Services are provided in following clinical areas:
- Asthma and COPD
- Ante-natal clinic (Midwife run)
- Child health Surveillance & Immunisations
- Diabetes mellitus
- Family Planning including IUCD (coil) fitting and contraceptive implants
- Heart Failure
- Ischaemic Heart Disease
- NHS Health Checks( Healthcare Assistant)
- Suture Removal
- Travel vaccinations and advice.
Advice about contraception and the prescription of oral contraceptives can be obtained from any of the doctors and from the practice nurse. IUDs, implants and caps can be fitted at the surgery's family planning clinic held on Thursday; sheaths can also be obtained. Post-coital contraception (the morning-after pill) is also available here but it is essential that it is provided within 72 hours.
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.
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.
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 and is run by the Community Midwife. Six-Eight week postnatal and baby checks are carried out by one of the doctors.
Well Baby Clinics
These are held in routine surgery where routine examinations are done at eight weeks. For more information, ask at reception.
Sexual Health Service
Dr Elizabeth Brander provides 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 020 8778 5135.
The practice provides this service to patients of other practices in area in addition to our patients.
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 nurse gives advice for foreign travel and administers 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/en-gb/information/travel-assistance/medical-conditions-and-pregnancy
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.
If you are over 75 and have not been seen within the last year, or between 16 and 75 years and have not been seen within the last three years, you may request a consultation with a GP or the Practice Nurse.
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.
We provide a range of non-NHS services for which we charge the standard BMA fees.
These include private sick notes,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.