Other Services (by appointment)
All patients will be encouraged to lead a healthier lifestyle to maintain good health and to prevent the major illnesses that are preventable. In addition to general appointments the practice provides the following services and clinics for patients:
Minor operations and cryotherapy (for warts and verrucae)
Some minor operations are undertaken by the doctors on the practice premises after an initial consultation in the surgery. A number of minor surgery procedures are not covered by the NHS and your doctor will be able to advise you on this.
Currently we have over 1000 diabetic patients. Diabetes is becoming more prevalent (particularly the type two, adult onset varitym, which is related to poor lifestyle and Obesity in many cases). It is vital to stabilise diabetes in order to avoid the complications of blindness, heart and kidney disease, strokes and amputation. Our diabetes nurses are specially trained to look after diabetes. We also offer advice, education and regular monitoring.
Travel clinic - Yellow Fever Vaccination Centre, travel vaccinations, health information and advice
Patients intending to travel should please book an appointment at least two months before the date of departure to ensure good immunity.
Many of the immunisations for travel are available on the NHS. However, some medications are not available on the NHS for travel purposes. A list of fees for each medication not available on the NHS is available to view in reception or via our website. We also offer private travel services to non-registered patients.
Fit for Travel - www.fitfortravel.nhs.uk
8 weeks to travel website - www.8weekstogo.co.uk
Private clinics available - www.masta-travel-health.com
If you have never had a full tetanus course or have had only part of a course, arrangements can be made to give you a full course of injections, it is now combined with diphtheria.
Flu and Pneumococcal Vaccinations
Sadly this common illness is not amenable to treatment once you have caught it. Unfortunately it can prove fatal to some people. However, it is not all bad news. Each autumn, usually in October, the practice offers flu injections to patients who are over 65 years of age and those at greater risk because of a medical condition. This includes anybody who is a diabetic or has any heart, lung, kidney or immunity problems, or taking immune suppressant medicines (including steroids) long term. The injections are given by appointment at special sessions.
The practice also offers a single anti-pneumonia vaccination to those thought to be at risk and the over-65s. This will include anybody who is a diabetic or has any heart, lung, kidney or immunity problems. We also believe that people who have had their spleen removed should be vaccinated five yearly. Please enquire at reception for details.
Family Planning Services (pill, coil, implant etc.)
All the partners hold approved certificates in family planning. Advice on all aspects of contraception can be given by doctors and nurses.
Dr Neville Fernandes inserts/removes coils and inserts/removes implants in his clinics. Please book an appointment for a consultation at Reception.
IMPLANTS (LAST 3 YEARS)
COILS (LAST UP TO 5 YEARS)
Cervical Smear Tests
These are performed by our practice nurses by appointment. If you are a woman aged between 20-64, we strongly advise you to have regular cervical smears - three yearly between ages 25-50 and five yearly between 51-64. Cervical smear tests are intended to detect early changes that could lead to cancer of the cervix. Approximately 1000 women in the UK still die from cancer of the cervix each year. Early treatment can prevent these deaths. Regular cervical smears help us diagnose early problems that are easily treated and thus save lives. Please make an appointment with a practice nurse for a smear in the middle part of your menstrual cycle - ideally days 10-14.
Other services/clinics include;
- Advice on dealing with common minor ailments
- Heart disease and stroke prevention clinic
- Smoking cessation
- Ear syringing
- Suture removal and general nursing advice
- Well woman clinic
- Teenage Health
- Infertility investigations
- Full antenatal care and postnatal care (shared care - doctors/midwife)
- Blood tests and blood pressure checks
- Weight monitoring
Developmental checks and children's immunisations are offered to children of all our patients.
The following is a guide for the recommended ages for vaccinations and health checks.
|1st: diphtheria, tetanus, pertussis (whooping cough), polio and haemophilus influenzae type b (Hib)
1st: pneumococcal infection
1st: Men B
|2nd: diphtheria, tetanus, pertussis, polio and Hib
1st: Men C
|3rd: diphtheria, tetanus, pertussis, polio and Hib
2nd: pneumococcal infection
2nd: Men B
|12 - 13 months
||Booster: Hib and Men C
1st: measles, mumps and rubella
Booster: pneumococcal infection
3rd: Men B (provided fit age group criteria)
|2 & 3 years
||Annual: 1st & 2nd children's flu vaccine
|3 years 4 months
||Booster: diphtheria, tetanus, pertussis and polio
2nd: measles, mumps and rubella
|4 - 6 years
||Annual: children's flu vaccine
|12 - 13 years
||1st: human papillomavirus (HPV)
|13 - 15 years
||Booster: Men C
|13 - 18 years
||Booster: diphtheria, tetanus and polio
The childhood vaccinations are given in rapid succession at two, three and four months to protect small babies from whooping cough, diphtheria, tetanus, polio, haemophilus Meningitis (HIB), pneumococcal Meningitis and Meningitis C. There are very few reasons for not vaccinating a child. If you are concerned that your child should not have a vaccination on a particular day, perhaps because they are unwell, please bring them to the surgery so that the doctor can assess whether or not to administer the vaccination. It is very rare for a child to be unable to have the whooping cough vaccinations. We would withhold the whooping cough vaccine only if a child had had previous bad reaction to this vaccine. Please note that epilepsy, asthma and prematurity are not medical reasons for withholding the jab. There is a very real danger of your baby suffering severe chest problems and possible epilepsy if the whooping cough illness is contracted in the first year of life through not being vaccinated. Over recent years many parents have been worried about a possible link between autism and the MMR jab. Many health experts have repeatedly reassured us that there is no such link and it is quite safe to give the MMR.
Services Outside The NHS
Not all services provided at the practice may be covered under the NHS. These services may include:
Private certificates, Holiday cancellation certificates, Fitness to travel, BUPA, PPP claim forms, Insurance certificates for continued sickness and Letters (e.g. housing, schools).
The practice will charge a fee for the provision of these services in line with the recommended BMA rates.
Lists of fees are available to view in the reception or via the practice website.