Clinics
Minor Injuries Unit
The nearest minor injuries unit is based at Beckenham Hospital, Croydon Road, Beckenham. It is open 7 days a week, from 8.00am to 8.00pm. Tel: 01689 866037
Website: www.bromleymiu.nhs.uk
Contraception
Advice about contraception and the prescription of oral contraceptives can be obtained from any of the doctors and from the practice nurse. Caps and coils can be fitted at the Family Planning Clinics at Oakfield Road and Beckenham Hospital and sheaths can also be obtained from them. Post-coital contraception (the morning-after pill) is also available here but it is essential that it is provided within 72 hours.
Cervical Smears
Cancer of the cervix is the most preventable and treatable cancer, providing
women are screened regularly and any changes detected early. This can be done
by having regular cervical smears. This picks up the very early changes which,
initially, do not mean that cancer has developed but that if left may become
malignant. In the pre-cancerous stage treatment can be undertaken that is very
safe, painless and does not require a general anaesthetic.
At present the Department of Health recommends that all women who are or
have ever been sexually active and have not had a hysterectomy should have smears
at three-yearly intervals until the age of 65. If any problems show up, or the
smear is technically unsatisfactory, the woman will be asked to return for a
repeat smear immediately or after a few weeks and kept under regular review or
referred to a specialist clinic.
Prenatal Counselling
This can be arranged with the practice nurse, who can give general advice
about a good balanced diet, the need to give up smoking and alcohol and the achievement
of a desirable weight.
Folic acid is advised for at least the first 12 weeks of pregnancy, even for
women who are healthy and have a good diet. Folic acid taken in early pregnancy
reduces the chance of having a baby born with a spinal cord problem such as spina
bifida. It is best to start taking folic acid before becoming pregnant. If the
pregnancy is unplanned then start taking folic acid as soon as you know you are
pregnant. The recommended dose is small (400 micrograms or 0.4mg a day). Tablets
can be bought at most health food shops or pharmacies.
It is advisable for all women to know for certain that they are immune to German measles even though they may have had the vaccination in adolescence or had an illness which might have appeared to be German measles. This can easily be done by means of a blood test. If the result indicates you are still susceptible to the infection immunisation can be given. It is essential though that pregnancy does not follow within three months.
Any anxiety about family history of illness or the problems that might arise from having to continue regular medication during pregnancy can be discussed with one of the doctors.
Maternity Services
All the doctors in the partnership provide maternity care, but not home
deliveries. Where suitable, antenatal care is shared with the hospital. Patients
living in the Bromley area usually are delivered at The Princess Royal University
Hospital, having been booked in at the clinic at Beckenham Hospital. Our antenatal
clinic is held here on Thursdays run by the Community Midwife. Six-week postnatal
and baby checks are carried out by one of the doctors.
Well-Baby Clinics
These are held in routine surgery on Tuesdays and Wednesdays where routine
examinations are done at six weeks. For more information, ask at reception.
The schedule for immunisation is:
| 8 weeks |
1st
Diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type B (HIB) and
pneumococcal infection. |
| 12 weeks |
2nd
Diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type B (HIB) and
Meningitis C |
| 16 weeks |
3rd
Diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type B (HIB), meningitis
C and pneumococcal infection. |
| 12 months |
Haemophilus influenzae type b (HIB) and meningococcal C infections |
| 13 months |
Measles, mumps and rubella and pneumococcal infections |
3 years four
months to
five years old |
Diphtheria, tetanus, pertussis and polio, measles, mumps, and rubella |
|
These injections need to be booked with the practice nurse)
Our aim is to see that ALL the children on our list are fully immunised against these diseases, unless there are specific medical reasons why they should not be given. Any queries about this can of course be discussed with the doctors or health visitors.
Appointments to see the doctors in these clinics are necessary but the health visitors can be seen without one and will weigh babies and discuss any problems that arise with feeding, sleeping and so on.
Sexual Health Service
We provide free and confidential:
- Testing for all sexually transmitted infections,
including Chlamydia, gonorrhoea, NSU, syphilis and HIV.
- Health advice service
for young persons
- We operate an appointment system but can see emergencies if
certain criteria are fulfilled.
For further details and to book an appointment please speak to
the Receptionists or call Tel: 020 8778 5135.
Vaccination Of Adults
TETANUS – It is our aim to get all our adult patients up to date
with their tetanus immunisation. It is much safer to be already protected than
to have a wound that might be infected eg. from a fall (especially the elderly),
a dog bite or damage to the skin while gardening. The practice nurse will give
these injections.
HEPATITIS B - This is available for the protection of all those at risk
of this infection such as health-care workers. It requires a course of three
injections for which a prescription will be needed first and there may be a charge.
Again, this can be given by the practice nurse.
Influenza And Pneumonia Vaccination
Influenza vaccination is offered to anyone over the age of 65 or patients
with asthma, diabetes, chronic heart disease, and chronic lung disease. Pneumonia
vaccination is offered to patients over 65.
Immunisation For Travel Abroad
The practice nurses give advice for foreign travel and administer most
vaccination for patients registered with the practice. The practice does not
issue NHS prescriptions for drugs for use when travelling abroad. Where necessary
a private prescription will be issued. Speak to reception for more details.
There may also be a charge for some travel immunisations. Details of what
is advisable or compulsory for travel can also be obtained from your travel agent,
the Department of Health, the Hospital for Tropical Diseases or British Airways.
A course of injections may be required with several weeks between doses – PLAN
WELL AHEAD! We require six weeks' notice of your intention to travel. Pick up
a form from reception.
In this practice we can provide immunisation against TYPHOID, TETANUS,
POLIO, DIPHTHERIA AND HEPATITIS A. Less common requirements such as for MENINGITIS
A & C may also be dealt with but these vaccines need to be specially ordered.
YELLOW FEVER and RABIES immunisation is only available from special centres such as the Hospital for Tropical Diseases or British Airways Travel Clinics on 020 7439 9584 (Regent Street) or 020 7606 2977 (Cheapside). For more details visit www.britishairways.com/travelclinics.
Protection against MALARIA is essential when travelling to certain parts of Africa,
Central and South America, Asia and the Middle East. Different areas require
different drugs depending on the resistance of the malaria parasite in that area.
Some of these are prescription-only drugs, while others can be bought over the
counter from your chemist. They must be taken before you arrive in a malarial
area and continue after you have left it.
Health Promotion
Advice regarding diet, weight, alcohol, smoking and lifestyle is offered
by the practice nurse. You are encouraged to have a health check every three
years. All patients over 75 are offered an annual review.
Private Services
We provide a range of non-NHS services for which we charge the standard BMA fees.
These include private sick notes, passport forms, medicals for employers, driving (PSV, HGV and elderly drivers) and insurance companies, completing medical statements for insurance policies, BUPA, PPP and many other services not covered under terms of contract of the NHS as part of medical services. Please ask the receptionist for further information.