Ante-Natal Clinic

The midwife holds a weekly clinic at the Surgery on Wednesday 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 and Elizabeth Buckland, by appointment.  Should you have any concerns regarding immunisations the medical team will be happy to discuss any issues.

Family Planning

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.

Sexual Health

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 

Care Navigation 

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! 

Hearing Services 

If you have any concerns regarding your hearing please contact the surgery who will support you in accessing the correct service depending on the concern you have. This may involve referral on wards to community and private services.  

Although under the present NHS contract we no longer perform ear syringing our nursing team are more than happy to check patients ears and advise if they require ear syringing and then direct to a local service. Please note ear syringing services locally are chargeable and no longer available under the NHS service. 

What is a Primary Care Network (PCN)?

A Primary Care Network (PCN) is a group of practices working together with a range of multi-disciplinary professionals across the primary care sector to offer more personalised, coordinated health and social care to everyone.

By working together, we can provide a wider range of services and allow our GPs to focus where their specialist clinical input is most needed.

In February 2019 GPs were presented with a new contract as part of the 5 year Forward View. This contract encourages GP Practices that are geographically aligned to come together to form Primary Care Networks (PCNs). These are not legal entities as such but there is an agreement between these Practices to work together and share new resources that will be available through the new contract.

Visit https://www.midchilternpcn.nhs.uk/about-us/ to view a short animation from NHS England which explains how they work.

Who are we?

Mid Chiltern PCN was set up on 1st July 2019, its population is approximately 43,600 patients made up of 5 Practices (Amersham Health Centre, Hughenden Valley and Chequers Surgeries, John Hampden Surgery, Rectory Meadow Surgery and The Prospect House Surgery).

The individual surgeries are still operating in the normal way. What’s changed is that there is more access for patients to be seen by different members of the PCN multi-disciplinary team described below. Patients can also self-refer to the Social Link Prescribers as well as Health and Wellbeing Coaches using the online form on the ‘Self-Referral‘ page of the website – www.midchilternpcn.nhs.uk

How do we work?

The Multi-Disciplinary Team Mid Chiltern PCN team is made up of three groups which we call Pillars.

• Pharmacy
• Health and Wellbeing + Social Prescribers
• Care Coordinators and PCN Business Team

In February 2019, GPs were presented with a new contract as part of the 5 year Forward View; this contract encourages GP Practices that are geographically aligned to come together to form Primary Care Networks (PCNs).

These are not legal entities as such, but there is an agreement between these Practices to work together and share new resources that will be available through the new contract.

Pharmacy Team

The first Pillar is the Pharmacy group. This team is made up of a Senior Clinical Pharmacist, Clinical Pharmacist, a Pharmacy Technician and a Pharmacy Care Coordinator.

This team focuses on:

• Working with care homes to ensure patients get the best out of their medicines.
• Reviewing patients with long term conditions e.g. Asthma, Chronic Obstructive Pulmonary Disease (COPD), Hypertension and Heart Failure.
• Working with the Health and Wellbeing Coaches to support patients in managing their long term conditions.
• Referring patients to the appropriate services e.g. When visiting a housebound patient who feels lonely, a referral to the Social Link Prescribers would be suitable.
• Delivering Covid-19 vaccinations programmes.

The pharmacy team’s main objective is to improve the wellbeing of care home residents, housebound patients and patients over the age of 65 by reducing the number of prescribed medications that they are currently taking.

The team performs structured medication reviews with the care home to ensure that residents are getting the correct medications prescribed.

This increases the quality of life for residents, reduces unwanted side effects, as well as cutting down on the time, and money wasted from unnecessary prescribing.

The Pharmacy team and the health professionals from the care home, GP’s and the patients’ family members achieve deprescribing by reviewing patients’ medications and effectively reducing polypharmacy.

The Pharmacy team are also working on improving patients’ access to healthcare with the Community Pharmacy Consultation Scheme (CPCS) for patients suffering from minor illnesses.