News
Important: Important – Please Read Any Correspondence You Receive About Your GP Registration
You may recently have received, or may shortly receive, correspondence as part of an NHS England exercise to ensure GP patient lists are accurate and up to date.
Please do not ignore this correspondence. This is a genuine NHS process and is not a scam.
It is very important that you make sure to keep your address, email and phone numbers updated via the NHS App to avoid NHS England deducting you. You can watch this video for more information.
Brighton Ageing Well Festival: Friday 25 September - Friday 9 October
Brighton & Hove Ageing Well Festival is a 2 week festival of celebrations & events for over 50s! It'll take place Friday 25th September - Friday 9th October 2026!
For more info, check out www.ageingwellfestival.org or call 01273 322948.

Daffodil Standards (high quality end of life care)

Fairtrade tea and coffee
We have recently committed to buy fairtrade tea and coffee for our staff - rather than going for the cheapest option. This is because we believe it is contradictory - and unethical - to provide healthcare using goods and services that may harm the health of others - whether fellow workers overseas or future generations.
Many tea and coffee farmers do not receive a fair price for what they produce - and suffer harsh, unsafe working conditions. Buying fairtrade is a powerful opportunity to improve the health and wellbeing of these workers - and we believe our commitment to support this is an important demonstration of our core values.
For workers on Fairtrade plantations, there is investment in better housing, better schools and medical facilities - as well as the elimination of child labour. Fairtrade standards also help protect the environment through strict rules on pesticides, energy use and biodiversity.
We believe we can help make a difference - and that, through this commitment, we are consistent in our responsibilities for health, now and in the future, through the everyday choices that we make. We’d like to know what you think.
Dr Rachel Cottam
Fibroscan liver checks
St Peter’s Health Centre is delighted to start offering free Fibroscan liver checks to our patients . This is an NHS England funded project which aims to improve early detection of liver cancer to help achieve the Long Term Plan ambition for 75% of all cancers to be diagnosed at an early stage by 2028
Liver disease is a leading and rising cause of death and is responsible for thousands of premature, largely preventable deaths each year. Standardised mortality rates for liver disease have increased 400% since 1970, and 75% of alcohol related deaths are due to Alcohol Related Liver Disease. Liver disease is frequently silent until the later stages
Using Fibroscans we can identify people early in primary care who need further assessment or monitoring and provide early intervention to reduce liver disease progression, complications and deaths.
We are inviting people in the following groups to come and have a scan at the practice
· People aged 18-75 who drink more than 35 units of alcohol a week
· People aged 18-75 with Type 2 diabetes and a body mass index of over 30kgm2 (BMI of 27 if you are from a Black or Asian background)
People aged over 50 with a fatty liver (metabolic associated steatotic liver disease)
The scans will be done by specialist nurses from the hospital – they are quick and painless and do not need any needles . You can see a video of someone having a scan here https://www.youtube.com/shorts/bb8r8qbRVnQ
The project has already been running in Hove, and a patient at a practice there wrote a really useful description of their experience
As I sat in the waiting room staring at a sign that said ‘free liver health check’ for people drinking over the recommended alcohol limits, I knew that I needed to book an appointment. It didn’t fill me with joy, and I was nervous; mostly fear of judgement at something that in theory I could easily change without help.
The liver nurse was very kind, compassionate and non-judgemental. As a result, I was able to share with her that my drinking behaviours changed in Covid and had never really got back to normal. She performed the scan there and then. There was no pain, and it was quick. To my surprise she was also able to give me my results there and then. She told me that I had a Fatty Liver and talked me through what that meant. It was powerful and assuring to do that in the room, as previously I’ve only ever received a faceless message for tests. I felt some shock but I was assured by the Nurse’s helpful advice and information and the fact that for me the condition was reversible with a change in lifestyle. She offered follow up advice and support, all in a non-judgemental and compassionate manner.
Since that time, I’ve done further research myself and most importantly changed my drinking behaviour. I don’t believe I would have the commitment and motivation to do so without having had the opportunity for a check which has given me every reason to act now while I can before the condition becomes worse and potentially irreversible.
On reflection I feel very lucky to have had the appointment and to have had the chance to prevent further ill health. I recommend anyone who may be concerned to book an appointment, its pain free, quick, non-judgemental and importantly lifesaving. I’m looking forward to making the most of the chance to live well.

RCGP Green Impact for Health Award
Did you know that the climate crisis has been recognised as the greatest risk to health this century - but also the greatest health opportunity, reaping huge rewards for health.
It is estimated that 5.4% of the UK's carbon emissions are from the NHS. This is equivalent to all the planes taking off from Heathrow in an average year (pre-pandemic!) At St Peter's we are taking seriously the importance of living and practising sustainably. We have recently signed up for the RCGP Green Impact for Health Award, and have identified key areas where we can focus our attention, some clinical, some not. These include:
- Ensuring we buy Fairtrade products where we can. Fairtrade products guarantee a fixed income for some of the poorest farmers in the world
- Reducing waste and increasing recycling
- Using 'active' modes of travel where we can
- Reducing our use of paper - and making sure our paper is sustainably sourced
- Looking at some aspects of our prescribing. This might include working with you to make sure you know what your medications are for, ensure that you actually want them! - and know how to take them most effectively. If you use an inhaler, you might also want to talk to us about those inhaler options which emit less toxic greenhouse gases - as well, of course, as remembering to take any used inhalers back to the pharmacy to be appropriately disposed of.
There are also things you can do:
- You can talk to us about how we might support you to manage your condition most effectively.
- You can try to use 'active' methods of travel - good for you and good for the planet, the health of our children and future generations.
- Using online consultation when it’s an appropriate way to find the care you need
- Or you could try reducing the amount of meat and dairy you eat - even if just on one or two days of the week, this is one of the biggest environmental impacts you can have and there is lots of support available to you. Take a look at Veganuary and Meat Free Monday or try something like Dairy Free Tuesdays. There are lots of recipes online to inspire you if you want to make small changes to what you eat.
And of course you might have ideas for us. If so, please let us know!
Dr Rachel Cottam & the St Peter’s Team
Victim Support
Crime can happen to anyone
If you've been affected by fraud, domestic abuse, theft, assault, or any type of hate crime, Victim Support is here to offer advice and support.
They support victims and witnesses of crime aged 4 upwards. They are independent of the Police and will support you whether or not you've reported the crime to the authorities.
Get in touch with their team:
Email: Sussexadmin@victimsupport.org.uk
Phone: 0808 168 9274
Website: victimsupport.org.uk
Social media: vs_sussex (Instagram) and VictimSupport (Facebook)
Anyone can be a victim of crime

TNBI Community Health Hub
Appointment access improvements
Self Referral
Tirzepatide – (Mounjaro) Prescribing Update
Please do not contact the practice regarding weight loss prescribing at this time. We are reviewing and awaiting further local NHS guidance. Due to current appointment pressures our reception team will be unable to book you in for a review regarding starting weight loss injections as we will be contacting eligible patients directly in due course.
Full qualifying criteria is a BMI (Body Mass Index) of 40 or greater and four or more of the following diagnosed health conditions:
• type 2 diabetes
• Hypertension
• Cardiovascular disease
• Obstructive sleep apnoea
• Dyslipidaemia
We understand that some people may feel frustrated or disappointed if they are not eligible for medication-based treatments at this stage. Living with obesity can be emotionally and physically challenging, and it is completely normal to experience a range of feelings when seeking support for your health. If you are finding things difficult, NHS Talking Therapies offers free and confidential help for people who may be struggling with low mood, anxiety or other emotional pressures.
To find out more about obesity treatment and the support available on the NHS website
https://www.nhs.uk/better-health/lose-weight
Respiratory syncytial virus (RSV) vaccine
Respiratory syncytial virus (RSV) is a common cause of coughs and colds. It usually gets better by itself, but it can be serious for some babies and older adults.
Please get in contact with us now if you wish to have a vaccination.
Staff at this GP practice are happy to talk to trans, nonbinary and gender non-conforming people about their healthcare.
We are committed to supporting our trans, nonbinary and gender non-conforming paitents. Talk to us if you have any questions, concerns or feedback.
Ovarian cancer
Ovarian cancer is often diagnosed late. Symptoms include bloating, pain, or tenderness, and a frequent need to pee. The symptoms are varied, and if you’re experiencing symptoms twelve times or more in a month, you should contact your GP surgery. https://www.nhs.uk/conditions/ovarian-cancer/symptoms/
There are different types of ovarian cancer, and treatment and prognosis varies depending on the type, stage and grade. It is important to detect any cancer as early as possible. https://www.cancerresearchuk.org/about-cancer/ovarian-cancer
Prostate health
Prostate cancer can be symptomless. If you’re over 50, black, or have a close family member (father or brother) who has had prostate cancer, your risk is increased. You can check your individual risk and the signs you should look for here: https://prostatecanceruk.org/prostate-information/about-prostate-cancer/prostate-cancer-symptoms
You can quickly and easily check your risk of prostate cancer. Being aware of your risk level can help you to ensure that you are watchful for concerning symptoms, and that you get the appropriate checks for your individual situation. https://prostatecanceruk.org/risk-checker
NSPCC – Let's talk PANTS
The NSPCC has a brilliant campaign to help educate children about bodily autonomy and when secrets shouldn’t be secrets. The “PANTS” rule helps children easily understand that some parts of the body are private. Talking to your child about what is okay is an important part of raising a child. https://www.nspcc.org.uk/keeping-children-safe/support-for-parents/pants-underwear-rule/
Sexual health
Symptoms of sexually transmitted infections are varied, including unusual discharge, sores, itching and rashes around your vagina, penis or anus. If you’re experiencing symptoms, you should get tested. Many STIs are symptomless, including HIV. If you’re having unprotected sex, you’re putting yourself at additional risk. https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/
High cholesterol
High cholesterol levels can increase your chances of a heart attack or stroke. High cholesterol can run in families, but can also be caused by eating fatty foods, not getting enough exercise and being overweight or drinking alcohol. https://www.nhs.uk/conditions/high-cholesterol/
Sepsis
Symptoms of sepsis are varied, and can present differently in children and adults. Symptoms include high temperatures and rashes, but not all patients present with these, and spotting sepsis can be difficult. Please familiarise yourself with the symptoms of sepsis, it could save a life. https://www.nhs.uk/conditions/sepsis/
Blood cancer awareness
Blood cancer can appear in people of any age, with specific types of blood cancer being more common at different stages of life. Signs and symptoms can include pain, night sweats and infections. You might not necessarily associate the symptoms with serious illness. https://bloodcancer.org.uk/understanding-blood-cancer/blood-cancer-signs-symptoms/
Stem cell donation
If you’ve never considered stem cell donation, you may be asked to consider it when you give blood. Having as many suitable donors as possible helps to ensure that patients can get treatment quickly when they need it. https://www.bbmr.co.uk/donating-stem-cells/
Vascular disease
There are four main types of cardiovascular disease. These affect the blood vessels and heart and are a serious cause of illness, death and disability in the UK. You can decrease your risk by ensuring you exercise regularly and eat a well-balanced, healthy diet. https://www.nhs.uk/conditions/cardiovascular-disease/
Peri-menopause
Menopause is when your periods have stopped for twelve months or more. Leading up to menopause, you might experience symptoms of peri-menopause. These include irregular bleeding, hot flushes and other physical symptoms, along with symptoms that can affect your mental health. https://www.nhs.uk/conditions/menopause/symptoms/
Get Britain Standing
As we move into winter, we become more sedentary. On average, British people sit for 8.9 hours per day. Sitting for more than 4 hours per day has been shown to make changes in the operation of our bodies. Get Britain Standing aims to get the British population up and moving. http://www.getbritainstanding.org
Diabetes – Type 2, obesity and activity levels
Being physically active is beneficial if you are diabetic. Incremental changes can make a big difference to the amount of exercise you do on a daily basis. https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/exercise
Right Care Right Place
Page created: 18 November 2022