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Noticeboard

It's time to book your annual Flu vaccination.

Click here to find out more about our 2017 vaccination programme.

NURSE LED SERVICES

• Administration of prescribed injectable medication

We are able to offer appointments for patients to receive their regular prescription injectables from our nursing team, for example B12 and methotrexate.

• Asthma

Our specialist asthma nurses will help you manage your condition through annual reviews and medication checks. If you think you are overdue a review appointment, please contact our reception team.

• Cervical Screening (smears)

Every year in the UK, around 3,000 women will be diagnosed with cervical cancer. Reduce your risk by attending regular screening.

If you have received an invite to book your screening appointment, call our reception team who will get you booked in.

If you’re worried or would like further information you can contact Jo’s Cervical Cancer Trust helpline on 0808 802 8000 or visit their website www.jostrust.org.uk

• Childhood immunisations

Our nursing team administer vaccinations to all children until they reach school age.

These are the routine vaccinations that are offered free of charge on the NHS to all babies and children in the UK:

5-in-1 vaccine
Protects against: diphtheria, tetanus, whooping cough, polio and Hib (Haemophilus influenzae type b)
Given at: 8, 12 and 16 weeks of age

Pneumococcal or pneumo jab (PCV)
Protects against: some types of pneumococcal infection
Given at: 8 weeks, 16 weeks and one year of age

Rotavirus vaccine
Protects against: rotavirus infection, a common cause of childhood diarrhoea and sickness
Given at: 8 and 12 weeks of age

Men B vaccine
Protects against: meningitis (caused by meningococcal type B bacteria)
Given at: 8 weeks, 16 weeks and one year of age

Hib/Men C vaccine
Protects against: Haemophilus influenzae type b (Hib) and meningitis caused by meningococcal group C bacteria
Given at: one year of age

MMR vaccine
Protects against: measles, mumps and rubella
Given at: one year and at three years and four months of age

4-in-1 pre-school booster
Protects against: diphtheria, tetanus, whooping cough and polio
Given at: three years and four months of age

The NHS Choices website is an excellent resource for finding out more about these vaccinations and for answering any worries you may have. Click here for further information.

http://www.nhs.uk/Conditions/vaccinations/Pages/vaccination-schedule-age-checklist.aspx

• Chronic obstructive pulmonary disease clinic (COPD)

Chronic obstructive pulmonary disease (COPD) is the name for a group of lung conditions that cause breathing difficulties. COPD is a common condition that mainly affects middle-aged or older adults who smoke. Many people don't realise they have it. The breathing problems tend to get gradually worse over time and can limit your normal activities, although treatment can help keep the condition under control.

Through regular monitoring, our specialist nurses can help you manage your condition. If you think you are overdue a review appointment, please contact our reception team.

• Coronary heart disease (CHD)

In the UK there are an estimated 2.3 million people living with CHD and around 2 million people affected by angina (the most common symptom of coronary heart disease).

Through regular monitoring, our nursing team can help you manage your condition. If you think you are overdue a review appointment, please contact our reception team.

• Diabetes

Our nurses run annual reviews for all patients who are over 18 who have Type I or Type II diabetes. The review is an opportunity to discuss diet, lifestyle and general management of their diabetes and any complications. Referrals may be made following attendance at these clinics to the Dietician, Podiatrist, Ophthalmologist or Retinal Screening or our local Diabetes Specialist nurse if required.

If you think you are overdue a review appointment, please contact our reception team.

• Ear syringing

If you struggle with blocked ears but are not in any pain, it may be appropriate for you to see one of our nurses who will consider whether you need to have your ears syringed.

You will be asked to use ear drops for at least 7 days prior to your appointment; please speak to the pharmacy about the most appropriate drops to use.

If you are suffering ear pain, you will not be able to have your ears syringed. Please call and speak to reception to book an appointment with one of our duty nurses.

• Family planning and sexual health services

We offer confidential advice on sexual health and contraception for patients of all ages.

Please note that we are unable to test for sexually transmitted disease at the surgery. You will need to attend your local CASH clinic – click here for information about your nearest clinic.

• Flu and Pneumonia vaccinations

We strongly recommend a yearly flu vaccination for patients over 65, and those with chronic illnesses such as diabetes, heart disease and kidney disease.

We also run a programme of flu vaccinations, via nasal spray, for eligible children.
In addition, we recommend the Pneumonia vaccination to those patients over 65 years of age.

Our vaccination campaign normally begins in late September, click here for further details.

• Hypertension

Our nurses run annual reviews for all patients who have Hypertension (raised blood pressure).

During your review appointment your blood pressure will be checked, your weight and height measured and your lifestyle will be discussed with you, such as diet, exercise, smoking and alcohol habits. The nurse will also discuss any blood pressure medication that you are on.

If your blood pressure is not at target, an action plan will be agreed with you to improve the result.

If you think you are overdue a review appointment, please contact our reception team.

• NHS Health Checks

A FREE 20 minute NHS Health Check is offered to all patients aged 40-74.

An invitation letter will be sent out to those aged 40, and thereafter every 5 years till the age of 74.

To check if you are eligible or to make an appointment for your FREE health check, please contact the reception team.

The Health Check will be carried out by one of our Health Care Assistants who will assess your risk of developing heart disease, stroke, type 2 diabetes and kidney disease and will provide you with simple and practical steps to help you reduce that risk and stay healthy.

The check is based on straight forward questions and measurements such as age, family history, height, weight and blood pressure. There will also be a simple blood test to measure your cholesterol level.

If you are outside the age range covered by these checks and concerned about your health, you should make an appointment with your GP.

• Phlebotomy, blood pressure and ECG monitoring

We offer a large number of daily appointments for you to have your blood taken by one of our experienced phlebotomists.

We also offer appointments for blood pressure monitoring or ECG at the request of our clinicians.

If you are worried about your blood pressure, please call into reception and use the machine we have situated there. Record your results on the form provided and this will then be passed to a clinician for review. If they have any concerns about the results they see, you will be invited in for an appointment.

• Simple dressings, removal of stitches

Our nursing team are always happy to see you for dressing wounds or removal of stitches. Please book your appointment as soon as you are aware the date your stitches need to be removed/wound redressed.

• Stop smoking advice

We are pleased to offer appointments with our specially trained Health Care Assistants to help you give up smoking. Please contact reception to get booked in.

• Travel vaccinations

We are able to offer standard travel vaccinations to our patients provided we receive sufficient notice of your intended departure.

Please complete and return a Travel Assessment Form (available from reception or by clicking here) and one of our nurses will be in touch to let you know what vaccinations you require. We must receive one form per patient travelling.

Not all travel vaccinations are covered by the NHS and may require a private prescription. Click here to see a list of current charges.

If you require a vaccination that we are unable to provide you will need to contact your nearest travel clinic.

There are two local MASTA clinics based at:

Gompels Bank Street, Melksham 01225 702198
This service is run by Chris Glass, Pharmacist.

Hathaway Medical Centre, Chippenham 01249 454540

• Warfarin Monitoring

Our nursing team are responsible for seeing all our patients who take anticoagulant medication such as warfarin, who need to have their blood monitored regularly.

A simple finger prick test is performed and an immediate result is given, to confirm or adjust the warfarin dose as necessary.

This quick and simple process enables patients to regularly check the clotting rate of their blood while taking anticoagulants, usually without the need for more invasive blood tests or delays whilst waiting for their results to come back from the hospital laboratory.

 
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