Clinics

The practice provides essential services including the management of registered patients and temporary residents who are ill, or perceive themselves to be ill, and the management of chronic diseases and terminally ill patients. Other service provisions are:

- Cervical screening (smear taking)

- Child health surveillance

- Contraceptive services including fitting coils

- Maternity medical services

- Minor surgery

- Vaccinations and immunisations

The practice is a member of the local Quality Improvement Programme. In order to improve the delivery of our services we are closed for training and development on the second Wednesday of every month from 1.00 to 6.30pm. Arrangements have been made to provide an emergency service with the local GP Emergency Centre based at Scunthorpe Hospital. Patients can access this service by telephoning 290444 during these times.

We are a designated yellow fever centre, approved by the National Travel Health Network. To access this service book an appointment with the practice nurse.

Occupational Health

We are responsible for the routine medical care, including full medical examination, immunisation, audiograms etc, of several local companies' personnel. For further enquiries please contact the practice manager.

Periodic Health Checks

Senior Patients - If you are over 75 years of age and have not seen a health professional in the last year, you may request an appointment to attend for a basic health check with a health professional.

All Patients - If you have not seen a health professional in the last three years you may request an appointment to attend for a basic health check with a health professional.

Please let us know if you cannot keep an appointment!

Non-NHS Medical Examinations And Fees

Insurance medicals, employment medicals, private medicals, HGV and PSV medicals, fitness to drive medicals, private notes for employment, completion of private health insurance forms and certain other similar services are not covered by the NHS. We do, therefore, have to charge a fee for those services and base these fees on British Medical Association guidelines where available. Details are available from the receptionist and are displayed on the notice board in the waiting room. The practice is VAT registered and for some private work VAT will be changed. Please ask at reception for details.

Chaperone

If at any time you would prefer a consultation or examination in the company of a chaperone please feel free to ask your GP to arrange this.

Carers

Carers are people of all ages looking after relatives or friends who cannot manage at home without help. We recognise that this can place a great deal of pressure on carers and that they may need support. There are organisations that provide support for carers. Please let the receptionist know if you are a main carer for a relative or friend and he/she will be happy to give you details to access these facilities.

Clinics (Chronic Conditions)

The practice has clinics for the joint management of patients with chronic diseases. The clinics are mainly nurse-led and are intended to provide care for those with respiratory problems, coronary heart disease and diabetes.

The following clinics are provided normally on a weekly basis

Maternity Care

This is carried out jointly by the doctors with the midwives. Antenatal care is undertaken by the midwifery team from their centre at Ashby Turn and they will contact the patient to arrange appointments. To see a doctor for maternity problems please book an appointment during morning surgery with the health care assistant and a doctor. Postnatals are carried out by the doctor at the same time as the baby check and first immunisations. Postnatal clinics are held on Tuesday and Wednesday afternoons 2.00 to 2.30pm. An appointment will be sent to you.

Family Planning Clinic

Mondays 5.00 - 6.30pm or at certain other times by appointment with the practice nurse.

Doctors will offer advice by appointment, and at other times by appointment with the practice nurse doctors will offer advice by appointment in general surgery regarding methods of contraception (including coils). Information leaflets are available on request from the nurses or doctors. We also offer confidential advice on safer sex. We are part of the CHOICES programme, which is an additional confidential contraceptive service for under 25s.

Minor Operations

Doctors undertake the removal of cysts, polyps, moles etc.
IUCDs (contraceptive coils) and Implanon fittings and removals are carried out by the doctors. Please make an appointment to see the practice nurse for counselling and the doctor for fitting or removal.

Incubation And Exclusion Periods Of Some Infectious Diseases

DISEASE	INCUBATION PERIOD (DAYS)	TIME WHEN PATIENT IS INFECTIOUS	EXCLUSION FROM SCHOOL	COMMENTS
Chickenpox	14-21	From about 2-3 days before to not more than 5 days after last crop of spots	While child is unwell
Cold Sores (Herpes)		On direct contact whilst lesions moist	None	They tend to heal and recur (personal hygiene is important)
Conjunctivitis	1-3	Whilst infection is active	Until 48 hours of infection is completed	Infectious for those in direct contact
Fifth Disease (Slapped Cheek Disease)	7-28	Not known	While unwell	Rash may be prolonged
German Measles (Rubella)	14-21 but usually 16-18	One week before to about 4 days after onset of rash	Seven days after onset of rash	All young women with children should be checked
Glandular Fever	14-40	Not known	While unwell
Hand, Foot and Mouth Disease	3-5	During acute stage	While unwell	Hygiene is important. May be excreted in stools for several weeks
Impetigo		Very infectious until treated	Until 48 hours of treatment completed
Infective Diarrhoea	Variable	During acute stage and for a variable time afterwards	Usually until symptom free	Good personal hygiene is essential
Lice (Head or Body)		Whilst harbouring lice until treated	None	Check children’s hair but adults may be the source
Measles	10-15	Few days before to 8-10 days after onset of rash	About 7 days from onset of rash	All children should be immunised
Meningitis	Depends on type	Whilst organism is present in the nose	Until recovered, usually in hospital	Treatment may be advised for close family
Mumps	14-21days	Mainly 2 days before onset of illness, but until 8-10 days after swelling subsides	Until swelling has subsided
Ringworm		Until lesions have resolved	Until at least 24 hours of treatment completed	Personal hygiene is important
Scabies	Variable - may be several weeks	Until mites and eggs are destroyed	24 hours after treatment	Skin itch may persist for some time after treatment
Threadworms		While worms live in the intestine. Treatment is rapid and effective	Not warranted	Strict attention to hygiene is necessary
Warts/Verrucae		None	Normal activities should continue	It is advisable to cover verrucae with an appropriate dressing or footwear and cover warts with occlusive dressing
Whooping Cough	7-10	Mainly in early catarrhal stage but until 3-4 weeks after onset of paroxysmal cough. This may be shortened to 7 days if treated with antibiotics	If treated with antibiotics may return after 7 days if well enough	New children should not be admitted to school during epidemic unless immunised

CLINICS

Services

Occupational Health

Periodic Health Checks