Clinics & Services

Ante-Natal Clinics:  Are held on Wednesday mornings.

Childhood and Teenage Immunisations

Please see the link below for the current recommendations for immunising children and teenagers

NHS vaccinations and when to have them - NHS (www.nhs.uk)

First immunisations for babies are discussed as part of their 6-8 week GP check. Your Health Visitor can also provide information about this check and baby immunisations.

Babies are first immunised at 8,12 and 16 weeks of age

MMR vaccinations are generally given between 12 and 15 months of age

Pre-school boosters are given after 3 and a half years of age

All Teenage Immunisations are undertaken at school by the School Nursing Team. If you need further information regarding this, please contact your child’s school who can put you in touch with the School Nurses.

Contraceptive Services 

Our practice nurses, in conjunction with the doctors provide a full range of contraceptive services in normal surgery and by appointment. Emergency contraception can also be obtained from the Walk-in-Centre.

Phlebotomy Services 

We have a Phlebotomy Service – i.e. service for taking blood. Appointments are Monday, Tuesday, Thursday and Friday mornings.

Teenage Health

We offer a discrete and confidential service for teenagers to discuss any health issues with either the doctor or practice nurse.

We also have a variety of leaflets and information available for our teenage patients. Just ask one of the receptionists if you would like to know more about any of the following:

• Keeping Fit and Healthy


• Teenage pregnancy


• Not smoking


• Being a young carer


• HPV and Meningitis C vaccinations


• Sexual Health


• Contraception

If you want to speak with a receptionist in private for this information, just ask to have a word away from the reception desk and they will be happy to help.

Minor Operations

We endeavour to provide high quality care by experienced clinicians in the surgery to reduce the need for unnecessary hospital referrals and procedures which inevitably cost more than they would do in General Practice.

Currently we are able to remove many types of cysts and other skin lesions that cause irritation or bleeding, or which catch on clothing.

Are by arrangement with the doctors.

Asthma Reviews

If you have asthma and use an inhaler, you will need a review once a year. Typically this will be around the time of your birthday month.

You will be asked to make an appointment with one of the Practice Nurses and this will last around 20 minutes.

If you keep a peak flow diary, it would be useful if you can bring this to your appointment, along with a list of your medications / inhalers.

For further information on managing your asthma, please see the links below:

https://www.asthma.org.uk/advice/manage-your-asthma/adult-review/

http://www.nhs.uk/conditions/asthma/Pages/Introduction.aspx

COPD (Chronic Obstructive Pulmonary Disease) Reviews

If you have COPD, you will need a review at least once a year. Typically this will be around the time of your birthday month.

You will be asked to make an appointment with one of the Practice Nurses and this will last around 20 minutes.

For further information about COPD, please see the links below:

https://www.blf.org.uk/support-for-you/copd

http://www.nhs.uk/Conditions/Chronic-obstructive-pulmonary-disease/Pages/Introduction.aspx

Diabetes Care

Most people with diabetes controlled by diet or medication have all their care provided at their surgery. Patients needing insulin sometimes start off with hospital appointments but then are transferred to a GP for future care once their diabetes is under control. If you have a diabetes-related problem that needs treatment by a specialist, you can choose to be referred to a Nottingham or Derby hospital.

We will invite you for your Diabetes Annual Review once a year, usually around birthday month and then 6 months later for a follow-up review. This may be done by letter, text or phone call.

For more information on diabetes, please visit the Diabetes UK website.

Heart Disease

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.

Check-ups are offered to patients suffering from heart conditions. Patients are offered an annual review with one of our practice nurses. Clinics are held weekly.

Women’s Health

Most women need a cervical smear every 3 years. You can make an appointment with one of our practice nurses.

NHS Health Check 

Health Checks aim to help prevent heart disease, stroke, diabetes, kidney disease and certain types of dementia. Patients between the ages of 40-74, who has not been diagnosed with one of these conditions or have certain risk factors, will be invited (once every five years) to have a check. Please book your appointment with a practice nurse if you feel you require a health check.

Dietary Advice 

Patients are offered advice on diet with one of our practice nurses.

Travel Clinic

If you are planning to travel abroad make an appointment to see one of our practice nurses for vaccinations and advice at least 6 weeks before travelling. More information is available on our travel vaccination page

Cancer

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 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

Macmillan Cancer Support website

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 website – Cancer information

Home Blood Pressure Monitoring

We now have a small stock of BP machines available to lend to people who are asking to do home BP monitoring. Please ask at reception if you would like to be added to the waiting list

Travel Vaccinations

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.

There is further information about countries and vaccinations required on the links below: 

It is important to make this initial appointment as early as possible - at least 4 weeks before you travel. You can complete the travel questionnaire attached here and drop it in to the surgery when you make your appointment.

Travel vaccination assessment

Europe & Russia	North America
Central America	South America
Caribbean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

Some vaccines are not available on the nhs and you may have to attend a private clinic for these – these include yellow fever, meningitis ACWY, rabies, Japanese encephalitis, tick born encephalitis, cholera and malaria prophylaxis.

World travel @ grewals pharmacy Beeston:

https://www.worldtravelclinic.co.uk/contact-us

Travel doc in nottingham – offer same day appmts:

https://www.travel-doc.com/nottingham-travel-vaccination-clinic/

Travel health information website    https://www.travelhealthpro.org.uk/

Travelling in Europe

If you are travelling to Europe the EU has published useful information for travellers on the European website.

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

• Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
• Insurance claim forms
• Passport signing
• Prescriptions for taking medication abroad
• Private sick notes
• Vaccination certificates
• Gun Licence

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
 

What is Social Prescribing?

Many things affect your health and wellbeing. GPs tell us that a lot of people visit them feeling isolated or lonely. Or they might be stressed out by work, money and housing problems. Sometimes it’s the stress of managing different long-term conditions.

If one of the practice team feels that you would benefit from social prescribing, they will refer you to a social prescribing link worker. The link worker is there to listen to you, and put you in touch with the people and activities that might help you to feel better.

NHS England have created a social prescribing leaflet to explain what the service is.

Recently had some tests organised through the practice?

You do not need to worry

All blood test results and investigations received by us are reviewed by a member of staff within 1-2 days of them arriving in the practice, and any significant, urgent results are passed to the emergency doctor (usually the same day)

All other results not requiring immediate action are reviewed by the GP who ordered them within a few days.

In all cases the doctor then makes a decision on how important it is for you to be reviewed and how soon this needs to happen.

Doctors will communicate this directly to you, or via the reception staff who will arrange a review by phone or face to face as instructed by the GP.

Most results will return as normal or satisfactory and no action will be required. The surgery will not contact you about normal or satisfactory results.

You had some tests through the surgery, and now need to find out the results

The reception staff can give basic information such as your tests results are ‘normal’ or ‘satisfactory’.

Your result may also be reported as ‘borderline’ meaning the result is just outside the normal values, but has been deemed to be acceptable by the doctor.

Other results may require feedback from a clinician.

If you need to ring for your results it is recommended you avoid the busiest times in the morning.

If you need to discuss your results you need to discuss this with the doctor who ordered the tests and understands the nature of your problem. They will be able to interpret the results taking your personal situation into account.

But I am worried something serious is wrong and this could be missed if I wait to see the original doctor, as they can’t see me for 4 weeks?

The process outlined above prevents this from happening. The results are reviewed and if we need to see you more urgently we will tell you. It is far better for your ongoing care to wait and see the original doctor who requested the tests as they have already started the process of investigation and have formulated a plan of care in their mind and with you.

I feel more unwell and/or my symptoms have changed since my tests were done

If this is the case you should call us and explain to the receptionist that your condition is different or worse and they can arrange for the situation to be reassessed. In many cases it will still be better for the doctor who saw you initially to review you. However our trained staff will advise you on the best course of action. This may involve a call back from the emergency clinician.

 Patient Charter

What You Should Reasonably Expect From Our Practice:

You will be treated as an individual and will be given courtesy and respect at all times, irrespective of your ethnic origins, religious beliefs, personal attributes or the nature of your health problems.

Staff will maintain your right to privacy and not discuss your illness with other staff or Doctors within hearing distance of other people.

Your Doctors and practice nurses will strive to see you within 30 minutes of your appointment time. Where this is not possible you will receive an explanation for the delay on request.

If you need a repeat prescription, one will be provided within 48 hours (Monday to Friday) of your request. Patients needing an urgent appointment will be able to see a doctor within 24 hours. (If you ask for a named doctor this may take longer.)

You have a right to a full explanation of your illness and any tests, investigations or consultations relating to that illness. You must inform us if you do not understand the explanation.

If you require a home visit or out of hours house call, the doctor or his qualified deputy will make a decision whether to give advice over the telephone or to visit. Lack of transport in itself is NOT a reason for a home visit.

If you have any complaints or concerns relating to the practice, it’s staff or the services offered, please contact the Practice Manager, who will provide a timely response to them.

What The Doctors and Practice Staff Should Reasonably Expect From You:

We ask that you treat doctors and staff with courtesy and respect at all times. Doctors have instructed their receptionists to ask certain questions so that they may deal with your requests in accordance with policies set out by the doctors.

Please let us know if you change your personal details or address. If you cannot keep an appointment please let us know as soon as possible, this may enable someone else to be seen.

Please order repeat prescriptions 48 hours in advance. Do not expect prescriptions every time you see a doctor – they are quite often not necessary. Please follow your doctor’s advice and take the full course of medications that may be prescribed for you.

Before seeking a home visit think seriously whether it is necessary. When requesting a visit please contact the surgery before 10 am unless a genuine emergency arises later. Out of Hours visits should only be requested in an emergency, not for minor illnesses, which can wait until morning.

We are committed to maintaining good communications and providing a high standard of care to our patients. Helpful suggestions are always welcome.

Please Note

Any patient who is more than 10 minutes late for an appointment will be asked to book another appointment; the person may be seen at the end of the surgery in exceptional circumstances only.

People who appear intoxicated on attending the surgery will be asked to book another appointment when sober.

Action will be taken if any patient repeatedly fails to attend for booked appointments.

The Practice has a NO SMOKING policy within the building. Visitors must not bring weapons (neither real nor replica), drugs or alcohol onto the premises.

Any person who is verbally aggressive or abusive will be asked to leave

Anyone who is threatening or actually violent will be asked to leave or will be removed from the premises by the police.

Any patient who is violent will be removed from our list immediately.

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