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Dr Anna Chiles is the Frailty Lead for the surgery.

Dr Chiles - Frailty Lead

She is assisted by Karen Gibson -Frailty Nurse, whose role it is to support patients to live healthily and independently for as long as they wish to.

Karen Gibson - Frailty Nurse

and Richard Gealer - Practice Support Pharmacist.

Karen has a caseload of patients who the GPs at the surgery consider to be increasingly frail. Frailty is determined using the scale below.

Frailty Assessment Scale - Rockwood

Richard supports the team in making recommendations to the doctors about prescribing for patients with multiple issues. Polypharmacy (prescribing multiple medications) is not always a problem, but it can be in many instances, often being more harmful than helpful or presenting too much risk for too little benefit. It is therefore considered to be a situation that requires monitoring and review to validate whether all of the medications are still necessary. Concerns about polypharmacy include increased adverse drug reactions, drug interactions and increased risk of falls.

Useful Resources

Age UK video - How to Reduce Your Risk of Falling

Click here to read the Age UK Staying Steady leaflet

Click here to read Age UK's flyer - Top Tips for Staying Steady

Click here Gloucestershire Falls Assessment and Education Service leaflet

Activities Calendar

Why not have a look at the surgery's activities calendar which can be found on the Home page?

Cotswolds Community Connector Service

The Community Connector service replaced the Social Prescribing and Village Agents services in 2017.

The service provides extra support to people in times of change, for example after redundancy, health issues or retirement, in times of emotional hardship such as after bereavement, worried about debt or financial issues and to those who don't know where to turn for support.

Click here to read a leaflet about the service.

To make a referral please contact the service on 01452 528491 or at

Planning For Your Future Care

There may be times in your life when you think about the consequences of becoming seriously ill or disabled.

This may be at a time of ill health or as a result of a life changing event. It may simply be because you are the sort of person who likes to plan ahead.

You may want to take the opportunity to think about what living with a serious illness might mean to you, your partner or your relatives, particularly if you become unable to make decisions for yourself. You may wish to record what your preferences and wishes for future care and treatment might be or you may simply choose to do nothing at all.

One way of making people aware of your wishes is by a process of advance care planning.

There is further information about this on the Gloucestershire CCG website (see the link below) and planning booklets are available from the surgery.

Lions Club - Message in a Bottle

The scheme is a simple idea designed to encourage people to keep their basic personal and medical details on a standard form and in a common location – the fridge!

It saves the Emergency Services valuable time if they need to enter a property in an emergency situation. Not only does it help to identify who you are it also identifies if you have special medication or allergies. It is not only a potential lifesaver, but also it provides peace of mind to you, your friends and family by knowing that prompt medical treatment is provided and that the next of kin and emergency contacts are notified.

Bottles are available from the surgery and are promoted by our frailty team.

For more information see the link below.

Your Neighbourhood Professionals. Just a Click Away!
Well Lane, Stow-on-the-Wold, Gloucestershire, GL54 1EQ
  • Telephone (01451) 830625
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away!
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