Chronic Disease Management
Patients with diabetes are now looked after within the practice by a multi-disciplinary team consisting of the Health Care Assistant, Practice Nurse, GP and Retinal Screening Team. Patients with long term illnesses such as high blood pressure and heart disease have regular checks and all patients who are on repeat medication have a medication check at least once a year.
The provision of antenatal care can vary according to area – your preferences and medical needs can be discussed with your GP once your pregnancy has been confirmed. In general, the following options may be available to you:
a) Antenatal care to be undertaken by your local hospital or doctors and midwives
b) Care to be shared by your own GP and/or community midwives
c) At a midwives clinic, in which case the care would be given by midwives referring to hospital doctors if necessary
All further visits for antenatal care are there to check on progress. Weight and blood pressure is monitored and a urine test given. These visits also give you the opportunity to discuss any anxieties. However, should you have any serious concern about your pregnancy at any time or feel that it is not progressing normally, do not wait for your next appointment but arrange to see your GP immediately.
All arrangements for the birth and postnatal care will be discussed with you and made by the doctors or midwives you have been seeing. It is important that you express your wishes and preferences freely so that all options in your area, providing they are medically appropriate, can be made available to you.
Midwifery clinics are organised to cover the locality. You can access this service by phoning the Women & Children’s Hospital, Hull Royal Infirmary 01482 382769.
Over 75 years of age health checks
If you are aged over 75 and have not consulted with a GP within the last twelve months you can make an appointment to see the GP for a general health check. If you are unable to attend the surgery, due to a medical condition, the GP can make arrangements to visit you at home.
Patients not seen within 3 years
If you have not consulted with a GP in the last three years you can request a consultation with a GP for a general health check.
Protecting your child against a variety of serious illnesses is simple, safe and free of charge. Your doctor will advise you and make arrangements if necessary. Below is a list of the usual ages for the different stages of immunisation:
Two months DTaP/IPV/Hib, Pneumococcal (PCV)
Three months DTaP/IPV/Hib, Men C
Four months DTaP/IPV/Hib, Pneumococcal (PCV)
Around 12months Hib /Men C
Around 13 months 1st MMR, Pneumococcal booster (PCV)
3 yrs 4 months to
5 yrs old DTaP/IPV or DTaP/IPV, MMR (2nd)
13-18 years Td/IPV (Revaxis) check MMR status
Nowadays, children should have all the injections they need during infancy or at school. Some adults, who may not have had this basic course of immunisation, may be due for booster injections or need a yearly vaccination for an illness like flu.
Travel Advice and Immunisations
Immunisations and advice are available from the practice nurses in the treatment room. Please contact them well in advance, preferably two months before your trip. Some immunisations are available on the NHS but for others there is a charge. Similarly, certain anti-malarial drugs are available without prescription. For those requiring a prescription the nurses will issue a private prescription enabling you to purchase your drugs from a chemist. Yellow fever vaccinations available.
Diabetes is often symptom less but, unless well controlled, may have serious complications. Full understanding of the disease and regular review is vital.
All diabetics should attend this clinic at least once a year. The doctor and nurse will assess your diabetes, look for complications and refer you to other agencies as appropriate. Useful advice concerning treatment and diet will also be offered. Appointments should be made at reception.
Asthma in adults and children is the cause of much disability. Effective treatment is available but correct use of inhalers and adapting treatment to the individual is not always easy. The practice nurses who have an interest in asthma are available to all asthmatics by appointment and are able to offer advice and check treatment. We would encourage all asthmatics, especially children, to attend at least once a year with the nurse.
Cervical screening, more commonly known as the smear test, is important as it is able to detect conditions which could develop into cancer.
If these conditions are found in good time, treatment is usually straightforward and almost always effective. The new computerised call and recall system will make sure that all eligible women will be offered a test at least once every three years starting at age 24 until 64 years. Please discuss these tests with your GP who will advise you if a smear test is appropriate.
Breast cancer is the most common form of cancer among women. A nationwide breast cancer screening programme runs from specialised centres. This service is for the benefit of women aged 50 or over, as there is little evidence to show that younger women benefit from routine screening. It means that all women aged between 50-64 will be invited for initial breast screening (mammography) and every three years thereafter. Women over 64 will be entitled to the service every three years on request. Your doctor can advise you, or your local Health Authority will give you details of services in your area.
NHS Health Checks
The practice provides NHS Health checks for any residents within the East Riding of Yorkshire area. Please contact our reception staff to book an appointment or for more information.