All posts by Helen

Coronavirus Update

Coronavirus Update

Open for Urgent Care bookings

We are currently taking bookings for patients, with urgent care needs from 1st June.

Urgent care is when a treatment is needed because, without it you are unable to cope with daily life on a mental or physical level, and where your symptoms are preventing you being able to do your normal daily tasks of living and/or your paid work or caring duties.

What is Urgent Care?

Urgent care may also be the need for treatment which would prevent you needing to use NHS facilities, or preserve your functioning in the long term and prevent decline of an existing condition which you can usually manage with acupuncture (e.g. back pain, anxiety).  There are also other possibilities where acupuncture is known to provide clear benefits in a situation where results are key, for example, to support IVF treatment where there is a clear evidence base for a timely intervention having a strong chance of improving outcome.

Who decides if I can have urgent care?

The acupuncturist, on a case by case basis, discusses your symptons and circumstances with you, in line with the regulatory body, the British Acupuncture Council (BAcC) and national government guidance.

There is no golden rule, the acupuncturist will need to carry out a risk assessment for every patient and each treatment, to ensure the suitability of you attending a face to face appointment, is weighed against genuine need.  Please be patient with us whilst we take the steps to ensure the appropriateness and safety of your treatment.

Please note: Our secretaries are not acupuncturists so they cannot advise on the appropriateness of treatment, and will not speculate on this, however they will book a call-back for you with an acupuncturist to go over what can be done.

Risk Assessment

We have undertaken a risk assessment and have made the necessary changes to mitigate and minimise all identified risks, as per BAcC and HSE and government guidelines.  The important aspects you need to be aware of, are as below.

Telephone checks on the day of treatment before you attend

Please also note that your practitioner will contact you on the day of treatment to check that you are not symptomatic of Covid-19, and other related checks to ensure it’s safe for you to attend.

Consent

You will need to complete a specific consent form in order to undertake urgent care treatment at this time, your acupuncturist will advise on the specifics of this.

Changes to the rooms and equipment

In accordance with government guidelines and those of the BAcC British Acupuncture Council we have made changes to the rooms in which we practise, and the way in which we work in order to do so safely in this unprecedented time.  You will notice less chairs, no waiting area (a chair is provided for emergencies) and you are encouraged not to use the toilet onsite unless in an emergency.  You’ll notice more posters and safety equipment, as well as the use of PPE for you and the practitioner in the treatment room.

You’ll be asked to wash your hands or use alcohol gel on entering the premises, and you’ll see more in the way of cleaning equipment occurring.  You’ll be reminded to keep 2 metres away from anyone from outside your household, including the practitioner; with the exception of the treatment itself where PPE is used due to unavoidable proximity.  Your treatment may be shorter than usual, as we will have completed the talking element of the treatment by phone, prior to the treatment. We intend to minimise the time we spend in the 2-metre zone, to less than 15mins,- minimizing both our risk.  We will leave larger gaps between patients so that cleaning can take place between patients.

Useful to know on the day

If you are attending for urgent care the following is a useful reminder (although not exhaustive and you will have discussed with your acupuncturist):

  • Check your symptoms and those of your household – your acupuncturist will make a pre-appointment phone call to screen for this
  • Use the toilet before you leave home as we need to keep the numbers of users to a minimum as cleaning is needed between users (you can of course use it in an emergency but must let your practitioner know so that they can arrange cleaning)
  • Be on time, and not early as there is no waiting facility. We recommend travelling by car, walking or cycling.  If you must use public transport, there are specific government guidelines on this here https://www.gov.uk/guidance/coronavirus-covid-19-safer-travel-guidance-for-passengers
  • Do not wait outside the front door, or use the buzzers, instead text your practitioner from your car, or text from the car park or pavement outside whilst keeping socially distant from anyone else who is waiting
  • Bring the minimum of items with you, so no shopping or large bags, and please bring the items your practitioner requests, e.g. face mask, towel, bottle of water

Going forward

We have no timescale from the government for a return to routine treatment as of today’s date.

Bear in mind that guidance changes, sometimes daily as a result of the R number and the government’s 5 tests, and therefore and we will keep this up to date as this happens, but the primary source of what can and cannot be safely done remains government guidelines here: https://www.gov.uk/coronavirus – which overarches all of the above.

AvatarHelen
0 comment

Can acupuncture help me reduce my medications?

I am often asked permutations of this question, and my answer is that acupuncturists are not doctors, and deciding to change or reduce medication must always be done under a doctor’s supervision. It is important to have these conversations with your medical team, and it’s crucial if you are considering making changes to medications, that your GP and any consultants whose care you are under, are up to date on what you are doing.

Pharmacists can also be a very helpful resource, and in particular if you are using over the counter medications, they can advise you of contraindications and interactions they may have with your prescribed medications.

In terms of acupuncture and working with patients, some of the reasons people are looking at introducing complementary medicines and coming to us, is for example to help them reduce the number of painkillers they are taking, or see if we can do something to help their side-effects.  This can be very helpful as long as we have a team approach, realistic expectations and discussions, and the patient is also working with their GP or consultant.

The research evidence for acupuncture is growing, and we find that medical professionals are more and more aware of what we do, in some cases recommending acupuncture for particular conditions, so be sure to tell you GP if you are thinking of acupuncture, and keep them up to date on how you are getting along.

AvatarHelen
0 comment

Acupuncture and the menopause: the evidence base and how it works

Acupuncture and the menopause; hot flushes

Acupuncture is increasingly used for many different conditions, but one that may not at first be obvious if that of menopausal symptoms, where acupuncture has been shown in studies to be of benefit. Here I will present information on acupuncture for hot flushes, and other menopausal symptoms of sleep quality, mood and anxiety, memory and cognition and general quality of life.

I’ll also discuss theories and scientific studies showing how acupuncture may be achieving these effects.

I will also touch on hot flushes of other causes, in males and females after cancer-treatment using hormonal drugs these can also cause “vasomotor symptoms”, also known as hot flushes.

I’ll discuss how research shows acupuncture to affect the hormonal system, and finally I’ll leave you with some information and links to follow up for the references and bibliography relating to this area.

Read More Acupuncture and the menopause: the evidence base and how it works

AvatarHelen
0 comment

The importance of integrated working

Some common questions on how we work alongside allopathic medicine

“But what will my doctor say?”

Take a look at Helen Smallwood’s video about this exact question, which shows that acupuncture is popular and well-supported by the medical professionals.

Studies have shown that majority (83%) of GPs agree acupuncture can be clinically useful and 72% that it can be cost effective. (Lipman et al, 2003), and 65% agree acupuncture is effective (White, Resch, & Ernst 1997).  In a study by the British Medical Association

“Overall 79% of the GPs agreed that they would like to see acupuncture available on the NHS” (BMA, 2000 p76).

Where GPs recommend acupuncture to patients, it is mostly for pain relief, musculoskeletal disorders, psychological conditions, stress, skin diseases and chronic illnesses (BMA, 2000; Giannelli, Cuttini, Da Fre & Buiatti, 2007; Adams 2001a; Ernst 2000b; Desser, 2003, Lewis & Halvorsen, 2003). Their support is shown by the fact that between 59% (BMA, 2000) and 79% (Lipman, 2000) of GPs would like to see acupuncture available within the NHS.

Read More The importance of integrated working

AvatarHelen
0 comment

Is acupuncture just a placebo?

We are always happy to answer any questions that people put to us about acupuncture. One of the ones that used to take me by surprise was “but it’s just a placebo, right?”
Really? What a question. I was surprised to consider it possible that anyone would believe that an entire profession, training colleges, regulatory boards and research bodies would be built on a treatment that was placebo. Where would the ethics and justification come from? Why would acupuncture still exist?
Read More Is acupuncture just a placebo?

AvatarHelen
0 comment

Acupuncture and depression, mental health

by Helen Smallwood, acupuncturist, Shaftesbury Clinic

This blog post will concentrate on the use and research regarding acupuncture and mental health, and with a particular focus on depression.

Acupuncture is known by many as being holistic, which means it looks at the workings of the body and the mind overall in an integrated way, as opposed to seeing them as separate entities. Some people are surprised when I tell them acupuncture can be very beneficial for mental health as their first impression is that acupuncture is a very physical therapy and they are mainly associating it with its uses for pain and injuries.

Read More Acupuncture and depression, mental health

AvatarHelen
0 comment

Acupuncture for anxiety and stress

I am often asked about acupuncture for anxiety and stress. We see a lot of patients for anxiety, stress, depression and other mood or motivational issues. Acupuncture is something that a great number of these patients have said has changed their daily lives for the better. This works best if they can address other lifestyle issues (e.g. diet, exercise, relaxation strategies), and we can very often recommend strategies and experienced colleagues to concurrently support these aspects if this is desirable.
Read More Acupuncture for anxiety and stress

AvatarHelen
0 comment