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Choose wisely. Is A&E the right service for your healthcare needs.pdf

Do you have Asthma, COPD or Diabetes?

Please ensure you see the Nurse for your Annual Health Check! Pre-book in advance. If you cant make the appointment for whatever reason please let us know so it can be offered to others.


Please let us know if you are a carer! Did you know you are entitled to an annual health check & flu vaccination and much more. See reception for further details

Named Accountable GP

All patients that register at Cassio Surgery will be given a Named Accountable GP who will take lead responsibility for their care. You will be informed when you register who that is.   

Friends & Family Test

Would you recommend Cassio to your friends & family? Ask for a 'Friends and Family test' form from reception or complete now online

Friends & Family Test

Patient Leaflets/Useful Infortmation


BLOCKED EARS - SELF HELP - Please click on link below for extremely helpful information and guidance. A visit to the Surgery is not always necessary.

Blocked Ears- self care Guidelines

According to NICE guidance ear irrigation is not suitable for:

    • A history of any previous problem with irrigation (pain, perforation, severe vertigo).
    • Current perforation of the tympanic membrane.
    • A history of perforation of the tympanic membrane in the last 12 months. Not all experts would agree with this — some would advise that any history of a perforation at any time, even one that has been surgically repaired, is a contraindication to irrigation because a healed perforation may have a thin area which would be more prone to re-perforation.
    • Grommets in place.
    • A history of any ear surgery (except extruded grommets within the last 18 months, with subsequent discharge from an Ear Nose and Throat department).
    • A mucus discharge from the ear (which may indicate an undiagnosed perforation) within the past 12 months.
    • A history of a middle ear infection in the previous 6 weeks.
    • Cleft palate, whether repaired or not.
    • Acute otitis externa with an oedematous ear canal and painful pinna.
    • Presence of a foreign body, including vegetable matter, in the ear. Hygroscopic matter, such as peas or lentils, will expand on contact with water making removal more difficult.  
    • Hearing in only one ear if it is the ear to be treated, as there is a remote chance that irrigation could cause permanent deafness.
    • Confusion or agitation, as they may be unable to sit still.
    • Inability to cooperate, for example young children and some people with learning difficulties.
    • Vertigo, as this may indicate the presence of middle ear disease with perforation of the tympanic membrane.
    • Recurrent otitis media with or without documented tympanic membrane perforation, as thin scars on the tympanic membrane can easily be perforated.
    • An immunocompromised state, especially older people with diabetes, as there is an increased risk of infection from iatrogenic trauma to the external auditory canal in this group of people.
  • Careful instrumentation should be employed in people who are taking anticoagulants due to increased bleeding risk.
For exercise leaflets and videos, follow this link:
Or click on links below:
How to have a Healthy Diet:
How to stay fit and healthy:
National Diabetes Prevention Programme:

The following link will give information on how to use your Epipen with a useful video. Please note this is the manufacturer's instructions.

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