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Advice for people at higher risk from coronavirus, including older people, people with health conditions and pregnant women.
Social distancing and changes to everyday life
Advice about avoiding close contact with other people (social distancing), looking after your wellbeing and using the NHS and other services during coronavirus.
GOV.UK: coronavirus – guidance and support
Government information and advice.
One in three of us will get cancer and it’s the toughest thing most of us will ever face. If you’ve been diagnosed with cancer, or a loved one has, you’ll want a team of people in your corner supporting you every step of the way. Macmillan provide practical, medical and financial support and push for better cancer care.
Marie Curie Cancer Care is a UK charity dedicated to the care of people with terminal cancer and other illnesses. Over the financial year 2010/11, we reached a total of 31,799 patients
Youthhealthtalk enables young people, their family and friends, and professionals such as doctors and teachers to understand young people's experiences of health, illness and life in general. The website feature real-life accounts of issues such as effect on work and education, social life and relationships, consulting health professionals and treatment.
The doctor or nurse will usually want to discuss the results of your tests at another appointment, which you will have to book. Sometimes, they may ask you to ring for the result, especially if the result is expected to be normal. It is very important to ensure that you have obtained your result as we do not routinely contact patients with abnormal results (contrary to popular belief) due to the workload and difficulties that this involves.
If the doctor/nurse has advised you to ring for your results, you may ring the surgery during normal opening hours from Monday to Friday. Please note you may still be requested to make an appointment to discuss your results.
Generally, only test results will be available if the test was requested by the surgery.
The practice offers the full range of family planning services, including emergency contraception such as the “morning after” pill, diaphragms, coils, pills, injectables, implants and advice regarding condoms and sterilisation. These appointments are scheduled in the usual way during normal surgery hours.
Please see a doctor for a first visit for the contraceptive pill or if you need to change your prescription. Routine follow up for coil checks, pill-prescribing and Depo-Provera is offered by the practice nurse. Please speak to the doctor or nurse if you are planning a pregnancy.
If you wish to discuss male or female sterilization please ask for a double appointment.
If you need emergency contraception please tell the receptionist who will arrange an urgent appointment. You will need to tell the receptionist what the appointment is for.
Appointments for smears can be made with the practice nurses. Smear appointments in normal surgery can also be made with the doctor.
These clinic are held on Wednesday and Thursday afternoons with the support of a podiatrist, Advanced Nurse Practitioner, Practice Nurse and a GP. All patients with diabetes receive an annual invitation to attend this clinic as well as seeing their own doctor in between times.
The Well Baby Clinic is hosted on Monday between 1.30pm and 3.30pm by the Health Visitors. Childhood immunisations are given by our Practice Nurses by appointment, according to the schedule of childhood vaccinations detailed below. The Health Visitors can be contacted on 0300 304 5076. The schedule for childhood examinations is as follows:
The practice provides ante-natal and post-natal care. Delivery on the midwife led Maternity Unit at the Calderdale Royal Hospital will be possible for some women. Ante-natal clinics are held on Tuesdays by appointment and are run by Community Midwives. Post-natal checks at six weeks are arranged with a GP in normal surgery time.
Some doctors in the practice carry out minor surgical procedures in the surgery in line with the NHS Contract. Patients must be seen by a doctor before arrangements are made. Please book an appointment with Dr Fareed Bhatti to discuss any potential procedures.
Drs Fareed Bhatti, Smith, Wyatt and Richardson provide joint injections. Please book an appointment with one of these GPs. Injections are not undertaken at this first appointment.
Influenza immunisations are offered to at-risk patients annually (late autumn). Patients of all ages with asthma, diabetes, heart disease or any chronic chest disease should consider an annual influenza vaccination. All patients over 65 years and patients who are pregnant are also advised to have influenza immunisation. There is no need to wait for an invitation. Pneumococcal vaccination is also offered to patients over 65 years. This vaccine is only required once and gives lifetime protection.
Abdominal Aortic Aneurysm screening
As part of the AAA screening programme for men over 65 we host the Aortic Aneurysm screening service.
For patients aged 16 to 75 years who have not attended within three years (or for over 75s, within one year) the practice offers an appropriate health check on request. Appointments for all health checks can be made with the practice nurses who are trained in health promotion and will concentrate on blood pressure, diet, weight, smoking, alcohol consumption, exercise, urine testing and blood tests for cholesterol where appropriate. Home visits can be arranged if it is necessary.
The doctor or nurse may need to examine you. In accordance with NHS Calderdale policy, a chaperone is available if required. Please ask if you would prefer a chaperone to be present during an examination.
Patients should access the specialist Yorkshire Smokefree service on 01422 262373.
Most services we offer at Brig Royd Surgery are provided under our contract with the NHS and are free.
Some services are not included in the NHS contract and we charge for these.
Most forms for insurance companies, private sick notes and private health claims forms are in this category.
Please read your forms carefully to check who is responsible for any charges.
Medical examinations which are not provided under the NHS also may attract a charge.
N.B. Payment may be made by cash or cheque only. The surgery does not accept card payments. Our scale of charges is at the foot of this page below Travel Vaccinations information.
All patients requiring travel advice must make an appointment with the practice nurse prior to travel. The nurse will advise you of the schedule of recommended vaccinations and the costs involved. Please book your first travel appointment at least 8 weeks prior to your departure.
We respectfully advise patients to read the follow information about travel vaccines in the NHS (presquipp 2019)
The NHS has reminded GPs to make sure that they follow the existing NHS Regulations around travel vaccines, as these are not always being followed. Some vaccines are available free on the NHS if they are needed for travel, but others are only available on the NHS for reasons other than travel. Patients will need to pay for the travel vaccines that are not available on the NHS. Patients should not be asked to pay for these vaccines for other reasons.
Aren’t all travel vaccines free on the NHS? Some travel vaccines are free on the NHS to reduce the risk of certain infections being brought back into the country and leading to wider spread. These currently include cholera, polio (mainly given as combined tetanusdiphtheria-polio vaccine), hepatitis A and typhoid.
Which vaccines are not available on the NHS just for the purposes of travel? The following vaccines may be recommended for travel, but are not available free on the NHS if they are only needed for the purposes of travel: • Hepatitis B • Rabies • BCG • Meningitis ACWY • Japanese encephalitis • Yellow fever • Tick-borne encephalitis
What does this mean for me if I am planning to travel? The vaccines listed above will need to be paid for if they are given only for travel. Although you may have had some of these vaccines free in the past, the NHS has asked GPs to make sure that they follow the existing NHS Regulations around travel vaccines in future.
What if I need one of these vaccines for reasons other than travel? There are many situations where the vaccines listed above are provided free on the NHS. • Some vaccines are given to certain age groups as part of the NHS vaccination schedule. For example the meningitis ACWY vaccine is given to teenagers and students. • Some vaccines, such as hepatitis B, are given to people with certain medical conditions, or to those who take part in high-risk activities. • Some vaccines are needed very quickly if you have contact with an infection. For example, you may need a rabies vaccination if you are bitten by a bat in the UK or by another animal overseas. When these vaccines are recommended by your doctor they should be provided free on the NHS. Vaccines that are required in the course of your work should normally be organised through your employer. If you are in any doubt about whether you need a vaccine you should consult your GP.
Where can I find more information and support?
• You can speak to your local pharmacist, GP or practice nurse
• NHS Choices provides advice about all vaccines (including travel) https://www.nhs.uk/chq/Pages/category.aspx?CategoryID=67
• The Patients Association can also offer support and advice: https://www.patients-association.org.uk/ or call 020 8423 8999
Find out more about the medicines that are being stopped or reduced: https://www.england.nhs.uk/medicines/items-which-should-not-be-routinelyprescribed/
SCALE OF CHARGES FOR NON-NHS SERVICES
Drivers medical – HGV, PSV £100.00
Drivers medical - HGV, PSV (without eye test) £85.00
SEE LATEST NEWS FOR MORE INFO RE HGV MEDICALS
Motor racing, Go Karting, Scuba Diving £90.00
Full Medical & Report £150.00
Blood Testing (Lab fees extra) £30.00
Private medical insurance claim verification £40.00
Holiday cancellation report £40.00
Accident Insurance £40.00
Camp America questionnaires (payable in advance
and 20 minute GP appointment required) £35.00
All other reports £40.00
Private sick note £30.00
Passport application £40.00
Driving Licence application £40.00
Fitness to travel certificate £40.00
Vaccination certificate £30.00
Certificates without examination e.g. sickness £30.00
Dependent on complexity.
Annual Reviews /Chronic Disease Management
The management of patients with Chronic Diseases involves GPs, Advanced Nurse Practitioner, Practice Nurses and Healthcare Assistants.
If you are diagnosed with any of the following conditions,you are offered a structured review annually by appointment (usually with a practice nurse – unless arranged otherwise with your GP). You will need to make this routine appointment with reception:
Ischaemic (coronary) heart disease eg. angina, or post heart attack.
Hypertension (raised blood pressure)
Peripheral vascular (arterial) disease
Stroke or TIA
Chronic Kidney Disease (CKD)
We have made some changes:
1. Your review will be carried out by the Advanced Nurse Practitioner or Practice Nurse, followed by blood testing on the same visit ( if indicated).
2. You may not need to have blood testing every year e.g. lipids (cholesterol)*
3. All relevant reviews (e.g. asthma and hypertension) will be carried out at the same visit.
4. Abnormal blood results (only) will be communicated to you, preferably by text. You are welcome to telephone us for results if you wish, in addition.
Why have we made these changes?
1. To reduce unnecessary visits to surgery for you (and us)
2. To reduce unnecessary blood testing (for you and the NHS)
3. To ensure our practice meets with current clinical guidelines
4. To ensure a clear review date is in place for yourselves and us
If you are Diabetic –you will be invited to Diabetes clinic in the usual way by post. The Nurse will carry out any other relevant reviews at this appointment eg. COPD.
*Note: why have we reduced some blood testing ?
In some stable chronic disease e.g. hypertension, peripheral artery disease (but not if you already have a diagnosis of heart disease or stroke), we are interested in looking at future cardio-vascular disease risk for prevention purposes. We use a computerised tool called QRISK. This looks at several parameters including, age, sex, blood pressure, Body Mass Index, cholesterol readings, family history etc. The result indicates the percentage risk of developing a vascular problem such as heart attack or stroke over the next 10 ears.
This is more useful than looking at e.g. a cholesterol result in isolation. Year on year, QRISK results do not alter dramatically. Therefore, checking cholesterol annually may be excessive and not needed. NICE asks us to advise you when your QRISK result is equal or higher than 10%, so that we can offer statin treatment. We also screen for diabetes in vascular at risk patients every 2 years. Some drug treatments eg. Ramipril (ACE Inhibitor) or Indapamide, Bendroflumethazide (diuretic) require monitoring of kidney function every year. We will tailor your annual review plan to your own requirements. Respiratory conditions do not require blood testing.
The doctors and nurses.
Brig Royd Surgery.
If you are unsure about your need for vaccination please ring and speak to our Practice Nurses.
Clinics to give children aged 2 and 3 protection against flu via nasal spray are also available with the Practice Nurses on a bookable basis.
Services available from Gateway To Care
Obtaining a walking stick
Reablement (physio and OT)
Organising home care
Finding out about day centres
Frozen Meals service
Services for carers
Careline community alarm service
Please ring 0845 111 1103
or go to www.calderdale.gov.uk/socialcare/wellbeing-hub
High Blood Pressure
Home BP diary
Calculating your average BP readings
Dash Diet for reducing blood pressure (Note the American cup system of measurement 1 cup = 225mls of fluid or 200g of solids)
Starting statins? Things you need to know
Calculating your heart age
Working out what effect lowering blood pressure, starting stains and lifestyle changes will have on your risk
AF NOAC medication leaflet
Benefits of anticoagulation quantified
How best to use your inhaler
Home blood glucose monitoring diary
Type 1 Diabetes sick rules
Type 2 Diabetes Sick day Rules
Steroid medication and diabetes
Diabetes and driving
Diabetic foot advice sheet
Pelvic floor exercises
Menopause matters - a useful website
Re-training the overactive bladder
Pros and cons of breast screening
Symptoms and signs of breast cancer
Contraceptive choices IUS e.g. Mirena coilIUD 'The coil'The implantThe combined pillThe progesterone only pillDepo injectionsThe contraceptive patchThe contraceptive ringSterilisationEmergency contraception
Home physio information leaflets - Click on coloured buttons on cartoon skeleton to access relevant leaflets
Home Physio leaflets for Hip, Knee, Shoulder, Neck Pain and Back Pain
Anxiety self help booklet
Depression self help booklet
The FODMAP diet
Bowel cancer screening - instruction for faeces sampling
How to recognise this life threatening condition
Checking your moles
Medications in pregnancy
Managing D&V in adults
Managing diarrhoea and vomiting in children
Over The Counter drugs changes from 2018
Guide to which drugs are being reviewed by the NHS
Local CCG guidance for GP prescribing
Very useful leaflets from the dying matters website
'Just in Case' medicines
Urgent care in children
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