Clinic Opening 8th June

Following closure of the practice due to Covid-19 pandemic. The clinic is now opening again for more urgent cases. Videoconference remains the safest way to get advice and help for most people. Call me for a telephone triage. New Risk Assessment document available to view on practice information page.

New Online Consultations Available

In response to these challenging times, you are now able to book an entirely online appointment. We can still offer the same full case history taking and where possible a visual assessment and active examination. We should also be able to provide a diagnosis and follow this with lifestyle and exercise advice. We have the use of an app for exercises which will send you descriptions, pictures and video’s of how to do your exercises.

You can book online via the website or my facebook page or call me and I’ll set it up for you. 07971 204287


If you have recently travelled to an infected area abroad please follow the NHS England advice about self isolating if you need to and postpone your appointment at our clinic. Please also postpone your appointment if you have any respiratory symptoms or a temperature.

Please assured that our clinic hygiene practices are tip top and extra measures are in place to help prevent the spread of this virus.

If you are unsure if you should attend an appointment do feel free to call first

Clinic News


Pleased to announce I am back to work in my treatment room at Empire Hall following the refurbishment works. The hall has a new kitchen and toilets including a disabled loo and a back door is now accessible which means I can access the treatment room more easily.

This summer I have been busy learning new skills and as such I am able to offer dry needling (acupuncture therapy) as part of your consultation, if you were to need it. Very soon I will also be able to offer card services for payments, which should make life easier for some.

Do keep up to date with me on my Facebook page at Anna Shawcross Osteopathy. You can also find more details about the clinic on my website

I sincerely hope you are all in good health.

Anna Shawcross

Paracetamol and Alcohol

Last week I attended a fantastic course in London called Pain and Pharmacology. You might be interested to know what I learnt about Paracetamol and Alcohol.

Paracetamol like most medications is metabolised mainly by enzymes in the liver. Paracetamol goes through two consecutive phases of metabolization, after the first phase it becomes very toxic to the cells of the liver but this is usually immediately rectified after the second phase of metabolization is complete. During paracetamol overdose one of the key issues is the that there are insufficient enzymes to maintain the second phase metabolization and the toxic partially metabolised paracetamol causes toxic damage to the liver. Indeed, treatment for paracetamol overdose required giving patients an enzyme inducing agent to help the liver cope with completing metabolizing the toxic partially metabolised paracetamol.

Interestingly I learned that alcohol also competes with paracetamol for the same metabolising enzymes, hence why alcohol can be a significant aggravating variable in overdose. Also, however because drinking alcohol at same time as taking paracetamol will mean partially metabolised paracetamol will remain in its toxic form for longer and therefore is potentially harmful to the liver. It’s not exactly known how much damage this will cause or for how long this would be repeated before causing significant harm but this is probably something we should be advising our patients to avoid if at all possible. We know from research that a concept known as ‘staggered overdosing’ occurs whereby people take more than the recommended levels of paracetamol (greater vthan 4g every 24 hours) and often this correlates with people also drinking alcohol along side – this can be damaging over a period of time.

So my advice is do not take Paracetamol before you head for the pub or before you go to bed for a hang-over cure. There is no medication cure to prevent a hangover. You simply have to wait till your liver is clear of the alcohol.

Ref: Pain & Pharmacology Lecture with David Baker, UCO and A competency Framework for all Prescribers 2016

Clinic Communication

Spring is in the air and changes are afoot. As many of you already know, The Empire Hall is about to undergo some long-awaited refurbishments to the kitchen, bathrooms and area to the rear of the hall. This will mean that I will need to temporarily close my treatment room from May until August of this year. While this will be an inconvenience, we do have options available.

If you would like an appointment during this time, please call me, and I may be able to visit you at home with my portable plinth or in one of my other clinics in Pulborough or Oving.

News story: Health Secretary launches ‘Prevention is better than cure’ vision

Matt Hancock has published his vision for how he plans to transform the government’s approach to prevention, paving the way for a green paper in 2019.

You can find the full story online, but here are the highlights. Osteopaths has always championed the causes of disease, so this is really exciting for us. One of my big bug bears as a professional is the lack of personal care and responsibility British people have with their health compared to other nations. I think the NHS has had a part in this, because we have all at times relied on the NHS just being there to pick us up if something goes wrong, but it is time for change.
Anna Shawcross


Matt Hancock said:

Two of the biggest health successes of the 20th century had prevention at their core: vaccination and cutting smoking. In the UK, both were achieved by careful and considered government intervention.

In the UK, we are spending £97 billion of public money on treating disease and only £8 billion preventing it across the UK. You don’t have to be an economist to see those numbers don’t stack up.

A focus on prevention and predictive medicine isn’t just the difference between life and death, it’s the difference between spending the last 20 years of your life fit and active, or in constant pain from a chronic condition. So our focus must shift from treating single acute illnesses to promoting the health of the whole individual. That requires more resources for prevention.

Duncan Selbie, Chief Executive, Public Health England said:

Investing in prevention is the smartest thing we can do. We need to move from a system that detects and treats illnesses to one that also predicts and prevents poor health through promoting health in all policies and puts people back in charge of their own health.

Congratulations to Holly Fletcher

In response to my search for a Sponsorship partnership with a young rider, I am very excited to be working with Holly Fletcher and her talented horses No Problem (Billy) and Wrexford Imp (Foxy). Holly is very hard working and dedicated to her horses and his hoping to establish herself in Novice Eventing this year. I am very much looking forward to working with her to keep her horses in the best health possible. You can find out more about Holly’s activities on FaceBook, Instagram (@hf_eventing), Twitter (@HF_eventing_) and YouTube.