Asthma, Diabetes And Healthy Heart Clinics

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 Practitioners

Our Nurse Practitioners Louise Hammond, David Greenhalgh & Emma Crowe have clinics available Monday to Friday. They have had extra medical training so can prescribe medication and make referrals. They can also treat you for minor illnesses, women’s men's health and children’s health.

Minor Surgery Operations

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

Healthcare Assistant - Phlebotomy

Patients requiring a blood test can make an appointment at the surgery Monday to Friday.

Family Planning

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. Rachel Thomas, Practice Nurse can undertake fitting, removal and replacement of the contraceptive implant, please speak to a clinician to discuss before booking an appointment for this service. The Practice Nurses can also undertake contraceptive advice and pill checks.

The surgery offer emergency contraception service within the hours of 8.00am to 6.30pm, if you require emergency contraception out of hours please see you local pharmacist.

Other Services

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

Fit 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 fit note after this you will need to make an appointment to see a Doctor.

Private Medical Certificates & Examinations

Doctors carry out private medicals by appointment if you require. There will be a charge for this service.

HGV, PSV, DVLA, Taxi and all other medicals are carried out by arranged appointment/consultation only. You may require extra time for these consultations. Please inform the reception team when you are making this appointment.

Please see the leaflet below for an up-to-date list of charges, which will be payable at the time of your appointment. We accept cheque or cash only.

EMP Fees List Effective 25th May 2018

The Elms Medical PracticeTravel Advice

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 8 weeks before you travel. A Travel Risk Assessment Form will need to be completed and our Reception Team will contact you to arrange an appointment.

Please select the link below to complete the Travel Risk Assessment Form:

Travel Questionnaire

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 £25.00 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 but ask in surgery as other services are available on request.

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 itineraries 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/

Boots The Chemist

Boots can provide a telephone consultation at an agreed time, available 8am - 8pm most days and 11am - 5pm on Sundays.  They offer a full vaccination service and it is also available for children from the age of 5.

Chester:  47-55 Foregate Street, Chester CH1 1NA.  Tel:  01244 328421 ext.

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