Lambert Medical Centre2 Chapel StreetThirsk, YO7 1LUTel: 01845 523157
Please click here to read our Summer/Autumn Newsletter.
Dr Pooley and Dr Cook have now retired. Please be assured that all of our other GPs have access to your full medical records and will be able to help you.
Our next Saturday Flu Clinic is on Saturday 3rd November 2018 9am to 11.45am - No appointment necessary
We are now a Parkrun Practice which means we support our local Parkrun and recognise its positive impact on health and wellbeing. If you are not familiar with Parkrun please click here and watch this video:
As a practice, we will be having a Parkrun takeover on October 20th at Northallerton. Our staff will be volunteering and we are encouraging both staff and patients to take part. Please click here for more information:
We have a midwife at the Surgery on Mondays and Wednesdays.
If you have just found out that you are pregnant – congratulations! Please ring the Friarage on 01609 763093 to make your booking appointment. You do not need to see a GP here at the practice and once you have been seen at the hospital they will arrange your first midwife appointment here.
You will then receive regular appointment throughout your pregnancy. The midwife will also discuss any vaccinations or supplements you may need.
You will receive a number for the Friarage which you can ring for any pregnancy related issues, if you have a non pregnancy related illness then please make an appointment at the surgery in the usual way.
All women who are registered with a GP are invited for cervical screening:
Being screened regularly means any abnormal changes in the cells of the cervix can be identified at an early stage and, if necessary, treated to stop cancer developing. Once you have received your invitation letter please ring to make a 20 minute appointment at a convenient time. Our Practice Nurses offer appointments from 8.20am until 6.00pm and once a week we have an evening surgery until 8.30pm.
If possible, try to book an appointment during the middle of your menstrual cycle (usually 14 days from the start of your last period), as this can ensure a better sample of cells is taken.
It's best to make your appointment for when you don’t have your period.
You'll be asked to undress from the waist down and lie on a couch, although you can usually remain fully dressed if you're wearing a loose skirt.
The doctor or nurse will gently put an instrument called a speculum into your vagina. This holds the walls of the vagina open so the cervix can be seen.
A small soft brush will be used to gently collect some cells from the surface of your cervix.
Some women find the procedure a bit uncomfortable or embarrassing, but for most women it's not painful.
Try to relax as much as possible as being tense makes the test more difficult to carry out. Taking slow, deep breaths will help.
The cell sample is then sent off to a laboratory for analysis and you should receive the result through the post.
For more information about cervical screening please go to https://www.nhs.uk/conditions/cervical-screening/]
We offer various types of medication including implants, coils, injections and pills. To discuss your options with a GP please make a phone back appointment. You must dicuss your options with a GP before you have a coil or implant fitted for the first time.
For more information about the contraceptives available please click here https://www.nhs.uk/conditions/contraception/
A pill check appointment is required every year. This is a 10 minute appointment with a nurse and involves checking your health including taking your bloods pressure and discussing your current contraception.
To replace a coil or implant please make a 20 minute appointment. This needs to be with a GP and a Nurse so please make these appointments as soon as you can.
Minor Injuries Service
Travel Immunisation and Advice
By appointment with a nurse, we can provide a full range of vaccinations and anti-malaria prescriptions as well as general advice. Advance warning of your destination helps us plan your advice. More information can be found on the above tab.
The NHS Health Check invites adults aged 40 to 74 - without previously diagnosed heart disease, diabetes or chronic kidney disease - for a free health assessment.
The NHS Health Check is an important step for many people towards improving their lifestyle and becoming more aware of what they can do to minimise health risks. The NHS Health Check can help lower people's risk of developing heart disease, stroke, kidney disease, type 2 diabetes and some types of dementia.
Think of the NHS Health Check as being a "midlife MOT". It checks that some of your body's most important systems are all running smoothly. Crucially, your NHS Health Check can detect potential problems early and allow you to put them right before they do real damage. Among other things, your blood pressure, cholesterol and BMI (body mass index) will all be properly checked.
Please click here for more information about the Healthcheck
and here for Lifestyle advice to help and support you in making changes
Heartbeat Alliance are now offering routine appointments on Saturday mornings 08.30am till 12pm for Physiotherapists and Pharmacists.
If you have pain and stiffness in your neck, back, joints, muscles, have a sports injury, trapped nerve or suffer from arthritis then please call reception on 01845 523157 to make an appointment.
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
Please note that GPs are not obliged to do any of the above work, it will always take second place to their clinical work. Please note you will be asked to pay before any of the above is completed
Non NHS Fees 2018
View Reasons for Fees here
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.
The following vaccines will have to be paid for regardless of whether you have your vaccinations at your GP surgery or a private travel clinic:
Hepatitis B, Meningitis C and other meningitis vaccines, Japanese encephalitis, Rabies, tick-borne encephalitis or tuberculosis. You will also need to pay for any Malaria treatments you require.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Or download a copy here
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
To consent to any procedure, an individual firstly needs the ability to be able to understand what they are consenting to. There are different levels of consent. Some people may be able to consent at a basic level ie agree to an examination but not to undergo a surgical procedure – children may be a good example. Every individual’s ability to consent will be taken into consideration by the clinician involved. The clinician will ensure the patient understands the procedure, can retain the information and understand the implications of undergoing the procedure. The clinician will also attempt to gain consent (where appropriate) before embarking on anything which may impact on a patient directly.
Types of consent used within clinical practice:
This is used in clinical practice on a daily basis. Certain procedures are carried out by GPs whereby the patient is advised by the GP what they are going to do without further explanation for example taking a blood pressure, looking in the ears, examining a joint.
In addition, when agreeing to a referral to another clinical team, it is assumed that the patient is consenting to relevant information being shared with that team. The information to be shared includes: your name and address, the reason for the referral, your medication, conditions you have been diagnosed with, any details regarding your medical history that your GP believes to be relevant, details of any recent treatment and the name and practice of the referring doctor.
Informed Verbal Consent
A lot of day to day practice will involve this. It is usually relevant to invasive minor procedures, invasive examinations and close contact with the patient. The clinician will speak to the patient before any procedure is carried out giving important relevant information. The practitioner will also explain to the patient:
Examples will include:
Various ways of documenting consent can be used dependent on the situation. In many cases, for example minor surgery and travel, the computer system is used to document clinical information and consent.
Informed Written Consent
Some more complicated procedures require the clinician to take written consent. It gives clear information about the procedure, lists important benefits and risks and allows the patient to also have written information if requested.
This is usually required for the following specific situations:
Questions to ask Health Professionals
As we as giving you information, health professionals must listen and do their best to answer your questions.
You may want to ask questions about the treatment itself, for example:
You may also want to ask questions about how the treatment might affect your future state of health or style of life, for example:
The Doctor should welcome your views and discuss any issues so they can work in partnership with you for the best outcome.
Standardised practice forms are used for different procedures. A copy of the signed consent is stored and documented on the patient’s medical records.
Written consent is also requested for patient information to be shared with family members or released to external agencies eg. Insurance Companies
Consent to share information with Family or Carers
Consent to release information to a third party e.g. insurance forms
The NHS is very complicated, and it can be difficult to know where to go for help when your child is sick. There are several places that help and advice can be found.
NHS Choices Website
For information only, the NHS Choices website can provide good information for the care of more minor illness - coughs, colds, tummy bugs - where a child is unhappy at times but still eating, drinking, and active. It can also give you more information after you have seen a doctor or nurse, or help you remember what advice was given.
Your GP surgery - Local Practice
During working hours it is usually best to see a GP if you are worried about the health of your child. GP are trained in the care of children and have a lot of experience in looking after them. At times it can be difficult to get an appointment, so if this is the case, ask the receptionist for the duty doctor to ring you. Leave an up to date contact number, and be clear to mention if you think it is urgent. The doctor will then ring you after listening to you will decide when and where you child should be seen. There are very few medical emergencies that are best dealt with in hospital straight away, so in most situations it will always be best to contact your GP before deciding to going anywhere else. GP Surgeries offer a minor injury service so can see bumps and scrapes as well
This is a relatively new telephone service for urgent care problems. It is available 24hours a day, seven days a week and is free to everyone. It is also the way you would access GP care out-of-hours. You just dial "1-1-1" on your phone and your call should be answered quickly. Once your call is answered your details and your childs will be taken and after several questions, the call handler with the help of the special computer program will advise you where the best place for your child is to be seen. If your practice is open they can advise you to ring them and speak to your GP. If the practice is closed they may recommend talking to the on-call GP. They will contact the GP for you and they will ring you back. The NHS 111 call-handler can also hand your call to a clinical advisor, if you just need advice. If it is more serious then the call handler can send you an ambulance, or advise you to attend Accident and Emergency
Accident and Emergency
A+E should not be used for more minor illnesses. However, if your child has had an accident and they are in a lot of pain, or are unable to move a leg or arm, then it is sensible to take your child to A+E. If you are not certain it is serious then contact your GP first. Head injuries are common, most are not serious. For head injuries only take your child to A+E if they bang their head and are knocked out, or have a cut on the face or head. Otherwise your GP practice provides a minor injury service, including for children. Doctors in A+E are trained in emergency illness and trauma, and do not always have training in childhood illnesses, so for the less severe illnesses it is always better to see a GP at your surgery or the duty GP in the evenings and weekends
This is for life threatening emergencies. If you are not sure that you need an emergency ambulance, then please ring NHS 111. If they feel an ambulance is needed one will be dispatched without delay.
Please find forms that you can print, complete and bring into the surgery.
If you wish to scan and email the form in to us please email HRWCCG.email@example.com
Home Blood Pressure Monitoring Sheet
Consent to allow a regular 3rd party access to your records
Consent to release your records to an organisation
Consent for your representative to pick up prescriptions
Request for online access
Subject Access Request Application
Epworth Sleep scale
Please find below forms which you can complete and submit electronically:
Change of Address
If you suffer from COPD you will be invited to an annual review. Please bring your inhalers to this 20 minute appointment where the Nurse will:
Discuss any symptoms you are experiencing and their impact on you-please complete & bring the CAT test form which should be supplied to you on invitation to this appointment
Perform a breathing test and check your oxygen levels
Review your Inhaler technique-please bring your inhalers to the appointment.
Give advice about your treatment/inhalers and make any appropriate changes
Advise on signs to monitor which may signal a chest infection & the appropriate action to take
Ensure the one-off Pneumonia vaccine has been offered
Ensure the annual Flu vaccination has been offered
Offer lung exercise classes (Pulmonary rehabilitation) as/if appropriate
Asthma patients will receive an annual review. This may be over the phone or on collecting medications from the Pharmacy. There is also a form via the website which can be submitted to include the details for your asthma check. Some patients may be invited to the surgery for an appointment
At your annual review the nurse will;
Discuss any symptoms you are having and their impact on you
Review your treatment and Inhaler technique - please bring your inhalers with you to the appointment
Perform a quick blow test called a ‘peak flow’
Provide advice & support with stopping smoking as required
Discuss & consider the one-off Pneumonia vaccine if appropriate
Provide you with a personal self-management plan
When you register your baby you will be given an appointment for their 6 week check with a GP and then their first vaccination appointment.
Vaccines are normally given at 8, 12 and 16 weeks, then 12/13 months and then a booster at 3 years 4 months. There must be a full four weeks between the first three appointments so your child may have their appointments at times slightly different to those above.
For more information about the vaccination schedule or details about specific vaccinations please visit: https://www.nhs.uk/conditions/vaccinations/childhood-vaccines-timeline/
The appointments are 20 minutes long and the nurse will discuss any side effects with you. If you want to discuss using calpol before your appointment please ring the surgery and ask for a phone appointment with a GP. Please remember to bring your child’s Red Book with you, this will maintain an accurate record of their vaccinations.
As a parent, you may not like seeing your baby or child being given an injection. However, vaccination will help protect them against a range of serious and potentially fatal diseases.
There are 3 good reasons to have your child vaccinated:
There will always be some children who are unavoidably unprotected because:
However, if more parents have their children vaccinated, then more children in the community will be protected against an illness. This lowers the chance of a measles outbreak.
You may be concerned that too many vaccines at a young age could "overload" your child's immune system, but this really isn't the case. Studies have shown that vaccines don't weaken a child's immune system.
As soon as a baby is born, they come into contact with a huge number of different bacteria and viruses every day, and their immune system copes well.
The bacteria and viruses used in vaccines are weakened or killed, and there are far fewer of them than the natural bugs that babies and children come into contact with.
In fact, if a child was given 11 vaccines all at the same time, it would only use a thousandth of their immune system!
Watch this short animation to find out more.
Read these articles to find out more about vaccine safety, plus the risks and benefits:
Vaccine risks and benefits
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