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| Lister House Staple Tye Harlow Essex CM18 7LU Tel. 0844 576 9010 |  |
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ServicesApart from routine and emergency appointments, the following services and clinics are available at this surgery. Family PlanningLister Medical Centre offers the full range of family planning including oral contraceptive advice, intrauterine device insertion, Implanon (long acting) hormone insertion and intravaginal caps. These services are undertaken by the doctors, nurse practitioner and practice nurses. Hormone replacement therapy can also be provided through the same members of the team, by appointment. EquipmentThe surgery has a range of equipment if the need for further investigation is required. We now possess an electrocardiogram (ECG machine), a spirometer (for investigating lung function), a 24 hour sphygmomanometer (for the investigation of possible high blood pressure) and a machine for measuring cholesterol from a blood sample. Health Checks (MOT's)These can be performed on request and are usually undertaken by the practice nurses. Apart from the usual examination expected, Lister Medical Centre has a cholesterol testing machine, a spirometer (for the investigation of asthma and chronic obstructive pulmonary disease) and a 24 hour sphygmomanometer (blood pressure machine), for the investigation of raised blood pressure. Diabetic ClinicsDiabetes is an extremely common disease affecting some 2.5% of the population. Uncontrolled diabetes can cause heart, kidney, eye and arterial disease so tight management of the problem is essential. Run by the practice nurses under the control of the doctors, we aim to provide regular checks on those diabetic patients (mainly the adult maturity onset diabetics) not seen by the hospital. Patients with diabetes will also be seen by chiropodists, dieticians and opticians (for free annual eye checks) by arrangement through this clinic and your own GP. Travel ClinicLister Medical Centre provides complete advice and preventative care for the traveller abroad. At Lister House, we purchase and stock most of the vaccines needed and offer the yellow fever vaccination (not restricted to Lister Medical Centre patients). Where possible, please book an appointment with the clinic well in advance of your travel arrangements to ensure you receive maximum protection (see separate web page). DieticianA dietician runs a weekly clinic on patients referred by their doctor. The clinic is not for uncomplicated weight reduction but is provided for patients with medical problems where dietetic help would prove useful (i.e. diabetes, raised cholesterol, bowel disorders).Cervical SmearsThrough the use of computerisation, Lister Medical Centre has an efficient recall system to enable us to inform our female patients when their cervical smear is due. At present, routine smears are performed every five years, although more frequently if the clinical condition warrants it. Most smears are taken by the practice nurses. New Patient Health ChecksThese are offered to all new registrations. At present, these checks are provided by our health care assistants. Over 75 Health CheckPatients aged 75 or over are invited to have an annual health check by prior arrangement. Asthma ClinicsAsthma also is an extremely common condition. Uncontrolled asthma carries significant morbidity. Our practice nurses have had extensive training in the management of asthma and are used in the treatment and management of new asthmatics picked up by the doctors and well as monitoring existing asthmatics as deemed necessary. Antenatal, Postnatal and Six week baby checksJoint antenatal care is provided by the doctors and the midwives in regular weekly clinics. Uncomplicated pregnancies are managed exclusively within the practice although ultrasound scans are needed at Princess Alexandra Hospital. Although delivery is encouraged at the hospital, postnatal care is undertaken as soon as the mother and baby return home (for the first 10 days). Subsequent to this, the health visitor makes a home visit to introduce herself and advise on further care of the baby. Between 6 to 8 weeks, mothers are invited for a postnatal check. At that time, any concerns can be discussed and family planning advice given. In addition, the baby is given a comprehensive check. PhysiotherapyAt Lister Medical Centre, there are two physiotherapists who are available every week to offer a range of treatments on conditions referred by the doctors. Clinical PsychologyA clinical psychologist has a weekly session here at the surgery. Referred by the doctors, she offers a range of support for a limited (usually up to 4 one hour sessions). If longer psychological care is deemed necessary, she will refer the client on to the hospital based service for long-term support. (for more details of her function see "Psychologist" under "The Team") ImmunisationsLister House offers the full range of immunisations to both adults and children. Most of the focus of our attention is directed to children under 5 who receive their Triple (Diphtheria, Tetanus & Pertussis), H.I.B, Meningitis C and polio vaccines at two, three and four months of age and their MMR (Measles, Mumps and Rubella) at the age of about fourteen months. Prior to starting school, boosters are given for diphtheria, tetanus, pertussis, polio and MMR. A new Department of Health guideline means that routine BCG vaccinations for tuberculosis will not be offered to all secondary school children but will be offered to those with particular risk factors. Individuals who are more likely to be at risk, and who will be offered a vaccine include children whose parents or grandparents were born in a place where TB is common. This includes many countries in Africa, Asia, South America as well as parts of Eastern Europe. www.immunisation.nhs.uk However, we still offer adults immunisations when due and run a travel clinic for those travelling abroad. We purchase and stock hepatitis A, hepatitis B, tetanus, meningovax and yellow fever vaccines, for example, and can obtain other vaccines when indicated, quickly. We also run an extensive 'Flu vaccination programme for the over 65's and vulnerable groups in the autumn. All Adults aged between 20-24 are now encouraged to book an appointment for immunisation with MenC (Meningococcal C) vaccine. The overall risk of meningococcal infection in this age group is twice that of the general population. To get your 'jab' arrange to see one of the practice nurses. Minor surgeryAt present there are two doctors at Lister Medical Centre who provide minor surgery sessions on a weekly basis. All Partners refer patients to them for treatment. The type of surgery undertaken include the treatment of in growing toe nails and the removal of sebaceous cysts and moles. We also possess liquid nitrogen for the removal of lesions such as verrucae. This procedure is undertaken by all doctors, routinely, in their surgeries. Smoking CessationLister Medical Centre runs its own smoking cessation clinics for individuals wanting to quit smoking. If you are interested, make an appointment to see one of our Health Care Assistants. This is in addition to the group sessions run at convenient times at the Sports Centre. This can be arranged by appointment by your GP. Minor illness clinicThis is a new clinic run twice a day. Run by our Nurse Practitioners, it will provide rapid access for such problems as upper respiratory infections, cystitis, conjunctivitis, nappy rashes and tonsillitis. These clinics are in addition to the normal doctor led clinics but will enable the surgery to offer you quicker access to medical care. Heart AttacksPatients who have had a heart attack ( M.I.) are contacted within one week of discharge from hospital by the practice nurse (s). This call is to give support and to answer queries. They are seen in surgery at one month. Follow up is arranged at three months and one year. Thereafter, they are reviewed annually. Their job is to check compliance with medication, assess risk factors, arrange appropriate investigations and liaise with other professionals such as the dietician and cardiac rehabilitation nurse, or refer if necessary. This review is in addition to any hospital out-patient follow up and any care given by the G.P. Other members of the Primary Health TeamHealth VisitorsFor advice and practical help for the under fives. Health visitor perform routine checks on babies at eight months, two and a quarter and three and a half years of age. They also run mother and baby groups, check for head lice. dispense treatment and liaise with GP's on the management of their patients. (see under "The Team" for more details) School NursesProvide nursing care at school. They undertake the immunisation in the teenage years, provide education on sexual guidance and can offer a range of investigations such as hearing tests. District NursesWork within the surgery to provide nursing care to those who can come to surgery and home visits to those who cannot. MidwivesProvide antenatal care on Tuesdays and Thursday along with the doctors but also have additional clinics on Wednesdays. They also visit at home when "booking" a new patient for maternity care and also visit at home after delivery. The "team" also follows the client in to hospital for delivery of the baby.
The frame work for women booked with the Spring midwifery service remains unchanged: Monthly until 28 weeks; fortnightly until 36 weeks; weekly thereafter until delivery. Visits shared alternatively between the midwives and the GP/or hospital. |
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