CCG Operational Plan 2019/20 Staffordshire and Stoke-On-Trent Version: V.1 Final

Total Page:16

File Type:pdf, Size:1020Kb

CCG Operational Plan 2019/20 Staffordshire and Stoke-On-Trent Version: V.1 Final CCG Operational Plan 2019/20 Staffordshire and Stoke-On-Trent Version: V.1 Final 1 | P a g e Contents 1. Introduction ..............................................................................................................................................4 2. Context .....................................................................................................................................................4 3. Our priorities and deliverables .................................................................................................................6 4. Urgent and Emergency care (UEC) and Enhanced Primary and Community Care (EPCC) .......................8 Integrated Care Teams and Hubs .....................................................................................................................8 Integrated Urgent Care .....................................................................................................................................9 Ambulance services ....................................................................................................................................... 10 Model of same day emergency care (SDEC) .................................................................................................. 11 Care Homes ................................................................................................................................................... 11 Delayed transfers of care (DToC) .................................................................................................................. 12 Long term conditions (LTCs) .......................................................................................................................... 12 Respiratory .................................................................................................................................................... 13 Diabetes ......................................................................................................................................................... 14 Frailty ............................................................................................................................................................. 15 5. Quality, safety assurance and improvement ......................................................................................... 16 6. Primary care........................................................................................................................................... 17 Primary care networks (PCN) ........................................................................................................................ 17 Quality in primary care .................................................................................................................................. 18 Primary care digital work stream .................................................................................................................. 19 7. Planned care and cancer ....................................................................................................................... 19 Outpatient follow up reduction ..................................................................................................................... 20 System Speciality Reviews ............................................................................................................................. 21 Musculoskeletal (MSK) .................................................................................................................................. 21 Gastroenterology ........................................................................................................................................... 22 CCG Pathway reviews .................................................................................................................................... 23 Ophthalmology .............................................................................................................................................. 23 Dermatology .................................................................................................................................................. 23 Cardiovascular Disease (CVD) ........................................................................................................................ 24 Cancer ............................................................................................................................................................ 24 8. Mental health and learning disabilities ................................................................................................. 29 Out of area ..................................................................................................................................................... 29 High volume and intensity users ................................................................................................................... 30 CAMHS (Child and Adolescent Mental Health Services) ............................................................................... 32 Special Educational Needs and disabilities (SEND) ........................................................................................ 33 Learning disabilities and autism .................................................................................................................... 34 2 | P a g e Learning from deaths report (LeDeR) ............................................................................................................ 35 9. Maternity and neonatal ......................................................................................................................... 36 10. End of Life .............................................................................................................................................. 37 11. Personalised care ................................................................................................................................... 38 Continuing healthcare (CHC) ......................................................................................................................... 38 Personal health budgets ................................................................................................................................ 38 12. Estates ................................................................................................................................................... 39 13. Specialised Commissioning .................................................................................................................... 39 14. Workforce .............................................................................................................................................. 39 15. Data and technology .............................................................................................................................. 40 16. Finance................................................................................................................................................... 41 17. Public involvement ................................................................................................................................ 43 18. Summary ................................................................................................................................................ 44 Appendix 1 – North Staffordshire and Stoke-on-Trent CCG locality focus ........................................................ 45 Appendix 2 – Cannock Chase CCG, Stafford and Surrounds CCG and South East Staffordshire and Seisdon Peninsula CCG locality focus .............................................................................................................................. 48 Appendix 3 – East Staffordshire CCG locality focus ........................................................................................... 51 Appendix 4 - Supporting primary care .............................................................................................................. 52 Appendix 5 – Further detail on 2019/20 deliverables ....................................................................................... 55 Appendix 6 – Regional Assurance Statements .................................................................................................. 60 3 | P a g e 1. Introduction NHS England published planning guidance for 19/20 operational planning along with a ten year plan that places emphasis on significant transformation of healthcare systems, building on the requirements of the five year forward view. The long term plan is clear on the importance of integrated working and the development of Integrated Care Systems. Along with equivalent provision mechanisms it essentially suggests a shift for local areas from focusing redesign initiatives on predominantly curative and episodic care interventions, to looking at prevention focused pathway and whole system transformation in line with a population health management and outcomes approach to care delivery. This plan outlines our ambition for healthcare delivery in Staffordshire and Stoke-on-Trent and sets out our priorities building on commissioning intentions and local priorities set out in September 2018, whilst fulfilling the expectations placed upon us through the national planning cycle. It reflects across the 6 CCGs where things should be done once but also reflects some locality based
Recommended publications
  • Completed Acquisition by South Staffordshire Plc of Cambridge Water Plc
    Completed acquisition by South Staffordshire plc of Cambridge Water plc ME/5254/11 The OFT's decision on reference under section 32(b) given on 5 January 2012. Full text of decision published 9 January 2012. Please note that the square brackets indicate figures or text which have been deleted or replaced in ranges at the request of the parties or third parties for reasons of commercial confidentiality. PARTIES 1. South Staffordshire Plc ('South Staffordshire') is a public company limited by shares and incorporated in the United Kingdom. South Staffordshire owns South Staffordshire Water Plc ('South Staffordshire Water') and is the holding company for a number of non-regulated service businesses that operate predominantly in the UK water sector. South Staffordshire is an indirect wholly-owned subsidiary of investment funds management by Alinda Capital Partners LLC. 2. South Staffordshire Water is a water company whose assets include a network infrastructure (mains infrastructure, water treatment works and pumping stations) for the supply of water in the South Staffordshire area and does not have regulated sewerage businesses. South Staffordshire also has a number of subsidiaries providing non- regulated business activities. The turnover for the year ended 31 March 2011 for both South Staffordshire and South Staffordshire Water was £159.5 million and £87.8 million respectively. 1 3. Cambridge Water plc ('Cambridge Water') was a wholly-owned subsidiary of HSBC Bank Plc ('HSBC')1 (until its acquisition by South Staffordshire Plc on 3 October 2011). 4. Cambridge Water is also a water company that owns a network infrastructure (mains infrastructure, water treatment works and pumping stations) for the supply of water in the Cambridge area and does not have regulated sewerage businesses.
    [Show full text]
  • Cresswell Farmhouse, and Outbuildings, Barn Lane, Brewood, Stafford, South Staffordshire, ST19
    Cresswell Farmhouse, And Outbuildings, Barn Lane, Brewood, Stafford, South Staffordshire, ST19 9LU Cresswell Farmhouse, And Outbuildings, Barn Lane, Brewood, Stafford, South Staffordshire, ST19 9LU A fine, period country residence providing substantial accommodation and a substantial range of outbuildings which could be used for a variety of different purposes, including annex accommodation or officing, subject to gaining the usual consents. There are level and fenced paddocks adjoining the property of approximately 7.5 acres in total which are available for rent by separate negotiation LOCATION double doors into the CONSERVATORY which has French doors to the garden. Brewood Village Centre - 0.5 miles, Wolverhampton City Centre - 10 miles, Stafford Town Centre - 12 miles, Birmingham - 24 miles, M54 (J2) - 5 miles, M6 (J12) - 3.7 miles (distances approximate). The PRINCIPAL BEDROOM SUITE has a double bedroom with a light and airy triple aspect, a large Cresswell Farmhouse stands in a charming rural position with glorious views across open countryside walk in wardrobe and en-suite shower room. There is a GUEST SUITE with double bedroom and en- and yet is within easy reach of the highly regarded and historic South Staffordshire village of Brewood suite bathroom. The THIRD BEDROOM SUITE has a sitting room and a bedroom. The FOURTH with its full array of facilities and excellent schooling in both sectors. BEDROOM has a sitting room and a bedroom and there is a FIFTH BEDROOM which is a good double room in size. The HOUSE BATHROOM is a large room with a full suite and a large walk in airing and Communications are superb with M54, M6 and M6 Toll motorways facilitating easy travelling to linen cupboard with an array of fitted shelving.
    [Show full text]
  • Staffordshire 1
    Entries in red - require a photograph STAFFORDSHIRE Extracted from the database of the Milestone Society National ID Grid Reference Road No. Parish Location Position ST_ABCD06 SK 1077 4172 B5032 EAST STAFFORDSHIRE DENSTONE Quixhill Bank, between Quixhill & B5030 jct on the verge ST_ABCD07 SK 0966 4101 B5032 EAST STAFFORDSHIRE DENSTONE Denstone in hedge ST_ABCD09 SK 0667 4180 B5032 STAFFORDSHIRE MOORLANDS ALTON W of Gallows Green on the verge ST_ABCD10 SK 0541 4264 B5032 STAFFORDSHIRE MOORLANDS ALTON near Peakstones Inn, Alton Common by hedge ST_ABCD11 SK 0380 4266 B5032 STAFFORDSHIRE MOORLANDS CHEADLE Threapwood in hedge ST_ABCD11a SK 0380 4266 B5032 STAFFORDSHIRE MOORLANDS CHEADLE Threapwood in hedge behind current maker ST_ABCD12 SK 0223 4280 B5032 STAFFORDSHIRE MOORLANDS CHEADLE Lightwood, E of Cheadle in hedge ST_ABCK10 SK 0776 3883 UC road EAST STAFFORDSHIRE CROXDEN Woottons, between Hollington & Rocester on the verge ST_ABCK11 SK 0617 3896 UC road STAFFORDSHIRE MOORLANDS CHECKLEY E of Hollington in front of wood & wire fence ST_ABCK12 SK 0513 3817 UC road STAFFORDSHIRE MOORLANDS CHECKLEY between Fole and Hollington in hedge Lode Lane, 100m SE of Lode House, between ST_ABLK07 SK 1411 5542 UC road STAFFORDSHIRE MOORLANDS ALSTONEFIELD Alstonefield and Lode Mill on grass in front of drystone wall ST_ABLK08 SK 1277 5600 UC road STAFFORDSHIRE MOORLANDS ALSTONEFIELD Keek road, 100m NW of The Hollows on grass in front of drystone wall ST_ABLK10 SK 1073 5832 UC road STAFFORDSHIRE MOORLANDS ALSTONEFIELD Leek Road, Archford Moor on the verge
    [Show full text]
  • Baseline Report: Climate Change Mitigation & Adaptation Study
    Baseline Report Climate Change Adaptation & Mitigation Staffordshire County Council Project number: 60625972 16 October 2020 Revision 04 Baseline Report Project number: 60625972 Quality information Prepared by Checked by Verified by Approved by Harper Robertson Luke Aldred Luke Aldred Matthew Turner Senior Sustainability Associate Director Associate Director Regional Director Consultant Alice Purcell Graduate Sustainability Consultant Luke Mulvey Graduate Sustainability Consultant Revision History Revision Revision date Details Authorized Name Position 01 20 February 2020 Skeleton Report Y Luke Associate Aldred Director 02 31 March 2020 Draft for issue Y Luke Associate Aldred Director 03 11 September 2020 Final issue Y Luke Associate Aldred Director 04 16 October 2020 Updated fuel consumption Y Luke Associate and EV charging points Aldred Director Distribution List # Hard Copies PDF Required Association / Company Name Prepared for: Staffordshire County Council AECOM Baseline Report Project number: 60625972 Prepared for: Staffordshire County Council Prepared by: Harper Robertson Senior Sustainability Consultant E: [email protected] AECOM Limited Aldgate Tower 2 Leman Street London E1 8FA United Kingdom aecom.com © 2020 AECOM Infrastructure & Environment UK Limited. All Rights Reserved. This document has been prepared by AECOM Infrastructure & Environment UK Limited (“AECOM”) for sole use of our client (the “Client”) in accordance with generally accepted consultancy principles, the budget for fees and the terms of reference agreed between AECOM and the Client. Any information provided by third parties and referred to herein has not been checked or verified by AECOM, unless otherwise expressly stated in the document. No third party may rely upon this document without the prior and express written agreement of AECOM.
    [Show full text]
  • Staffordshire & City of Stoke-On-Trent
    Staffordshire & City of Stoke-on-Trent Care Services Directory 2018 STAFFORDSHIRE MOORLANDS STOKEONTRENT NEWCASTLEUNDERLYME EAST STAFFORDSHIRE STAFFORD SOUTH EAST STAFFORDSHIRE CANNOCK CHASE SOUTH STAFFORDSHIRE LICHFIELD TAMWORTH The comprehensive guide to choosing and paying for care • Home support • Specialist care • Useful contacts • Care homes in association with www.carechoices.co.uk Trentside Manor Care Home Our Commitment to Care Everyone at Trentside Manor Care Home has a personal and professional commitment to providing excellent care. We know that the thought of moving into a care home can often be very traumatic for both residents and relatives but that it is sometimes the only option available in order to maintain personal safety, security and provide appropriate levels of care. Prior to admission, each new resident is encouraged to visit the home to satisfy themselves that the ambience is to their liking. We provide a unique care and support plan that works for each individual. We encourage and support people to continue doing as many daily tasks as possible, pursue their interests and hobbies, stay active and spend quality time with family and friends. We will ensure that we work with you and your family, friends, advocates and other professionals involved in your life in gathering all the information we need to make sure we can meet your needs. Endon Road, Norton Green, Stoke-on-Trent ST6 8PA T: 01782 535402 E: [email protected] Our mission is to provide an excellent standard of care provision to all individuals in our care which embraces our values and principles of a person centered care framework.
    [Show full text]
  • Health and Wellbeing Profile for South Staffordshire 2015
    Staffordshire Joint Strategic Needs Assessment HEALTH AND WELLBEING PROFILE 2015 FOR SOUTH STAFFORDSHIRE Document details Title Health and wellbeing profile for South Staffordshire Date created April 2015 The purpose of this profile is to support commissioners and others by providing robust intelligence about health and wellbeing priorities in their area based on the analysis of data from numerous sources. Description It aims to support enhanced joint strategic needs assessments (EJSNAs) and complements other profiles and resources produced by Staffordshire Observatory. Staffordshire JSNA, Staffordshire Health and Wellbeing Key links Strategy, Staffordshire districts/boroughs, Locality commissioning Matthew Bentley, Public Health Analyst, Insight Team [email protected] 01785 854885 Contacts Phil Steventon, Public Health Analyst, Insight Team [email protected] 01785 276529 Divya Patel (Insight Team) Daniel Shrimpton (Public Health Staffordshire) Contributions Martin Dudgon (Public Health Staffordshire) Rachel Caswell (Insight Team) Geographical coverage South Staffordshire Time period covered Various (depending on indicator and availability of data) Frequency of profile update Annual Frequency of intelligence update As and when new data is published Word and pdf Formats and access Available via the Staffordshire Observatory website If you wish to reproduce this document either in whole, or Usage statement in part, please acknowledge the source and the author(s). This product includes mapping data licensed from Ordnance Survey with the permission of the Controller of Maps Her Majesty's Stationery Office. © Crown copyright and / or database right 2014. All rights reserved. Licence Number 100019422. Staffordshire County Council, while believing the information in this publication to be correct, does not guarantee its accuracy nor does the County Council Copyright and disclaimer accept any liability for any direct or indirect loss or damage or other consequences, however arising from the use of such information supplied.
    [Show full text]
  • The Territorial Force in Staffordshire 1908-1915
    Centre for First World War Studies THE TERRITORIAL FORCE IN STAFFORDSHIRE 1908-1915 by ANDREW THORNTON A thesis submitted to The University of Birmingham for the degree of MASTER OF PHILOSOPHY June 2004 University of Birmingham Research Archive e-theses repository This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. ACKNOWLEDGEMENTS During the course of research and writing up my thesis, I have received invaluable assistance and support from several individuals and organisations. First of all, I would like to express my gratitude to my supervisor, Dr John Bourne, for supporting me during my studies. After a break of nearly a decade between completing my first degree and researching and writing this thesis, the experience has been daunting at times, but his patience and understanding have enabled me to finally complete my work. I would also like to thank Dr. Anthony Ingold, who has given constant advice and encouragement during my period of study. He too helped guide me through the process of writing my thesis, proof-reading my early drafts and often giving me a much-needed push to complete my chapters. Jeff Elson, who has passed on to me his extensive knowledge on the South and North Staffordshire Regiments over the years, also provided valuable advice and assistance during my research.
    [Show full text]
  • Longdon, Battlefield Hill, Stourbridge Road, Wombourne, South Staffordshire, WV5
    Longdon, Battlefield Hill, Stourbridge Road, Wombourne, South Staffordshire, WV5 0JN Longdon, Battlefield Hill, Stourbridge Road, Wombourne, South Staffordshire, WV5 0JN An elegant residence with huge potential for extension and improvement standing in approximately 3.5 acres of grounds in a fine South Staffordshire setting Wombourne Village Centre 0.75 miles, Wolverhampton 4.75 miles, Dudley 5.25 miles, Stourbridge 5.5 miles, Birmingham 16 miles (distances approximate) LOCATION The staircase rises to the galleried first floor LANDING with a useful, walk-in AIRING CUPBOARD with slatted shelving. The PRINCIPAL Longdon occupies a charming position within Battlefield Hill on the fringes of the popular South Staffordshire village of Wombourne SUITE has a walk-through dressing room with a range of fitted and lined wardrobes and concealed chest of twelve drawers, a large which provides a comprehensive range of local, everyday shopping and leisure facilities. double bedroom with French doors to a breakfast balcony with balustrading, further double wardrobe and chest of twelve drawers There is convenient travelling to many large business centres with Wolverhampton City Centre, Dudley, Stourbridge and Birmingham and a large bathroom en-suite. There are a further FOUR BEDROOMS, three of which have fitted wardrobes, a well appointed house all being within convenient reach. The M5 and M6 Motorways facilitate travel to the entire industrial West Midlands and beyond and SHOWER ROOM and a separate W.C.. national rail services run from Wolverhampton Station (London Euston approximately 100 minutes). The house stands in a lovely, private situation and is an ideal family residence with the area being well served by schooling in both There is access via a substantial loft ladder staircase to the extensive ATTIC with further rooms for conversion including two fully sectors with the Wolverhampton Grammar School, Wolverhampton Girls High School, Tettenhall College and the Royal boarded rooms, one of which was previously used as a dark room.
    [Show full text]
  • Newcastle Under Lyme Borough Council and Stoke-On-Trent City
    Newcastle-under-Lyme Borough Council and Stoke-on-Trent City Council Water Cycle Study: Phase 1 January 2020 JBA Consulting Website WCS - FINAL ACCESSIBILITY1.docx i JBA Project Manager Hannah Coogan BSc FCIWEM C.WEM JBA Consulting The Library St Philips Courtyard Church Hill Coleshill Warwickshire B46 3AD Revision History Revision Ref/Date Amendments Issued to V1.0 – 25 March 2019 Draft Report Melanie Hughes V1.4 – 14 January 2020 Draft Final Report Jemma March Incorporating Client comments V2.0 – 16 January 2020 Final Report Jemma March Contract This report describes work commissioned by Newcastle-under-Lyme Borough Council and Stoke-on-Trent City Council in October 2018. Newcastle-under-Lyme Borough Council’s representative for the contract was Pete Atwell. Emily Jones and Richard Pardoe of JBA Consulting carried out this work. Prepared by Emily Jones BSc Assistant Analyst, Richard Pardoe MSc MEng Analyst Reviewed by Paul Eccleston BA CertWEM CEnv MCIWEM C.WEM, Technical Director Purpose This document has been prepared as a Final Report for Newcastle-under-Lyme Borough Council and Stoke-on-Trent City Council (the Councils). JBA Consulting accepts no responsibility or liability for any use that is made of this document other than by the Councils for the purposes for which it was originally commissioned and prepared. JBA Consulting has no liability regarding the use of this report except to Newcastle-under-Lyme Borough Council and Stoke-on-Trent City Council. Acknowledgements JBA Consulting would like to thank Jack Robinson from Severn Trent Water and Leanne Crook from United Utilities for their assistance in producing this report.
    [Show full text]
  • Brewood and Codsall 1. Brewood
    Appendix 1: South Staffordshire HEA - Brewood and Codsall APPENDIX 1: Brewood and Codsall 1. Brewood This product includes mapping licensed from Ordnance Survey with the permission of the Controller of Her Majesty’s Office © Crown copyright and/or database right 2010. All rights reserved. Licence number 100019422. Map 1: Brewood HECZ and Conservation Areas 1 Appendix 1: South Staffordshire HEA - Brewood and Codsall 1.1 BWHECZ 1 – Brewood Bridge Map 2: BWHECZ 1 Refined HLC and HER data This product includes mapping data licensed from Ordnance Survey © Crown copyright and / or database right (2010). Licence no. 100019422 1.1.1 Statement of heritage significance The historic character of the zone is dominated by the associated group of Grade II Listed mid 19 th century buildings of which St Mary’s Roman Catholic Church is the most prominent (cf. Map 2)1. The group also consists of the presbytery, a primary school and school house, as well as a church hall which has been incorporated into the school 2. The surrounding churchyard wall and the lych gate are also Grade II Listed. The historic interest of these buildings is further enhanced by the fact that they were designed by the architect A. W. N. Pugin. Their importance to the historic character of the wider settlement is further emphasised by their inclusion within the Brewood Conservation Area (004) (cf. Map 1 above). The church, churchyard walls and the former church hall are all constructed of stone whilst the presbytery and school are red brick with stone dressings. 1 Staffordshire HER: PRN 09108 2 Staffordshire HER: PRN 12359, PRN 12360 and PRN 12358 2 Appendix 1: South Staffordshire HEA - Brewood and Codsall The buildings lie to the west of the Shropshire Union Canal and are broadly contemporary with it (cf.
    [Show full text]
  • 2018 and 2019 Air Quality Annual Status Report (ASR)
    2018 and 2019 Air Quality Annual Status Report (ASR) In fulfilment of Part IV of the Environment Act 1995 Local Air Quality Management September 2019 Local Authority Dr Daniel McCrory Officer Department Regulatory Services Staffordshire Moorlands District Council Moorlands House Address Stockwell Street Leek ST13 6HQ Telephone 01538 395400 Ext:4413 E-mail [email protected] Report Reference J2832B/1/F1 Number Date September 2019 Tom Richardson Report Prepared By Dr Clare Beattie Annual Status Report (ASR) Air Quality - Endorsement from the Director of Health and Care, Staffordshire County Council Staffordshire County Council is committed to working with partners to ensure that Staffordshire will be a place where improved health and wellbeing is experienced by all. Poor air quality has a negative impact on public health, with potentially serious consequences for individuals, families and communities. Identifying problem areas and ensuring that actions are taken to improve air quality forms an important element in protecting the health and wellbeing of Staffordshire residents. Improving air quality is often a complex issue, presenting a multi-agency challenge – so it is essential that all agencies work together effectively to deliver improvements where they are needed. As Director of Health and Care across Staffordshire I endorse this Annual Status Report which sets out the position in all the Local Authorities across Staffordshire and Stoke-on-Trent I‟m pleased to report that we have developed an ongoing work programme to address air quality issues in Staffordshire and Stoke-on-Trent through the Defra Funded Air Quality Project. In addition Officers from Newcastle Borough Council, Stoke City Council and Staffordshire County Council are jointly working under Ministerial Direction to improve transport related air pollution in North Staffordshire.
    [Show full text]
  • 2019 Staffordshire and Stoke-On-Trent Antimicrobial Prescribing Guidelines –
    2019 STAFFORDSHIRE AND STOKE-ON-TRENT ANTIMICROBIAL PRESCRIBING GUIDELINES – MANAGING COMMON INFECTIONS IN PRIMARY CARE Cannock Chase CCG East Staffordshire CCG North Staffordshire CCG South East Staffordshire & Seisdon CCG Stafford & Surrounds CCG Stoke-on-Trent CCG North Staffordshire Combined Healthcare NHS Trust Midlands Partnership NHS Foundation Trust (MPFT) Final Version North Staffordshire APC approval –Sept 2019 South Staffordshire APG approval – Sept 2019 REVIEW DATE: Sept 2020 Intended for use by prescribers in GP Practices, primary care out of hours, MPFT, North Staffordshire Combined Healthcare and other organisations in local health economy who prescribe antibiotics outside of secondary care Version control: This document is only valid on the day that it is printed. 1 CONTENTS Page number National antimicrobial resistance (AMR) guidance 5 Principles of treatment 5 Key changes to 2016 guidelines 6 Prescribing antibiotics in pregnancy and breast feeding 11 Back-up (delayed) prescriptions 12 Safety issues relating to the prescribing of fluoroquinolones 13 Safety issues prescribing antibiotics including common and important drug interactions 14 Identification and management of sepsis in primary care 15 Dental infections in primary care outside dental settings 17 Eye infections 18 Blepharitis 18 Conjunctivitis 18 Gastrointestinal infections 19 Oral candidiasis 19 Clostridium difficile 19 Diarrhoea 20 Diverticulitis 21 Helicobacter pylori 21 Threadworm 21 2 Genital tract infections 22 STI screening 22 Bacterial vaginosis
    [Show full text]