Statement of Purpose
Preventative Health Doctors is a private medical company run by Dr Robert Stevens MBChB MRCGP Dip.FIPT, to help people lead healthy and active lives, allowing them to make informed decisions about their health and improve compliance with increased autonomy. The focus will be on prevention rather than cure. We are initially targeting males as we have identified a need within the field of men’s health.
The aim of the Men’s Health Clinic is to bring men’s health issues to the forefront and allow men to access medical services in a manner that is acceptable to them and their needs, at a location convenient and accessible to them. Men are typically poor at engaging with men’s health issues and there are a number of reasons behind this:-
The Men’s Health Clinic will address all aspects of men’s health from general health screens to conditions such as Testosterone Deficiency Syndrome. The focus is on prevention rather than cure so that men can lead both active and healthy lifestyles, improving both quality and quantity of life.
The target population is all men, more specifically males over 30 who are more likely to have health issues such as low testosterone. Patients will have access to information surrounding men’s health through a number of sources ie. website www.preventativehealthdoctors.co.uk, the blog, the Preventative Health Doctors Facebook page, increased media attention surrounding pertinent issues, and more generally word of mouth and internet searches. Increased awareness through education is likely to improve compliance and adherence with the medical services provided.
The NHS is free at point of contact and it provides care to the whole population who are in need of its service. This is pivotal to its success, however, its generalism can also be its downfall. If a patient is paying for a service, they expect it to be tailored to their particular needs and nothing else. The Men’s Health Clinic will provide them with that assurance and will not deviate from this due to government agenda or guidelines; hence a private confidential men’s health clinic is a more attractive proposition to some men.
Part of the National Institute of Clinical Excellence (NICE) role, is to advise the NHS on the cost-effectiveness of current treatments, the NHS is apportioned a budget which needs to deliver care to all areas of healthcare. Sometimes the perceived benefits to the population override the potential benefits to an individual. It is widely accepted that testosterone is integral to men’s health, the physical and psychological health benefits of having an optimal level can be measured both quantitatively and qualitatively, yet there also seems to be a reluctance to prescribe testosterone even when a patient has a quantified low level.
The success of treatments is also measured by outcomes, if there is already evidence to support the use of another treatment in achieving the desired outcome, then it makes sense to use the treatment with more validated clinical evidence behind it, rather than a newer treatment. That does not mean the older treatment is better, it just means that there is more weighted evidence supporting the use of that treatment to achieve the predetermined measurable outcome.
To demonstrate effectiveness and justify use of treatment the outcomes need be quantifiable. This is rather a simplistic way of looking at overall health, which is a far more complex measurement. Also, the lack of long term data surrounding a newer treatment may make it seem less viable when in fact its benefits far exceed that of a treatment whose sole purpose is to affect one outcome. Testosterone is a hormone, so its effects are wide reaching, there are lots of quantifiable outcomes.
Here at Preventative Health Doctors we are open and transparent about the services we provide, why we provide them, what benefits and risks there are to the treatments we offer. We are also open and transparent about cost from the outset so the patient can budget appropriately.
Patients will have the option of being seen in the clinic or at home according to their needs. Appointments will be pre-booked through contacting the appointment line at Lilliput Health on 01202 725090. If the clinician is conducting a clinic, an allowance can be made on joint agreement with the clinician and patient to sit and wait to be seen. The dedicated private consultation room is located within Lilliput Health, Poole; a private health clinic, separate to the above NHS GP practice. I believe that breaking down this barrier between aspirations of attaining male physical health through use of this environment and that of seeking and utilising clinical care that is available, will help with concordance and usage.
The aims and objectives of the Men’s Health Clinic are clearly defined on our website:- www.preventativehealthdoctors.co.uk.
All records will be held electronically in accordance with current data protection guidelines on an encrypted bespoke software platform.
There will be a choice of consultations available to the patient at the time of booking:-
Where issues such as erectile dysfunction, loss of libido, male pattern baldness and fertility testing will be addressed.
The aim of this consultation is to address Testosterone Deficiency Syndrome (TDS). Males do not have a definitive cut off point where the testicles fail to produce testosterone, instead they have a gradual decline in testosterone production typically after the age of 40. This can happen sooner due to TDS and is multifactorial.
Symptoms of low testosterone include lethargy, low mood, loss of lean muscle mass, increased visceral body fat, decreased bone mass, decreased libido, erectile dysfunction.
The obvious benefits of Testosterone Replacement Therapy include increased energy, improved mood, increased lean muscle mass, decreased body fat, increased bone mass, improved sex drive and erectile function. These can be measured in a qualitative manner through the AMS, IIEF-5 questionnaires and blood investigations such as testosterone.
It seems counterintuitive that we prescribe HRT to females without laboratory confirmation of a quantitative reduction in oestrogen levels but yet we do not routinely offer Testosterone Replacement Therapy to men when we can identify a quantitative drop.
This is where a more detailed personalised service will be available to the patient, tailored to their particular needs and lifestyle, including home visits if they are unable to access the clinic.
VIP Screening is designed to address all aspects of health particular to men including:-
It includes a thorough assessment of prostate health and addresses any libido and /or erectile issues that are of particular importance to men.
Time will be taken to understand the patient’s current state of health through a detailed history; performing a thorough physical examination; and performing blood investigations appropriate to their health needs; before agreeing on an individualised action plan for the future and arranging follow up as appropriate.
VIP screening includes:-
The patient will have the choice of two blood packages, that can be either taken during the consultation, or at Poole Hospital using their phlebotomy service.
Every care and attention will be made to ensure the patient’s health and well-being will be the primary focus of the clinic.
Staff will also be treated with dignity and respect at all times. Openness and transparency will be encouraged to help maintain a healthy work environment and deliver an effective service. They can expect to work in an environment free from discrimination that expects equality and fairness. The service demands a high level of professionalism and teamwork in order to provide a quality service that supports training and professional development. Preventative Health Doctors is committed to continually improving its service both for patients and staff.
Dr Robert D Stevens MBChB MRCGP Dip.FIPT
Medical Director of Preventative Health Doctors Ltd
GMC Number: 4426594
Contact Telephone Number: 07739 632721
Contact Email Address: email@example.com
CQC Manager ID: 1-103250039
Preventative Health Doctors Limited
Legal Status: Organisation
Companies House Number: 09325917
Registered Business Address: Flat 5, Redcroft, 20 Pinewood Road, Branksome Dene, Poole, Dorset BH13 6JS
CQC Provider ID: 1-2202225257
Clinic consultations held at the Men’s Health Clinic, c/o Lilliput Health, Lower Ground Floor, The Surgery, 1 Elms Avenue, Poole BH14 8EE. Home Visits are also available for VIP patients at a mutually agreeable time.
“The Doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease” ~ Thomas Edison
Preventative Health Doctors embraces this philosophy and uses science to ensure you lead a healthy and productive life