Clinics & Services

Nurse Services

All nurses do the following:

• Health check
• Spirometry
• Dressings
• Blood Pressure
• ECG
• Various immunisations
• Swabs
• Blood tests
• Ear irrigation (after seeing doctor first)
• Vitamin B12 injections
• Depo contraception
• Emergency contraception
• Childhood Immunisations – click here for the recommended schedule
• Coil Check/Removal
• Cervical smears
• Asthma
• COPD
• Diabetes
• Travel Clinic - Please visit our travel vaccinations page above for more information.

Clinics

Baby Vaccinations Clinic

Tuesday 13:30 – 14:30

Child Health Clinics for Under 5s (Health Visitors)

Medical and behaviour problems in under 5’s - please ring the Health Visitor for an appointment at the Clinic.

Wednesdays & Thursdays

Childhood Developmental Assessments

At 6 weeks (GP)

8 months (Health Visitors)

You will be called for these then optional developmental assessment at 2 years

Long-Term Condition Reviews

Our Practice Nurses Louise, Jackie and Linda are experienced in dealing with the conditions listed below. You have the choice of seeing them (minimum 20 minutes) or a GP (10 minutes) if you feel you need a check-up.

People with diabetes, angina, stroke or artery problems will be called by letter once a year. Please make sure you have your blood test a week or so before the appointment.

Young People's Health

We offer a confidential service to all of our patients, including those under 16. This means that (apart from exceptional circumstances) anything you tell us, or advice we give you, will not be discussed with anyone else without your permission.

The only reason we may have to consider passing on confidential information would be to protect you or someone else from serious harm. We would always try to discuss this with you first.

We are open from 08:00 – 18:30 Monday to Friday

To make an appointment phone or drop in to the surgery.

When We Are Closed

If you need to see a doctor urgently and the surgery is closed call NHS111. If you are not sure if you need to see a doctor or would like some health information ring the practice nurse on 01494 782241 when we are open or NHS 111 24 hours a day.

You can discuss any health problem with any doctor. We are also available to discuss:

• Travel
• Asthma
• Contraception

Contact reception for an appointment.

Help With Health

Spots, weight, sex, bullying, alcohol, relationships, smoking, drugs, periods, contraception, family, exercise, condoms and anything else!

Contraception

Our doctors and nurses are trained to help you with different types of contraception.

All contraceptives are free.

You do not have to be over 16 to discuss contraception or emergency.

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.

Private Vaccinations: 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. For example, HepatitisB and Yellow Fever. Also there will be a charge for anti malrial drugs. Please bring some form of payment with you, just in case.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

Travel Questionnaire

Travelling in Europe

If you are travelling to Europe the EU has published useful information for travellers on the European website.

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

• Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
• Insurance claim forms
• Passport signing
• Prescriptions for taking medication abroad
• Private sick notes
• Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability. 

IT/ELECTRONIC PATIENT RECORDS

Did you know that Water Meadow Surgery provide/offer the following IT developments:-

On line appointment booking: This provides the ability for patients to book appointments online.

On line booking of repeat prescriptions: This provides the ability for patients to request repeat medications online.

Patient Access to records: This provides patients with access to their medical record online. At the moment this is only access to medications, allergies and adverse reactions and coded information.

Please visit http://www.england.nhs.uk/ourwork/pe/patient-online/po-public/ for more information

Before you can do any of these, we need to issue you with a PIN code and Access ID. To obtain these, please ask at reception next time you visit the surgery - we cannot issue these over the phone or by post.

You can complete this form and bring it along with two pieces of ID; one of these must be a photo ID e.g. passport or driving licence, the other must be something confirming your home address e.g. utility bill.

Online Access application form

Please also take the time to read a short information leaflet about the service here; Online Access information leaflet

Summary Care Record: Summary Care Records provide healthcare staff with faster, easier access to reliable information about you to help with your treatment; especially in an emergency. Visit http://systems.hscic.gov.uk/scr for more information.

GP2GP transfers: GP2GP enables us to transfer the Electronic Health Record (EHR) of a patient securely and directly to a new practice when the patient registers at that practice. The EHR should be available at the new practice within 24 hours of the patient registering - but will normally be a lot quicker than this. Visit http://systems.hscic.gov.uk/gp2gp for more information

Referral Management – We use NHS numbers on all clinical communications to protect your

Sexual Health Bucks website : www.sexualhealthbucks.nhs.uk

There is also a new postal chlamydia website to order online chlamydia testing kits which replaces more than a hug: https://www.tht.org.uk/sexual-health/Young-people/Young-and-Free.

Terrence Higgins Trust is the main organisation who will be providing the opportunistic chlamydia screening programme for all 15 to 24 year olds.

Buckinghamshire County Council has commissioned the specialist sexual health services for both GUM and contraception – now known as bSHaW (Bucks Sexual Health and Wellbeing). 

Service providers and clinic opening times have changed and there is now one single point of access via a central telephone number: 0300 303 2880.

Both men and women need to look after their sexual health and take time to understand the issues that surround contraception and sexually transmitted infections (STIs). For instance there are some STIs, like chlamydia, that you could be carrying without having any symptoms. This infection can affect fertility, so it's important to make use of the sexual health services available for free on the NHS.

Useful Resources: http://www.nhs.uk/Livewell/Sexandyoungpeople/Pages/Sex-and-young-people-hub.aspx

A comprehensive guide to the questions you may have about sex from the NHS http://www.nhs.uk/Livewell/STIs/Pages/STIs-hub.aspx 

Sexually Transmitted Infections - Issues, symptoms and treatments http://www.nhs.uk/Livewell/STIs/Pages/ExpertAnswers.aspx

Sexual Health FAQs - Expert answers from a qualified Doctor http://www.fpa.org.uk/

Here you'll find tips for a fulfilling sex life plus advice on STDs, contraception and common sex problems. http://www.fpa.org.uk/

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