Our Services

Our Services

Your Clinical Pharmacy team is made up of Clinical Pharmacists and Pharmacy Technicians. Clinical Pharmacists are highly qualified experts in medicines and Clinical Technicians work alongside them to help you get the best from your medicines. They work closely with your GP surgery team and their PCN team to provide patients with personalised care.

Clinical Pharmacists

Clinical pharmacists are highly qualified experts in medicines. Clinical pharmacists work as part of your GP surgery team to improve your outcomes from medicines. They consult with and treat you directly on behalf of your GP. This includes providing extra help to manage long-term conditions, advice if you’re taking multiple medicines and better access to health checks. They also pay an important role in managing care for patients as part of a multi-disciplinary team, that includes other health and care professionals.

Some Clinical Pharmacists are qualified to prescribe medicines. They may also have additional training and specialist areas. Such examples include: Type 2 Diabetes, Hypertension and Chronic Pain management.

Watch these two videos to learn more about Clinical Pharmacists:

Pharmacy Technicians

GP pharmacy technicians work alongside your GP surgery and Clinical Pharmacists to support the delivery of safe, effective and efficient systems to get the best from medicines. They also support repeat prescribing, reduce medicine waste and maximise patient outcomes from their medicines.

GP practice pharmacy technicians work under the supervision of a pharmacist and are registered healthcare professionals, responsible and accountable for their own accurate and safe practice.

Structured Medication Reviews

GP pharmacy technicians work alongside your GP surgery and Clinical Pharmacists to support the delivery of safe, effective and efficient systems to get the best from medicines. They also support repeat prescribing, reduce medicine waste and maximise patient outcomes from their medicines.

GP practice pharmacy technicians work under the supervision of a pharmacist and are registered healthcare professionals, responsible and accountable for their own accurate and safe practice.

Clinical Pharmacists also carry out Structured Medication Reviews for patients with ongoing health problems. These reviews help to improve patient safety, outcomes and value through a person-centred approach. Structured medication reviews are an evidence-based and comprehensive review of your medication, considering all aspects of your health. In a structured medication review, clinicians and patients work as equal partners to understand the balance between the benefits and risks of taking medicines, as well as the alternatives.

What will happen in my Structured Medication Review?

The Clinical Pharmacist will review your medication with you to make sure you are getting the most from your medicines. They will want to understand not only what is clinically best but what works best for you based on your lifestyle and how you normally manage your medicines. Your Clinical Pharmacist will think about all your medicines if you have multiple conditions and your health, and how medicines might be impacted.

Your review is done with you. Your Clinical Pharmacist will discuss and explain any proposed changes, so you understand them and are at the centre of any decisions.

How can I get the most from my appointment with my Clinical Pharmacist?

Please bring your medicines with you or have them nearby if you have a remote review. As with all health appointments, it’s a good idea to write down any questions or concerns you have, to make sure these get covered. You can see some general advice for preparing for an appointment with a health professional on the NHS website.

If you prefer to attend with someone else, please let your Clinical Pharmacist know and that you would like for them to be there.

What happens after the Structured Medication Review?

Any changes discussed will be added to your GP record so that your GP knows what was decided during your review. If the Clinical Pharmacist is an independent prescriber of the medicines you use, they can amend your prescription. Otherwise, they will discuss and arrange for the changes with your GP.

If you have any questions about your medication or your review, you can call your GP Surgery who can assist you or arrange for a follow-up.

Your appointment

You will be booked to see a clinical pharmacist for a structured medication review by your GP surgery where appropriate. Your appointment may be face-to-face, by telephone or via a video call. A structured medication review appointment is usually around 30 minutes and sometimes more than one consultation may be required.

As with all appointments provided by your GP surgery, if you cannot attend your appointment, please notify your GP surgery as soon as possible. This will help to make your appointment available for another patient. If it is a same-day cancellation, it is best to call your practice. Otherwise, you can contact your practice as you normally would.

Meet your Clinical Pharmacy team

Poh Long
Head of PCN Pharmacy Chiswick

Head of PCN Pharmacy
Chiswick

BPharm (Hons); MRPharmS; Independent Prescriber; PG Dip in Clinical Pharmacy; MSc Respiratory Examination and Assessment; ARTP Interpretation and Performing Spirometry Specialist interests: Respiratory and education/training

Anaisa Ismail
Senior Clinical Pharmacist

Senior Clinical

Pharmacist MPharm (Hons); Independent Prescriber Specialist interests: Cardiovascular – Hypertension and lipids management

Yasmin Al Khalil
Senior Clinical Pharmacist

Senior Clinical
Pharmacist

MPharm (Hons); MRPharmS; Independent Prescriber Specialist Interests: Asthma, COPD and hypertension

Claudia Li
Senior Clinical Pharmacist

Senior Clinical Pharmacist

MPharm (Hons); PG Dip in Clinical Pharmacy; Independent Prescriber Specialist Interests: Diabetes and hypertension

Ruth McKenzie
Clinical Pharmacist

Clinical Pharmacist MPharm (Hons)

Ai Wei Chin

Clinical Pharmacist

MPharm (Hons)

Jenani Umasuthan
Pharmacy Technician

Senior Pharmacy Technician Registered Pharm Tech Specialist Interests: Mental health and hypertension

Care coordinators play an important role within a Primary Care Network. They proactively identify and support patients, including the frail/elderly and those with long-term conditions. The team provides coordination and navigation of care and support across health and care services for those patients. The care coordinators ensure that patient health and care planning is timely, efficient, and patient-centred.

Care Coordinators invite patients for reviews of their long-term conditions, screenings or vaccinations when they are due. They also book patient appointments with the most suitable clinician when online requests are made. This may not always be a GP, for example, they may book a patient to see First Contact Practitioners (physiotherapists), Physician Associates, Clinical Pharmacists and Social Prescribing Link Workers, amongst others, where this is most appropriate. This helps free up GP time for those patients that need to see a GP.

Care Coordinators also organise and document the monthly meetings in GP surgeries with various health and care professionals, known as Multi-Disciplinary Team meetings (MDTs). These meetings discuss some patients in each practice with more complex health needs. The wide attendance at these meetings helps to ensure that patients can be seen by the most appropriate teams in a timely way.

The aims of our Care Coordinators are:

  • To help patients see the right professional for their concern
  • To provide quick and effective support to manage patient requests sent online
  • To support non-clinical support teams in the GP surgeries to be able to have more time to focus on patients that cannot use online services
  • To help clinical and non-clinical teams work together to make sure patient need are met
  • To help make sure practices and PCNs can reach as many eligible patients as possible for important things like cancer screening

Meet the Care Coordinator Team

We work with the PCN practices to help them provide proactive healthcare to patients with the help of a diverse team of healthcare professionals. We enjoy working in the health care environment which is both interesting and varies day to day.

Devki Ladwa
Lead Coordinator

Ella Varcoe
Care Coordinator

Parampreet Kaur
Care Coordinator

Karimah Muhammad
Care Coordinator

Anushka Dissanayake
Care Coordinator

Dietician

The role of the diabetes dietitian is to help support you to achieve a healthy diet and lifestyle in the best possible way for you.

We would like all patients who have diabetes or pre diabetes (non-diabetic hyperglycaemia) or post gestational diabetes or polycystic ovary syndrome (PCOS) to visit:

Know Diabetes website  Diabetes in North West London | Know Diabetes to find out more about services and resources available to you.

If you have type 2 diabetes and would like to attend the X-PERT type 2 diabetes programme here is the self referral link to join Type 2 Diabetes – Group Education Learning (jotform.com)

If you have type 2 diabetes you can also click on the following link to find out more about programmes available to you:

If you have pre diabetes or post gestational diabetes or PCOS or want to lose weight or improve your health & lifestyle you can also click on the following link to find out more about programmes available to you:

If you still have a dietitian need you can be referred by your GP to the diabetes dietitian. Appointments with the diabetes dietitian are provided on the telephone or online using Microsoft Teams. There is limited availability for face to face appointments.

Meet your First Contact Practitioner – Dietitian team

Milandeep (Milan) Kaur Rooprai
Dietitian

FCP Physiotherapist

If you’ve got new pain in your joint or muscle, your GP Surgery may decide to offer you an appointment with a Musculoskeletal First Contact Practitioner (FCP). As highly trained Physiotherapists, their job is to assess and diagnose your problem and provide a treatment plan. Your FCP will organise any prescriptions, scans, tests or referrals they think you need. They can also provide a fit note if required.

Conditions FCPs can help with include:

  • All soft tissue injuries, sprains, strains or sports injuries
  • Arthritis – any joint
  • Possible problems with muscles, ligaments, tendons or bone, e.g. tennis elbow, carpal tunnel syndrome, ankle sprains
  • Spinal pain including lower back pain, mid-back pain and neck pain
  • Spinal-related pain in arms or legs, including nerve symptoms, e.g. pins and needles or numbness
  • Changes to walking
  • Post-orthopaedic surgery

Some patients will not be suitable to see a First Contact Practitioner, this includes:

  • Acutely unwell
  • Children under 16
  • Medical management of rheumatoid conditions
  • Women’s health, antenatal and postnatal problems
  • House-bound patients
  • Medication reviews
  • Neurological and respiratory conditions
  • Headaches
  • Acute mental health crises
  • Patients who do not want to see a FCP

Appointments

Your GP surgery may offer you an appointment with the FCP based on your symptoms. You can self-refer to see an FCP by contacting your GP as you usually would for an appointment – please indicate that you would like to see an FCP. If your symptoms are appropriate for an FCP and you do not meet the exclusion criteria, then the team can offer you an assessment with the FCP.

As with all appointments provided by your GP surgery, if you cannot attend your appointment, please notify your GP surgery as soon as possible. This will help to make your appointment available for another patient. If it is a same-day cancellation, it is best to call your practice. Otherwise, you can contact your practice as you normally would.

Resources

Musculoskeletal FCP:


Arthritis, joint and soft tissue injuries:


Back pain:


Bone Health:


Pain:


Strength and Fitness:

Meet your First Contact Practitioner – MSK team

Harriett Trewhella
First Contact Practitioner

Joshua Coles
(Preferred name Josh)

First Contact Practitioner

BSc Exercise and Sport Science 2011 from University of Exeter MSc (Pre-registration) Physiotherapy 2015 from Kings College London Currently half-way through an MSc Advanced Physiotherapy at University of Hertfordshire.

Josh is an experienced physiotherapist with over 7 years post graduate experience. He has developed expert clinical skills whilst working in some of London’s biggest teaching hospitals

including Charing Cross, St Marys and West Middlesex. Experience within rheumatology, occupational health, sport and exercise medicine clinics and more recently a specialist musculoskeletal triage service means he is confident diagnosing and treating a variety of different conditions. With his recent transition to primary care he works closely with GPs and other members of staff to ensure the best possible outcome for patients.

Mental Health Practitioner

Mental Health Practitioners are now working as part of most Hounslow GP surgeries to help patients get the support they need. They are healthcare practitioners trained to support patients with their mental health. They support your GP by helping to get patients quicker access to mental health expertise.

If you are referred to a mental health practitioner, they will work with you to understand your needs. After assessing your needs, they will provide treatment advice and support shared decision-making about self-management. If appropriate, they may support you with brief interventions relevant to your needs over a small number of sessions. Where needed, they can make referrals to specialist mental health services.

Mental health practitioners can:

  • help you with talking therapies to support a wide range of topics and issues
  • provide tools and techniques to help manage symptoms
  • support you if you are experiencing the psychological effects of managing long-term conditions, such as diabetes

If you, or someone you know, is struggling with mental health issues, speak to someone at your local GP surgery who can arrange the right kind of support for you.

For more urgent advice and support, West London NHS Trust provides a Support and Advice Line on a 24-hour, 7 days a-week basis which can be accessed via 0800 328 4444. This service is provided by specially trained mental health advisors and healthcare professionals who will be able to offer support and guidance around the next steps for you or the person you are concerned about.

Your appointment

You will be booked to see a mental health practitioner by your GP surgery where appropriate. Your appointment may be face-to-face or via a video or telephone call.

If you cannot attend your appointment, please notify your GP surgery as soon as possible so your appointment can be made available for another patient. If it is a same-day cancellation, it is best to call your practice. Otherwise, you can complete an online form to cancel or reschedule an appointment.

Meet your Mental Health Practitioner Team

Denise Ferrett
Mental Health Practitioner

Paramedic

Paramedics are registered healthcare professionals who have a unique role that crosses health and social care, public health, social care and public safety.

The paramedics in your Primary Care Network (PCN) are a home visiting service and support urgent care and assessment for housebound patients. They also carry out Long Term Conditions (LTCs) reviews for permanently housebound patients. They work independently to provide care in a range of situations but always stay in contact with your GP about any care provided.

If you are referred to the paramedic, they will attend on behalf of your GP. Your paramedic will work closely with your GP to manage any follow-up actions from your visit, so you don’t have to—for example, referrals or changes to medication.

Appointments

Your GP will refer you to the paramedic team. Paramedics will visit patients requiring urgent care on the same day. The paramedic will contact you for routine visits to arrange a time to visit you at home. However, as the team needs to respond to the changing wellness of patients and could be impacted by traffic, they may need to make changes at short notice.

As with all appointments provided by your GP surgery, if you cannot attend your appointment, please notify your GP surgery as soon as possible. This will help to make your appointment available for another patient. If it is a same-day cancellation, it is best to call your practice. Otherwise, you can contact your practice as you normally would.

Meet our Paramedic Team

Cassandra Lemon
Paramedic

Physician Associates are medically trained, generalist healthcare professionals who work with your GP to provide medical care. Physician associates work under the supervision of a GP, but can work independently with appropriate support.

Your PCN Physician Associates work as part of your GP surgery team to review, examine and propose specific management and treatment plans for patients. A Physician Associate can support you with short-term and long-term medical issues. They can provide most of the care and support you require, including referrals.

There are a small number of things the team cannot do which includes signing sick notes, prescribing medications or requesting ionising radiation investigations such as X-rays. However, they will work closely with your GP where these are required so this is managed for you.

Appointments

You will be booked to see a Physician Associate by your GP surgery team where appropriate. This may be in Meet ourresponse to a request for help with a medical concern or as part of your care for any Long Term Conditions.

As with all appointments provided by your GP surgery, if you cannot attend your appointment, please notify your GP surgery as soon as possible. This will help to make your appointment available for another patient. If it is a same-day cancellation, it is best to call your practice. Otherwise, you can contact your practice as you normally would.

Meet out Physician Associates

Livija Murmait
Physician Associate

Social Presciber

Social prescribing is a personalised approach to healthcare that looks at all the possible needs of individuals from a non-clinical point of view. It recognises that people’s wellbeing is determined by a range of social, economic and environmental factors (e.g. housing, financial, employment, isolation). It is by addressing these concerns that individuals become empowered and attain greater control over their lives and therefor their health and wellbeing.

Social prescribing links people to services and groups in their local community in accordance with their needs.

Social prescribing link workers now form part of your GP surgery team, giving people time to focus on what matters to them:

Our social prescribing link workers support patients aged 18 or over. Social prescribing works well for individuals who have:

  • One or more long-term conditions
  • Require support with low-level mental health issues
  • Feel lonely / isolated
  • Have complex social needs

Your appointment with the social prescribing link worked will usually be XX minutes and can be face-to-face, or via video or telephone call.

Appointments

You will be booked to see a social prescribing link worker by your GP surgery team where appropriate. You may also be referred by any other agency in Hounslow. If you think the social prescribing service could help you, you can also self-refer yourself to the service by completing this form.

As with all appointments provided by your GP surgery, if you cannot attend your appointment, please notify your GP surgery as soon as possible. This will help to make your appointment available for another patient. If it is a same-day cancellation, it is best to call your practice. Otherwise, you can contact your practice as you normally would.

Meet your Social Prescribing Link Worker Team

Petronilla Dura
Social Prescribing Link Worker

Alexandra Verebi
Social Prescribing Link Worker

Health & Wellbeing Coach

Health & Wellbeing coaches can help by

  • providing coaching support to help you manage your condition
  • working with you to identify your health and wellbeing goals
  • signposting you to helpful resources and peer support groups

Your appointment

Our Health & Wellbeing Coaches will be working across Hounslow to support PCN projects and Healthy Hounslow’s Health Check service. This is a mobile service and does not accept direct referrals, instead our healthcare professionals operate out of a converted ambulance and travel to different locations, events and communities across Hounslow. For more information, please visit the Healthy Hounslow website at healthyhounslow.co.uk/service/health-checks/.

If you would like to access health coaching on referral, the best way to access this service is to complete an online assessment on the Healthy Hounslow website, but if you prefer to speak to somebody about the service, then you will also find a telephone number.


Health & Wellbeing Staff

Stella Oryang
Health & Wellbeing Coach

Kulvinder Sharma
Health & Wellbeing Coach

Hounslow’s new health and wellbeing service