Brook Square SurgeryTrafalgar House41-44 Trafalgar Street WestScarborough, YO12 7ASTel: 01723 360098
The asthma clinic is run by a Practice Nurse. A review at least annually at the clinic checks that you are keeping the symptoms of asthma (cough, wheeze, chest tightness, breathlessness) to a minimum. Being aware of any of these symptoms, being unable to do your usual activities or having disturbed night’s sleep because of them indicates your asthma is not well controlled.
At the clinic we will discuss:
A plan of action to help you self manage the condition to reduce deteriorations and asthma attacks. During your clinic visit your peak flow (a test of the efficiency of your lungs) will be measured and recorded. This shows whether your asthma is under control or better or worse than before. This is an indication of whether the medication is effective, or whether a change is necessary. To prevent long term, irreversible breathing problems it is important to keep asthma under control and its effects to a minimum.
You will be referred to the Chronic Heart Disease clinic if you are diagnosed with a heart condition. The purpose of the clinic is to help you manage your condition and reduce the risks of heart attack and worsening coronary disease. The Chronic Heart Disease clinic is a nurse led service, making it very accessible for patients needing clinical support to manage their condition. The nurses involved are qualified to carry out all aspects of the service and have a great deal of experience in treating and managing chronic heart disease.
When you attend the clinic the nurse will take your blood pressure, take a blood sample and ask questions about your lifestyle, smoking and your family history. The blood test will determine your cholesterol level and that, combined with the information you provide will be used to calculate the risks associated with your disease. While medication will be used where necessary eg. in treating high cholesterol, a very important part of helping you manage Hypertension is through Health Education.
The nurse will discuss your life style particularly your diet and exercise, drinking and smoking habits and try to identify ways in which you can reduce the risk of developing a more serious condition. You will be provided with literature on the benefits of exercise, diet, weight loss etc The nurse will stress the importance of making small changes to your lifestyle, changes that could improve your quality of life, reduce the need for medication and prevent life threatening heart conditions or strokes
The COPD clinic is a nurse led clinic. Attending the clinic you will be checked for symptoms and have your lung function measured. This will help determine the degree to which breathlessness (the core symptom of COPD) impacts your life, the degree to which medication is being managed and how effective it is at dealing with the symptoms. Prescribing for COPD is to a degree, experimental, as what suits one does not suit another. So part of the remit of the clinic is to look at whether inhalers are effective against the symptoms or whether it is worth trying alternative drugs. Whether you are using inhalers and/or antibiotics and steroids, you will receive help wit h the self management of the medication.
Health Education is once again, a very important part of the COPD clinical service and stopping smoking and encouraging exercise are both promoted as key planks in the COPD strategy. In trying to improve your quality of life, the nurse will encourage you to have confidence to be as active as respiratory effort will allow.
Care of patients with diabetes is jointly given by the GPs and Practice Nurses who have a special interest and specialist training in the condition. Regularly attending the diabetes clinic will provide you with the up-to-date information and support to help you fit diabetes and its management into your daily life. As a diabetic, you will be shown how to prevent short term complications of becoming unwell with too high or too low blood sugar levels and long term complications which can do serious damage to your body, causing problems with the eyes, heart, kidneys and feet.
The management of your diabetes involves monitoring blood sugar levels, blood pressure and blood fats and if indicated, recommending life style changes. Of course, medication can also play an important part in keeping the condition under control so you feel well and keep healthy
You will be referred to the Hypertension clinic if you are diagnosed with high blood pressure. The purpose of the clinic is to treat the causes of hypertension and help reduce the risks of developing a more serious condition, such as coronary heart disease or a stroke. The Hypertension clinic is a nurse led service, making it very accessible for patients needing clinical support to manage their condition. The nurses involved are qualified to carry out all aspects of the service and have a great deal of experience in hypertension management. When you attend the clinic the nurse will take your blood pressure, take a blood sample and ask questions about your lifestyle, smoking and your family history. The blood test will determine your cholesterol level and that, combined with the information you provide will be used to calculate the risk of developing coronary heart disease.
While medication will be used where necessary eg. in treating high cholesterol, a very important part of helping you manage Hypertension is through Health Education. The nurse will discuss your life style particularly your diet and exercise, drinking and smoking habits and try to identify ways in which you can reduce the risk of developing a more serious condition. You will be provided with literature on the benefits of exercise, diet, weight loss etc The nurse will stress the importance of making small changes to your lifestyle, changes that could improve your quality of life, reduce the need for medication and prevent life threatening heart conditions or strokes. You will be asked to make a follow-up appointment every 6 months for monitoring purposes. Where appropriate, you will be referred to the Smoking Cessation clinic
The Sexual Health clinic offers full contraceptive services and an advice service. When attending you will also have the opportunity to discuss the different contraceptive methods available:
Education about ‘Safe Sex’ is an important part of the Practice’s Sexual Health strategy with the objective of preventing STIs. Education is aimed at explaining what STIs are, how to avoid them, screening to detect them and treatments involved. These services are not confined to the clinics. The nurses involved are always available for Sexual Health advice and counselling. The Practice also offers free Chlamydia tests.
Please visit www.yorsexualhealth.org.uk for more information on sexual health.
As from the 1st of September 2015 the Practice will be offering Meningococcal B as part of the childhood immunisation programmes as part of the routine schedule. This will be offered to infants at their first and third routine vaccination appointments, at approximately 2 and 4 months of age. A booster will then be offered at 12- 13 months.
With this vaccinations there is a risk of fever after it has been administered. Giving paracetamol soon after vaccinations- and not waiting for a fever to develop- will reduce the chance of your child having a fever. For more information please click on the link below.
Use of Paracetamol After MenB Vaccination
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)
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced)
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