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Wilderness Medical Centre8 Cookham RoadMaidenheadBerkshire, SL6 8AJTel: 01628 620 458
Women aged 25 - 49 should have a cervical smear every three years. Women aged 50 - 64 should have a cervical smear every five years. This is a simple, quick test, which can detect early changes in the neck of the womb. If these are treated straight away we can prevent the cancer developing.
Patients are called for a smear test by letter. If you think you are due for a smear and have not heard from us, please let us know. When making the appointment for a smear, please mention this fact to the receptionist, who will arrange for you to be seen in the appropriate clinic. Your result will be sent directly to you by the Thames Valley Primary Care Agency usually within three weeks.
These are held at the following venues with a health visitor in attendance:
1.30 - 3.00pm Ellington Extended Services Centre (West Dean, off Ray Mill Road West)
1.30 - 3.30pm Magnet Leisure Centre
1.00 - 2.30pm Cox Green Community Centre
10.00 - 11.45am Holyport Memorial Hall1.30 - 3.00pm Cookham Medical Centre
11.00am - 12.30pm Antenatal Clinic, St Mark's Hospital. Breast feeding advice and counselling available.
Please note that these clinics are for well babies only. If your baby is unwell you will need to make an appointment to see your own doctor. Immunisations are not done at these clinics, only at the Tuesday afternoon sessions.
We run confidential nurse led Family Planning Clinics on a weekly basis and both Dr Donnelly and Dr Nieland are registered to fit Intrauterine Contraceptive Devices (coils) and Implanons (hormonal contraceptive implants).
Coil Leaflet - Patient Information
Available at the surgery. Any patient contacting the surgery for advice (whether registered with us or from another practice) will be offered an individual, confidential appointment with a doctor on the same day. You can also obtain emergency contraceptives from a pharmacy. This service is now available free from various pharmacies, if it is considered appropriate, to girls 18 years or under.
Patients can self refer to Talking Therapies by telephone on 0300 365 2000 or through their website at www.talkingtherapies.berkshire.nhs.uk/
Organised by the health authority.
We have qualified dieticians who visit the surgery on a regular basis. They see patients with diabetes and other conditions which may be improved by dietary changes. Patients wishing to reduce weight will be sent a pack with details and instructions. There is usually a waiting list to see the dietician. Please let us know if you are unable to keep an appointment as we do have a waiting list and may be able to offer another patient an appointment.
The district nurses are employed by Berkshire Healthcare Foundation Trust and work out of St. Mark's Hospital. They can be contacted on 0300 365 1234.
They assist housebound patients and their families who need nursing care as well as physical and psychological support to remain in the community. This includes the chronically sick, post-operative patients, those with physical and mental disabilities and patients with terminal illnesses. They can also help with rehabilitation and advise carers in the home on aspects of nursing care, such as proper lifting techniques and the best way to deal with incontinence. The service is available during surgery hours with urgent and acute needs met at weekends in the evenings and overnight. The district nurses have close links with the statutory and voluntary services and other community nurses like the Macmillan and continence nurses.
Arrangements can be made through the surgery if you would like a district nurse to visit. The district nurses work closely with the doctors and are a valuable part of the Primary Health Care Team.
Screening involves an attempt to pick up the earliest signs of illness before it has a chance to damage your health. There are a variety of ways in which this is offered in our practice. Any of our adult patients are invited to attend one of our well person clinics where checks will be made on your weight, height and blood pressure and our nurse can advise you on diet, smoking and other aspects of your lifestyle that may affect your health. They offer advice to anyone concerned about their lifestyle and its implications. Cholesterol screening is are offered, where appropriate.
This nurse led clinic is for all patients with existing heart disease. Offering a structured program of care including review of diet, lifestyle, blood tests and ongoing care plan.
The Health visiting service is provided by The Royal Borough of Windsor & Maidenhead and they can be contacted on 0300 365 6523 or visit https://www.achievingforchildren.org.uk/health-visiting-services-rbwm
All home visits will be arranged between the patient and the health visitor. Health visitors work together with other professionals, and liaise with statutory and voluntary services. They are able to prescribe for minor ailments and are a source of advice on numerous issues:
Behaviour management; Weaning/Healthy eating; Eczema; Feeding management; Health education; Head lice; Relationship problems; Sleep issues; Smoking; Support for lone parents; Teenage pregnancy; Positive parenting.
Ladies between the age of 50 and 70 will be offered a mammogram every three years as part of the National Breast Screening Programme with automatic recall. Should you not receive an invitation for this test, please contact the surgery. If you are under 50 years of age, a mammogram can be arranged, if medically appropriate. You will need to make an appointment with your doctor.
Our community midwife works at the surgery with your doctors providing antenatal and postnatal care. She offers regular clinics for the care of pregnant mothers and will share antenatal care with the doctor.
Wednesday morning 8.30-11.15am
Thursday morning 8.15 - 11.00am
Our aim is to provide a personal and efficient service throughout pregnancy and in close co-operation with your chosen hospital. You will need to make a first booking appointment to see the midwife when you are approximately eight weeks pregnant.
Messages for the midwife can be left at the following numbers:
Parentcraft classes are held at St Mark's Antenatal Clinic. A programme of these may be obtained from your midwife at the surgery.
A phiebotomist performs blood tests only, at specific times during the week. If your doctor wants you to have a blood test you will be given a form which you will need to take to reception, where an appointment will be made for you. Your doctor may request that you have a fasting blood test. This means that you need to fast for approximately 14 hours. Only water can be taken, no fruit juice, tea or coffee. We try to arrange for these tests to be done early in the morning from 8.00am onwards.
We are no longer able to provide physiotherapy at the surgery but if your doctor thinks it is appropriate they will refer you to St Mark's Hospital. You will be given a form to complete, which you should hand in at the desk; this is then forwarded to St Mark's, who will in turn contact you with an appointment. Please note there is usually quite a long waiting list for physiotherapy.
Vaccinations that are required for travel are non-priority. Contact your local pharmacy who may provide a private travel clinic.
The surgery provides the following vaccinations free of charge under the NHS:
All other travel vaccinations are chargeable.
The Cedars Surgery travel clinic is for registered patients only.
If you require any advice or vaccinations prior to foreign travel you are required to submit a Travel Questionnaire for our travel nurse to pre-assess your travel itinerary prior to booking an appointment in our travel clinic, when required. Please submit your travel questionnaire with at least 6 weeks notice as some vaccines come as a course of two or three vaccinations with weeks between them, and some have to be ordered in especially. Patients giving less that 6 weeks notice will be directed to a local private travel clinic. Hard copies of our travel questionnaire can be requested at reception.
If you are a frequent traveller be it for business or pleasure it is important to keep vaccinations updated, and to check whether or not anything new is advised.
If you are traveling home to visit family or friends it is important that you are vaccinated as appropriate. Any naturally acquired immunity you had will have been lost during time away from your country. This applies top both diseases and malaria.
If you are planning a last minute trip, don't do the same with your travel clinic appointment as we are unable to accommodate last minute appointment requests.
You may need anti malarial medication some of which has to be issued on a private prescription (see costs below). You must allow enough time to order and collect the prescription, as well as giving yourself anything up to three weeks prior to departure to commence the medication so you have adequate cover on arrival at your destination.
Information about countries and vaccinations required can be found on the links below:
The surgery operates a baby clinic for all NHS immunisations. These usually operate on a Thursday morning, but the day may vary from time-to-time. All appointments are pre-bookable and you will receive a letter from Child Health inviting you to book your appointment.
The surgery no longer operates a walk-in baby clinic.
It is important that children are protected against a variety of diseases. You will receive a card through the post informing you of the appointment. Please ring us if you are unable to attend: it is usually possible to bring your child to the next clinic.
Please note that if you are not the registered parent or guardian of the child you are bringing for immunisation then we must have a letter of consent from the parents naming you as their representative. This will then be scanned into the child's medical records.
You can have your baby weighed any afternoon between 1.30 - 5.30pm. Please note there is no health visitor available at this clinic. Immunisation schedules are constantly changing. Please contact your health visitor for up-to-date information or visit www.immunisation.nhs.uk
As soon as your baby is born you need to make a double appointment with a doctor of your choice for a six-week baby check. Please make a double appointment for this examination and say what it is for. This check must be completed before immunisations can commence. We no longer do six-week postnatal checks on mothers.
In accordance with Department of Health guidelines, we recommend an influenza vaccine for the over 65s and patients with heart problems, lung disease, including asthma, diabetes, kidney problems and low immune systems, as well as residents in nursing homes and residential homes. Please contact the surgery from mid September for details of the clinics we run for this service. If a patient is housebound, then arrangements can be made for an influenza vaccine to be given at home.
The Pneumonia vaccination protects against Pneumoccal infection. This infection can cause diseases such as Pneumonia, Septicemia and Meningitis. Babies are routinely vaccinated at 2, 4 and 13 months. Children over 5 years of age and adults with risk factors such as heart disease, diabetes, respiratory disease etc... will also be offered the vaccine.
The HPV (Human Papilloma Virus) vaccine protects against the two strains of HPV that cause cervical cancer in over 70% of women. This vaccine is now being offered to all girls born on or after 01/09/1990. You will either be sent an invitation by your school or the surgery to have the course of three vaccinations. More information can be found at www.immunisation.nhs.uk
Travel Immunisations - click here
The practice employs five surgery-based nurses and one health care assistant who are involved in many aspects of patient care.
General lifestyle advice including Diet, Lifestyle, Exercise, Alcohol and Smoking Cessation.
Asthma, COPD, Diabetes / Impaired Glucose Tolerance, Coronary Heart Disease, Hypertension & Rheumatoid Arthritis.
Well Women/Men, Family Planning, Cervical Screening, Travel Health / Immunisations & Childhood Immunisations.
Please note: parents or guardians should accompany children under 16 years old for immunisations and all other appointments.
Leg Ulcers, Post Operative Wound Care & assisting doctors with Minor Surgery.
Medical examinations for special purposes (eg elderly drivers, pre-employment, insurance medicals, HGV, PSV examinations etc) can be arranged by appointment. These appointments are usually for 30 minutes so you will need to mention this when booking the time. Some services fall outside general medical services and for these a charge may be made. They include private health insurance claim forms, private medical certificates, passports and various other special medical examinations and forms for sport, school, insurance and employment. If you need a form signing please enquire at reception about the charge. A full list of these charges is displayed in both waiting rooms. Please allow up to ten days for the form to be completed.
Why Do GPs Sometimes Charge Fees click to open
Private Charges 2013-14 click to open
Private Certificate of Sickness click to open
ELECTRONIC PATIENT RECORDS
STATEMENT OF INTENT FOR THE CEDARS SURGERY
New contractual requirements came into force from 1st April 2014 requiring that GP practices should make available a statement of intent in relation to the following IT developments:-
Please find below details of the practice stance with regards to these developments:-
Requirement: All practices must include the NHS Number as the primary identifier in all NHS clinical correspondence issued by the practice.
Practice statement: This has been standard at the surgery for many years.
Electronic appointment booking
Requirement: Practices are required to promote and offer the facility for all patients, who wish to, to book, view, amend, cancel and print appointments online.
Practice statement: We already offer the facility for booking and cancelling appointments online using Patient Access 24 hours per day, 7 day per week. If you have not already registered then please ask at reception for your registration letter.
Online booking of repeat prescriptions
Requirement: Practices are required to promote and offer the facility for all patients, who wish to, to order online, view and print a list of their repeat prescriptions for necessary drugs, medicines or appliances.
Practice statement: We already offer the facility for ordering repeat prescriptions online using Patient Access 24 hours per day, 7 day per week. If you have not already registered then please ask at reception for your registration letter.
Interoperable Records/Summary Care Record (SCR)
Requirement: Practices are required to enable successful automated uploads of any changes to a patient’s summary information, at least on a daily basis to the Summary Care record.
Having your Summary Care Record available will help anyone treating you without your full medical record. They will have access to information about any medication you may be taking and any drugs that you have a recorded allergy or sensitivity to.
Practice statement: The surgeryis already live with SCR. However, if you do not want your medical records to be available in this way then you will need to let us know in writing so that we can update your record. Clinicians you see outside of the surgery are required to ask for your consent prior to accessing the clinical record.
GP2GP record transfers
Requirement: There is a contractual requirement to utilise the GP2GP facility for the transfer of patient records between practices, when a patient registers or de-registers.
It is very important that you are registered with a doctor at all times. If you leave your GP and register with a new GP, your medical records will be removed from your previous doctor and forwarded on to your new GP via NHS England. It can take several weeks for your paper records to reach your new surgery. With GP to GP record transfers, your electronic record is transferred to your new practice much sooner.
Practice statement: The surgery confirms that GP2GP transfers are already active and we send and receive patient records via this system.
Patient access to their GP record
Requirement: Practices are required to promote and offer the facility for patients to view online, export or print any summary of information from their records relating to medications, allergies, adverse reactions and any other items/date such as ‘additional’ record elements which has been agreed between the contractor and the patient.
Practice statement: The surgery confirms that Patient already Access provides patients access to their summary record, medications, immunisations and allergies.
Helping you prevent heart disease, stroke, diabetes and kidney disease.
Why do I need an NHS Health Check?
We know that your risk of developing heart disease, stroke, type 2 diabetes and kidney disease increases with age. There are also certain things that will put you at even greater risk.
What happens at the check?
This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease and stroke.
What happens after the check?
Questions you may have:
Why do I need this check? I feel fine!
The NHS Health Check helps to identify potential risks early. By having this check and following the advice of your health professional, you improve your chances of living a healthier life.
But don't these conditions run in the family?
If you do have a history of heart disease, stroke, type 2 diabetes or kidney disease in your family then you may be at more risk. Taking action now can help you to prevent the onset of these condtions
I know what I'm doing wrong, how can the doctor help me?
If you would like help, we will work with you to find ways to reach your healthy weight, take more exercise or stop smoking. You may be prescribed medication to help lower your risk.
If I am assessed as being at "low risk", does this mean I won't develop these conditions?
It is impossible to say that someone will or won't go on to develop one of these conditions. But taking action now can help you lower your potential risk.
Will everyone have this check?
This check is part of a new national scheme to help prevent the onset of these health problems. Everyone between the ages of 40 & 74 who has not been diagnosed with the conditions mentioned will be legible for a free NHS Health Check. Please speak to a receptionist to book your appointment now.
For more information visit www.nhs.uk/nhshealthcheck
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