H O M E                                                                                                                      Feb 2011

 

 

 CLINICS AND SERVICES

Asthma
 
The clinical team in general manage patients with asthma.
Patients are invited to attend for periodic review if they are on regular treatment.

 

Chiropody

Jemma Klein is in attendance at EHMC on Mondays pm and Thursdays pm.
Appointments (Private only) on 8922 0426 or 8203 3078.

 Community Midwife.

The midwife is based in the Community Midwives Department in Northwick Park Hospital.
After confirming a pregnancy the Doctor will refer the patient to the midwife.  The first appointment is known as the ‘booking in’ appointment
and lasts approximately one hour – this is always done by a midwife from the hospital that the lady has chosen to have her baby.

For subsequent antenatal  checks,  ladies can see the midwife at the surgery (regardless of hospital delivery).
These sessions are on alternate weeks, Friday afternoons 1.30 – 3.30 pm

We strongly recommend that ladies see the midwife  for antenatal checks, in preference to the doctors at the surgery , as they have up to date specialist knowledge
on current provision that will help support the lady during pregnancy.  If you are unable to attend at the prescribed times, you can make a doxtor’s appointment instead.

 

Community Physiotherapy Service
The CPS offers you a choice of venues, that includes EHMC, to receive physiotherapy.

When your GP has referred you for a physiotherapy assessment you will be given a leaflet containing a telephone number for you to make
an appointment at your chosen venue.
Following your first assessment you may be offered  exercises to do at home or a course of treatment.

 Coronary Heart Disease Management

Sister Mary Goss leads on this area for the practice, focusing both on management of people with heart disease and preventative medicine for patients
at high risk of developing heart disease.
All the nurses can carry out ECG tests.

 

Counselling In General Practice

 
We are now  linked with Northwick Park Hospital for their Brief Intervention Counselling Service. The Service offers support in group work
(sessions held at NPH ) and for individual sessions (held at the surgery on a Thursday afternoon). Peter Sabatelli is the named link with our practice
and he provides support using a Cognitive Behavioural Therapy (CBT) method. A doctor or nurse will discuss options with you, and refer as appropriate.

Note that Government figures indicate that up to 30% of the problems that patients consult
their GPs about have a psychological component. Studies suggest that counselling is popular
among patients and the majority of patients benefit from a psychological approach.

Issues that patients bring may include depression, bereavement, anxiety, stress, relationship
problems and difficulties adjusting to recent crises and life events. The first one or two
appointments will be for assessment purposes.  It presents an opportunity to talk about the
problems is some detail with the aim of deciding how best to offer help . Questions that may be
asked include the nature of the problems, the period for which they have existed and past
treatments. The Counsellor may ask about different areas of the patient's life in order to build up
a picture of the person, not just the problems. Depending on the problems, support and counselling
will be offered or a more active treatment pursued. Sometimes patients may need to be referred
to another agency specialising in a particular difficulty.


Cryotherapy

There are fortnightly sessions carried out by Sister Jenner.

Diabetic Clinic

The Diabetic Clinic is  held on  Tuesday and Thursday  afternoons and run by Sistsr Bradley, who is able to access support from Dr Jenner or
Dr Kelshiker  when required.
 The aim of the clinic is to monitor and to treat all our diabetic patients. You will be contacted by Sister Bradley , who will give you a date and time
 for your appointment. She will also send you a urine test form and if necessary a blood form. The results of these tests are required at your appointment.
Please arrange to have your blood test done  at least ten days before the date of your  diabetic clinic appointment.

 Dietician

The dietician is in the surgery on alternate Thursday afternoons. Patients are referred to the dietician by the doctor and appointments can be arranged subsequently at the reception desk.

The dietician is based at Northwick Park Hospital , Nutrition & Dietetics Department, but runs a clinic once every two weeks at EHMC.  Patients are seen by referral from a Doctor or Nurse Practitioner .
Some of the conditions that benefit from this service are:

     Diabetes, Coronary Heart Disease, Obesity, Irritable Bowel Syndrome,
     Underweight and unexplained Weight Loss.
 

District Nurse and Community Nurse.

Based at  Caryl Thomas Clinic the District nursing team support the practice by offering care for patients in their own
homes.  Patients are referred by the doctors and nurses at the Practice.
  

Health Visitor

The health visitor is based at EHMC and is responsible for development checks on babies and children. She also runs a drop-in clinic on the first and third Thursday  of each month.
The first development check at 6-8 weeks of age is done by a doctor at the surgery.
 

 

Immunisation Clinic - Children

  
There is no formal clinic – just make an appointment with any nurse.                   



Macmillan Nurse

Macmillan nurses are on hand to provide support for cancer patients.
The Macmillan registered nurses are specially trained staff, who have a wide range of education and experience
in cancer nursing, district nursing and palliative care. They are in contact with the local GPs and work as part
pf a multi-disciplinary team of health and social professionals, co-ordinating  care and providing continuity between
hospital, hospice and home.

The level of involvement of the Macmillan nurses can vary from telephone advice to a single meeting or continued support over a longer period, depending on individual needs.

  Minor Surgery                                                                                            

Minor Surgery can be carried out in our well equipped Treatment Room.
You will need  to see Dr Vaughan to assess your need and these will be added to the waiting list.                                                                                                                                                          

                                                                                                                                                             

  Osteopathy

Martin Tunmore is in attendance at EHMC on :
                          Mondays      8.30am to 12.30pm,
                          Tuesdays     2.00pm to 6.00pm,
                          Wednesdays 8.30am to 12.30pm and 2.00pm to 6.00pm,
                           Fridays        8.30am to 12.30pm.
                          
 Private Appointments  Tel: 8420 2353.

Phlebotomy 
 Most tests can be carried out inhouse, but you will be asked to make an appointment at the Wealdstone Centre if you need a Glucose Tolerance Test.