Clinics & Services

Appointments are necessary for the following:

Child Immunisations

Clinics held on Tuesdays at 14:00, Wednesdays at 10:30 & Thursdays at 15:30. No appointment necessary.

Child under 5 years old who are temporarily registered with the surgery should also attend these immunisation sessions.

Minor Illness Clinic

A practice nurse runs a minor illness clinic, by appointment, to help doctors with patients complaining of an acute short term illness, such as cough, sore throat, earache, pains.

Patients 75 Years and Over

Patients aged 75 years and over are entitled to an annual health check. If you wish to have a health check, please make an appointment with a practice nurse.

Patients Aged Between 16 and 75 Years

Patients aged between 16 and 75 years who have not attended for a consultation or a clinic within the previous 3 years are entitled to have a health check.  If you wish to have a health check, please make an appointment with a practice nurse.

Named Accountable GP

All patients are allocated a named, accountable GP
The named accountable GP takes responsibility for the co-ordination of all appropriate services and ensures they are delivered where required (based on the named GP's clinical judgement) but does not take on vicarious responsibility for the work of other doctors or health professionals. 

If you wish to be told the name of your accountable GP, please ask the receptionist when you are next in the surgery. To keep the lines free for patients needing treatment, kindly do not telephone the practice to ask for this information only. 

Having a named GP does not prevent you from seeing any other doctor in the practice, nor does it mean that you will always see your named GP, who will not be available at all times. Patients are entitled to choose to see any GP or nurse in the practice but if your needs are urgent, you may need to discuss them with an alternative doctor or nurse.

Travel Vaccinations

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

Europe & Russia	North America
Central America	South America
Caribbean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

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

 If you are planning to travel abroad, please complete the online questionnaire.  One of our nurses will then review your vaccination record and medical history and will phone you.  You do not need to make an appointment.  A nurse will do this if they feel it necessary when they speak to you.  You may only need a copy of current World Health Organisation recommendations

 Please note - travel consultations are longer than an average consultation.  If you are unable to attend, and do not let us know and your appointment is wasted, please be aware that we do not have the resources to rebook this, and so you will then need to attend a private travel clinic.

To help us offer the appropriate advice, please fill out the online form which MUST be returned to Practice Nurse at least two working days before your appointment.

 Travel Questionnaire

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)

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

• Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
• Insurance claim forms
• Prescriptions for taking medication abroad
• Private sick notes
• Vaccination certificates
• To Whom It May Concern Letter (straightforward support statement of fact)

The charges are based on British Medical Association (BMA) recommended charges to patient for work, which may be done by a GP. Our staff will be happy to advise you further on non-NHS services available, arrangements and charges. Here is a list of basic fees.

Please note - from 1.10.2020 the fees below will apply.

Non-nhs fees

The following is a list of Non-NHS Services/Medical forms, the GP’s at Nuffield House Surgery DO NOT undertake:

• Lighter Life/Weight Watchers/Weight management Programmes
• Pilot (light aircraft)
• Passport Application/Renewal
• Personal or Employment reference
• Shotgun Licence

Please note: Above list not a complete list of Non-NHS Services/Medical forms. GPs do not have a contractual obligation to complete Non-NHS ServicesMedical forms.

Why do GPs charge fees?

The National Health Service provides most health care to most people free of charge, but there are exceptions. Prescription charges have existed since 1951, and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, for example dental fees. In other cases it is because the service isn’t covered by the NHS, for example, medical reports for insurance companies, claims on private health insurance and other letters and forms which require the doctor to review the patient’s medical records.
 
The NHS pays the doctor for specific NHS work, but for non NHS the fee has to cover the doctor’s costs.
 
What is covered by the NHS and what is not? 

• The government’s contract with GPs covers medical services to NHS patients. 
   
  Examples of non-NHS services for which GPs can charge their patients:
   
• Certain travel vaccinations
• Private medical insurance reports 
• Holiday cancellation forms 
• Referral for private care forms 
• Letters requested by or on behalf of, the patient 
• In certain instances fitness to work forms
• 
  Examples of non-NHS services for which GPs can charge other institutions are:
• Medical reports for an insurance company 
• Some reports for the DSS/Benefits agency 
• Examinations of local authority employees

Why does it sometimes take my GP a long time to complete my form? 

Time spent completing forms and preparing reports takes the GP away from the medical care of his/her patients. Most GPs have a very heavy workload - the majority of GPs work up to 60 hours a week and paperwork takes up an increasing amount of their time. In addition non-NHS work must be undertaken outside of NHS contracted time.
 
I only need the doctor’s signature-what is the problem?

When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. Therefore in order to complete even the simplest of forms, the doctor needs to check the patient’s entire record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police

You are able to have your blood tests done her at Nuffield on Mondays, Thursdays and Fridays from 8.30am - 10.00am.

Please ask at reception for further information

Please note the new arrangements for booking appointments at Princess Alexandra

How to get a blood test at Princess Alexandra Hospital

We review our Diabetic Patients annually. If you are  diabetic, you will be recalled to one of our Clinics where a specialist nurse will undertake a review of your care.  Should she feel you need to see a GP, this will be arranged at the time.

We have a dietician clinic who holds clinics on alternate Wednesdays.  You can be referred to her via your GP.

Our Practice Nurses also offer weight management support.

Please ask at reception for further information.

Chiropody services are held at Addison House Surgery.

Please ask at reception for more information

Social Prescriber - Miglena Trangos is our Social Prescriber and can see patients for a variety of issues they may need help with e.g. benefits, signposting to local services etc.What does a Social Prescriber do?

First Contact Practitioner - Cris Lat is our First Contact Practitioner and triages patients with musculo-skeletal problems for onward referral to services as appropriate.

Clinical Pharmacists - Mahua Das, Chioma Okoro and Harminder Sangha are all clinical pharmacists who work alongside our own Clinical Pharmacist to offer medication reviews, long-term condition reviews and manage all prescription and discharge queries.  What does a Clinical Pharmacist do?

Care Co-ordinator - Jay ABDILLAHI is our Care Co-orinator.    What does a Care Co-ordinator do?

The next steps are to think about the role of a Life and Well-being coach and paramedic within the team

What does a Health and Welbeing life-coach do?

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