffered with illnesses from which they did not recover. Now the majority of childhood illnesses are preventable. Below is a guide to the description and symptoms of childhood illnesses. If you are ever unsure about your child’s health always make an appointment to see the doctor.


MUMPS – Is generally a mild viral illness, although it can have some serious complications. A single attack can provide lifelong immunity for most people.
Symptoms: Pain around the ear during chewing/swallowing coupled with swelling under the jaw and an inflammation of the salivary glands. This usually spreads from one side of the face to the other. Older children may get a head ache, mild fever and a stiff neck.
How long off school? – Five days from onset of the swollen glands.


MEASLES – Is caused by a virus which is very infectious, a child suffering from measles feels very unwell.
Symptoms: A high temperature, runny nose, dry cough and red eyes; white spots appear inside the mouth; a blotchy red spotty rash appears, first on the face, behind the ears before spreading over the body. As the rash fades a brownish discolouration of the skin occurs. Cough may be the last symptom to disappear.
How long off school? – Five days from onset of the rash. This is now a rare condition in the UK.


RUBELLA – Is a mild infection caused by a virus. Children are most commonly affected; adults sometimes get a more sever case.
Symptoms: A short lived fever, swollen glands and base of skull; a non-itchy rash which appears on face and travels downwards to the neck and limbs. Children may have some joint pain; a runny nose and eyes appear inflamed.
How long off school? – Five days from the appearance of the rash; a child is most infectious before the diagnosis is made, most children should be immune to immunisation, therefore exclusion after the rash will prevent very few cases.


WHOOPING COUGH - Is caused by a bacterium which infects the lungs.

Symptoms: Mild fever, loss of appetite and a dry cough. The cough becomes more severe and produces the characteristic "whoop". Vomiting may follow the cough.

How long off school? - Five days from the start day of antibiotic treatment. Non infectious coughing may continue for several weeks.


CHICKENPOX - Is a mild childhood disease caused by a virus. It is common in young children, and one attack normally gives protection for life.

Symptoms: A few days after being infected itchy red spots appear, these become thin clear blisters. They spread from the chest and back to the whole body. The blisters then become scabs or crusts which fall off within 10 days. Rashes of the spots occur at different times, so spots of different ages can appear side by side. Chicken pox occur mainly in late autumn/winter.

How long off school? - Five days from onset of the rash. The child is infectious until the spots have crusted.


MENINGITIS - Is a virus which can have serious complications. A single attack would normally provide lifelong immunity.

Symptoms: Sudden onset of fever, rapid breathing, vomiting, severe headache, high temperature, hands and feet may be cold; drowsiness, stiff neck, confusion and a dislike of bright light. A bruising-like rash of tiny red spots turning into purple marks may be visible. All the symptoms may not show at the same time. The rash is a feature of meningitis in many cases. Symptoms can easily be mistaken for flu or a very bad cold. If you are unsure at this point it is always advisable to seek medical attention.

How long off school? - Siblings do not need to be excluded from school, by the time the poorly child is well enough to go back to school they will no longer be infectious.


IMPETIGO - Is a highly contagious bacterial infection, which can be spread by direct contact between one individual and another. The bacteria that cause this condition infest the skin by entering via the cut, insect bite or a skin condition. It can be uncomfortable and distressing to a child, although in itself is not a serious condition.

Symptoms: Skin is red with thin walled blisters that contain yellow or honey coloured fluid. The blisters burst and raw, moist sores are left, which gradually enlarge. Crusts form as the surface of the sores dry out.

How long of school? - When treatment of the impetigo is finished, the child may return to school. Swimming should be avoided until the skin has healed. Always consult the doctor or nurse if you are concerned.


CONJUNCTIVITIS - is an inflammation of the transport membrane covering the white of the eye and lining the inside of the eyelids.

Symptoms: Eyes become red and itchy and they may sting, burn or feel gritty. Vision can be slightly blurred. There is a thin, watery discharge which can be clear or yellow. Conjunctivitis can develop during a cold or throat infection.

How long off school? - No time off is required unless advised by the GP, pharmacist or nurse.


HEAD LICE - are small black insects which live on the scalp. Lice feed by sucking blood from the scalp. They lay eggs, which attach on to individual hairs. These are called nits. Lice hatch after 7 days: are fully grown and lay eggs at 14 days.

Symptoms: continuous itching of the scalp, back of the ears, bottom of the head near the neckline and central to the crown.

Treatment: Purchase a nit comb from the local chemist. Wash the hair and apply conditioner, thoroughly comb through sections of hair. Repeat this every couple of days until all lice and eggs are removed. Follow this procedure once a week. Let your child's school know that they have head lice.



In these modern, often more stressful times sitting down to three square meals a day has almost become a thing of the past. Making time to eat properly is not on the agenda for the days' events, it is just a quick bite between visits, meetings and school lessons.


The old routine was by far the most sensible one for the nation's health.


"Dad always went to work on a good breakfast, no child left the table until they had finished their breakfast, and mum was always on hand to ensure that this was the case. Many people used to eat a main meal at midday and a snack for tea"


The way to eat yourself fitter is not to diet one week and binge the next, confusing your body with a yoyo effect. It requires you to make how you eat an integral part of your lifestyle.





The way to moderate the amount of fat and added sugar in your diet is to cut down on the 'extras' like sugary snacks between meals.



Proteins are made up of amino acids which come from the food we eat. They are vital for the body to maintain healthy tissue & make repairs. Amino acids can be found in red meats, poultry and nuts, beans, peas, tofu & soya products.



Vitamins and Minerals are so important to keep us healthy. Vitamins help cells to grow and repair themselves. Minerals like calcium are very important for bone growth and reducing the risk of osteoporosis. It is vital to eat 5 portions of fruit and vegetables per day to keep yourself healthy.



Carbohydrates give you starch and fibre, these fill you up but are not fattening like cakes which are full of fat and sugars. Cereals and wholegrain bread are great fibre providers. We need fibre to protect our digestive system, eat a good breakfast every day filled with carbohydrates and fibre to 'stoke the engine' for work and learning. Fill up!


Taking regular exercise as well as eating healthily will ensure you look and feel fitter.




The recommended intake of salt for an adult is 6g per day. Children should eat much less and babies should have no salt at all added to their food.


However, all of us consume a great deal more salt than we think. In fact, the International Conference on Salt and Health in 2002 stated that salt consumption in the UK runs around 9-15g per day, about 80 per cent of which comes from processed foods. As consumers, we currently have no control over this ‘hidden’ salt unless we carefully scrutinize the food labels on every packet that we buy. So, even if we stop adding salt during cooking and at the table, we still run the risk of an overly high salt intake.


What we can do: Eating fewer processed foods and more fresh and homemade foods will help to keep a check on salt intake. If possible check labels, although often salt is not included. In many cases, only sodium is listed and this does not mean anything to most people. CASH (consensus Action on Salt and Health) is campaigning for a statutory salt label that states the amount of salt per 100g and per 400g serving, as well as reminding people of the recommended daily intake:To convert sodium to salt, multiply the amount by 2.5. For example, 1g sodium/100g = 2.5g salt/100g.


Weaning yourself off: It can be quite difficult to reduce salt intake as without it we can perceive food as tasteless. However, if you reduce your salt intake, the salt receptors in your mouth gradually become more sensitive, so that less salt is needed to stimulate them.


It is recommended that 30 minutes of moderate exercise on a daily basis is the minimum required to gain any health benefit. If 30 minutes per day cannot be achieved in one go, short bursts of exercise are just as good. Exercise does not have to be intense, but some vigorous bursts of exercise are thought to be good for you.
If you have not exercised for a long time then it is essential to check with your doctor first and follow a program of exercise which gradually builds strength, stamina and your health.




Heavy housework
A brisk walk

Weight – exercise helps to burn off excess fat. Regular exercise should be part of a healthy lifestyle.


Mental Health – exercise helps to ease stress, improve general wellbeing and self esteem. You sleep better; however do not exercise near bed time because your body will not have slowed down enough for restful sleep.


Osteoporosis – exercise helps to prevent ‘thinning of the bones’; the pulling and the tugging on the bones by the muscles helps to stimulate bone making cells, it is these cells that strengthen bones.


Older People – you are less likely to fall and be injured in the latter years of life if you exercise regularly.



Injury – If you choose to take up competitive sport you may suffer from sprains and strains. To combat this sort of injury always warm up and warm down and wear the correct footwear.


Medical Condition – If you have a medical condition and you are not sure how to proceed safely with an exercise regime, make an appointment with your doctor to discuss how to get yourself fit and healthy with the right type of exercise.


Remember – Exercise is Good For You, and walking instead of using the bus or the car is probably the best exercise you can get.


The world is a much smaller place now, with the transport systems taking us everywhere in shorter times.


Before you travel it may be necessary to check with the travel agent and the surgery to see whether or not you need special injections for the continent you are travelling to. In some cases you can be denied entry if you do not have a certificate proving that you had the correct injections.


No later than 8 weeks before you travel you will need to complete a travel questionnaire.

Download travel questionnaire


The questionnaire should be returned to the practice where the practice nurse will complete which vaccinations you will require. You will need to contact the practice reception 2 days later for the answers.


Please note some vaccinations require a course and you will need to ensure you leave good time for this. In addition some vaccinations will be subject to a charge.


Malaria tablets have to be taken, as advised, before departure.


The practice nurse will also advise you of any specific medicines you should have with you.


There are some simple self help things you can do to make any trip safer.


Be safe
Be hygenic
Have a small first aid kit including re-hydration sachets
Watch what you eat
Drink bottled water
Check whether the ice cubes are 'home made' or bought in
Take effective precautions for sun protection
Take any medication your GP or practice nurse advises to protect yourself, like Malaria tablets
Have a great holiday, wherever you go.



A generic medicine is a medicine which contains the same active ingredients as the original patented one, however it is much cheaper to purchase. It is usually a different shape or colour to the original brand, but it does exactly the same job.




As demands on the health service grow, generic medicines provide patients with safe and effective treatment while reducing the cost of pharmaceutical care. Generic medicines are widely demanded in many EU countries and are increasingly prescribed by GP’s.



Generic medicines stimulate competition between the pharmaceutical companies as soon as the patent on the original brand expires. This means that your doctor can prescribe medicines safely and the costs to the practice are reduced, allowing the practice to provide more services for the budget they are given.



If you take regular medication try and remember its strength and its name. Sometimes you may be given a different brand; by going to the same pharmacy for your prescription each time you may avoid this. If you are worried about your medicines your doctor or pharmacist will be happy to discuss them and put your mind at rest.



Our sense of hearing can experience various types of loss or change, some of which are short-term and nothing to worry about, whilst others are permanent to a greater or lesser degree. Some common causes of 'hearing loss' are;


WAX - Everyone gets wax in their ears, if it blocks the outer ear canal sounds are dull. If you have any problems please book an appointment with the practice nurse and she can check them for you.


AGE - As we get older our hearing has been subject to time, and any damage done cannot be repaired. It is wise to get a hearing test if - you start turning up the volume on the television, miss the sound of the doorbell ringing, or do not understand a word people are saying when it is obvious they are talking to you.


TINNITUS - Tinnitus, or ringing in the ears, is a result of damage to the microscopic hairs which sense sound in the inner ear. Nine times out of ten it goes away, but for 15% of us it doesn't, and once acquired, tinnitus can never be cured, only masked by other sounds.


Tinnitus Helpline: Tel Voice 0808 808 6666 or Textphone 0808 808 0007




Noise induced deafness occurs very gradually and often goes unnoticed by the sufferer for a long time. Like tinnitus, once the damage is done it is irreversible. It can be a problem for those in any noisey environment for extended periods of time. Many specialists are concerned that more and more people will become victims of noise induced deafness earlier in life due to the trend of wearing headsets and playing loud music direct into the ear.





It is very distressing for people when they lose their hearing especially if it is sudden; nowadays there is a lot more help for those who find themselves in this situation. Firsty speak to your doctor who will advise you on the best course of action.





RNID the charity for deaf people have launched a campaign to help change attitudes towards hearing loss and hearings aids. The hearing check can be taken over the telephone by calling 0845 600 55 55.





A hearing therapist works with patients who have acquired hearing loss. They use a variety of methods to help improve a patient's ability to manage the hearing loss and continue to participate fully in activities of their daily living.





A cochlear implant is an electronic system that stimulates the auditory nerve directly, bypassing the hair cells in the cochlea. It can give a sensation of sound to the profoundly deaf who have been unable to hear using the hearings aids available.



What is an Ophthalmic Optician?

Ophthalmic opticians are also called optometrists and opticians. They are qualified to do eye sight tests and prescribe and supply you with spectacles, glasses or contact lenses

Why have regular eyesight tests?

It is recommended that everyone has an eyesight test every couple of years. Prevention is always better than cure. Regular check-ups enable the optician to keep your eyes healthy.


The benefits of an eyesight test are many;

You keep your eyesight longer
if you have glasses and the prescription needs changing it can usually be done on site
Medical conditions are identified sooner and treated
Screening for glaucoma is a normal procedure
Who is entitled to free sight tests?
Some people are entitled to free tests. Examples of these include people: under 16 or under 19 and in full time education; receiving income support or family credit; who are registered blind or partially sighted; who have diabetes or glaucoma. Further information is available from the DSS.

Looking after your eyes
By wearing safety glasses and protective goggles while playing sports or working with hazardous and air-born materials you will lower your risk of eye injury, impaired vision, and complete loss of sight.
Be aware of your surroundings and ensure that you wear sunglasses on very bright days to protect your eyes from the power of the sun.

Always check with your optician if you have any concerns. If your doctor suggests that you need to visit the optician make an appointment, keep it and make sure you tell the optician why you have come along.



If you are thinking of starting a family there are a few main points which will help towards a happy, healthy pregnancy.


General Health


It is important when planning your pregnancy to ensure that you are protected from certain diseases, which may affect you and the baby later. German Measles (Rubella) is the most important one to be immune to, a simple blood test will identify whether or not you should be immunised.


A visit to the practice nurse for a cervical smear is a very good idea when planning a baby; some conditions if not treated beforehand are difficult to resolve during pregnancy.


Check your weight at the start of your planning; being as near your ideal weight as possible will make carrying much easier, and getting your shape back afterwards will not be so difficult.





Eating a normal healthy diet with at least 5 portions of fruit and vegetables per day is a good start; by increasing the amounts of food with good folic acid content, you will naturally help the health of the baby inside the womb. The Department of Health recommend all women planning pregnancy take a daily supplement of 0.4mg before and up to 12 weeks of the pregnancy.





If you have an alcoholic drink during pregnancy your baby is having one too. Regular drinking whilst pregnant is not recommended, so limit yourself to the absolute minimum, none preferably.





Some research has linked the increase of childhood Asthma, cot death, and chest infections with smoking. Try and give up smoking prior to getting pregnant, this gives you and your baby a chance to be happy and healthier. If you need help to stop smoking make an appointment with Debbie the practice's smoking cessation nurse.





Walking, swimming, dancing; all these forms of exercise will help to keep you fit during pregnancy, especially in the latter stages when it is easy to just sit. Speak to the midwife or health visitor for details of any group activities so that you can be with other expectant mothers to socialise and talk about the important things.


Once you know you are pregnant and have informed the surgery, we will guide and advise you through your pregnancy. Even after the birth the surgery staff take care of you and your baby, answering all those questions you never thought of asking before.


Self help means recognising minor illnesses and being able to treat the symptoms, preventing health problems developing and knowing when to call for outside medical help.


Self help doesn't mean dealing with health problems on your own. The surgery team are here to help with any problems or situations you can't cope with. The pharmacist can also give advice on treating minor illnesses.



Cuts - Stop the bleeding from a minor cut by pressing it, with clean hands, for a few minutes; hold a cut arm or leg up high. If a cut bleeds freely any germs will normally be washed away by the blood. If it is a deep cut and the edges cannot be pulled together go to the Accident & Emergency department. Redness or swelling can be a sign of infection in a cut or graze and you should make an appointment to have it seen by the practice nurse. You may be advised to have a tetanus injection if you haven't had one for 10 years.



Burns - Cool down the affected area with lots of cold water immediately and continue to do this for at least 10 minutes. If the burn is larger than 4 or 5 inches across, if it is on the face or if the skin is broken, see the practice nurse as soon as possible. If a child has a burn or scald seek medical attention, or if the skin has turned white or black, go to the nearest Accident & Emergency (Casualty) department immediately.



Sprains - Remember I-C-E


I stands for ice. Immediately pack the sprained area with ice or a bag of frozen peas, wrapped in a cloth, to reduce swelling and speed up the healing process. Keep this on for about 20 minutes.

C means compression. Bind the injured area with an elastic bandage, so it is well supported, but not so tight that it restricts the flow of blood. Retighten a few times a day.

E means elevation. Rest the sprained area and keep it held high. For example, if you have a sprained ankle, rest it on a stool that is higher than the chair you are sitting on.



Head injuries - For a minor knock or bump, put on a cold damp cloth. A person should be seen by a GP or taken to Accident and Emergency without delay if they have any of the following symptoms; vomiting, unconsciousness, double vision, drowsiness or confusion.


Choking - Stand behind the person and hug them firmly above the waist, pushing your fist up under their ribs to make them cough up the blockage. For a young child, hold the child upside down and thump on the back.


Verrucae - A verruca is simply a viral wart affecting feet, usually the sole and under the toes. GP’s recommend that for both children and adults an over the counter preparation from the pharmacist should be used; Bazooka, Salactol, Compound W, or similar (please read carefully the instruction leaflet that will be enclosed).



It is important that the verruca is abraded with an emery board or pumice stone after each shower or bath, the treatment then applied and left to dry, then repeated every 24 hours.
Old skin tends to heap up, protecting the underneath part of the verruca and therefore it is very important to use the emery board or pumice stone as the treatment is far more effective if the old hard skin is removed before the preparation applied. The preparation should be applied for some six to eight weeks in total and hopefully then the verrucas will have disappeared. If there is no improvement after six to eight weeks the next step would be to use duct tape, this may sound strange but there is evidence that it does work!
Simply place the tape over the verruca, replacing after 48 hours, soak the area in water ensuring you use the emery board or pumice stone. Leave open for 12 hours and then repeat.
You may wish to also try using banana skin; the inside of a banana skin is also known to be effective and can be placed under the duct tape, this should be changed daily after washing the affected area, again ensuring the area is rubbed down with the emery board or pumice stone.


Very occasionally a verruca does not respond to any of these treatments and if this happens please see your doctor.


It is never too late to stop smoking, if you are serious about stopping your doctor or the practice nurse will provide help and information, appointments available by booking with reception.
Smoking kills over 100,000 people per year in the United Kingdom.
Smokers are more likely to get ill and die earlier than non-smokers.
Nicotine is ten times more addictive than heroin.



Plan your attempt to quit smoking
Pick a date and keep to it
Support from family and friends is vital
Reward yourself with ‘treats’ from the money you save
Always take one day at a time
Be positive


Your doctor or the smoking cessation advisor will be able to advise you about Nicotine Replacement Therapy (NRT). NRT increases your chances of quitting successfully. The products are available on prescription.


The smoking cessation advisor is available for on going support.
Call the NHS Smoking Helpline 0800 169 0169


Good luck! Remember it’s never too late to give up, can you?




You do not have to tell the receptionist what the appointment is for
You can make an appointment to see the doctor or one of the nurses to discuss any problems or to ask for advice
The information given to the doctor or nurse is confidential and cannot be disclosed without your consent
The surgery has condoms which can be given to teenagers free of charge
The surgery provides contraceptive advice including the morning after pill
The practice team are here to listen to you. They do not tell you what to do, they assist you to get better if you are ill and explain clearly anything else that concerns you.




The saying ‘are you getting enough’ goes for eating to. A good diet is very important especially breakfast!




As you mature your body goes through changes, and keeping clean and healthy are vitally important. Washing your body, wearing clean underwear every day and cleaning your teeth are just a small but important part of your personal welfare.




If you are under 16 it is illegal for you to purchase or smoke cigarettes. If you purchase cigarettes for a minor you are also breaking the law.
If you are under 18 it is against the law to purchase alcohol. It is also illegal for someone over 18 to buy alcohol for an under 18.




Do you know what these seven important terms mean?
Overdose – This can happen when someone takes so much of a drug that their body cannot cope with it.
Stimulants – Drugs like ecstasy, speed and cocaine affect people by speeding up their bodies, making them energetic and excited, commonly known as ‘uppers’
Addiction – When a person becomes dependant on a drug and needs it to get by from day to day.
Tolerance – The body has got used to the drug so it does not give the same effect anymore.
Hallucinogens – Drugs like LSD (acid) and magic mushrooms make people hallucinate, they see and hear things which are not there. These types of drugs are called ‘trips’
Depressants – Drugs like heroin and tranquillisers slow the body down, making it feel drowsy and relaxed. These drugs are known as ‘downers’
Withdrawal – the bad feeling someone gets when they stop using certain drugs which they have been dependant on for a long time.



Talking to FRANK

FRANK is available to speak to 24 hours a day. You can ring free from a landline on 0800 77 66 00, it will not show up on the telephone bill. Your call will be completely confidential. Alternatively log on to


Why register with a dentist?

Once you have a registered with a dentist, they have a duty of care to see you for emergency treatment and they will have your dental records. If you move to a new area you should register with a dentist straight away.

It is now recommended that children should have their teeth brushed from the moment their new teeth start to come through, as they grow up it will then be a 'good habit'.

Routine - start a routine and stick to it, help your doctor by having regular check-ups at the dentist. Prevention is always better than cure. If you visit your dentist regularly, you will need less treatment and your dentist will spot any problems earlier, it will also be easier to put these problems right.

Try to get into a good routine every day, and ensure that your children copy you.

- Brush your teeth at least twice a day
- Use fluoride toothpaste
- Use a small to medium toothbrush
- A pea-sized amount of toothpaste is adequate
- Change your toothbrush regularly
- Use small circular movements to clean your teeth
- Use dental floss to get between your teeth
- Visit the dentist regularly, at least twice a year
- Orthodontic Treatment - may be required during the teenage years; regular check-ups are vital to ensure the positioning of teeth for adulthood. Treatment such as braces may be required.

Tests have proved that certain electric toothbrushes are better at removing plaque. They are particularly useful for people with limited movement, such as disabled or elderly people, who often find that using a normal toothbrush does not allow them to clean thoroughly. Electric toothbrushes can also be better for children as they may be more inclined to brush regularly because of the novelty of using an electric toothbrush. Discuss the idea with your dentist or hygienist to find out if you would benefit from using an electric toothbrush.

Diet - eating a healthy diet, ensuring that the frequency of sugar intake is kept to a minimum will enable you and your family to keep tooth decay at bay.

Gum disease (gingivitis) - will show itself as red, swollen gums that bleed when brushed or flossed. Many people are alarmed when they notice this bleeding and will then brush more gently, if at all. it is important that you continue to clean regularly and firmly in order to fight the condition.






Always try and leave your desk clear before you go home
Prioritise the tasks you need to do the next day by making a list
Cross each job off the list on completion
Do your filing whatever kind of filing it is!
If you cannot get something finished or you need help do not be afraid to ask
If you do not know how to do something – ask, do not worry about it
Do not be afraid to say ‘No’ if you cannot physically take on more work
It is better to do quality tasks rather than a quantity of tasks to a poor standard




As you read this have you been sat at your desk for hours in front of the computer? Or on a factory line busy doing the same thing for the past few hours? Or on the checkout being nice to customers?




In your breaks go for a walk
Use muscles that have been idle
Leave the building, get some fresh air or
Go and speak to someone different and not about work!




Do not go all day without something to eat in your lunch break, whatever time of day or night it is. Your body needs to have regular fuel to keep going and long gaps between meals makes the body hold onto fats and water because it is in survival mode. Regular drinks, especially water, stop dehydration and help you to be more alert.




Stress can damage physical health, social relationships and the way we function at work and at home.
It is important to remember that the following symptoms may have nothing to do with stress but they are often danger signals which should not be ignored:
Physical signs – like headaches, insomnia, indigestion, high blood pressure
Behaviour aspects – such as poor work performance, accidents, poor relationships at home and work, dependence on tobacco, drugs and alcohol
Emotional factors – such as irritability, lack of concentration, anxiety, depression.
If you feel ‘stressed’ then look at positive ways to make your working day better. Try using workloads, exercise and eating sections above. If nothing is working it is important to speak to someone about it.




Book a holiday, it does not have to be in Barbados, just a change of scenery, organise a trip, or give yourself a reward for your hard work. This gives you something to look forward to, and to plan for.



Northbourne Medical Centre
193A Upper Shoreham Road
West Sussex
BN43 6BT


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