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Caring for someone at the end of their life or facing your own mortality can be emotionally and mentally challenging. Here, you will find supportive advice and information to guide you on what steps to take next and to help you understand the processes that may unfold. End of Life Care, Support, Advice and Information What is end of life care? End of life care is support for people who are in the last months or years of their life. End of life care should help you to live as well as possible until you die, and to die with dignity. Providers of care should ask you about your wishes and preferences and take these into account. They should also support your family, and carers. What is palliative care? End of life care includes palliative care. If you have an incurable illness, palliative care makes you as comfortable as possible by managing pain and other distressing symptoms. It may also involve psychological, social and spiritual support. What is ReSPECT? ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a personalised recommendation for your clinical care in an emergency where you are not able to make decisions or express your wishes. ReSPECT has been introduced across Surrey Heartlands Health and Care Partnership, and you may be invited to have a ReSPECT conversation. See more Anticipatory Medications Anticipatory medications are medicines that are used when a person is unable to take medications orally. They are prescribed in case symptoms such as pain, nausea and breathlessness develop, to keep a patient calm and comfortable as they come towards the end of their life. They are sometimes referred to as End of Life medications or Just in Case Medications. Medications are prescribed on an individual basis and so each persons end of life medications prescription will be different. DNACPR DNACPR stands for do not attempt cardiopulmonary resuscitation. It's sometimes called DNAR (do not attempt resuscitation) or DNR (do not resuscitate) but they all refer to the same thing. DNACPR means if your heart or breathing stops your healthcare team will not try to restart it. A DNACPR decision is made by you and/or your doctor or healthcare team. A DNACPR decision is usually recorded on a special form. Different doctors or hospitals might use different forms, but they all serve the same purpose. Some examples are a DNACPR form, a treatment escalation plan, or a recommended summary plan for emergency care and treatment (ReSPECT) process. All these forms are easily recognised by doctors, nurses and healthcare workers, so they know what to do in an emergency. This form is kept in your medical records. It may also be printed and kept with you if you are at home or in a care home. You and the people important to you should know that a DNACPR form has been put in your medical records. The form says that if your heart or breathing stop, CPR should not be tried. This means medical staff will not try to restart your heart or breathing. Important DNACPR is about CPR only. It does not mean that you will not get care and treatment. You will continue to have all the other appropriate care, treatment and support you need. For more help, advice and information please click the links below Palliative and End of Life Care What does End of Life Care Involve? Planning for end of life What's important to me? A review of choice in End of Life Care Free Will Kit Hospice UK work for the benefit of people affected by death and dying, collaborating with their hospice members and other partners who work in end of life care.

Being an unpaid caregiver can lead to significant stress. Here, you will discover a wealth of advice and information designed to support you in your important role. Carers If you look after someone who couldn't manage without you then contact the surgery to register as a carer. Crossroads have created the unpaid carers hub to support all unpaid carers across Surrey by providing them with a pathway of information. Age UK If you look after a partner, relative or friend who's disabled or ill due to physical or mental health, you're a carer. Even if you don’t think of yourself as one. Here you can find out about the emotional, practical and financial support available to you. Surrey County Council If you look after a family member, a partner, or friends in need of help because they are ill, frail, struggle with mental health or substance abuse, or have a disability, then you are considered to be a carer. Action for Carers can support you by phone, through face to face meetings, support groups and workshops. They can help with benefits advice, advocacy, give practical guidance on moving and handling and provide a wealth of information and free resources. They can also signpost you, and the person you care for, on to relevant specialised sources of support. Carers UK Across the UK today 5.7 million people are carers, supporting a loved one who is older, disabled or seriously ill. CAB - Carers help and support You can get help and support if you're responsible for looking after someone who has a disability, is getting old or has become ill. This can range from practical help to make day-to-day life easier to benefits like Carer's Allowance The Royal Voluntary Service inspire and enable people to give the gift of voluntary service to meet the needs of the day. Through the power of volunteering, they provide one-to-one, group and online services that improve health and wellbeing, resilience, confidence and connections.

Are you or a loved one facing challenges with drug addiction? Discover valuable advice and information to assist you right here. Drugs Talk to Frank Drug or alcohol treatment can seem like a big step, check out the talk to Frank website for advice and support around drugs and alcohol. Narcotics Anonymous in the United Kingdom & Channel Islands. If you have a problem with drugs, they are recovering drug addicts who can help you get and stay clean. Cocaine Anonymous is a fellowship of men and women who share their experience, strength and hope with each other so that they may solve their common problem and help others to recover from their addiction. The only requirement for membership is a desire to stop using cocaine and all other mind-altering substances. There are no dues or fees for membership Heroin Anonymous (HA) is a fellowship of men and women who have found a better way of life, free from heroin addiction. There are no dues or fees for membership; the only requirement for membership is a desire to stop suffering from heroin addiction. Marijuana Anonymous Do you have a problem with marijuana addiction? Is it hard to imagine life without being high? Are you struggling to quit using cannabis?  Crystal Meth Anonymous (CMA) UK is a fellowship of people who share their experience, strength and hope, so that they may solve their common problem, and help others to recover from, addiction to crystal meth. The only requirement for membership is a desire to stop using. Drug Addicts Anonymous - In DAA, drug addicts recover by following the Twelve Step programme outlined in the Alcoholics Anonymous Basic Text, with guidance from a sponsor. Mind - List of organisations who offer support for recreational drug and alcohol addiction, including organisations who can help if you are supporting someone else.

Team Members We are a training practice and you may be offered an appointment with a GP registrar. These doctors are fully qualified and will have had experience in several hospital specialties. They are completing their specialist training as a GP. We also teach medical students and sometimes you may be asked to see the doctor or nurse with a student present. You will always be asked beforehand if this is acceptable and you may ask for the student to leave if you prefer to have your consultation in private. Suzanne Clark GP Partner I trained in Liverpool, then I spent four years working in hospital medicine. I moved to General Practice in 2002 and I became a partner at The Mill in 2008. I have a special interest in Women's health. In my spare time I enjoy walking, running, cooking and reading. Sue Bonner Practice Manager Jenny Boyden Practice Nurse Sandra Greener Health Care Assistant Klaus Green GP Partner I am a GP partner at The Mill Medical Practice. I have been working as a GP at The Mill since 1998. I continue to enjoy the breadth and challenge of being a family doctor in an excellent team. My special interests include Diabetes, ultrasound scanning and one of the team of GPs looking after Charterhouse School. Pippa Ellis General Practitioner I am a salaried GP working on a Monday, Wednesday and a Friday. I qualified as a GP in 2019 and moved to The Mill in 2021. I enjoy seeing all aspects of General Practice and am interested in getting into teaching both trainee GPs and Allied Health Professionals in the future. Special Interests - All aspects of General Practice and also the menopause. I enjoy keeping fit when I can with running and cycling and walking my dog in our beautiful countryside. Mayuri Patel Pharmacist I trained at Brighton University and qualified in 2009. I worked as a hospital pharmacist in oncology and elective surgery until I became the Pharmacist for The Mill Medical Practice. Special Interests - Hypertension and Asthma clinics Languages - I speak English and Gujarati In my spare time I like to spend time with my family, I enjoy going to the gym and I'm told I'm a good cook! Subancely Heelas-Ebance Physio Therapist Kerry Peace Practice Nurse Louise Bowers Practice Manager Emily Rowlands General Practitoner Anthony Cerullo GP Partner After qualifying from Medical School at Pisa University, I worked at The Royal Surrey Hospital, eventually getting on the GP training scheme. I became a GP at The Mill Medical Practice in 1996. Special Interests - Men's Health and Musculoskeletal Health Languages - I speak English, Italian and a little French. In my spare time I enjoy good food and wine with friends, Golfing and cycling. Naomi Hopper Practice Paramedic I worked frontline for the London Ambulance Service from 2007-2021 in various roles. I am now enjoying working on Primary Care. Special Interests - Minor illnesses, Diet and Nutrition Languages - I speak English and a little German Georgina Dalton GP Partner I am a GP partner with The Mill Medical Practice. I trained at St Georges Hospital Medical School and qualified in 2004. I did my GP training in Guildford and became a GP in 2008. I have a diploma in family planning (DFFP) and child health (DCH) My special interests include family planning and women's health. In my spare time I enjoy spendning time with my husband and 2 children and my friends. I really enjoy spending time outdoors, walking and running. Helen Carr General Practitioner Jessie Wong GP ST3 Millie Marshall Phlebotomist Amy Liddicott Practice Nurse Leslie Campbell GP Partner I have been a GP now for nearly 30 years. I have been involved for a long time in GP education and development. Special Interests - General Practice and Complex Frailty Languages - Some French I enjoy spending time with my wife, my three sons and my friends. I also enjoy attending the local park runs when I am able to. Alex Corlett Pharmacy Technician I am a Pharmacy Technician with over 10 years’ experience working within a variety of pharmacy settings, previously having worked in both community and hospital settings I am now working across two local GP practices. I am dedicated to optimising patient outcomes through the safe use of medications. In my spare time I like to discover new art, spend time with friends and family and experimenting in the kitchen.