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The
surgery provides a comprehensive range of primary care services.
We offer a personal approach to family medicine and patients are
encouraged to see a preferred doctor. Surgery consultations
are by appointment, only, but with a flexible system that allows for
same-day access to a doctor or a nurse for genuinely urgent matters.
To make
an appointment please see our Appointments page by clicking on the
button above. The telephone number for appointments is:
01284 701331 for the main surgery and 0844 4773921 for
the Barrow branch.
To
see details about specific aspects of our services, click on the
topics in the table on the left.
Asthma
A number of our practice nurses have undergone further training
in providing asthma care. We encourage all patients with
asthma to attend for regular review, at least on a yearly basis.
Anyone experiencing frequent mild symptoms from their asthma should
make an appointment for an asthma review with a nurse for assessment
and help with medication. For more severe symptoms an urgent
appointment with a doctor should be requested. Between 6.30 pm
and 8.00 am, at weekends and on Bank Holidays, telephone 01284
701601 or NHS Suffolk Out of Hours Service direct on: 0300 130 3066.

Cervical screening tests
Cervical cytology sampling tests (used to be called cervical
smears) are carried out by all nurses and doctors in the practice.
Women are usually requested to make an appointment with a practice
nurse. Routine calls and recalls are sent to women every 3
years between the ages of 25 and 49 years and every 5 years from 50
to 64 years of age. The results are, then, sent to each
individual woman by post.
Community nurses
We have an excellent team of community nurses based at the
surgery. They provide nursing care to those who are housebound
and unable to attend the surgery through disability and illness.
They may be contacted directly by telephoning: 01284 752836.
If their office is unattended, you may leave a message on an answer
phone and a nurse will contact you when available.

Contraception
Confidential advice on contraception is provided by Tricia, our
lead practice nurse, and all the doctors. A full range of
advice and methods are offered, including coil insertion, although
implant insertion is no longer offered in the practice. We are
happy to advise on implant insertion, however, but, if you
prefer, you may contact the
3Cs Family Planning Clinic at Blomfield House Health Centre,
Looms Lane, Bury St. Edmunds, telephone number: 01284 775200.

COPD
Assessment, advice and treatment is provided for those with
Chronic Obstructive Pulmonary Disease. The practice possesses
a spirometer for the assessment of patients with suspected COPD and
two of our nurses have had additional training in this area.
You are advised to see your preferred doctor for initial advice if
you have a chronic cough or shortness of breath.

Coronary heart disease
The practice provides advice, monitoring and treatment for those
with heart disease. Regular CHD reviews are encouraged on, at
least, a yearly basis for those with stable disease. This
involves a visit to one of our practice nurses for physical checks,
such as blood pressure and weight measurement, and the taking of a
blood sample followed by a review by your preferred doctor when the
results are available. You are advised to consult your doctor
if you have symptoms suggestive of CHD, such as chest pain and
breathlessness on exertion, for initial advice. In the event
of someone experiencing severe chest pain, you are advised to
telephone 999 and request an ambulance.

Counselling
Unfortunately, we no longer have an attached counsellor paid for
by the NHS within in the practice. However, we are able to make referrals for
counselling to
Suffolk Mind
or to the
IAPT (Improving Access to Psychological Therapies) Programme,
funded by the NHS. You are advised to talk things over with the
doctor first. Details of private counsellors in the local area
are available, as well.

Diabetes
Regular monitoring and advice to those with Type 2 diabetes is
provided with routine checks carried out, at least, every 6 months.
These involve a visit to one of the practice nurses for physical
checks (such as blood pressure, weight, condition of feet etc.) and
blood and urine tests. When the results of tests are
available, review with the preferred doctor is advised.
Insulin dependent patients are cared for by the
West Suffolk Hospital diabetic clinic and specialist nurses.
See
The West Suffolk Diabetes Service for more information about
local services.

Dispensing
The practice provides a full dispensing service for patients
living in rural areas and more than one mile from a retail pharmacy.
Unfortunately, we are unable to provide dispensing to patients
living in Bury St. Edmunds, itself, except in the case of a genuine
emergency when normal retail pharmacy services are unavailable.
Please go to our
Prescriptions page for more details and how to obtain repeat
prescriptions.

General medical
The doctors in the surgery offer full NHS general medical
services which cover all aspects of modern primary care and
traditional family practice. Should referral to a specialist
be necessary, your doctor can arrange this, either at our local
West Suffolk Hospital
or a selection of other hospitals in the region, under the Choose and Book scheme. We are, also, able
to refer to you to a private specialist, should you request it.
However, we do not, generally, provide private medical services,
except to visitors from some countries.

General nursing
The nurses in the surgery provide full primary care nursing
services in addition to the other services and clinics mentioned on
this page. These services include dressings, suture removal,
ear syringing, leg ulcer care, minor injuries etc.

Health promotion
Our practice nurses offer assessment and advice on aspects of
health and healthy living. Newly registered patients are
encouraged to make use of this service where checks on blood
pressure, weight etc. are offered. Well-man and well-women
checks are available to existing registered patients. Book an appointment on:
01284 701331 for the main surgery or 0844 4773921 for the Barrow
branch.

Health visitors
Health visitors are no longer based in the surgery but may be
contacted by telephoning Collingwood House, in Whiting Street, on:
01284 757700.

Home
visits
Home visits may be appropriate for those who are genuinely
housebound or whose medical condition would be made worse by
travelling to the surgery. The vast majority of ill patients
can quite safely visit the surgery, including children and adults
with fevers. Visits are made at the doctor's
discretion, only, and, whenever possible, patients should attend the
surgery. A doctor is able to provide medical care to several
patients in the surgery in the time it takes to do one visit and you
are likely to be seen much quicker by attending the surgery.
We are unable to provide visits for reasons of convenience or lack
of transport. If you wish to request a home visit telephone:
01284 701601 for patients who attend the main surgery and 0844
4773921 for patients who attend the Barrow branch. The receptionist will request details of the
reasons for the visit, along with details of directions and access
to your home. Except in an emergency, please ensure your
request for a visit is received before 10.30 am.

Hypertension
The practice runs clinics to monitor and care for patients with
raised blood pressure. Two of our practice nurses have
received further training and provide the service, liaising closely
with the preferred doctor. We are able to offer ambulatory blood pressure
monitoring as well as providing monitors for patients to check their
blood pressure at home, if necessary. Further information on
hypertension can be found at:
British Hypertension Society

Immunisation
Children
Routine children's immunisations are provided by the surgery
in a regular Friday afternoon clinic. You will receive
notification of the routine immunisations your child requires with
advice on making an appointment for the clinic. For advice on
the immunisations recommended and further information go to:
NHS Immunisation Information
Adults
Immunisation against influenza and pneumonia is offered for all
patients over 65 years of age or with the following conditions:
asthma, COPD, diabetes that needs medication, serious heart disease,
severe kidney disease, long term liver disease plus those who are
immunosuppressed, have had their spleen removed or it doesn't
work properly. Carers of patients who would need to be
admitted to hospital in the event that the carer became ill with
influenza are, also, offered immunisation again influenza.
Tetanus immunisation, now combined with low dose diphtheria,
is offered to all who have not been fully immunised or who have
sustained a tetanus-prone wound.
Travel
We offer comprehensive immunisation for travellers,
including Yellow Fever. The practice is a
Designated Yellow Fever Centre To
make an appointment telephone: 01284 701331. You will be asked
to complete a questionnaire giving details of the areas you will be
travelling to, as well as the conditions under which you will be
travelling. Please complete this and hand to reception at
least a day or two before your appointment to see the nurse. This
questionnaire is available at reception but may be downloaded from
here:
Travel risk assessment form.
Please book your appointment at least one month before your intended
date of travel. Last minute immunisation may not provide
adequate protection. We use the latest information available
from Traveller software from the London School of Tropical Medicine
and Hygiene as well as Travax, provided by the NHS in Scotland.

Leg
ulcers
All our practice nurses (and community nurses for the
housebound) have considerable experience in the management of
chronic leg ulceration and the practice is able to continue to offer
this service.

Maternity/Midwives
We no longer have a midwife based in the surgery although
ante-natal clinics are still run in the surgery. Midwifery
services, including ante-natal care, is provided by the Abbey Team
of midwives who can be contacted on: 01284 755136.
Newly pregnant women are encouraged to see their preferred doctor,
initially, for advice. A prepared pack is available at
reception with information and forms for completion prior to the
first appointment with the midwife. In an emergency, if unable
to easily contact a midwife, women should contact their doctor for advice.
Between 6.30 pm and 8.30 am, on weekends and Bank Holidays
telephone: 01284 701601 or NHS Suffolk Out of Hours Service direct on:
0300 130 3066. Alternatively, in middle and late pregnancy,
contact the Central Delivery Suite at the West Suffolk Hospital via
the hospital switchboard on: 01284 713000.

Medical examinations
We are happy to carry out medical examinations for the purposes
of obtaining, or renewing, HGV/PSV driving licences, hackney
carriage driving licences, NPPLs as well as examinations and reports
for insurance purposes. Please see a list of our private
charges for these services by going to the
Private Charges page.

Minor injury
We provide a service for the assessment and treatment of minor
injuries that do not require X-rays to be taken or the full services
of the hospital Accident and Emergency department. Please make
an appointment by telephoning: 01284 701331.

Minor surgery
The doctors offer a minor surgery service for the removal of
small skin lumps under local anaesthetic. Cryotherapy
(freezing with liquid nitrogen) for warts and other skin lesions is
available as well as joint injections for a variety of conditions.
It is necessary to consult with your doctor first, for
assessment. The necessary treatment can, then, be arranged.

Private patients
The practice is a NHS general practice and we do not offer
private medical services except for:
Visitors from certain overseas countries;
Medical examinations for licences and insurance purposes;
Travel immunisations.
For information about the fees we charge for the above, click here:
Private Charges
We are not permitted to provide private services for our registered
NHS patients, unless these are unavailable on the NHS, although we
are able to refer patients to private specialists.

Smoking cessation
Our trained practice nurses run clinics to help those who smoke
to stop. This involves a clinic visit for assessment and
decision on appropriate treatment with follow-up over the subsequent
two months. Appointments may be booked directly, without
referral by a doctor, at reception or by telephoning: 01284
701331 for the main surgery or 0844 4773921 for the Barrow branch. There is a pre-assessment questionnaire that patients
are encouraged to complete prior to their first visit. This
helps in preparation for stopping smoking. For more
information go to
Giving Up Smoking.

Terminal care
Wherever possible we try to care for patients close to the end
of their lives at home. We follow the principles incorporated
in the
Gold Standard Framework in palliative care. Our community
nurses, with whom we work closely, have much experience and
additional training in looking after terminally ill patients in
their own homes. In addition, we work with community
Macmillan Nurses who have close links with the local
St. Nicholas' Hospice.

Travel advice
In addition to the necessary immunisations required for travel
(see
Immunisations), our nurses have access to up-to-date and
comprehensive advice about keeping well and safe during overseas
trips. Please complete the questionnaire available at reception
(or by downloading from
Travel Risk Assessment Form) and hand it to reception at least
one or two days before attending for your
appointment. This gives the nurse advance notice of the places you are planning to
visit and enables all the relevant information to be made available
on your surgery visit. For more information on healthy travel
visit:
Fit For Travel

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