If travel very complex alternative Saturday morning clinics at Lavender Grove York - 01904 784484
Introduction
In addition to normal surgeries, we offer an extensive range of special clinics and services.
New Patient Screening
When you register with the practice you will be asked to complete a short questionnaire and to undergo a screening medical with one of our nurses. This will provide us with background information, and details of your past medical history.
From April 2004 patients are no longer registered with a particular GP but with the Practice, however, when making an appointment you can specify which GP you wish to see and we will try and accommodate you if at all possible, however, this may mean your appointment will be outside the 48 hour period.
Minor Surgery
Several of our doctors undertake minor surgical procedures, such as joint injections, removal of lumps and bumps. Some of these proceedures are currently undertaken at Selby War Memorial Hospital.
These need to be arranged with the GPs, who will only perform procedures they feel are suitable. More complicated problems may be referred to Specialists for treatment.
Ante-Natal Care
Ante-Natal care is now led by our team of Midwives, who work in close co-operation with the GPs.
We advise women to try to see one of the midwives at around 8-10 weeks of pregnancy, for initial advice. We advise all women who are trying to conceive, and until they are 12 weeks pregnant, to take Folic Acid 400 microgrammes daily (available from any Pharmacy).
The GPs do not encourage home births, in view of the distance from help in the event of unexpected complications. In addition, they no longer have the necessary skills to provide support for the midwives during labour.
During pregnancy, most care is provided at the surgery, but we follow the latest guidelines from York District Hospital for women’s health in pregnancy.
Most women are booked to have their baby in York District Hospital, but we can make arrangements easily with other hospitals, such as Pontefract or one of the Leeds Hospitals.
Family Planning and Contraceptive Services
We provide a full contraceptive service in normal surgery hours.
For women wishing to have a contraceptive implant fitted, it is necessary to have an initial appointment with Drs Batty, Benson, Bradley-Wood, Czajkowski or Martin who specialise in the fitting of implants.
For women wishing to have an IUCD (coil) fitted, it is necessary to have an initial appointment with Drs Batty, Benson, Bradley-Wood, Czajkowski or Martin who specialise in the fitting of coils.
Emergency contraception is available from the nurses as well as the doctors, and it is important to be seen within 72 hours of any potential contraceptive failure or omission. This service is also available from the Minor Injuries unit at Selby War Memorial Hospital or from your local pharmacy (although there maybe a charge).
Cervical Smears
These important checks facilitate early detection of cancer of the cervix.
All female patients between the ages of 25 and 65 should be tested every three years until the age of 50 and then every 5 years until the age of 65 years. More regular tests may be needed if abnormalities have been found.
On occasion, younger patients may also be recommended for testing, but women aged less than 25 years do not need routine cervical screening. Appointments can be made with any of the nurses or doctors.
Mammograms
These breast checks are carried out every 3 years, when the mobile service from York is based at Selby War Memorial Hospital, for about 6 months.
The service is next due in Selby in 2009.
Child Development Checks
All Children are offered an initial check at 8 weeks by Drs Benson, Cjakowski or Haworth.
It is helpful if you can remember to bring your child’s red book in order that it can be completed.
Well Child Clinics
The Health Visiting team run a clinic at Posterngate Surgery on:
Thursday 1.30 – 3.00 p.m. - Drop in clinic (Health Visitor or self-weigh with nursery nurse)
In addition the Health Visitors run Immunisation clinics, by appointment:
Tuesday 9.15am-11.15am
Wednesday 2.30pm-4.00pm
Please let us know if your child is poorly when you attend these clinics so we can arrange a separate waiting area to prevent infections spreading.
Asthma and Chronic Obstructive Pulmonary Disease (COPD)Clinics
We have two nurses with additional training in the management of asthma. Adults with asthma should be reviewed yearly and children 6 monthly. If you have asthma and are using a blue inhaler on a daily basis, please make an appointment for an asthma review.
Newly diagnosed patients do require longer appointment times, so please ensure you highlight this if relevant.
We are also interested in helping patients with Chronic Obstuctive Pulmonary Disease (COPD) in a similar way. Treatments for COPD can differ from Asthma, but we run the clinics for people with either problem.
British Thoracic Society
Diabetes Clinics
We run weekly GP-led Diabetic clinics. These are held on a at 3 separate times during the week, with Drs Reid, Stockley, Bradley-Wood and Dodd with Nursing support, undertaking annual assessments of patients’ diabetes.
We also have Nurse-led clinics during the week, for interim checks.
Retinal photographs are taken at the surgery, by the team from York Hospital Trust, on an annual basis for most people with Diabetes.
We provide a comprehensive package of support to new diabetic patients.
For suitable patients, we can also start Insulin without referral to the hospital clinics.
Diabetes Audit 2004/05
Diabetes UK
Ischaemic Heart Disease Clinics
With more patients having Ischaemic Heart Disease (Angina or past Heart Attack), we offer Nurse-led clinics, to ensure patients are having the optimum advice and health checks.
In these clinics, we concentrate on patients who have not had any sort of check-up related to their IHD in the recent past.
We have clear advice on what constitutes best practice for most patients and we wish to ensure our patients receive it.
British Heart Foundation
Over 75 year checks
We offer check-ups to people over 75 years, concentrating on patients who have not been seen by the Practice for some time.
We ask patients to come to the surgery, if possible, but are quite happy to arrange home visits for these checks if necessary.
If you would like a check-up, please contact the surgery to arrange a suitable time.
Drug Misuse
A drug counsellor attends the surgery weekly. We make referrals to the service, which is linked to the local Compass drug clinic.
We do not prescribe any drugs for people misusing opiates, until they have attended the counsellor, and we work very closely with the counsellor.
If misusers do not attend appointments, we will refuse to prescribe for them, until they have made contact with the drug misuse service.
Health Promotion
All of our nurses can give advice on health and lifestyle problems. They can check blood pressure, advise about alcohol intake, diet and exercise.
We advise that every adult should have a Blood Pressure check at least every 5 years.
Smoking Cessation
The Practice encourages patients to stop smoking.
We no longer run smoking cessation clinics.
It is advised that patients who want help to quit smoking receive professional support (see link below), as well as any necessary prescribed medication.
www.nhs.uk/smokefree
Free quitting tips from trained advisers on 0800 169 0 169
