Asthma, Diabetes And Healthy Heart Clinics

glucose_reading Appointments can be made with the Practice Nurses to monitor treatment, ensure appropriate medication and offer education and advice on how best to manage your condition. You will be invited to attend the surgery for regular reviews.

Nurse Practitioner

Our Nurse Practitioner Louise Hammond is available Monday, Tuesday and Wednesday. She has had extra medical training so can prescribe medication. This means that she can treat you for minor illnesses, women’s health, children’s health and contraception issues.

Minor Surgery Operations

We offer a range of surgical procedures performed under local anesthesia.

Phlebotomy Service

Patients requiring a blood test can make an appointment at the surgery at the following times;Tuesdays 8.30 – 12.00 (at our Hoole Surgery)If you are unable to attend this session, please ask for an appointment with our Health Care Assistant on Friday.

Family Planning

pregnant_19 All the doctors give contraceptive advice in normal surgery time. Appointments for advice and fitting of coils and caps may be made with Dr Ann McNutt. Dr Walker-Baker offers a contraceptive implant service please make an appointment during one of her surgeries. The Practice Nurses can also undertake contraceptive advice and pill checks.

The surgery offer emergency contraception service within the hours of 8.30am to 6.00pm, if your require emergency contraception out of hours please contact the Family Planning Clinic on 01244 356803

Maternity Services

Ante Natal Clinics are run my the Community Midwives and held at the Kingsway Children’s Centre one afternoon per week. The Midwife holds relaxation and Mother Craft sessions on Thursday afternoon. These are 4 week courses held at Northgate Arena, and patients will need to contact the Midwife to enrol.

Child Health

We hold special clinics for the routine immunisation of babies and toddlers on Tuesday afternoons and at Blacon Surgery on Monday afternoons. The Health Visitors hold an Open Advice Clinic every Tuesday afternoon from 1.30pm to 3-30pm and at Blacon Surgery patients have access to an Open Advice Baby Clinic on Wednesday morning. All mother and babies are most welcome.

Recommended Vaccination Schedule

Age	Immunisation
2 months	1st Diptheria, Tetanus,Pertussis (Whooping Cough), Polio, HIB (Haemophilus), Meningitis C and Pneumococcal Conjugate Vaccine (PCV)
3 months	2nd Diptheria, Tetanus, Pertussis, Polio, HIB, Meningitis C and PCV
4 months	3rd Diptheria, Tetanus, Pertussis, Polio, HIB, Meningitis C and PCV
12 months	HIB and Meningitis C
13 months	Measles, mumps and rubella (MMR) 1st dose and PCV
4 years	Diptheria, Tetanus, Pertussis, Polio booster, MMR 2nd dose
12 years	Rubella (German measles)
13 - 14 years	BCG (TB given at school)
15 years	Diptheria, tetanus and Polio

Other Services

non_nhs_services The counsellor and community psychiatric nurse also operate from the surgery premises.

Sick Notes

A Doctor’s note is not needed for the first seven days of illness. Self-certification forms are available from the Medical Centre or your employer. If you require a sick note after this you will need to make an appointment to see a Doctor.

Private Medical Certificates & Examinations

Please note that fees are payable for non-NHS services. A list of current services and charges is available from the reception team.

The Elms Medical Centre Travel Advice

flight_and_luggage The Practice Nurses will only be able to provide advice and vaccinations for standard travel and package tours for holidays up to a maximum of 3 weeks duration. For travel advice and vaccinations you will need to book an appointment at least 3 weeks before you travel.

We stock Hepatitis A, Thyphoid, Tetanus, Diphtheria and Polio vaccinations free of charge for travellers.

Hepatitis B is available at a cost of £40 per injection (normally a course of 3 injections is recommended and must be paid for in advance)

We also provide basic malaria advice. If a prescription is required for malaria tablets there will be a charge of £13 for the prescription (this is not covered by the NHS). You will also need to pay the chemist for the cost of the malaria tablets as well as the prescription charge.

For rabies and yellow fever vaccinations, which are commonly recommended, you will need to attend one of the 'Travelled Well Clinics' listed below as the vaccinations are not available on the NHS and the surgery does not provide them.

If any of the following circumstances apply to you we recommend that you visit one of the travel clinics listed for more specialised advice and information. The circumstances are:

travelling at short notice
complex itineries to different countries
if you are pegnant or breast feeding
longer periods of travel
visits to relatives abroad
work experience abroad
pre-exisiting medical conditions

Please note that if you book with the Practice Nurse and any of the above apply then she will ask you to attend the the specialist travel clinic instead.

Well Travelled Clinics

These are a subsidary of the Liverpool School of Tropical Medicine and can provide the necessary expertise for more complex travel.

These clinics are based in Manchester, Liverpool and Chester and can see you for travel to any destination. They keep all vaccines and tablets in stock, and can provide occupational health services and serology testing if required.

Chester - 10 Watergate Row North, Chester, CH1 2LD Tel: 0844 939 5600

Liverpool - Pembroke Place, Liverpool, L3 5QA Tel: 0151 705 3223

Manchester - Unit 3 Station Approach, Manchester Picadilly, M1 2GH Tel: 0844 846 7510

Further information about prices and the services they offer can be found on their website: http://www.welltravelledclinics.co.uk/

Further advice for all travellers

This can be found on the website http://www.nathnac.org// for country specific advice and recommended vaccinations or click the links below.

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

The Elms Medical Centre is a pupose built surgery that offers access for the disabled and parking facilities for our patients. The surgery also has disabled toilet facilities.

The car park attached to the surgery is available solely for patient and staff use.

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Noticeboard

There has been a recent increase in cases of measles. If your child has not completed their two MMR vaccinations, please make arrangements for their vaccinations. If you or your child are un-immunised and are due to travel abroad, please contact the Practice Nurse to discuss.

Making Appointments at the Surgery - P lease contact the surgery on 01244 351000 to make both routine and urgent appointments with the GPs and Nurses

GP Care Plus
Extended Opening is available to all patients to book a routine appointment outside of practice opening hours. This service can be found at the 1829 Building at the Countess of Chester Health Park

Appointments are available
Mon - Fri 6.30-8pm
Sat 10am - 12pm

Please call 01244 385422 between 8am-6pm to book an appointment up to 2 weeks in advance

Out of Hours
Please ring 01244 385300. When the surgery is closed care is provided by GP’s and nurses employed by the Western Cheshire Primary Care Trust and your doctor may not be on duty.

Home Visits
If you are too ill to attend surgery then please telephone 01244 351000 before 10-30am. State clearly the name and address of the patient and describe the symptoms. This helps the doctors to decide the urgency of the calls and plan their rounds.

Test Results
Please telephone between 11.30am and 5.00pm for the results of tests, x-rays etc.

Quit Smoking

A free friendly advice and support service is available to help you give up smoking. To get further information about stopping smoking either ask the GP or nurse when you visit them or phone 0800 0435134. Alternatively you can text quit4good to 60777, email quit@quit4good.org or visit www.quit4good.org

Further Information

Patient Participation Group