CanMove is a programme of exercise classes for cancer patients preparing for treatment, undergoing treatment or recovering from treatment. CanMove was conceived by former MSG Exercise Physiologist Gareth Corbett and when he left Guernsey, the management of the programme transferred to Beau Sejour.
The classes take place on Tuesday and Friday mornings at Beau Sejour Centre and are run by Emma Kinder, Active Health (LifeFit) Assistant Manager. Emma is Level 4 Cancer Rehabilitation and Level 4 Cardiac Phase IV Rehabilitation trained and holds a Diploma in Exercise Referral. CanMove is a free service for its users and is made possible by generous donations from two local charities, MUG (Male Uprising Guernsey) and Pink Ladies.
Gareth also launched SmartMove, a programme of exercise classes for people living with MS (Multiple Sclerosis), and Emma Kinder has also taken over these classes, which also take place at Beau Sejour on Tuesday mornings. This is also a free service for users and is possible thanks to sponsorship by The MS Society.
If you would like any further information on these sessions, please contact Emma Kinder on 747238 or firstname.lastname@example.org.
UK provider Ramsay Healthcare holds a regular clinic at the MSG for people choosing to use its services.
UK provider Wessex Fertility Limited holds a clinic at the MSG once a month for people choosing to use their services.
Excessive sweating can be uncomfortable and embarrassing, but the Medical Specialist Group offers a range of treatments that can provide a solution. Other local providers (health clinics and beauty salons) offer injections with Botox or Dysport, but Medical Specialist Group consultant surgeon, Mr Michael Van den Bossche, uses unique techniques that are faster and more effective.
Mr Michael Van Den BosscheMD MASMBS FRCS FICS
Mr Van den Bossche joined the MSG in 2000; he completed his undergraduate medical training at the Catholic University Leuven in Belgium and trained as a General Surgeon at the same University, completed his specialist surgical training in 1995.
Varicose Vein Treatment
The traditional method of ‘vein stripping’ is available under the States Contract, but requires a general anaesthetic and can involve pain and bruising that results in a lengthy recovery period. The Medical Specialist Group offers a state-of-the-art modern technique called Venefit ™, which involves less pain and bruising and enables the patient to be active again much more quickly.
Medical Specialist Group consultant surgeon, Mr Sadeo Kairsingh, has undertaken training in the Venefit method and has helped many islanders taking up this service.
Mr Sadeo KairsinghMBBS FRCSED-GEN.SURG.
Mr Kairsingh joined the MSG in 2006; he is a fully trained Vascular/General Surgeon, having completed specialist training in the North West of England.
Specialist Baby Clinic
Babies are checked routinely by a GP within 48 hours of the birth, to ensure that the baby is physically well and has no congenital problems. The Medical Specialist Group offers parents the option of a further and more thorough health check for their baby at any time during the first 3 month, giving the opportunity to discuss any feeding, sleep, developmental or other concerns.
This can enable earlier and more effective management of any underlying conditions that it uncovers, or can provide a greater level of reassurance for parents that all is well.
The Special Baby Clinic is run by consultant paediatrician, Dr Sandie Bohin, who has over 25 years experience dealing with infants and their problems.
Dr Sandie BohinMB ChB DCH MRCP FRCPCH
Dr Bohin joined the MSG in 2009.
She completed a science degree at Southampton University, before undertaking her medical training at Bristol University.
Medicolegal Report Service
The Medical Specialist Group, based in Guernsey in the Channel Islands, is a partnership of 40 Consultants all of whom are on the Specialist Register of the General Medical Council.
We have a contract with the government of Guernsey to provide a high quality secondary healthcare service for the residents of Guernsey, Alderney and Herm.
In addition to that contract, we offer various private services including a medicolegal report service, with highly qualified and experienced medical and surgical consultants providing expert reports across a range of specialties.
Along with written reports, medicolegal services may involve conferences with legal professionals and attending court as an expert witness which can also be undertaken by our consultants.
While Guernsey is part of the British Isles, it is not part of the United Kingdom and so VAT is not applicable on services provided from the island; this means we are able to offer our medicolegal report service at a very competitive rate.
For more information or to request a medicolegal report, please contact Michaela Le Flock at the Medical Specialist Group telephone 01481 238565 or email email@example.com
Executive Health Screening
The Medical Specialist Group launched an Executive Health Screening service in May 2016 and we have been pleased with the take-up from some of the Bailiwick’s leading companies.
In May 2017 we reviewed the product, taking into account feedback received from clients and also from Rossborough Healthcare. As a result we have improved the EHS service by including greater specialist analysis of test results and also by adding the option of a personal wellbeing and lifestyle assessment.
This means that local companies can now take advantage of on-island health-check provision for their staff which is equivalent to the leading products available in the UK and at comparable cost, but without incurring the travel costs and time away from the office that are involved with off-island health-checks.
The MSG’s Executive Health Screening service now offers a silver package which comprises an appointment with a nurse for standard health checks and an appointment with an MSG consultant for an advanced examination, while a gold package adds the personal wellbeing and lifestyle assessment.
The strap-line for our EHS service is ‘Your people are your business’ and that is so true because the productivity and profitability of any organisation can be adversely affected if it does not have a fit and healthy workforce.
Our package is therefore a sound investment which will check that all is well with your employees’ health and wellbeing, provide early detection if that is not the case and also provide advice on lifestyle changes which can help to maintain good health and wellbeing in the years ahead.
The EHS service is not limited to corporate clients and is also available to self-referring individuals.
If you would like to learn more, please contact firstname.lastname@example.org or telephone Vanessa De La Rue on 238565, ext. 2213.
The aim of the service is to deliver psychological and psychotherapeutic interventions to individuals with health conditions and to provide them with psychological tools to live a fuller life
Dr Tim Mahy, BSc (Hons), MSc, DPsych, CPsychol, Cert.Hyp is a Chartered Psychologist with the British Psychological Society (BPS), an HCPC Registered Practitioner Psychologist specialising in Health Psychology, and is on the Guernsey Register of Psychologists. He has experience working within NHS mental health services, the third sector and in private practice.
His main modality is Acceptance and Commitment Therapy (ACT), although other modalities can be integrated – such as cognitive behavioural therapy, solution-focused therapy, motivational interviewing and others as appropriate. He has also trained in evidence-based hypnotherapy and utilises these skills in delivering very successful IBS protocols.
“Often when struggling with challenging circumstances, whether those are psychological or physical, people are unsure how to adapt and move on with their life; but through a variety of psychological interventions they can learn how to deal with their thoughts and feelings in new ways that allow them to live a fuller life,” said Dr Mahy. “Many people use maladaptive coping strategies to deal with challenges that life provides and these can exacerbate conditions such as depression, chronic pain, IBS, anxiety or long-term health conditions; fighting with unwanted thoughts and feelings can also be physically exhausting and result in symptoms of fatigue, but by changing how one deals with these thoughts and feelings they can experience a new sense of vitality.”
Acceptance & Commitment Therapy
Historically humans have been survival machines. We have inbuilt mechanisms to prevent us from being killed by predators (the stress response), mechanisms to prevent us being kicked out of our tribes and mechanisms for problem solving. These have helped our species to become the dominators of our planet, but unfortunately in modern society these mechanisms are less functional.
- The stress response is perfect if we were about to be attacked. Our body is equipped to rapidly extract energy stores, reduce weight, and then pump the energy to the extremities so we power our leg muscles and can run away as fast as possible. In modern society, with our ‘mind’ being able to anticipate threats, this stress response is often more harmful than it is helpful. As I am sure you are aware, the stress response is a significant contributor to cardiovascular disease and myriad other ailments.
- Our ability to assess what others expect of us was a useful tool when our survival depended on our membership of tribes. Sticking together in a tribe ensured our safety and survival. In modern times, with modern technology, the entire world becomes our tribe and expectations relating to physical appearance, and other traits can become stigmatizing issues for anyone who does not fit in.
- Problem solving has been an extremely useful tool for humans. This ability has resulted in great engineering achievements. Unfortunately, as natural problem solvers, we also try to problem solve our inner experiences.
Humans have this desire to control experiences. It’s interesting to note that if we put all emotions on a seesaw, negative emotions on one side (sadness, anger, frustration, disappointment, grief etc.), positive emotions on the other (happiness, joy), the seesaw would never be balanced. There are far more ‘negative’ aspects to life than there are positive. Modern society strives for happiness and a pain free existence. There is a paradox, however, that by attempting to control and eliminate distressing and uncomfortable private experiences such as thoughts, feelings, memories, etc., we actually make them worse. An example of this is demonstrated through Melzac and Wall’s Gate Control Theory of Pain whereby focusing on and catastrophising the pain experience exacerbates the pain experience.
Within ACT we furnish the client with psychological tools to accept the painful thoughts and feelings. This is done through a variety of ways, including introducing forms of mindfulness. ACT is becoming the gold standard approach to dealing with a broad array of psychotherapeutic concerns, and physical health issues.
Conditions That Can Benefit
The population that would benefit from this service are varied and extensive.
A simple intervention for people with IBS (Irritable Bowel Syndrome) is gut-focused hypnotherapy. This is recommended by NICE for people that have been unsuccessful in managing the condition with pharmacological interventions.
People with long-term health conditions, such as cancer, cardiovascular disease or a disabling condition (i.e. visual impairment, loss of limb, etc) may develop avoidant coping strategies rather than adapting to life and focusing on what can be done. They can become fused with the diagnosis, not seeing that there are opportunities that exist. By defusing the client, they can look at the world with fresh eyes, increasing psychological flexibility and resulting in higher levels of overall wellbeing.
In addition, by helping to increase clients’ psychological flexibility, they tend to become more resilient to stress and stressors. In the general population this is greatly beneficial, as stress contributes to a wide variety of medical concerns, including cardiovascular disease, cancer, gastric issues and low immunity. With those who have a diagnosis of cancer, improving how they deal with stress can enhance the extant treatment regime – as they are likely to have a stronger immune response.
People looking to engage with bariatric surgery can benefit by being more psychologically prepared for the long-term consequences of their new lifestyle, in order to increase the success of the operation.
People with chronic pain can benefit by learning how to deal with their pain in a new way. ACT is used extensively in the NHS and has a strong evidence base.
ACT can also be used to help people to deal with a very broad range of psychological concerns including insomnia, procrastination, depression, anxiety, addictions, phobias, medically unexplained symptoms and body image concerns.
The Psychology Clinic is held on Wednesday evenings at the Medical Specialist Group’s Alexandra House, Les Frieteaux, St Martin’s. The cost is £150 for a 30-minute consultation with Dr Mahy. This clinic is not covered under the States Contract, but some private medical insurance providers will cover it (patients are advised to check with their private health insurance providers whether this is covered in their policy). Appointments can be made by calling the MSG on 01481 238565.
The aim of the new service is to provide personalised nutritional support and advice for MSG patients, particularly in areas such as gastro-intestinal health, weight management and diet choices.
Mrs Shane Clark – Nutritional Therapist
Registered member of the British Association of Applied Nutrition and Nutritional Therapy (BANT)
Shane retired from her career as a physiotherapist and studied to qualify in a different area of healthcare, namely as a Nutritional Therapist.
She studied with The Institute of Optimum Nutrition and is a registered member of the British Association of Applied Nutrition and Nutritional Therapy (BANT), which assures that all practitioners adhere to the highest of standards. She also follows the Complementary & Natural Healthcare Council (CNHC) Code of Conduct and is fully insured to practice as a nutritional therapist.
Nutritional Therapy is an evidence based approach to maximising health through individual nutritional and lifestyle changes. The focus of the consultations is to be achievable and collaborative and to link health and diet using the benefit of food to redress imbalances.
Dietary intervention can
- improve gastro-intestinal health
- manage blood glucose levels
- support adrenal & thyroid function
- support sex hormone levels
- assist immune modulation & reduce chronic inflammation
- support essential fatty acids and eicosanoid balance
Conditions that can benefit
Patients who are referred to, or self-refer to, a Nutritional Therapist typically present with chronic health problems including digestive disorder, fatigue, weight issues, skin problems, hormonal imbalances, stress, anxiety and depression. All of these conditions can benefit from the support and advice provided by the Nutritional Therapist.
Shane uses a variety of tools to assess for possible imbalances that could be contributing to symptoms – for example, persistent fatigue may be caused by nutrient deficiency, food intolerances, blood-sugar imbalances or low adrenal or thyroid function.
Getting to the root of what is causing health issues can enable the creation of a programme of simple nutrition and lifestyle changes aimed at restoring balance within your body.
Stress is a factor of everyday life and Shane can also deliver a three-consultation package to work with the client to assess, understand and find ways to manage stress-response, while ensuring that diet contains the right nutrients to support that reaction to stress.
Before the first consultation, she will send a patient a health/diet/lifestyle questionnaire – so that she can study the case beforehand and also reduce unnecessary time asking those questions during the consultation.
The Nutrition Clinic is held on Wednesday evenings at the Medical Specialist Group’s Alexandra House, Les Frieteaux, St Martin’s. There is an initial one-hour consultation, which costs £85 and a minimum of one 45-minute follow-up appointment costing £60 (patients are advised to check with their private health insurance providers whether this is covered in their policy).
The patient completes a nutritional therapy questionnaire and a 3-day food diary and the follow-up appointment takes place four weeks after the initial consultation
Bookings can be made by calling the MSG on 01481 238565. Further information about the Nutrition Clinic can be found at www.msg.gg.
Obstetrics & Gynaecology
If work and/or family commitments make it difficult for ladies to attend the MSG during normal office hours, a private Obstetrics/Gynaecology clinic is available on Wednesday evenings. It is held by consultant obstetrician/gynaecologist & Gynaecological Oncology Lead, Mr Ali Shokouh-Amiri MBBS, MDSOG, BSCCP.
He has a wealth of experience in areas such as advanced hysteroscopy, laparoscopic (keyhole) and robotic surgery, management of cancer, postmenopausal bleeding, advanced endometriosis and pelvic pain, abnormal uterine bleeding, fibroids, laser treatment of vulval lesions, abnormal smear and colposcopy. He is also skilled in treating and managing a wide range of pregnancy complications and obstetric emergencies.
Mr Shokouh-Amiri is happy to see private patients, GP referrals and self-referrals in his Wednesday evening clinics. For further details or to make an appointment, please call Daniella Thomas on 01481 239976 or email her at DaniellaT@msg.gg.
Mr Ali Shokouh-AmiriMBBS MDSOG MBSCCP
Mr Shokouh-Amiri joined the MSG in October 2016. He is a Danish national and qualified as a doctor at Copenhagen University in 2005, before undertaking specialist training in obstetrics and gynaecology.