Sensier HouseSt Andrew's LaneSpennymoor, DL16 6QATel: 01388 817777
Long term disease refers to medical conditions that may have an ongoing impact on your health. In particular we use this term to refer to the following conditions:
If you have one or more of the above conditions, we recommend that you have an annual review. Some of these conditions require monitoring with blood tests or other tests such as breathing assessments or urine tests. In addition many of these conditions require annual medication reviews.
Your review will take place in the month of your birthday. This will allow us to plan our workload and spread it evenly throughout the year and it should also provide you with an easy to remember date for your review!
We currently have approximately 4,000 patients with at least one of these conditions and so co-ordinating such reviews can be a challenge. We would like to ask for your help in this matter. By taking responsibility for your medical condition you can help ensure that you are having the best possible care.
Reviewing your condition on an annual basis will enable you to check that you are taking the correct medications. It will also give you an opportunity to ask your nurse questions about your health.
We will contact you in advance of your birthday month inviting you to attend for a blood test (if this is required for your condition - typically those marked with * in the list above).
You will usually need a Face to Face appointment as well as a telephone appointment with the Practice Nurse, one to two weeks later. The length of the appointment may vary depending on your long term condition.
If you are not required to have blood tests done yearly, then an appointment with the Practice Nurse will be made directly.
Most patients with stable conditions will not need to see a GP.
If your condition is being monitored by an NHS hospital or private consultant, this annual review will not affect you seeing them. You will be called for the blood tests at the surgery and the review with the nurse, who can then give you copies of your results to take to your consultant.
In most cases your GP will prescribe your repeat medications, not your Consultant. Your GP needs to review your blood test results annually to be able to continue prescribing your medications.
This review process is important and we will not be able to continue prescribing repeat medications without it. We will sync your medication review with this annual review.
Your cooperation in this new process will therefore be very much appreciated.
We hope that this process will reduce the number of times you need to come to the surgery and therefore free up appointments for when you have more urgent problems.
If you have a recent problem with your eyes - such as sore eyes, red eyes or visual disturbance - you can be assessed and treated by our local Minor Eye Conditions Service. This is a free NHS service available from a number of local opticians.
Conditions that can be seen under the service include:
This is not a sight test. Also, if you have major eye condition that is being regularly monitored by your optometrist or hospital eye service, this will not be covered by this service. Examples are cataracts, diabetic retinopathy or glaucoma.
If you are registered with a local GP you can use this free service. It is for people of all ages - adults and children. Children under 16 years of age must be accompanied at their appointment by an adult.
Registered optometry practices (opticians) offering the service are listed on below. An appointment will normally be required, so telephone first. Appointments are available during normal working hours and some practices offer appointments at the weekend. Not all practices have an optometrist available every day, but if they don't, they will be able to find you an alternative appointment nearby
To make an appointment, call one of the opticians listed below. You will be asked some questions about your symptoms in order to assess how quickly you need to be seen by the service, which will normally be within 24 hours in urgent cases and within a few days for routine appointments.
Please take your glasses and a list of your current medication with you to the appointment. The optometrist may put drops in your eyes to enlarge your pupils in order to get a better view inside your eyes. You should not drive until the effects of these drops have worn off, which may take a few hours.
If your eye condition is more serious the optometrist will book you an urgent appointment at a hospital eye clinic. If you need a routine appointment with a hospital, the optometrist will organise this for you.
If your eye condition is in relation to your general health, you may also be advised to make an appointment with the Practice.
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These are usually carried out by a practice nurses by appointment. They fall into four general categories: Children, Adult and Travel.
In general the practice will contact you when further vaccination or immunisation protection is recommended (except where travel related) but please do not hesitate to contact the practice for an appointment if you consider that you need additional protection.
From time to time situations may develop or new vaccinations become available that may make additional vaccinations desirable. Typically these will get media attention. We will endeavour to provide information for patients on the Notice Board and Medical News pages of this website under News, together with posters on the practice noticeboard.
If you have any questions about vaccinations or immunisation please contact reception in the first instance. If necessary, they will arrange for you to speak with one of the nurses or doctors.
For more information on schedule of immunisations please see the NHS Choices website.
The practice will contact a parents of children regarding the recommended programme of immunisation and vaccinations for all children up to the age of 18.
Babies that are due immunisations will be invited to attend and will be given an appointment time.
While the practice is sympathetic to the views of a number of parents regarding some vaccinations and will endeavour to accommodate the wishes of parents as far as possible it is the professional view of all doctors in the practice that the benefits of the recommended programme of immunisation and vaccinations for children far outweigh any potential risk.
Children aged two and three will be given the vaccination in the Practice, usually by a Practice Nurse. Children who are four years old are also eligible for flu vaccination provided they were three on 31 August 2018.
The Practice has written to those families.
Please see the NHS website for more information.
Tetanus Boosters are not normally recommended. Please see the NHS website or contact the Practice if you believe you need a Tetanus booster.
A vaccine to prevent shingles, a common, painful skin disease is available on the NHS to certain people in their 70s. The shingles vaccine is give as a single injection. Unlike the Flu jab you'll only need to have the vaccination once and you can have it at any time of the year, though many people will find it convenient to have it at the same time as their annual flu vaccination.
Shingles can be very painful and uncomfortable. Some people are left with pain lasting for years after the initial rash has healed. And shingles is fatal for around 1 in 1,000 over-70s who develop it.
The shingles vaccine is routinely available to people aged 70 or 78 on the 1st of September each year. You become eligible for the vaccine on the 1st of September each year after you have turned 70 or 78 and remain eligible until the last day of August the following year.
In addition, anyone who was eligible for immunization in the first three years of the programme but has not yet been vaccinated against shingles remain eligible until their 80th birthday.
Anyone aged 80 and over is unsuitable to have the shingles vaccination on the NHS because it seems to be less effective in this age group.
You do not need to do anything as the practice will invite you to the surgery for the vaccine when you become eligible. If you can't go to the appointment you're offered, contact Reception to arrange a new appointment.
It is important that you do not leave it too late to have the vaccination as we may only be able to give it to you before the end of August of the year following eligibility. For more information go to the NHS website or here.
Hepatitis B vaccination is not routinely available as part of the NHS vaccination schedule. It's only offered to those thought to be at increased risk of Hepatitis B or its complications. GPs are not obliged to provide the Hepatitis B vaccine on the NHS if you're not thought to be at risk.
There will be a charge for the vaccine if you want it as a travel vaccine, or you may be referred to a travel clinic so that you can get vaccinated privately. The current cost of vaccine (in 2015) is around £40 per dose.
For more information please see the NHS website
Seasonal flu vaccination remains an important public health intervention and a key priority for 2022/23 to reduce morbidity, mortality and hospitalisation associated with flu at a time when the NHS and social care will be managing winter pressures, potentially including further outbreaks of COVID-19.
In 2022/23, the NHS flu vaccination programme will be offered to patient groups eligible in line with pre-pandemic recommendations (please refer to the section entitled eligibility below).
People eligible for flu vaccination are based on the advice of the JCVI and Department of Health and Social Care. Those eligible for NHS flu vaccine in 2022/23 are:
Vaccination is also recommended for frontline healthcare workers and social care workers.
People that were eligible in the 2021/22 season but that are not included in the groupsfor 2022/23 are:
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St Andrew's Medical Practice are pleased to be reintroducing a travel vaccine service for our patients.
You will be required to complete a brief questionnaire prior to an appointment, this may be via an interactive text message, or you can speak to a member of our admin team.
For non-NHS vaccines a non-refundable deposit of £20 will be taken after confirmation with the nurse, the rest of the invoice will be payable on the day of your vaccinations.
Other services are available such as malaria prophylaxis and delaying of periods, this is also a non-NHS service with private prescription charges payable via the dispensary.
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