Nurse Clinics

Our nurses are Registered General nurses (RGN's) and take it in turns to cover most of the surgery hours. You can make an appointment by phoning reception. The nurses routinely carry out the following procedures and it is not necessary to see your doctor for these:

• All immunisations for children (see the recommended schedule over the next page)
• All travel injections and associated travel advice
• Dressings, blood pressure screening, diabetic and asthma management (special clinics)
• 40-74 years health checks and CHD (Coronary Heart Disease) clinic with the Health Care Assistant and your GP.
• Cervical smears, contraception and hormone replacement therapy checkups
• Ear syringing (after oiling)
• For the provision of maternity services, we have an attached midwife Lina, who will see you in the surgery at the anti natal clinic

Health Visitor

If you have had a baby your health visitor will visit you on your 10th postnatal day and will give you advice particularly with regard to baby care.

District nurses

The team will see you at home if you have a nursing problem. They liaise closely with your doctor. Should you need there services please phone the reception.

Family Planning

We provide a wide range of female contraceptive services including emergency contraception (the morning after pill), and counselling and advice for you and your partner if you are considering sterilisation or vasectomy. At the moment, we are not offering insertion of RUD (coils) but this may change in the future and we still carry out coil checks. Patients requiring coil insertions may approach one of the local family planning clinics. There is a list at reception.

Over 75's

If you are over 75 you may be offered a medical by our practice nurse and you will be referred to your doctor in the event of an abnormality being discovered that requires special advice. If you cannot get to the centre you may be visited by the district nurse and on occasions by your doctor.

Childrens Immunisations

We are very keen to ensure all children are immunised and there are very few reasons why children should not have this vital protection. You will be notified at appropriate times but if you should not here from us please contact reception. Please try to keep the appointment as it is risky to delay immunisation and only cancel if your child is unwell; don't worry about simple colds.

Child Health Surveillance

Examinations are carried out by the doctors in the practice, at 6-8 weeks for which you will be sent an appointment. (Checks at 7-9 months are carried out by the health visitors at Hornchurch Clinic).

 

Non-NHS/Private Services

The doctors carry out various medicals that are outside the remit of the NHS. These include pre-employ ment medicals, insurance medicals, elderly drivers medicals, PSV medicals and sports medicals - particularly sub-aqua medicals.

Please make an appointment through the reception but please explain clearly the nature of the medical so that adequate time can be given to you. Please note that all non-NHS work attracts a charge.

Private Physiotherapy

Private physiotherapy is carried out by our private physiotherapist, Mr. Thomas, in the physiotherapy room on the first floor on Monday and Wednesday afternoons and on Saturday mornings by appointment. Appointments can be made by telephoning the surgery number 01708 478800. Referral for NHS treatment must be initiated by your doctor.

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

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

 

It is important to make this initial appointment as early as possible  - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations.  These vaccines have to be ordered as they are not a stock vaccine.  Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because not all travel vaccinations are included in the services provided by the NHS.

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Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form and submit to the practice prior to making an appointment with the nurse.

Travel Questionnaire

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Travelling in Europe

If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday.  To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)

Sickness Certificates

You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.

Evidence that you are sick

If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).

It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.

You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

Statement of Fitness for Work - ’Fit Note'

The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.

For more information see the DirectGov website (where this information was sourced)

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