We provide a high quality service for asthmatic patients. As part of this process, our nurse-led clinic (Sister Sara Davison) has been developed. This involves medication review, patient education, ongoing advice and the monitoring of response to treatment. We recommend that patients with asthma or other chronic respiratory conditions should be reviewed at least annually. If your condition is less well controlled we may suggest more frequent review. Ask your doctor or practice nurse for details.
We offer a full range of Contraceptive services including injections, implants and coil fitting. If you are thinking of starting or changing your form of contraception please make an appointment with either Dr Atherton or Dr Boden to discuss your options. Please click here to see our information leaflet regarding coil and mirena fits.
Emergency Hormonal Contraception
All the doctors and our triage nurses are fully qualified to give advice on this method of emergency contraception (sometimes known as the 'morning after' pill) and to issue any appropriate prescriptions. As with any advice or treatment you receive here at the surgery, strict confidentiality will be upheld.
Cervical Smear Tests
Smears involve a simple quick test to check for changes that occur before cancer develops. These changes can be easily treated in an outpatient clinic. It is recommended that women aged between 25 and 64 years have regular smear tests - three yearly between the ages of 25-49 and every five years between the ages of 50-64. All eligible women will be sent a letter when their smear tests become due, but if you think you are due and have not been called, please let us know. Smear tests are carried out by our practice nurses, by appointment.
Child Health And Immunisation
A full programme of child health is undertaken at the surgery. The doctors and health visitor carry out regular development checks. Our practice nurses carry out the childhood immunisations.
For further information please contact your health visitor.
Diabetes is a condition which requires regular medical review, even when well-controlled or relatively mild. Therefore, our aim is to offer our patients who have diabetes a structured review at least twice a year. The practice nurses are happy to provide information and advice regarding our diabetic clinic or any other aspect of the condition.
Hypertension (High Blood Pressure) Clinic
Run by our healthcare assistant Sharon Sharp, this clinic is intended to monitor patients with high blood pressure, recalling them for regular checks on their blood pressure and imparting health and lifestyle advice to work towards reducing blood pressure.
Certain small minor operations can be performed at the surgery, including removal of cysts, skin lumps, warts and moles. Please see one of the doctors who will make the initial diagnosis and you will then be given a specific appointment for your operation. The NHS does not fund procedures carried out which do not meet Commissioning guidance, such as skin tags, or those for purely cosmetic reasons.
If you are planning to travel abroad you may need to be vaccinated against some of the diseases found overseas. We can offer vaccines within the British Schedule and also Hepatitis A, Typhoid and Cholera which are all free on the NHS. We are unable to offer private vaccines such as Rabies, Japanese Encephalitis and Tick-borne Encephalitis.
You can check what immunisations are advised by visiting www.fitfortravel.nhs.uk if you require vaccinations or travel advice book an appointment in our travel clinic or at a private travel clinic such as:
- Cheltenham Road Surgery travel clinic 01452 522 575
- Nomad travel clinic Bristol 01341 555061
Remember: Most vaccines need to be given a month or more before departure. Some vaccines need follow-up doses (boosters) to provide long-term protection.
Please Note: Vaccine shortages occur occasionally for a variety of reasons. We will endeavour to keep you up to date if this happens and assure you we make every effort to obtain stock and follow Government Guidelines.
Smoking Cessation Advice
Please enquire at reception if you wish to have any advice or support when trying to stop smoking. We can refer you onto the Smoking Cessation Service.
THINKING OF STARTING A FAMILY?
There are several things you need to know before trying for a baby.
- Immunity to Rubella (German Measles)
Rubella in pregnancy can cause serious problems in the unborn baby, such as deafness and heart defects. Have a blood test to ensure that you are immune to rubella. It is necessary to check your immunity even if you have had the vaccination.
- Cervical Smear Test
It is recommended to have a smear test at least every three years up to the age of 65. Please check that you are up to date.
Try and get to your correct weight, as you are otherwise more likely to have problems such as backache during pregnancy. It will also be easier to regain your figure afterwards.
Cut down on your alcohol intake before and during pregnancy for a healthier baby.
Give up smoking. Smokers have lighter babies and low birth weight babies have more problems.
- Folic Acid
Research has shown that increasing the amount of folic acid in the diet can help to prevent spina bifida (malformation of the spine). Folic acid is a vitamin that occurs in many foods. It is particularly high in Brussels sprouts and broccoli. Some foods like cereals have folic acid added to them. It is recommended that you take an extra 400 micrograms per day before you get pregnant and for the first three months of pregnancy. This dose is available as a tablet that you can buy over the counter.
Liver - Liver has a very high level of vitamin A. Too much vitamin A can lead to abnormalities in the baby. We therefore advise you to avoid liver during pregnancy.
Salmonella - Salmonella germs can cause serious illness, particularly in pregnant women.
Eggs may contain salmonella. Avoid eating raw eggs and cook your eggs thoroughly.
Listeria - This is a germ that causes severe flu-like illness. Pregnant women are particularly at risk. Listeria can be present in soft cheeses, pâtés, delicatessen meats and cook/chill meals. To avoid risk do not eat any cheeses like Camembert, Brie and blue vein cheeses. Follow the instructions on cook/chill food very carefully and make sure that it is heated through thoroughly.
Toxoplasmosis - can affect a pregnant woman and, in rare instances, can also affect her unborn child. It is usually unnoticed in the mother, but it can sometimes cause a mild flu-like illness. Where the infection is passed to the unborn baby it may cause a range of problems, some of them serious. The illness is caused by infection due to an organism called Toxoplasma gondii. This is found in raw meat and cat faeces. During pregnancy always wear gloves when gardening and when handling a soiled cat litter tray. Wash salad and vegetables carefully and cook all poultry and meat until the juices run clear.