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We now have late night appointments available every Thursday from 6.30pm until 8pm at our Martonside Practice ( 1A Martonside Way, Middlesbrough TS4 3BU-opposite James Cook Hospital). Telephone Endeavour Practice on 01642 242192 to book a late night appointment or book online via your online log in to attend Martonside Medical Centre and see an Endeavour Clinician.

If you require a GP or Nursing Appointment out of normal practice hours or general medical advice please call the Star 111 Service.  Alternatively you can book an out of normal surgery hours appointment via the following URL simply copy & paste this into your web browser.

STAR 111 Out of Hours Service

If you cannot get an appointment at your own GP surgery you can ask them to make you an appointment at one of our STAR GP centres. If you need to see or speak to a GP out of hours you should call NHS 111 to access the STAR service or alternatively book on line using the following URL copy & paste it into your web browser.

The STAR service offers appointments from 6pm to 9.30pm Monday to Friday and 8am to 9.30pm on weekends and Bank Holidays.

One of our GPs or a nurse practitioner will ring you back and carry out an initial assessment over the telephone.

If required, the clinician will either consult over the telephone or offer a face-to-face appointment at one of our dedicated GP centres.

Patients accessing our service will always be asked for their consent to allow clinicians to view their electronic medical records, which will help us provide the most appropriate advice and care. Patients may also be referred onto other services more appropriate to their needs



Wednesday 22nd April 2020






Patients with Long-Term Conditions

 woman holding inhaler

The practice caters for the needs of patients with long-term conditions in the following ways:


  • We hold a register of patients with these conditions and manage a recall system so that patients have a 6 month/annual review as appropriate


  • Where a patient has more than one long-term condition, we will try to hold just one combined review


  • Our flexible appointment system allows patients with complex conditions to have longer appointments


  • Equally, the appointment system allows home visits to take place earlier in the day so that housebound patients with long-term conditions can get the consultation they need quickly


  • Over 40% of our very large patient group (86 patients in April 2015) suffer from at least one long-term condition, so we can readily gain feedback about the services we offer


Click on the links below for more information regarding Asthma, Cancer, Coronary Heart Disease (CHD), Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Osteoarthritis, Pain, Stroke, Blindness and Deafness.




Coronary Heart Disease (CHD)

Chronic Obstructive Pulmonary Disease (COPD)





Blindness and Deafness - Useful Links




Asthma is a common condition that causes coughing, wheezing, tightness of the chest and breathlessness. Most people with asthma who take the appropriate treatment can live normal lives, but left untreated, asthma can cause permanent damage to the airways



Symptoms of asthma


The usual symptoms of asthma are


  • coughing
  • wheezing
  • shortness of breath
  • tightness in the chest.


Not everyone will get all of these symptoms. Some people experience them from time to time; a few people may experience these symptoms all the time.




Treatment of asthma



There isn't a cure for asthma. However, treatments are available to help manage your symptoms. Your treatment plan will be individual to you, combining medicines and asthma management in a way that works best for you.



Living with asthma



Medicines are only part of your treatment for asthma. You will also need to deal with the things that make it worse. Keep a diary to record anything that triggers your asthma - this can help you to discover a pattern. Using a peak flow meter to monitor your lung function can also help. If you have repeatedly low readings in a certain situation (for example, at the end of a working day, after exercise or after contact with an animal) this may indicate the trigger.



Useful Links


Asthma UK
This website has been revamped to meet the needs of the thousands of people with asthma who visit the site each day, either to find important information about asthma and how to control it


An excellent resource with useful video, audio, images and references relating to asthma.


NHS Choices - Asthma
Further information about symptoms, treatment, causes and prevention of Asthma.




One in three people will be affected by cancer at some stage in their life. There are many different types of cancer and this page doesn't cover them all, but the general information will help you to access further information and support.



Macmillan Cancer Support - The cancer line and how it can help




There are more videos available Macmillan and the support they offer on the Macmillan Video Site

There is further information and educational videos on the Cancer Research UK Video Site



Useful Links



Cancer - Healthtalkonline
Healthtalkonline, an award-winning charity website, lets you share in other people's experiences of health and illness. An excellent resource compiled after interviewing a wide range of people suffering from heart disease.


Cancer Overview
An excellent resource with useful video, audio, images and references relating to differing forms of Cancer, the causes & treatments.


Free information service provided by Cancer Research UK about cancer and cancer care for people with cancer and their families. Information is formatted in such a way that makes understanding the website an easy process


Macmillan Cancer Support
Europe's leading cancer information charity, with over 4,500 pages of up-to-date cancer information, practical advice and support for cancer patients, their families and carers.


NHS Choices
Further information about symptoms, treatment, causes and prevention of Cancer



Coronary Heart Disease (CHD)


Coronary heart disease (CHD) is a preventable disease that was responsible for the deaths of 88,000 people in the UK in 2008 (British Heart Foundation CHD Statistics 2010). In all, 191,00 died from heart and circulatory disease in the UK. Death rates are highest in Scotland and North of England and lowest in the South of England. CHD is the biggest killer in the country.



British Heart Foundation - Vinne Jones' hard and fast hands-only CPR




There are more videos available on all aspects of BHF and heart disease on the BHF video site



Audio MP3 Downloads



Now you can download and listen to podcasts free from the BHF - either on the move or in the comfort of your own home. We have a few examples below, there is a full list on the podcast page.


Controlling Cholesterol


Giving Up Smoking


Risk Factors & Heart Disease


"The British Heart Foundation is Britain’s leading charity fighting heart and circulatory disease – the UK’s biggest killer. The BHF funds research, education and life-saving equipment and helps heart patients return to a full and active way of life. The charity relies on donations to continue its vital work."




Home Blood Pressure Monitoring


The BHS recommends that only properly validated BP monitors be used both in the clinic and at home. All the monitors listed on their website have been clinically validated. This means that all the machines, regardless of their cost, give reliable readings when used correctly. Please note that added cost does not equate to added accuracy.


View a list of clinically validated BP monitors




Useful Links



CHD - Healthtalkonline
Healthtalkonline, an award-winning charity website, lets you share in other people's experiences of health and illness. An excellent resource compiled after interviewing a wide range of people suffering from heart disease.


An excellent resource with useful video, audio, images and references relating to CHD.


NHS Choices
Further information about symptoms, treatment, causes and prevention of CHD.


British Heart Foundation
Our vision is of a world in which people do not die prematurely of heart disease. We will achieve this through our pioneering research, our vital prevention activity and by ensuring quality care and support for people living with heart disease.


Chronic Obstructive Pulmonary Disease (COPD)

Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. The main symptom of COPD is an inability to breathe in and out properly. This is also referred to as airflow obstruction




What is COPD?





Useful Links



NHS Choices
Guide to the symptoms, diagnosis, treatment and risks of COPD from the NHS


COPD Factsheet
This factsheet is for people who have chronic obstructive pulmonary disease (COPD), or who would like information about it.


British Lung Foundation
Information and guidance on living with COPD




Diabetes is a long-term (chronic) condition caused by too much glucose (sugar) in the blood. It is also known as diabetes mellitus. There are two types of diabetes - type 1 and type 2.

According to the charity Diabetes UK, more than two million people in the UK have the condition and up to 750,000 more are believed to have it without realising they do.


More than three-quarters of people with diabetes have type 2 diabetes mellitus. This used to be known as non-insulin dependent diabetes mellitus (NIDDM) or maturity-onset diabetes mellitus. The number of people with type 2 diabetes is rapidly increasing as it commoner in the overweight and obese, which is itself a growing problem.


The remainder have type 1 diabetes mellitus, which used to be known as insulin-dependent diabetes mellitus.



What's the treatment for diabetes?



It's recognised that the sooner the blood sugar levels are brought under control, the better the long term prospects of preventing damage. Lifestyle advice about diet, weight management and regular activity is the first step.


Type 1 diabetes will require immediate insulin therapy, Type 2 diabetes will first be managed with a drug called Metformin, if lifestyle changes alone aren't effective. There are now several other drugs used in type 2 diabetes, although eventually some type 2 diabetics will need insulin therapy as it's a progressive disease



Diabetes UK - How to take a blood glucose test




There is further information and education on the Diabetes UK Video Site




Useful Links


Diabetes - Healthtalkonline
Healthtalkonline, an award-winning charity website, lets you share in other people's experiences of health and illness. An excellent resource compiled after interviewing a wide range of people suffering from heart disease.


Type 1 Diabetes
An excellent resource with useful information and references relating to Type 1 Diabetes.


Type 2 Diabetes
A useful resource regarding Type 2 Diabetes.


Diabetes UK
Largest charity in the UK devoted to the care and treatment of people with diabetes in order to improve the quality of life for people with the condition


NHS Choices
Further information about symptoms, treatment, causes and prevention of Diabetes



Osteoarthritis is the most common type of arthritis, affecting 8.5 million people in the UK. It develops gradually over time, causing joints to become stiff and painful. It can affect any joint but commonly affects the hands, knees, hips, feet and spine.



Osteoarthritis: a real story





Who develops osteoarthritis?


Osteoarthritis usually develops in people who are over 50 years of age, and it is more common in women than in men. It is commonly thought that osteoarthritis is an inevitable part of getting older, but this is not true. Younger people can also be affected by osteoarthritis, often as a result of an injury or another joint condition. 



Useful Links



Arthritis Research UK
Arthritis Research UK is the charity leading the fight against arthritis. Everything we do is underpinned by research


NHS Choices
Guide to the symptoms, diagnosis, treatment and risks of Ostearthritis from the NHS


Osteoarthritis Factsheet
This factsheet is for people who have osteoarthritis or who would like information about it.


Arthritis Care
Arthritis Care exists to support people with arthritis. They are the UK’s largest organisation working with and for all people who have arthritis.


Living with Pain


The NHS website contains lots of useful information, tips and advice on living with chronic pain.


Help from your GP and use of NHS services dedicated to pain management can help make sufferers more independant, reduce the severity of pain and assist in day to day with coping with what can be a debilitating condition.


Useful Links






A stroke is a serious medical condition that occurs when the blood supply to part of the brain is cut off.


Like all organs, the brain needs the oxygen and nutrients provided by blood to function properly. If the supply of blood is restricted or stopped, brain cells begin to die. This can lead to brain damage and possibly death.


Strokes are a medical emergency and prompt treatment is essential because the sooner a person receives treatment for a stroke, the less damage is likely to happen.

The NHS Stroke Act FAST pages offer a great deal of information about stroke, including how to recognise the signs, some real stories of stroke sufferers and advice on how to live your life after a stroke.


Chest Heart & Stroke Charity (N.Ireland)


Chest Heart & Stroke Charity (Scotland)


Stroke Association



Transient Ischaemic Attack (TIA)



A transient ischaemic attack (TIA), or 'mini-stroke', is caused by a temporary fall in the blood supply to part of the brain, leading to a lack of oxygen to the brain. This can cause symptoms that are similar to a stroke, although they don’t last as long. A TIA lasts only a few minutes and is usually resolved within 24 hours

As TIAs are serious, it is important that they are always investigated so that appropriate treatment can be given quickly. With treatment, the risk of a further TIA or a full stroke can be greatly reduced.



These links all come from trusted resources but if you are unsure about these or any other medical matters please contact your doctor or pharmacist for advice.



Blindness and Deafness - Useful Links


Action for Blind People


Royal National Institute of Blind People


Royal Blind Society


Deaf Blind UK


Action on Hearing Loss


British Deaf Association


Royal Association for Deaf People


Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website