Patents are seen by the midwife at the clinics by appointment and also by the doctors during surgery hours.
The baby clinics are run by the practice nurses in conjunction with the doctors, for child development checks and immunisations, and allow an opportunity to discuss other problems, eg sleeping, feeding and child health worries, with an appropriate health professional. The reception staff hold the telephone number for the health visiting team if required.
This is run by the practice nurses in conjunction with the nurse practitioner and doctors, by appointment only.
This is run by the nurse practitioner and practice nurses in conjunction with Dr Patel, by appointment only.
Contraceptive care is provided by all doctors during normal surgery hours.
Well Woman Clinics
This clinic is run by the practice nurses for smears and discussion of women’s health issues. Postnatal checks are completed by several of the doctors.
Dr Jacob, Dr Payne and Dr Mahil carry out minor surgical procedures by appointment and the doctors will be happy to advise you on this. Procedures required are booked by reception in strict rotation of waiting time.
The doctors are happy to carry out medicals, eg insurance and driving licence, by appointment outside of surgery hours. Please telephone the surgery for an appointment.
The fees charged for these services are in line with the BMA recommended charges. Some of these services are subject to VAT.
Travel Immunisation / Vaccinations
Please complete in full the travel questionnaire and return it to the surgery at least ten weeks before you plan to travel. This form will be examined and compared to your records to establish what your individual needs are. In most cases, an appointment at least six weeks prior to your holiday will be needed to ensure adequate cover. A charge will be made for certain immunisations and vaccinations which are not covered by the NHS. A list of these charges is held at reception.
If you are planning to travel overseas, we request that you complete our travel questionnaire online.
This will allow our nurses to understand your travel plans and to organise any immunisations and advice prior to an appointment being offered.
Travel Link: https://downswaymedicalpractice.webgp.com/show-travel-advice
An influenza vaccination is particularly recommended for patients with heart, lung or kidney disease, diabetes, residents of nursing and rest homes and carers.
Please contact the reception staff in October for details of the vaccination dates and to make an appointment. If you are unable to attend the surgery, a home visit may be arranged to undertake this facility.
Our health care assistant/phlebotomists are available to take blood for tests each morning. Three mornings are based at Istead Rise, one is based at Shorne, two at Summerhouse and the remaining morning is shared. Please book your blood test via reception who will confirm the days available for your surgery. The HCAs can also do other routine observations such as blood pressure checks and height and weight monitoring.
The following additional services are available to our patients instead of referring you to hospital:
Patients who are taking Warfarin are monitored via the anticoagulation clinics run weekly at each surgery by the nursing team. Appointments are booked direct by the team. Patients attending will need to bring their yellow record books with them on each occasion.
24 Hour Ambulatory Blood Pressure Monitoring
Where patients need to have a 24-hour monitoring completed (referral by the GP), this can be arranged via reception. The practice nurse at Istead Rise Surgery runs the service.
It involves a 20-minute appointment one day to set up and fit the machine, followed by the return of the machine by the patient 24 hours later. During those 24 hours, the machine will take a reading every so often at set intervals (reduced in number throughout the night). These readings are then uploaded to the computer and analysed by the doctor. A diary has to be kept throughout the 24-hour period to identify any particular stresses.
24/7 ECG Service
This service is available by referral from your GP, at Istead Rise Surgery.
The practice provides healthcare under the terms of the General Medical Services contract. However, there are many items of work requested that are not covered by this contract and therefore a fee is payable for them. Examples include holiday cancellation forms, insurance reports, sundry letters and HGV/PCV/taxi medicals. Some travel vaccinations are also completed as a private service as they are not available on the NHS. Full details of fees are available from the surgery.