We offer the following services:-
Ambulatory Blood Pressure Monitoring (ABPM)
Ambulatory Blood Pressure Monitoring (ABPM) is a useful way of monitoring blood pressures and helping patients with their BP control in a much more effective manner. Additionally it is much more accurate than taking BPs in the surgery. This investigation will be ordered by clinical staff; the device will then be fitted by our practice nursing team and the results will be analysed by our special software. The device is fitted one day, worn for 24 hours where it takes your blood pressures randomly throughout the day & night, and then removed. Your doctor will then decide whether any new or different medication is required. If you have any concerns over your BP please contact the surgery and one of our receptionists will be able to put you in the doctor’s diary to see if you could benefit from a fitting.
Accessible Information Standard
The surgery staff are here to help provide any information in an 'accessible' way for all patients by identifying patient or carer information and communication needs (whether caused by disability, impairment or sensory loss) eg. access to LARGE print information leaflets or correspondence.
Antenatal Clinic with midwife
Allergy and Anaphylaxis
Nipa Patel, clinical pharmacist, leads on the annual review of all patients with allergy or history of anaphylaxis although appointments can be made with all practice nurses.
All asthmatics are contacted annually and invited to submit an 'athma review' form on-line or attend in person for a practice nurse appointment. A personalised asthma management plan can then be generated. Nipa Patel, clinical pharmacist, is our respiratory care lead.
We offer 8 appointments a week for 24 hour BP machine fittings and HCA appointments every day of the week for one off readings.
We invite all patients who are registered as carers for a yearly health check-up with a practice nurse and review any support that we can offer. Suzanne Lockyer is our 'CARER CHAMPION' and offers dedicated pre-bookable carer support consultations.
Child Development Clinics
Babies that are 8 weeks old are routinely offered a developmental check with a GP ideally just prior to their first vaccination appointment with the practice nurse for parent's convenience.
All patients with COPD are invited in October to attend for an annual COPD review clinic with a practice nurse during which flu vaccines can also be given. Nipa Patel, clinical pharmacist, is our respiratory care lead.
Coronary Heart Disease Clinic
We invite patients with CHD for annual reviews in the month of their birthday with the practice nurse.
We offer an in-house Denosunab injection service for all eligible patients for osteoporosis protection and prevention.
DVT (deep vein thrombosis) near patient testing
We offer near patient testing for DVT (D-Dimer) in conjunction with clinical review by a GP.
We invite patients for annual reviews in the month of their birthday with either the practice nurse (lead Sister Clare Fluker) or Dr Gil Rivas (GP lead) and encourage all diabetics to have interim reviews of all diabetics every 6 months. Insulin can be initiated at the surgery and written diabetes management plans provided.
All patients that have pre-diabetics or have had gestational diabetes are also invited for annual reviews with practice nurses for monitoring and lifestyle advice.
Face to face consultations
All clinical staff and the carer lead offers face to face consultations which are either pre-booked or on the day and are available to book on-line, by phone or in person via reception. Surgery 'extended hours' is available for pre-booked appointments only.
Family Planning and smears
All the doctors and nurses provide family planning advice and nurses undertake smears throughout the week. We would ask you to phone to make a 'double appointment' for a smear with the nurse ONLY after receiving your invitation as samples will not be processed by the laboratory if requested early (in line with National Screening Guidelines). Contraceptive implants are fitted by Sister Sue Carr during the week by special arrangement and coils will shortly be being fitted by Dr Roopinder Brar on Fridays at Sunny Meed.
Flu , Pneumococcal and Shingles Vaccination
Influenza and pneumococcal vaccinations are particularly recommended for patients with heart, lung or kidney disease, diabetes and residents of nursing homes and rest homes. Children aged 2, 3 and 4 are also being offered the nasal seasonal flu vaccine. Shingles vaccine is offered in line with NHS guidelines.
Please contact the reception staff in September or October for details of the vaccination dates and to make an appointment. If you are unable to attend the surgery, a home visit can be arranged for you. Saturday clinics are offered for both adults and paediatric flu vaccination in October.
General Treatment Room Procedures including phlebotomy
General nurse procedures are available daily by appointment.
Interpreter and Translator Service
All staff have access to a phone interpreter and translator service for clinical or administrative queries.
We invite all patients on our learning disability register for a yearly check-up.
Medication Reconciliation and Review
Nipa Patel, clinical pharmacist at Sunny Meed, offers a medicine reconciliation and review service for all patients to improve safety and understanding around prescribed and over the counter medications.
We invite all patients to attend for annual review to discuss general wellbeing and undertake a healthcheck. Patient self-referral to the Surrey IAPT
Dr Rankin carries out minor surgery procedures by appointment and has liquid nitrogen clinics('freezing' clinic) weekly. He also undertakes joint injections.
New Patient Health Checks
These are available for all patients registering.
Patients Between 40-74 Years of Age or Recently Retired
NHS health checks are provided on a 5 yearly basis for patients in this age group who not currently on a chronic illness register or more frequently if specific health concerns arise.
Patients Over 75 Years of Age
A yearly health check-up for the over 75’s can be arranged by appointment with any of the practice nurses. All patients aged 75 years and over are also informed of their named GP who is responsible for coordinating their care. Both Holly, Health Care Assistant, and Dr Sara Gil Rivas can advise on services available to Older Adults in the locality.
These are available to book on-line, by phone or in person via reception with all GPs, Nipa Patel, clinical pharmacist and Sister Clare Fluker.
The clinicians will make referrals to both NHS and Private secondary care services. Choice of hospital and provider is offered to all patients referred in the NHS using the NHS e-Referral Service which replaced the Choose and Book service in June 2015. Please inform the referring clinician of any preferences when being referred to local services.
Sexual health screening
We encourage all under 25 years olds to self-test for sexually transmitted diseases (chlamydia and gonorrhoea) using the 'grab a bag' kits that can be collected from surgery 'rest rooms' or by requesting one from a member of the team.
Although we currently do not offer this service, it is something that we may introduce in the near future and depends on patient views. We would value your thoughts about introducing skype as a method of consulting and would be grateful if you could drop us a line detailing your views.
Travel Immunisations & Vaccinations
Please complete a travel questionnaire for review by the practice nurse prior to your appointment (ideally at least six weeks in advance of your holiday) to ensure adequate cover if vaccinations are required. A charge will be made for certain immunisations and vaccinations which are not covered by the NHS. A list of these charges is held at reception. The surgery is an authorised yellow fever centre.
The surgery is host to an ultrasound service available on Tuesday mornings for patients who are referred by a GP.
Warfarin (INR) Clinic
Our practice pharmacist Nipa Patel and nurse Samantha Stone are trained to initiate and monitor patients on warfarin. Holly our HCA also undertakes INR monitoring. Near patient (finger-prick blood) testing enables an immediate result to be generated so dose adjustments if necessary can be made without delay and a follow up appointment arranged.
Well Woman/Man Clinics
Although we do not run dedicated well woman/man clinics we actively promote patient well being and are happy for all patients to arrange review with a practice nurse to discuss health promotion or answer specific health concerns. This service runs alongside NHS Health checks offered to all patients aged 40-74 years.
We have introduced a new 'direct dial to GP service' to help patients access clinical advice when at work and in addition try to offer a good selection of GP and Nurse appointments throughout the week. We offer extended hours of opening in the evenings, in addition to 'core working hours' and ensure that our website is kept up to date with information, advice and links to enable those who do work access to services at any time of day or night.
If you require any vaccinations relating to foreign travel we encourage you to submit the travel VACCINATION/ ANTI-MALARIA questionnaire below or complete one at reception so that the practice nurse can review your travel plans and best discuss your travel requirements at your appointment.
There is further information about countries and vaccinations required on the links below.
It is important to seek advice about travel requirements as early as possible - ideally at least 6 weeks before you travel - some vaccines may have to be ordered and may not provide protection straight away.
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.
To help us offer the appropriate advice, please fill out the travel questionnaire before coming to see the nurse. Upon completion please email it to firstname.lastname@example.org and wait 5 days before calling the surgery to book an appointment.
ONE form per person travelling.
If you need to contact us directly with an enquiry please email: email@example.com
www.fitfortravel.nhs.uk is an excellent resource for travel advice.
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
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. Notices in the waiting room display current non-NHS services and fees.
We are happy to provide medical input for staff flu vaccination programmes if required. Please contact Filippa Dilena, practice manager for further information.
We are unable to provide chicken pox vaccination for any patient due to national contractural reasons.
For information on prices or non-NHS services, please click here.
Call NHS 111 if you need medical help or advice but it's not a life-threatening situation. You can also call NHS 111 if you're not sure which NHS service you need. It is available 24/7.
Call 999 if someone is seriously ill or injured and their life is at risk.
Visit a walk-in centre, minor injuries unit or urgent care centre if you have a minor illness or injury (cuts, sprains or rashes) and it can't wait until your GP surgery is open.
Ask your local pharmacist for advice – your pharmacist can give you advice for many common minor illnesses, such as diarrhoea, minor infections, headache, travel advice or sore throats.
Make an appointment with your GP if you are feeling unwell and it is not an emergency.
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