We currently provide the following clinics. As work continues to be passed from Consultants to GPs, more clinics are likely to appear in order to absorb this work.
These clinics are supported by the ever increasing services we provide:
- Audiometry
- Blood Pressure checks
- 24 hr BP monitors
- Cervical smears
- Contraception counselling
- Contraceptive implants
- Coil insertion
- Depot contraceptive injections
- Diabetes Management
- Ear irrigation
- ECG's
- Flu jabs
- Heart Disease Management
- Hypertension Management
- Health Checks and screening
- Joint injections
- Injectable implants
- Lifestyle advice
- New patient checks
- Phlebotomy (blood tests)
- Smoking cessation advice
- Suture removal
- Travel health advice
- Ulcer dressings
- Vaccinations
- Weight management
- Wound management
Asthma Clinic
Appointments are available Mondays, Wednesday and Fridays with our asthma nurse, Sr Lynn Thatcher. We review medication and test lung function to ensure maximum control of symtoms, optimum lung function and reduce exacerbations. Choice of inhaler, inhaler technique, breathing techniques and self-management are key to optimum control.
Antenatal Clinic
Clinics are available with the midwife on Monday and Thursday lunchtimes, as part of the shared care programme with Epsom & St Helier's Hospital.
Child Health
Child development checks are carried out on a weekly basis, usually Wednesdays mornings and Friday afternoons. Dr Caterina Avellini and Dr Hillary Sindall are our nominated child health doctors.
Coronary Heart Disease
Nurses and Health Care Assistants can offer appointments to discuss risk factors and arrange tests and investigation to evaluate your risk of heart disease.
Diabetic Clinic
Clinics are held weekly, by appointment only. We care for the vast majaority of our patients with Type 1 and Type 2 diabetes. Dr Andreas Pitsiaeli, GP with a Specialist Interest in Diabetes, leads the team which comprises Srs Jill Burton and Sue Arnold (Diabetes Trained Nurses, Warwick Certified) and an attending podiatrist and dietitian from Central Surrey Health. Retinal Screening is performed annually off site.
Dietitian
Our attending dietitian can see patients on Wednesdays, before or after the diabetic clinic. This needs to be arranged through your GP, so please book to see them first.
Family Planning
We provide a full range of servcies including the contraceptive pills, the IUD ('coil'), injections, implants, as well as general contraceptive and pre-conception advice. This servce is allied to sexual health which we are mindful to protect.
Health Visitor
Our regular Health Visitors, Kim and Shelley, operate a 'drop-in' service every Friday morning at the surgery, from 10am to 12pm. Appointments may be available outside these times, but these must be arranged through the health visitor.
Immunisations
The immunisation schedule for children has been subject to constant change recently. Please refer to www.immunisation.org.uk for the latest guidance. We endorse the current vaccines, in spite of recent controversy over the MMR vaccination. For your information, we have colated all the relevant studies analysing these concerns. MMR - what's the evidence?
Infuenza and penumonia
Flu clinics are held annually as soon as the vaccines arrive (normally early October). The following people are entitled to a flu jab on the NHS. If you do not meet these criteria, and would still like a flu jab, this can be arranged privately. Please contact www.surreytravelclinic.co.uk for more information.
Flu vaccine target groups
The target groups for the 2006 to 2007 influenza season are listed below.
Vaccine should initially be given to those ins groups 1 and 2 and then to the remaining groups, in order, as vaccine becomes available.
- Those aged 65 years and over
- Those aged over 6 months with underlying medical conditions such as:
- Chronic respiratory disease, including asthma
- Chronic heart disease
- Chronic renal disease
- Chronic liver disease
- Diabetes mellitus
- Those with impaired immunity due to disease or treatment.
- Those living in long-stay residential care homes or other long-stay care facilities (but not including prisons, young offender institutions, university halls of residence).
- Those who are in receipt of a carer's allowance, or those who are the main carer for an elderly or disabled person whose welfare may be at risk if the carer falls ill. This should be given on an individual basis at the GP's discretion in the context of other clinical risk groups in their practice.
- In addition, NHS employers should offer immunisation to employees directly involved in patient care, and social care employers should consider similar action for staff in nursing and care homes who look after older people. Influenza immunisation of staff can reduce the likelihood of transmission of influenza to vulnerable patients.
Pneumonia Vaccination
Children are vaccinated routinely under the UK vaccination schedule. It is also available on the NHS for the following risk groups:
- Age 65 and over
- Asplenia (those without a spleen)
- Chronic Respiratory Disease (eg COPD, severe asthmatics)
- Chronic Heart Disease
- Chronic Renal Disease
- Chronic Liver Disease
- Diabetes
- Immunosuppression (due to medication or illness)
- Individuals with cochlear implants
- Individuals with cerebrospinal fluid leaks (following major trauma or skull surgery)
If you do not meet these criteria, and would still like a flu jab, this can be arranged privately. Please contact www.surreytravelclinic.co.uk for more information.
Joint Injections
These are available at the GPs discretion. You will be asked to book a 20 minute appointment either during a minor op clinic, or during a surgery. We are able to treat common orthopaedic problems such as tendonitis, Policemans heel, carpal tunnel syndrome and frozen shoulder.
Minor Sugery
Many minor operations are easily and more conveniently performed at the Centre by the doctors. Sessions are held on Tuesday and Thursday mornings. Appointments should be made after consultation with your own doctor.
Phlebotomy
A phlebotomist attends Tuesday and Thurs day mornings. Please remember to fast if you are having blood tests for diabetes or cholesterol. If in doubt, fast unless you really cannot manage it. Fasting blood tests require a minimum fast of 6 hours for glucose, and 12 hours for cholesterol.
You may drink water, just no breakfast, tea or coffee!
Podiatry
This is only available to diabetic patients, booked through the diabetic clinic. We do offer a private podiatry service for all others.
Smoking Cessation
Sr Jill Burton leads these clinics, but these are undertaken by all our practice nurses who can advise on all the different strategies available to assist quitting the habit.
Travel Clinic
Routine travel vaccinations are done during normal working hours. The following vaacines are available on the NHS.
- Hepatitis A
- Tetanus
- Diptheria
- Typhoid
- Polio
All others, including anti-malarials, attract a fee. Please see www.surreytravelclinic.co.uk for details on fees.
Ultrasound
Ultrasound for our patients and those of local practices are done on a Thursday, by Surrey Ultrasound Services. This is a private company who do scans on the NHS. You need to be referred by your GP for an appointment, but if you need an urgent scan they can usually accomodate these requests at short notice.
Warfarin
We run warfarin clinics every day of the week, using our experienced bank of nurse and healthcare assistants. The blood test result is instantaneous and the dose is decided by intelligent software call INRstar, which has been proven far superior to traditional methods.
Weight Management
All our nurses are happy to discuss and encourage weight loss with patients and can advise on the most suitable way of losing weight.
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