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97 High StreetPrestwoodBucks, HP16 9EUTel: 01494 890900
To support and improve access to appropriate medical services our reception team have successfully completed Care Navigation Training. Care Navigation is designed to ensure patients get to see the most appropriate member of our team or are directed to services that will help meet the needs required. Our reception team is here to help you and will be able to support you in making appointments, directing you to support and services where needed - simply ask.
Please help us, help you!
Our practice nurses provide a range of nursing services including appointments for:
Adult Community Health Care Team
This is a team of district nurses who provide skilled nursing care for patients in their own homes. They care for those who are not well enough to come to the surgery and for whom it is more appropriate to be nursed in their own home. They specialise in many types of nursing including wound healing, palliative care, heart failure, respiratory disease. The team is provided by Buckinghamshire NHS Healthcare Trust not the surgery.
Health Visitors are trained to give health advice, particularly for small children, the elderly and disabled. The practice Health Visitor holds clinics on the 2nd and 4th Mondays of each month in the Health Visitor office above Chequers Lane Surgery.
The midwife holds a weekly clinic at the Surgery on Tuesday afternoons and all doctors will see antenatal patients during surgery times following the midwife’s request. Please allow 20 minute appointments for these reviews.
Child Immunisation Clinic
These clinics cover from birth to school age and are carried out by practice nurse Lyn Tarn, by appointment. Should you have any concerns regarding immunisations the medical team will be happy to discuss any issues.
Dr Mallard-Smith is trained in fitting both copper and Mirena IUCD devices. Advice can be given on all forms of contraception. Please contact the surgery for an appointment, to discuss any issues you may have with contraception.
There is a private chiropodist who works out of the surgery and details of how to make an appointment are available at reception.
For information on sexual health services available out with the surgery please visit - www.sexualhealthbucks.nhs.uk / https://www.tht.org.uk/sexual-health/Young-people/Young-and-Free
In the event of an emergency you should contact the emergency services.
If it is NOT an Emergency:
Your local Minor Injuries and Illness unit is located at Wycombe Hospital, Queen Alexandra Road, High Wycombe, Bucks, HP11 2TT
If you are unsure call NHS 111, calls to this number are free from landlines and mobiles.
For any dental related problem your dentist is the best clinician to see, not your GP.
We understand that it can be worrying due to possible associated costs with dental appointments. Please see link below for support with dental costs.
f you are experiencing problems with your feet you may need to see a chiropodist or podiatrist. Unless you have health complications such as diabetes you can self refer to both these services.
There is a private chiropodist who works out of the surgery, Claire Rose and details of how to make an appointment are available via our reception.
For a podiatrist, you need to complete a self referral form which will allow you to access a free NHS service. Please download the form below and post to the address located on the second page.
NHS Podiatry Self Referral
Your eyes are cared for by a number of different professionals.
Opticians: "Optician" is still the term most of us associate with their eye healthcare professional. However, the term is being used less and less within the profession and it is important you know who you are dealing with when you have your eye care appointment. When you visit an optician, you'll have your sight tested by an ophthalmic practitioner, which can mean either an optometrist or an ophthalmic medical practitioner.
Optometrists: Optometrists are trained to recognise, treat and manage abnormalities and signs of some, but not all, eye diseases. Like eye surgeons (ophthalmologists), they examine the internal and external structure of your eyes to detect diseases like glaucoma, macular degeneration, andcataracts. They may also test a person's ability to focus and coordinate the eyes and see depth and colours accurately. Optometrists do not perform surgery. If necessary, the optometrist will refer you on to your GP or an eye clinic for further investigations.
Optometrists can prescribe and fit glasses, contact lenses and low vision aids. They can also prescribe eye exercises, undertake vision therapy, and, if trained to do so, prescibe medications to treat eye diseases.
Opthalmologists: Ophthalmologists (eye surgeons) are doctors that specialise in the medical and surgical care of your eyes and the visual system. They also look into the prevention of eye disease and injury. An ophthalmologist treats patients of all ages, from premature babies to the elderly. The conditions dealt with in ophthalmology can range from eye trauma to cataracts, diabetic eye diseases, such as diabetic retinopathy, congenital and genetic eye problems.
To see an opthalmologist you will need to be referred. Occasionally these referrals originate in General Practice, for example if we notice problems with your eyes, but more commonly the referrals originate from the opticians and optometrists who have the necessary equipment (and skills of course) to detect problems with your eyes.Orthoptists: Orthoptists form part of the eyecare team and generally work closely together with ophthalmologists, ophthalmic practitioners and vision scientists. Their main role is to investigate and identify problems relating to the development of the visual system, including:
Orthoptists also investigate, diagnose and assist in the treatment of conditions such as glaucoma, cataract, retinal disease, stroke and other neurological disorders.
Eye Casualty: Stoke Mandeville Hospital Operates and Eye Casualty service. This can be accessed via the Emergency Department or via your GP - we can usually arrange for you to be seen there within a day. This service is for very urgent problems, that are not emergencies. If you have any doubt how urgent your particular problem is, dial 111 and tell them what has happened and the team there will ensure you get the help that you need.
A&E: In the event of an emergency you should dial 999.
Some eye problems - for example trauma need to be seen in A&E in Stoke Mandeville Hospital, while others, for example sudden loss of vision (even if it was brief) may need to be seen in the Cardiac Stroke Investigation Unit which is based in Wycombe Hosptial.
You do not need to worry about logistics, just dial 999, tell them what has happened and the team there will ensure you get the help you need.
As with your eyes, your ears are cared for by a number of clinical professionals.
Wax - Many patients book appointments to have their ears syringed to try and improve their hearing by clearing out the wax. This procedure is NOT RISK FREE. It is NOT good to have ear syringing performed as a routine procedure, it is best to try and break the cycle as syringing could lead to other more serious problems.
Ear wax forms a protective coating of the skin in the ear canal. Wax is NORMAL. Small flakes or crusts of wax break off and fall out of the ear from time to time. The quantity of ear wax made varies greatly from person to person. A plug of wax in the ear is not a serious problem, more a nuisance. You only need to remove if it is causing symptoms of great discomfort.
Do not try and clean the ear canal with cotton wool buds this can make things worse by pushing the wax deeper inside and could cause an ear infection. Let the ear ‘clean itself’.
If you feel your ears are blocked with wax we would encourage you to insert 1-2 drops of olive oil twice a day into the affected ear for 7 days and book an appointment with one of our nurses following the 7 days application to check your ears. Unfortunately, we do not offer an ear syringing service however we will be happy to check your ears and if feel a wax issue direct you to an appropriate service locally.
How to use ear drops:
Local microsuction, a safer option than syringing is available at Specsavers (High Wycombe) 01494 520304 or Aston Hearing services (Amersham) 01494 733840 for a charge.
After your ears have cleared naturally or been syringed, oil should be used in your ears once or twice a week to keep the wax soft.
If you have a lot of ear wax, it may be necessary to soften the wax with olive oil or an over the counter equivalent product.
This usually needs to be done for 10-14 days to ensure the wax is soft enough to clean out.
The Community ENT Service
We benefit locally from an excellent ENT service based in Beaconsfield.
They offer a number of additional services relating to ears / balance and hearing.
This service is paid for by the NHS and your GP will need to refer you to them.
For information on sexual health services available out with the surgery please visit: www.sexualhealthbucks.nhs.uk and / or https://www.tht.org.uk/sexual-health/Young-people/Young-and-Free
If you are experiencing any of the following:
Then a relationship support service can help you.
One example is The Relate Organisation, which has offered a very high level of support to many of our patients in the past.
To contact the service you can Click Here:
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.
There is further information about countries and vaccinations required on the links below
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
Private Charges October 2017
Please note: Follow up treatment will not be available from the practice following treatment provided under the care and supervision of a private hospital or private healthcare provider e.g suture removal/clip removal etc.
Please find below some useful information leaflets with regards to minor illness that may be beneficial in first instance of symptoms.
Cough in Adults Leaflet.pdf
Sore Throat Leaflet.pdf
1. Telephone the doctor who will visit to confirm that death has taken place.
2. Contact a funeral director.
3. Arrange to collect the doctor's Medical Certificate of Death (usually from the surgery).
4. Take this to the Registrars Office, (together with the deceased's Medical Card and Birth Certificate, if available) for the area in which the death took place. Alternatively you can register by declaration at any convenient Registrars Office but certificates will not be available as these will have to be posted to you a few days later.
5. The Registrar will normally issue a Green coloured certificate for you to give to your funeral director who will look after necessary arrangements for the funeral. The Registrar will also issue a white notification certificate for the DSS. They will also enquire as to the number of Certified Copies you require for dealing with the deceased finances (a fee is payable for each copy).
1. Contact a funeral director to inform him his services are required.
2. Collect the certificate from the hospital then follow 4 - 5 as above
Your funeral director will usually liaise directly with the surgery regarding the additional certification required.
Health Help Now is a useful guide to help you identify the best options for your healthcare needs. This service offers a symptom checker and useful for advice and services available.
Whatever the time, wherever you are, find the right service for you.
Baby Buddy is your personal baby expert who will guide you through your pregnancy and the first six months of your baby’s life. The app has been designed with parents and professionals to help you give your baby the best start in life and support your health and wellbeing.
Baby Buddy has won many awards including the prestigious AXA PPP, Guardian Public Service's Digital and Technology Award, and RCM Midwifery awards.
Baby Buddy is the only app trusted by the Department of Health.
How do I get Baby Buddy?
You can download Baby Buddy for FREE on Google Play and in the App Store. You can also access the web based version by visiting: https://web.bestbeginnings.org.uk/web/lets-get-started
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