We offer good evidence-based practical advice which is clearly appreciated by our patients and their carers. We work across all age groups at both inpatient and outpatient levels.

We also work with nurses and physiotherapists to provide input into the patient joint school. This is an educational group session for patients that provides information about surgery, post-operative precautions and allows patients to learn about the impact surgery can have on daily life. exercise on prescription – where you're referred to a local active health team for a number of sessions under the supervision of a qualified trainer VLCDs are usually only recommended if you have an obesity-related complication that would benefit from rapid weight loss. The Chief Medical Officers recommend that adults should do a minimum of 150 minutes moderate-intensity activity a week – for example, 5 sessions of 30-minute exercise a week. Something is better than nothing, and doing just 10 minutes of exercise at a time is beneficial.eating more slowly and being mindful of what and when you're eating – for example, not being distracted by watching TV Pre-operative elective orthopaedicsWe run pre-operative patient clinics where patients awaiting surgery are seen and assessed when they visit the pre-operative nurses. We provide practical assessment and advice and reinforce any post-operative precautions. The patients are then provided with any equipment they will require at home to enhance recovery upon discharge. This is all completed before they are admitted. Before prescribing orlistat, your doctor will discuss the benefits and potential limitations with you, including any potential side effects.

You'll need to start eating a balanced diet and exercising regularly before beginning treatment with orlistat, and continue this during treatment and after you stop taking orlistat. When orlistat should be used all appropriate non-surgical measures have been tried, but the person hasn't achieved or maintained adequate, clinically beneficial weight loss a body mass index (BMI) of 28 or more, and other weight-related conditions, such as high blood pressure or type 2 diabetes You'll need to eat a balanced, reduced-calorie diet and exercise regularly while taking liraglutide or semaglutide.There’s not a lot of scientific evidence on the benefits of abdominal binders. A 2014 systematic review found that abdominal binders may decrease early post-operative pain and reduce psychological distress. Hand injury/surgeryPatients can be referred via consultants and GPs for hand splinting, education and hand therapy aiding recovery after an injury. Orthostatic hypotension (OH) is defined as a blood pressure (BP) fall by ≥20 mm Hg systolic or ≥10 mm Hg diastolic within 3 minutes of active or passive standing. 1 It can be asymptomatic or manifest with symptoms of cerebral hypoperfusion, including syncope and injurious falls. Bariatric surgery is usually only available on the NHS to treat people with severe obesity who fulfil all of the following criteria: Many different types of anti-obesity medicines have been tested in clinical trials, but the only ones that have proved to be safe and effective for use on the NHS for weight management are orlistat, liraglutide and semaglutide. Orlistat

For most men, this will mean consuming no more than 1,900 calories a day, and for most women, no more than 1,400 calories a day. The use of orlistat in children is only recommended in exceptional circumstances, such as if a child is severely obese and has an obesity-related complication. Your GP, weight loss adviser or staff at your local sports centre can help you create a plan suited to your own personal needs and circumstances, with achievable and motivating goals. Start small and build up gradually.

Pre-operative elective orthopaedics

Wrap the abdominal binder around your abdomen, under your clothes, with the closures in the front. Make sure the binder is snug, but not too tight. You should be able to breathe comfortably. In rare cases, surgery may be recommended as the first treatment (instead of lifestyle treatments and medication) if a person's BMI is 50 or above. Treating obesity in children

Patients are seen very early after a stroke, with an emphasis on positioning, mobility, cognition problems and regaining self-care skills. We also refer on to the longer term stroke rehabilitation teams around the county, they continue this work after a patient is discharged from the acute hospital. Neuro-Rehabilitation There's no single rule that applies to everyone, but to lose weight at a safe and sustainable rate of 0.5 to 1kg a week, most people are advised to reduce their energy intake by 600 calories a day. Your GP can advise you about losing weight safely by eating a healthy, balanced diet and regular physical activity. Bariatric surgery isn't generally recommended for children, but may be considered for young people in exceptional circumstances, and if they've achieved, or nearly achieved, physiological maturity. Further information

Stroke

monitoring your progress – for example, weigh yourself regularly and make a note of your weight in a diary Research showed that applying compression to the abdomens of people with OI helped prevent blood pooling. If you have not lost weight after taking orlistat for 3 months, it's unlikely to be an effective treatment for you. Ask your doctor or pharmacist, as you may need to stop your treatment. Orlistat and other health conditions Cardiac rehabilitation We provide input into the cardiac rehabilitation programme run by the cardiac nurses countywide. This involves patient education, relaxation and stress relief advice, as well as assisting with the exercise classes.