Clinics

The Practice Offers...

Apart from our usual services we also provide the following:

Chronic Disease Management (provided by the practice nurses)

Under the new contract we manage diabetes, asthma, hypertension, epilepsy, Chronic Obstructive Pulmonary Disease, cancer, stroke, Chronic Heart Disease, hypothyroidism, mental health, atrial fibrillation, smoking, depression, chronic kidney disease, dementia, learning disabilities, obesity, heart failure and palliative care.

Diabetes care requires an annual major assessment. This is booked with the nurse as a 'diabetic annual review' and requires a special appointment. In the week preceding, blood specimen should be provided so the results can be discussed with you at the time of your appointment. The frequency of future appointments will vary according to clinical need.

Hypertension requires an appointment for a blood pressure check with the nurse plus an annual blood test.

Asthma requires one appointment with the nurse each year. Bring your inhaler along to this check-up.

Patients with Heart Disease/Stroke require an annual appointment with the nurse, with a fasting cholesterol blood sample provided in the preceding week, to permit discussion of the results.
Patients treated for an underactive thyroid need an annual blood sample for thyroid function tests to ensure the dose of medication is accurately maintained.

If you need advice from a member of the clinical staff and they are not immediately available, leave a message and contact number so that we can return your call.

Additional Services

Cervical screening, contraceptive services, vaccination and immunisations, childhood vaccinations and immunisations, child health surveillance, maternity services and minor surgery procedures.

Enhanced Services

Anticoagulant monitoring, influenza, shingles and pneumococcal immunisations, provision of near patient testing, all contraception services, learning disabilities and care home monitoring.

Holiday Vaccines

Two or three months before you plan to go away please complete the travel leaflet held in reception; one is required for every patient registered with this practice. Then, having allowed at least two working days for the practice nurse to view them, contact the surgery to make any appointment required. There is a fee charged for this service.

Influenza Vaccine

In September every year we offer flu vaccines to our patients. It is strongly recommended for high risk patients. Please ask for details at reception.

Chickenpox

On the first day a rash appears with small red spots about 3-4mm wide. Within a few hours these develop small blisters at the centre. During the next three to four days further spots will appear and the earlier ones will turn crusty and fall off. Calamine lotion may be applied to help the itching; cool baths may also help. The most infectious period is two to three days before the rash appears and until the last crusts have formed dry centres, usually seven to ten days after the rash started. Children may return to school as soon as the last crusts have dropped off.

PREGNANT WOMEN WHO HAVE NOT HAD CHICKENPOX AND HAVE BEEN IN CONTACT WITH CHICKENPOX SHOULD CONTACT THEIR DOCTOR.

Patients Between The Ages Of 16 And 74

If you have not been seen within the last three years you can request and receive a three-year review.

Patients 75 Years And Over

If you have not been seen within the last year you can request and receive an annual review.

Private Work

If you only require paperwork to be completed it is not necessary to make an appointment to see a doctor. Please hand the form/letter etc to the receptionist who will then log it and submit it for the doctor's attention. Allow a week for completion before collection and, where appropriate, payment. Charges vary, so please ask at reception for more details.

The first consultation after a road traffic Accident and medical examinations for insurance/employer/sports etc are not provided under the National Health Service. This work is done at our discretion and often will be charged for. Arrangements can be made at reception.

ROUTINE CHILDHOOD IMMUNISATIONS FROM AUTUMN 2006 . . . .
When to Immunise Diseases Protected Against Vaccine Given Immunisation Site
Two Months Old

Diphtheria, Tetanus,
Pertussis, Polio and
Haemophilus Influenzae type b (HIB)

Pneumococcal Infection

DTaP/IPV/Hib
(Pediacel)

PCV (Prevenar)

Thigh

 

Thigh

Three Months Old

Diphtheria, Tetanus,
Pertussis, Polio and
Haemophilus Influenzae type b (HIB)

Meningitis C

DTaP/IPV/Hib
(Pediacel)

Men C (Menjugate, Meningitec or
Neisvac C)

Thigh

 

Thigh

Four Months Old Diphtheria, Tetanus,
Pertussis, Polio and
Haemophilus Influenzae type b (HIB)

Meningitis C

Pneumococcal Infection

DTaP/IPV/Hib
(Pediacel)

Men C (Menjugate, Meningitec or
Neisvac C)

PCV (Prevenar)

Thigh


Thigh (2.5cm from
pediacel injection)


Opposite Thigh

Around 12 Months Old Hib/Men C Hib/Men C (Menitorix) Thigh
Around 13 Months Old Measles, Mumps
and Rubella

Pneumococcal Infection
MMR (Priorix or MMR II)

PCV (Prevenar)
Thigh


Thigh
Three Years Four Months to Five Years Old Diphtheria, Tetanus,
Pertussis and Polio
(dTaP/IPV or DTaP/IPV)

Measles, Mumps
and Rubella
DTaP/IPV (Repevax) or DTaP/IPV (Infanrix-IPV)

MMR (Priorix or MMR II)
(check first dose has been given)
Upper Arm



Upper Arm
13 to 18 Years Old Diphtheria, Tetanus
and Polio
Td/IPV (Revaxis), and check MMR status Upper Arm

Temperature

A temperature occurs commonly even with mild infections. Children can be given paracetamol syrup, which may be bought from the chemist. If they still appear hot, they should be gently sponged over with tepid water, as in a bath or shower, to cool them. It is sometimes necessary to carry this out for 20 - 30 minutes at a time on more than one occasion to get results. If the child appears very unwell with the temperature, you should consult your doctor. A child or adult with a temperature will not come to any harm being brought by car or pram to the surgery.

Be Wise - Immunise!

Health professionals believe, based on a long track record and good evidence, that immunisation is the best way to protect your child. In the NHS we use vaccines that have been well tested.

We recommend having the MMR vaccine as one injection. The evidence to support this method is overwhelming. The MMR vaccine that the NHS provides free to you cannot be split into three separate injections.

It is a good idea to keep your own record of immunisation at home. You should find the table above useful in this respect.

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38 Shotton Lane, Shotton, Deeside, Flintshire, CH5 1QT
  • Telephone Deeside 814455/812094
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