Everyone must stay at home to help stop the spread of coronavirus.
You should only leave the house for 1 of 4 reasons:
Important - These 4 reasons are exceptions – even when doing these activities, you should be minimising time spent outside of the home and ensuring you are 2 metres apart from anyone outside of your household.
There is separate advice about:
Do not leave your home if you have either:
To protect others, do not go to places like a GP surgery, pharmacy or hospital. Stay at home.
Use the 111 online coronavirus service to find out what to do.
Only call 111 if you cannot get help online.
Read general information such as:
Studholme Medical Centre50 Church RoadAshfordMiddlesex, TW15 2TUTel: 01784 420 700
Family Planning & Sexual Health
We run a weekly coil clinic and contraceptive implants clinic. Please call reception to book a coil fit, removal and/or a fit and removal, implant fit or implant removal.
Community Sexual Health services are run by CNWL. Please click here for clinic details:CNWL clinics
Cervical Smear Tests
Our nurses perform the majority of routine smear tests. The Health Authority runs a recall system.
Our Doctors offer pre-conception counselling, ante-natal and post-natal care in conjunction with local midwives.
Please advise the receptionist when you book an appointment for a routine child health check and ensure you have seen the health visitors in the preceding week in order to have your child weighed and measured. The health visitors at Ashford Clinic also offer practical support where needed for families with children.
Routine children’s immunisations are carried out in our dedicated clinics. Routine adult immunisations are by appointment with our nurses. We offer a full range of travel vaccinations. (see above tab for more information). For information about children’s immunisations click here.
MMR catch-up for children aged 10yrs to 16yrs please CLICK HERE for further information. If you would like your child to be vaccinated please make an appointment with our Practice Nurse.
Stop Smoking Service
Studholme do not currently run a Smoking Cessation Clinic, if you would like help to stop smoking please click on the NHS document attached for your information.
STOP SMOKING SERVICE.doc
Blood tests, X rays and ECGs are routinely carried out at Ashford and St Peter’s Hospital.
The practice runs regular diabetic clinics to provide routine check-ups for diabetic patients either attending the surgery alone, or in a ‘shared care’ program with our local hospitals.
Asthma and Chronic Obstructive Pulmonary Disease (COPD) Monitoring
Our nurses offer reviews for asthmatic and COPD (emphysema and chronic bronchitis) patients and help with inhaled treatments. We also offer a spirometry service.
Minor Surgery and Joint Injections
We offer a NHS minor surgery service at the practice including joint injections. Please see a GP in order to arrange this. We do not provide cosmetic surgery.
Minor Illness Clinic
Patients over the age of 5 with one of the following conditions can be seen by our minor illness nurse:
Athletes foot, asthma problems, animal bites, boils, cold sores, conjunctivitis, constipation, coughs, colds, ‘flu symptoms, contraception issues (including emergency contraception), diarrhoea, diabetic problems, ear ache, hayfever, headlice, in-growing toenails, nosebleeds, sinusitis, scabies, sore throat, sunburn, thrush (candida), threadworms, urine infections in women (cystitis), verrucas and warts, vaginal discharge and bleeding, vomiting.
We run phlebotomy clinics (taking of blood samples) during the following times:
Tues :- 08.15 - 10.05
Wed :- 08.15 - 08.50
Fri :- 08.40 - 10.35
Sat :- 08.15 -10.45
Smokers are encouraged to contact the NHS smoking helpline on: 0800 169 0 169.
For alcohol related problems, there is a local community alcohol team at Ashford Hospital telephone 01784 884488
NHS Patient Health Checks for 40 – 74 year olds are available. Please call reception to make an appointment or speak to your GP.
The NHS Health Check is a sophisticated check of your heart health. Aimed at adults in England aged 40 to 74, it checks your vascular or circulatory health and works out your risk of developing some of the most disabling – but preventable – illnesses.
Think of your NHS Health Check as being your "midlife MOT". It checks that some of your body's most important systems are all running smoothly. Among other things, your blood pressure, cholesterol, and BMI will all be checked and your results given to you.
Crucially, your NHS Health Check can detect potential problems before they do real damage. Everyone is at risk of developing heart disease, stroke, type 2 diabetes, kidney disease and some forms of dementia. The good news is that these conditions can often be prevented.
Your NHS Health Check will assess your risk of developing these health problems and give you personalised advice on how to reduce it.
It's free of charge, including any follow-up tests or appointments.
Thousands of people have already had an NHS Health Check. They are now armed with information and support to reduce their risk of developing heart and vascular problems. Why not join them?
Together, the vascular conditions identified by the NHS Health Check are the biggest cause of preventable deaths in the UK, affecting more than 4 million people.
Every year, the NHS Health Check is expected to help:
If you want to avoid being a statistic, it's worth making an appointment for an NHS Health Check as soon as you get your invitation.
Find out more about why you should have an NHS Health Check.
You'll be invited for an NHS Health Check every five years if you are between 40 and 74 years old, as long as you don't have an existing vascular condition.
You'll usually get your NHS Health Check at a GP practice or local pharmacy, but it could happen at other convenient places in your neighbourhood, depending on where you live. Find out more about ways to get the NHS Health Check.
Even if you don't qualify yet for an NHS Health Check, there are plenty of other ways to build up a picture of your health.
Start by taking the online heart age test now to see how healthy your heart is.
At the check, you'll be asked some questions about your lifestyle and family medical history. You'll also have some routine tests. From these, your healthcare professional will be able to give you an idea of your risk of heart disease, stroke, kidney disease and type 2 diabetes. As well as a breakdown of your results, you'll get an overall score giving your risk of getting heart disease or stroke. If you're over 65, you will also be told the signs and symptoms of dementia, and you'll be made aware of memory services nearby.
After your results have been explained, you’ll be offered personalised advice and support to help stay healthy, and lower your risk if any of your results need improving. This advice could include suggestions on small changes to your diet or how much exercise you should take if your risk is low or moderate.
If you are at higher risk, your healthcare professional might want to discuss whether you should be taking medicines to control your blood pressure or cholesterol, along with help to take action such as losing weight, becoming more active or stopping smoking.
By having a routine NHS Health Check for these conditions every five years, you can take action early and greatly improve your chance of a longer, healthier and happier life. You may be surprised how some small, long-lasting changes to your lifestyle can make a huge difference.
Once you've had your NHS Health Check, you'll have a good idea of what your risk is of developing heart disease, stroke, type 2 diabetes, kidney disease and certain types of dementia. There are some risk factors for these diseases that can't be changed; for example, your risk increases with age. But there's a lot you can do to reduce your risk. You can:
Your NHS Health Check will give you information and support to help you reach your health goals and enjoy a better quality of life. By acting to reduce your risk, you'll have more chance of dodging the debilitating and potentially disabling effects of illnesses such as type 2 diabetes and stroke.
For more details, read FAQs about the NHS Health Check.
OVERSEAS TRAVEL GUIDANCE FOR PATIENTS
If you are planning on travelling outside the UK, then ideally you should start preparing for your trip at least 8 weeks before you go. But even if time is short, it’s never too late to get travel health advice.
You can get advice on travel vaccinations, malaria prevention and general travel health advice from community pharmacies, your GP practice and private travel clinics.
The following websites also provide up to date, reliable, health information to help you plan your trip:
NHS Choices: https://www.nhs.uk/Livewell/travelhealth
Fit for Travel: http://www.fitfortravel.nhs.uk
Will my GP be able to prescribe anti-malarial tablets for me? Medicines for malaria prevention are not available on the NHS.
Some anti-malaria tablets (chloroquine and proguanil) can be purchased over the counter from a community pharmacy. If a prescription only medicine is required, a GP, certain pharmacies or a travel clinic will be able to provide you with a private prescription.
Can I go to my GP practice for travel vaccinations? Yes, although not all vaccines are available on the NHS.
The first thing to do is to contact your GP practice so that a GP or nurse can check your notes to make sure you are up to date with routine vaccinations and advise of any requirements for the country you are travelling to.
Try to make sure you do this at least 8 weeks before you travel as some vaccines need to be given well in advance to ensure you are protected.
The following vaccines are funded by the NHS:
Diphtheria, polio and tetanus (combined booster) Hepatitis A
Cholera (depending on certain criteria that will be assessed by a healthcare professional at the clinic/GP surgery)
Will I have to pay for these travel vaccines?
The practice may give you an NHS prescription for these vaccines to be dispensed at a community pharmacy.
If you usually pay for your prescriptions, then the standard NHS prescription charge will apply.
What if I need other vaccines which aren’t available on the NHS?
If you need any other vaccinations you may still be able to get these done, privately, at your GP practice. If not, they will signpost you to a private travel clinic.
As these are not funded by the NHS there will be additional charges. These can include; a charge for writing a private prescription, the cost of the vaccine, administering the vaccine and, if applicable, any follow up blood tests and certification needed.
JUST IN CASE’ MEDICATIONS:
Will my GP prescribe me ‘just in case’ medicines such as antibiotics or oral rehydration sachets?
A GP will only prescribe for your current clinical needs. Therefore ‘just in case’ medicines are not available on the NHS.
If your GP feels they are appropriate they may offer to provide you with a private prescription.
It’s a good idea to prepare a first aid kit when travelling abroad and your community Pharmacist will be able to give you advice on products that can be purchased over the counter, such as oral rehydration sachets, anti-diarrhoeal medicines, antiseptics etc.
FEAR OF FLYING:
Prescribing of diazepam for fear of flying will not be provided on NHS prescriptions.
Such prescriptions may be obtained from a private GP service.
The following websites provide information to help with a fear of flying:
Fit For Travel: https://www.fitfortravel.nhs.uk/advice/general-travel-health-advice/air-travel#FearofFlying
o Fear of flying is common despite flying being safer than road or rail travel in most developed countries.
o Try distraction by talking with other passengers, watching a film, listening to music or reading.
o Tell the cabin crew. Reassurance about routine aircraft sounds and in flight activities can help.
o Research shows that Cognitive Behaviour Therapy (CBT) can be helpful for more severe cases. The person identifies what they actually fear and then learns different ways of overcoming it.
o A number of airlines run courses aimed at alleviating travelers fears, such as:
Sussex Travel Clinic: https://sussextravelclinic.com/other-services/fear-flying/
If you have a fear of flying why not try the highly successful ‘Freedom to Fly’ course – a specialist cognitive behaviour therapy (CBT) based treatment programme for fear of flying, developed by Elaine Iljon Foreman’.
Clinical considerations (for prescribing on a private prescription):
NICE: Benzodiazepines (e.g. diazepam) are associated with a less good outcome in the long term and should not be prescribed for the treatment of individuals with panic disorder.
Sedative-hypnotics (e.g. diazepam) should not be combined with alcohol (which is commonly consumed by nervous flyers) because there is a risk of excessive sedation and respiratory suppression.
Sedative-hypnotics (e.g. diazepam) should not be taken by individuals who may be called upon to make important decisions (e.g. parents responsible for the care of young children or in case of an in-flight emergency) because they can cause excess sedation and impair decision-making.
Benzodiazepines (e.g. diazepam) may cause drowsiness, impair concentration and impair decision making which may impair a person’s ability to drive when they reach their destination.
The risk of adverse effects is increased in older adults, especially
those who are older than 75 years
POSTPONEMENT OF MENSRUATION:
Prescribing of medication in order to postpone menstruation for e.g. a holiday or event will not be provided on NHS prescriptions.
If a GP deems a prescription to be clinically appropriate it can be provided on a private prescription.
Some community pharmacies (via their online services) and some travel clinics offer this treatment.
Medication (e.g. melatonin) used for jet lag would be classified as a medicine used for travel and in anticipation of an ailment. GPs should therefore not provide a NHS prescription. Private prescriptions may be written for this purpose if deemed clinically appropriate by the GP.
REGULAR MEDICATIONS for existing long term conditions:
Can my GP prescribe extra medicines to cover my time away?
If you are travelling abroad for up to 3 months then your GP may supply you with a prescription to cover this period.
If you are going to be out of the country for longer than this your GP may supply you with sufficient medication to get you to your destination country. Once you reach your destination you will need to register for medical services there to make arrangements for ongoing supplies of your medicines.
Will I be allowed to take my medications into the country I am visiting?
Different countries have different rules and regulations for medicines - including those you can buy over the counter in the UK.
There may be restrictions on the types of medicines and/or the quantities that you are allowed to travel with. To make sure you don’t break any laws you should contact the Embassy for the country you are travelling to.
As a general rule you should always carry medicines in their original packaging, correctly labelled and with a copy of your repeat prescription.
Some countries may require that you carry a letter from your GP stating the reason you are taking your medicines, dosages etc. If so, you should speak to your GP surgery in good time to allow them to write the letter. There may be a charge for this.
Are there any special requirements for controlled drugs?
The rules for controlled drugs depend on the country you are travelling to and the airline you are flying with (if applicable). It is advisable to check directly with your destination Embassy and airline to check their exact requirements.
Anyone taking controlled drugs into/out of the UK also needs to conform to Home Office import/export regulations.
If you are travelling for less than 3 months you will not require a special licence. However, the Home Office advises that you obtain a letter from your GP or drug worker, which should confirm name, travel itinerary, names of prescribed controlled drugs, dosages and total amounts of each to be carried.
If you are travelling for more than 3 months it is expected that you will register for medical services in your destination country to continue to obtain your medicines. To take more than 3 months’ worth of controlled drugs out of the UK you will need to obtain a Personal Licence from the Home Office. The application form can be found online and needs to be submitted with a letter from your GP/drug worker at least 10 days prior to travel.
Other countries may also have import regulations so it is important to check this when you contact the Embassy.
Will I be allowed to take needles/syringes in my hand luggage when I fly?
Yes. You will need to take the items in the original, correctly labelled, packaging along with a copy of your prescription. In addition they may require you to carry a letter from your GP. It’s a good idea to contact the airline you are flying with to check their exact requirements.
Will the 100ml liquid restrictions apply to medicines I need to carry in my hand luggage?
Essential medication required during air travel may be exempt from the maximum 100ml liquid restriction but this requires a letter and prior approval from the airport and airline. You should contact the airline in advance to make arrangements for this.
PREVENTION OF DEEP VEIN THROMBOSIS:
If you think you may be at risk of developing deep vein thrombosis (DVT), seek advice from your GP.
Can I get compression stockings on the NHS?
Compression stockings are not available on the NHS for preventing travel related DVT. If, after discussion with a GP or Nurse you choose to do so, these can be purchased over the counter at a community pharmacy.
TRAVEL INSURANCE & EUROPEAN HEALTH INSURANCE CARDS (EHIC):
Comprehensive travel insurance is essential for all travellers and you should ensure that this provides adequate cover for your current health needs and any planned activities.
What is an EHIC card and how do I get one?
If you are travelling to a country in the European Economic Area (EEA) or Switzerland, you may be entitled to free, or reduced cost, medical treatment equivalent to the state provided healthcare of that country. To access this you will need a European Health Insurance Card (EHIC). Applications are free and can be made online at http://www.ehic.org.uk or by telephone on 0300 330 1350.
If you should require a private travel vaccine, (this includes Yellow Fever, Rabies, Japanese Encephalitis), then these are not available on the NHS. Please talk to you local pharmacist who may be able to help or you can google "private travel vaccines"
Should you require further information about the countries you are travelling to, you will find this on the website listed below:
Visiting a malaria area? You can find general advice and information from the following website:
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
We do not provide aviation licence medicals. However you may wish to refer to following links for information although these services are not endorsed by the Practice you may find them helpful:
Cancellation charge agreement form :DNA Policy for Private appts.pdf
Requests for private referrals are mostly precipitated by the need or wish of the patient/s to be seen by a consultant earlier than what the NHS can provide. There are may be cases when patient’s private insurance cover is not sufficient for long term care or if patient is unable to continue to pay for private visits. Patients in this cases, can go back to their GP to request for an NHS referral to continue their treatment.
When requesting for Private Referrals, the patient needs to book an appointment with their GP to discuss the request and provide the following information please:
Condition for which this private referral is requested for
Name of the Consultant and speciality
Name of the Hospital / Private Clinic including address
Any information regarding the date and time of their appointment if known.
Patient must state that they are privately insured ( name of the health insurance company )
If not Privately Insured , to note that Patient is Fee –Paying
Private Referral Letter/s will be released to the patient ( Sent by post to your registered address) after 3 working days.
There is no fee for Private Referral Letters.
The patient should arrange their appointment with the private consultant this cannot be done by the Practice. Once a private appointment is arranged, should the patient fail to attend they must re-arranged their own private appointment. The practice cannot follow up private appointments on your behalf.
NHS Treatment for Overseas Visitors
The criteria for treatment of patients using the services of the UK National Health Service (NHS) for overseas visitors at the Studholme Medical Centre are as follows:
EMERGENCY or IMMEDIATELY NECESSARY TREATMENT
Treatment by a Doctor will be free of charge providing the following conditions are met:
Treatment by a Doctor will be chargeable in the following circumstances:
Consultation with a Doctor in the Surgery up to 10 minutes
Consultation with a Doctor in the surgery over 10 minutes
Consultation with a Nurse in the surgery (15mins)
Fee for private prescription
Other clinical services and vaccines available
Prices on request
Hepatitis B is an infectious disease caused by the hepatitis B virus (HBV). It is transmitted through blood and other body fluids and can result in an acute or chronic infection of the liver which can cause serious illness and premature death.
Hepatitis B is transmitted through exposure to infected blood or body fluids. Transmission mostly occurs:
Hepatitis B is vaccine preventable. There are different immunisation schedules depending on the vaccine product used and how quickly protection is needed for pre and post exposure. Information about the schedules can be found in The Green Book chapter 18.1
Hepatitis B vaccine is given:
Please see the following data sheet for more information:
Patient information sheet
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