Asthma Clinic
All of our Nurses hold weekly clinics for patients with Asthma & COPD.  We encourage all patients to attend these appointments so that we can  ensure your Asthma or COPD is well controlled and that you are on the most effective treatment.  Our nurses attend regular training sessions to maintain and expand their expertise in the treatment and management of respiratory diseases.

Cervical Smear Tests
Available to all women aged 25 and over and usually performed by the  practice nurses.  Smear tests are normally carried out every three years but the frequency can be lesser or greater than this depending how old you are.  Liquid Based Cytology (LBC) has now been in use for several years and reduces the likeliness of having to repeat the test.

NHS Health Checks
These Health Checks conducted by the practice nurses are for both men and women and are for patients between the ages of 40 & 74 years of age.  The Health Check is designed to look at your risk of developing heart disease, stroke, diabetes and kidney disease and how, by taking early action now you can improve your health and can prevent the onset of these conditions. 

Family Planning Advice
Is provided by all of the doctors and nurses at the practice and covers advice and provision of the range of contraceptive alternatives available.  Practice Nurse Cyndie has undertaken enhanced training in Family Planning and is able to offer specialist advice and services for Long Acting Reversible Contraception (LARC).  If you would like to discuss this further please leave your name and contact details with any member of the reception team.

Child Health Checks & Immunisations
These are provided at regular intervals by the doctors, health visitors and the practice nurse.  The screening checks monitor growth, development and the wellbeing of children.  It is very important for children to be immunised against childhood illnesses.  If you have any questions about immunisations, please discuss them with your doctor

Travel Vaccinations
These need to be booked well in advance.  It may be necessary to commence the course of vaccination two months before travel.  There may be a charge for some vaccines

Flu Vaccines
Flu vaccinations are usually given annually in the autumn to those groups of patients who may be at risk, such as the elderly or those suffering from heart or chest conditions.  If you feel that you need a flu vaccination, please discuss it with your doctor.

Antenatal Clinic
These are conducted every week by the midwife.  Pregnant women are seen at regular intervals leading up to the birth.

Diabetic Clinic
These are carried out by the doctor and practice nurse at regular intervals with diabetic patients in order to prevent long term complications of the illness

Minor Surgery
Certain minor surgery clinics are held monthly.  These are usually to treat warts or varuccas that have not responded to treatment from remedies purchased from the pharmacy.  The affected areas are treated by Cryotherapy (freezing) which is not recommended for very young children as in some cases it can be painful.  We are unable to add anyone into the cryo clinic whose treatment has not been cleared by their GP first.

Travel Vaccinations

If you require any vaccinations relating to foreign travel you need to complete a travel questionnaire.  This can be downloaded or submitted electronically to us but please remember that you will need to contact the surgery about 7-10 days after you have sent the form to enquire what vaccinations you require.  The Nurses will have assessed your vaccination requirements based on the information provided so please give as much detail as possible.  Please note the surgery will not ring you if you need vaccinations, you must contact the practice to check your requirements.  

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 2 months 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.

Japanese Encephalitis £178 course of 2 

Rabies £150 course of 3

Hepatitis B £75 course of 3

Meningitis ACWY £40 course of 1

Tick Encephalitis £50 per vaccine

MMR £20 course of 1

A private prescription will be provided for malarial treatment.

Payment for vaccination courses is required prior to your first appointment as some vaccinations have to be ordered in. You need to pay in advance because sometimes patients change their mind and when this happens the practice incurs a cost for the vaccines and may not be able to use them for other patients if the shelf life is too short.  Cheques should be made payable to Green Street Clinic.

Please remember it is the patients’ responsibility to contact the surgery to make an appointment with the practice nurse after completion of the Holiday Vaccination form.

Whilst we will always try to accommodate patients who have booked holidays at short notice, at busy times this may not be possible.

PLEASE NOTE THAT WE ARE NOT A YELLOW FEVER CLINIC SO IF THIS VACCINE IS NEEDED, YOU WILL NEED TO GO ELSEWHERE. PLEASE ASK THE PRACTICE NURSE FOR AN UP TO DATE LIST OF CLINICS

Travel Vaccination Form

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
• Passport signing
• Prescriptions for taking medication abroad
• Private sick notes
• Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our secretarial staff will be happy to advise you about them along with appointment availability.

Please be aware that Non-NHS services will not be treated with the same priority as NHS work and as such the wait for medical appointments will be longer.  It is also unlikely that another GP will undertake this work if your own GP is on holiday.