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Back Asda Pharmacy Xmas Day - 10am - 4pm Boxing Day - Closed New Year Day - 10am - 4pm Phone 0161 227 1410 Location 100 Princess Rd, Hulme, Manchester M15 5AS, UK

What is Triangle of Care? There are several complex social and health inequalities often experienced by those who are homeless. Effectively tackling these requires a co-ordinated multi-agency response, to both prevent and tackle the harms associated with being and becoming homeless. Social relationships are essential for a human thriving. Throughout one's life, the warmth and quality of one's social relationships have a profound effect on the development of one's sense of self-worth. They can improve our physical and psychological well-being and buffer against the effects of stress, increased depression, and anxiety. Homelessness can cause isolation through a lack of social and health support. The collaboration of health professionals is extremely important to encourage the inclusion of the homeless population. In Rochdale Heywood and Middleton, we have a large cohort of people who come under the umbrella of homeless. Over the last four months, the HART nurses – (Homeless Alliance Response Team) have linked up with the Hepatitis C nurse team from North Manchester General Hospital, in a project called ‘ Triangle of Care’. “Coming together is the beginning, keeping together is progress, working together is success.” Henry Ford. We aim to visit all hostels within the borough and other places homeless people attend. The HART nurse's role is to discuss general health and wellbeing, ensure people are registered with a GP, support with prescribed medication, gain consent to do a mini health check to include BP, pulse and weight and liaise with their GP. They also refer to other relevant services that may be required such as housing, Turning Point, and mental health. The HART nurses also chat, be a kind friendly face and arrange to see the person again if necessary. The Heptatises C Team The Hepatises C team provide support and comprehensive service, which includes an outreach assessment, anyone testing positive is fast-tracked on to treatment, counselling, education, medical assistance and support throughout the process. Working within the Hepatitis C Hep C) Elimination Programme What is Hepatitis C? Hepatitis C is inflammation of the liver caused by the Hepatitis virus. It can be very serious if not treated leading to cirrhosis and cancer, there are often no symptoms of Hep C at first. The cohort we are caring for can catch Hep C from contact with the blood of an infected person, such as sharing needles, sharing equipment used to prepare and inject drugs, razors, toothbrushes, tattoos, piercings, sharing self-harming tools, nail clippers and sexual practices that lead to exposure to blood. The usual treatment is initially a blood test, called an HCV antibody test to find out if someone is infected with the Hep C virus. The ones with acute hepatitis C virus are generally contagious, so by doing this test it can be treated with antiviral medication -taken for several weeks. There is a 95% cure rate. We have now completed testing in multiple hostels across the Rochdale borough, Petrus Hub and the Reach Out café (ROC), with a mixed level of attendance and several people have been identified requiring further treatment for Hep C. We aim to eliminate Hep C for the clients we deal with across the borough, as no one needs to live with or die from Hepatitis C. A new pilot initiative to check for liver cancer in high-risk communities has been rolled out as part of a major NHS drive to catch more cancers earlier and save lives. This has been set up by NHS England , this has led to the team doing the Liver Fibro scans contacting HART to see if they can link into the ‘Triangle of care’. It is felt that the cohort of clients we are capturing could be in the ‘difficult to reach’ people cohort and therefore, they are offering Fibro scans to at-risk individuals that would not be scanned as part of a routine Hepatitis C virus ODN work, alongside the Hep C team and HART within the Rochdale borough. By incorporating this team alongside the HART and Hep C team we aim to develop a strong rapport with these clients, which will encourage more people who otherwise would be reluctant, to come forward for potentially life-saving scans by performing a quick, non-invasive liver scan. FibroScans are offered to adults from the following high-risk groups (cirrhosis and liver cancer): • With, previously had or at risk of Hepatitis C/Hepatitis B • More than 10 years of excess alcohol consumption (this has now been modified to five years due to the broad scope) • With or suspected Alcohol-Related Liver Disease (ARLD) • With or suspected Non-Alcoholic Fatty Liver Disease (NAFLD) • Other (Including Diabetes and HIV) Seven thousand fibro scans were carried out in the UK from June 2022 to January 2023 identifying over eight hundred and thirty people with cirrhosis or advanced fibrosis, a leading cause of liver cancer, with the majority of those identified referred on to further care. Checks are being offered in the community to adults with high levels of alcohol consumption, a current diagnosis or history of past viral hepatitis, or non-alcoholic liver disease, as these factors increase the risk of developing liver cancer. NHS staff are visiting at-risk communities as part of the Hepatitis C Elimination Programme and the programme is being expanded to include a liver health check involving an on-the-spot fibrosis scan which detects liver damage. Around six thousand one hundred people are diagnosed with liver cancer each year, but the number of cases has doubled over the past decade and is expected to continue to rise. Currently, only one in three liver cancers are diagnosed at an early stage, but this programme will help catch more cancers earlier, giving patients a much better chance of surviving the illness. If caught early, patients have a 70-90% chance of survival for five years or more with treatment. Those who are deemed high risk will be provided with information about their level of risk and, where appropriate, will be referred to their GP. If needed, people will be referred straight into a six-month liver surveillance care programme, where they will be partnered with a peer support worker who will continue to check in, as well as offer guidance and help informed by people who have experienced liver disease themselves. Liver cancer can be hard to detect at an early stage and so these checks, for people who have been identified as higher risk, are an essential part of the NHS’s action to find more people with cancer, and in groups that may otherwise find it hard to access lifesaving tests. Collaboration within secondary and primary care is extremely important. Working together can only provide vital care to the people in the HMR borough, ensuring an inclusive approach can only enhance their take in engaging with health professionals and taking some responsibility for their health and well-being. Also knowing someone cares and is willing to support them can only help in their self-esteem, mental health and maybe a more positive outlook towards the future. Order a free and confidential home Hepatitis C testing kit: Hepatitis Team. North Manchester General Hospital. Call us on - 0161 922 3374. https://mft.nhs.uk/north-manchester-general-hospital/services/hepatitis HOMELESS ALLIANCE RESPONSE TEAM. (HART) Rochdale Health Alliance. Elaine stone. HART outreach nurse - 07741321844 elaine.stone11@nhs.net

This October, Middleton PCN Hub dedicated its efforts to raising awareness about breast cancer, creating impactful moments for patients and staff alike. From informative workshops to hands-on demonstrations, here’s how we helped spread awareness and foster a supportive environment in our community. Breast Cancer Screening Awareness Day: A Day to Remember On Friday, October 18th, we hosted our Breast Cancer Screening Awareness Day at the hub, which was an inspiring day filled with learning and community spirit. Dr. Nowrin from Woodside Medical Centre joined us to deliver an insightful demonstration, showing both patients and staff how to check their breasts for potential signs of breast cancer. This valuable knowledge empowers everyone to be proactive about their health, reminding us of the importance of early detection. To enhance the experience, we offered complimentary hand massages throughout the day, giving visitors a chance to unwind while they absorbed information. These moments of relaxation served as a gentle reminder of the importance of self-care as part of overall health. Pedalling for a Cause: Our Journey to Snowdonia (and Beyond) For an extra touch of fun and fitness, we set up an exercise bike for staff to tackle a virtual journey from 10 a.m. to 5 p.m. By the end of the day, we collectively “travelled” 170 kilometres – the equivalent of a round-trip from Middleton to Snowdonia, then up and back down the mountain! We even had 3 kilometres left over, which we jokingly dedicated as the final walk to the local pub. Our pedal-powered journey wasn’t just about the distance; it was also for a cause. We managed to raise £285.23, which will go towards supporting breast cancer initiatives. We couldn’t be prouder of the staff’s enthusiasm and commitment! Looking Ahead: Embracing the Living Well Model As we look toward the future, we’re thrilled to announce that we will soon be implementing the Living Well Model in Middleton. This initiative aims to expand our mental health support offerings, allowing us to serve our community’s needs even more effectively. We anticipate launching this model in early November, which will create a more holistic approach to well-being within the community. October was truly a month of awareness, learning, and growth here at Middleton PCN Hub. From raising funds and spirits to gaining valuable insights, we’ve set the stage for meaningful changes in our community. Here’s to continuing our journey of wellness, one initiative at a time!  #PCNHub #MiddletonPCNHub #BreastCancerAwareness

As I reach the milestone of 13 months into my content creator apprenticeship, October feels like a perfect month to reflect on how far I’ve come. Over the past year, I’ve developed a range of skills that now allow me to tackle everything from social media campaigns and recruitment posts to video editing and wellness initiatives. This month especially highlighted just how varied and rewarding my role has become. Here’s a week-by-week look at some of the work that filled my October and contributed to my growth. Week 1: Building Foundations and Creating Templates Starting the month strong, I dove into organisation and planning, opening each day with a round of emails and scheduling. I filled out forms, connected with collaborators, and created job templates for recruitment posts. Alongside these tasks, I developed a Wellness Wednesday post, worked on transcriptions for recruitment case studies, and joined an RHA Away Day to capture photos and videos. Documenting events like this taught me how to capture engaging content in real time, a skill that comes in handy when managing dynamic social media feeds. Week 2: Raising Awareness and Community Engagement Week two brought more opportunities to engage with awareness campaigns, especially for ADHD Awareness Day. I spent time researching and creating content to ensure the posts were both informative and relatable. Later, I visited Petrus to share donation updates on social media, filming and editing the event’s highlights for platforms like TikTok, Facebook and Instagram. This week also involved someone coming from Rochdale Business Awards to film me for the awards, I had to showcase my work in the clips and do a few poses, which was surprisingly fun. On Thursday, I filmed my very first episode of our diabetes podcast!! It was very nerve-wracking, but we got there. After all the planning and arranging dates back and forth emailing, I finally started to make progress on this. Following up on Friday, I spent the day at Middleton PCN Hub for Breast Cancer Awareness Month, where they raised money for a breast cancer charity. It was. a great opportunity for me to capture a lot of content. Week 3: Podcast Planning and Content for Breast Cancer Awareness My focus shifted to podcast production in week three, where I worked on planning and editing podcast footage due to filming our second episode of the podcast but unfortunately been set back due to audio quality, I arranged a reshoot and used the opportunity to improve the content and refine my editing skills. I also focused on breast cancer awareness, creating a video that highlighted the importance of self-examination on your breast, which I shared across platforms. I wrote out a blog for ADHD Awareness Month and shared it on our social media, and throughout this week, I was networking and communicating with potential guests on future episodes for the diabetes podcast, which was very refreshing as it was a big step out of my comfort zone. This week taught me a lot about troubleshooting and adaptability, both critical in the fast-paced world of content creation. Week 4: Celebrations and Final Touches The last week of October was all about focusing on the diabetes podcast but still creating refreshing content for our social media. Lori, who was a guest on my podcast, sent me some information on diabetes that helped me so much with understanding the effects of diabetes, as I and Lori have been communicating through email, she has been a fantastic help with her network and the people she knows that could help with my project. So, I have been ringing and emailing more new potential guests yet again, stepping out of my comfort zone... check me out! I also received an email from Mary with the final additions to our booklet "What RHA Does Your Practice and Primary Care Networks" Finally, I finished this booklet, put it in a booklet format and printed it out ready for her to review. In the middle of the week, I started by celebrating community and cultural events. I created Halloween and Diwali posts and planned social media layouts for the rest of the month. I also completed a longer edit of the self-breast examination video with Dr Nowrin for YouTube By the end of the week, I completed a blog for Middleton PCN Hub and continued editing my podcast. October was a busy but fulfilling month, where each task felt like a new layer added to my experience. Whether creating awareness posts, engaging with the community, or capturing content for health and wellness campaigns, I see my confidence and expertise growing in every area. Here’s to building on this momentum in the months ahead and continuing to create content that informs, engages, and makes a positive impact!