Little Waltham SurgeryTel: 01245 360253
Great Notley SurgeryTel: 01376 341411
Asthma monitoring is carried out by 4 of our nurses who are all fully trained in asthma care. We write to our asthmatic patients inviting them to attend for an annual check. If you wish to book an appointment. Please mention that you require an asthma check and bring all your inhalers, devices, and peak flow charts with you.
A health care assistant can take blood pressures. They use electronic blood pressure meters and work strictly to protocols or GP instruction. You do not need to be referred for this service, please make an appointment at reception.
If your doctor recommends you have a blood test, you can either go to a hospital out patient phlebotomy clinic or make an appointment with one of our phlebotomists.
Our phlebotomists are: Trish Rogers, Lena Rooker,Dianne Rabey and Denise Smoothy.
We are dependant on the hospital collection service for transporting the samples to the laboratory for testing, therefore blood test appointments are only available weekdays before 2.30pm. Blood testing is not available at the surgery on a Saturday or during routine nurse clinics except at the request of a GP. Please note we do not do tests on young babies.
The hospital drop-in phlebotomy services are as follows:
Broomfield Hospital Monday – Friday 8.00am – 4.45pm - walk-in serviceSt Michael’s Hospital Monday – Friday 8.30am – 4.00pm - walk-in service
Christchurch Reform Church, 164 New London Rd, ChelmsfordBy appointment only - 7am - 3.45pm - Tel: 01245 516963
FBC Full blood Count -Probably the most widely used blood test. It is used to assess your general state of health and to screen for certain conditions, such as anaemia.
ESR - Erythrocyte Sedimentation Rate - Detects inflammation and is useful to help diagnose and monitor the activity of certain diseases.
Cholesterol test - Cholesterol is a fatty substance known as a lipid. Having too many lipids in your blood can have a serious effect on your health because it increases your risk of having a heart attack or stroke.
Liver function test - used to help diagnose liver conditions
Fasting Blood Glucose - used to diagnose diabetes. Do not eat or drink anything but water for 12 hours before the test.
When will my test results be ready? We ask patients to wait one week before phoning for test results. This allows time for the result to be received from the hospital, matched to your medical record and assigned to your GP. The GP then needs time to view the result and sometimes review your medical condition before commenting on the result. We receive hundreds of results every day and whilst the GPs try to comment on them in a timely manner it is not always possible to respond immediately we receive the result. You can be assured that your GP will contact you if your result indicate that urgent treatment is required.
The health authority sends reminders to patients when they are due to have a cervical smear test. Female patients aged between 25 and 50 are called every 3 years and patients aged between 50 and 65 every 5 years. These tests are performed by one of our nurses. A 10-minute appointment is required and you should be mid-cycle at the time of testing.
GPs carry out a child health check on babies at approximately 8 weeks of age. This is usually done at the same time as the Mother's post natal check prior to the first immunisations.
Patients are asked to bear in mind that nurse appointments are available to book 3 weeks in advance. We recommend ringing to book an appointment when you start your last pack as there will be more appointments to choose from. Alternatively there are a number of clinics for family planning and sexual health advice which can provide contraceptive advice and medication. If you prefer to attend one of these instead of coming to our surgery, please phone 0300 003 12 12.
Child Health clinics are run by the health visiting team. Please contact them on the number below for details
Little Waltham Patients 01245 458863
Great Notley Patients01376 308775
We have a small but experienced team that works closely with each other; therefore, we can offer a personal service with better continuity of care. Our Diabetes Team consists of:
Dr Wijekoon - GP with Special Interest in Diabetes Dr King- GP with Special Interest in DiabetesTania Smith and Tracy Tully- Diabetes Nurses with additional training in Diabetes CareDieticianWe are able to support adult patients manage all types of Diabetes including those who are on newer injectable therapies or those who take insulin. We can effectively review treatment, monitor symptoms and offer lifestyle advice where appropriate. We have introduced improved screening methods for diagnosing diabetes and identifying those at risk of diabetes in the future.
Patients requiring a coil fitting will need a 10 minute appointment for a swab to be taken. This can be done by a nurse and can be done at any time except during a menstrual period. Once the swab results have been returned to the surgery a 20 minute appointment will be needed with Nurse Lisa. Coils can only be fitted within the first 5 – 7 days of the menstrual cycle. If you require a coil change it is necessary to abstain from sexual intercourse or use a condom for 7 days prior to the change.
This is a tracing of the rhythm of your heart and can be carried out by a nurse or a health care assistant. You will need a referral from a GP before this can be done. Please book an appointment at reception
Advice can be sought from both the doctors and nurses. We provide the following services:
For full details see NHS Choices Immunisations
Sharron Murphy and Frances Tierney currently hold annual reviews for patients with ischaemic heart disease. All diabetic patients will have this check up incorporated into their diabetic check. If you have not had a recent check up with your GP you will be asked to attend a 20 minute appointment with one of the nurses. At least 2 weeks prior to this you will be asked to have a blood test (fasting glucose and lipids, renal and liver function tests).
Both surgeries offer a same day INR service – this is carried out by our health care assistants who work under close supervision of the doctors. Alternatively patients are able to attend the anticoagulation clinic at Broomfield Hospital.
The practice offers regular minor surgery clinics at Great Notley Surgery covering procedures such as removal of sebaceous cysts, suspicious moles and ingrowing toenails. Unfortunatley we are unable to carry out what may be considered cosmetic surgery, such as the removal of skin tags, except in special circumstances.
A first maternity appointment should take place approximately 8 weeks from the first day of your last menstrual period. You can be seen by your GP or you can contact your Midwife directly. We encourage patients to have shared care during their pregnancy , giving you the opportunity to alternate antenatal appointments between your GP and the midwives. If you contact the Midwife directly she will require the following information:
Date of Birth:
Your Doctors name
Your Doctors address
What was the first day of your last period?
Is this your first baby?
GREAT NOTLEY (Braintree Midwives)
01376 560010 or email email@example.com
LITTLE WALTHAM (Chelmsford Midwives)
01245 513040 or email mailto:firstname.lastname@example.org
Our nurse practitioner has a background of practice nursing with the addition of extended training for diagnosis and treatment of illnesses such as earache, sore throats, conjunctivitis, upper respiratory tract infections, gastro-enteritis, cystitis and urinary tract infections and minor injuries. She works closely alongside our GPs and is available to give telephone advice.
We have a number of nurses trained to give smoking cessation advide please contact reception for an appointment. Alternatively you can attend one of many other clinics - telephone 0800 082113 or visit www.quitnobutts.org.uk
We have 3 trained spirometry nurses. Spirometry is a test to assess breathing difficulties and is used in the diagnosis of Chronic Obstructive Airways Disease (COPD). The test takes about 40 minutes to carry out and you will need to be referred by your GP.
You breathe in fully and then seal your lips around the mouthpiece of the spirometer. You then blow out as fast and as far as you can until your lungs are completely empty. This can take several seconds. You may also be asked to breathe in fully and then breathe out slowly as far as you can.
A clip may be put onto your nose to make sure that no air escapes from your nose. The above routine may be done two or three times to check that the readings are much the same each time you blow into the machine.
Prior to testing you should avoid the following:
Patients must be clinically stable for 4 – 6 weeks prior to testing.
Some services provided are not covered under our contract with the NHS and therefore will be charged.
Examples include: Medicals (HGV/Taxi), Insurance claims, GP letters, and other forms.
It's easy to take your health for granted.By following a healthy lifestyle you can reduce the risk of getting seriously ill. You will feel better and it will help improve your immune system.
ALCOHOL In small quantities, alcohol can actually be beneficial to health. In large quantities, on a regular basis, it can have a very serious negative effect on health. At one extreme it can kill. CIRRHOSIS of the liver, for instance, is killing an increasing number of people, as are drivers who are over the limit.
HOW TO GIVE UP Stopping smoking is all about motivation. Without the real desire to give up you are unable to succeed. You must want to give up rather than feel you should give up.
DIET If your diet is lacking, your body has ways of letting you know, for example, you may be overweight or underweight or you may have a spotty complexion or constipation. Ultimately, a bad diet can lead to serious problems such as heart disease.
EIGHT WAYS TO KEEP HEALTHY
BLOOD PRESSUREHas yours been checked in the past five years?
OVERWEIGHTSome people are overweight - others are "undertall". Chances are you weigh more than you should.
SMOKINGMore and more people are giving up smoking. There are various programmes available to help you give up.
EXERCISERegular exercise has both physical and mental benefits.
RELAXATIONTension and anxiety can be helped by a psychologist or counsellor.
ALCOHOLCan make a good servant but a bad master.
CERVICAL SMEARSWe recommend women should have regular three yearly cervical smears.
TETANUS PREVENTIONWe will check if you are immune and bring your cover up to date.
MUSCLE AND JOINT PAINPain in muscles and joints are common and seldom need to be treated by a doctor.
WHAT TO LOOK FOR
TREATMENT AT HOME FOR MUSCLE PAIN
TREATMENT AT HOME FOR JOINT PAIN
STRAINS AND SPRAINS RICE -
Rest the injured partIce wrapped in a cloth - or a bag of frozen peas - can be used to reduce the swelling. But do not apply for longer than 15 minutes at a time.Compress the injury gently with a bandageElevate the injured part
WHEN TO SEE YOUR DOCTOR
Back pain causes 13 million working days to be lost in Britain each year. The spine, being made up of 24 fragile bones and associated cartilage and tendons, supports the whole weight of the upper body, and therefore it is understandable that it sometimes goes wrong. Because of the complex nature of the spine it is advisable to consult your doctor if back pain persists for more than a few days. If, as is usual, the pain has been caused by abuse, i.e. lifting too heavy weights etc., be sensible and take things easy. Take care to sit as upright as possible with a support for the small of the back. Take aspirin or paracetamol, which will not only relieve the pain, but will help to relieve inflammation. Your doctor may well prescribe stronger drugs, heat treatment, gentle exercise or physiotherapy. MOST BACK PAIN IS CAUSED BY
COMMON BACK PROBLEMS
BACK PROBLEMS CAN BE PREVENTED BY
TREATMENT AT HOME
This is a rare illness that is most common in babies, children under four years and teenagers, and requires urgent attention. It is important to be aware of the symptoms, which we have listed below. Signs and symptoms in BABIES and VERY YOUNG CHILDREN are:
Signs and symptoms in OLDER CHILDREN and ADULTS are:
If you are in any doubt contact your doctor immediately. Chicken Pox, Measles, Mumps
CHICKENPOX On the first day a rash appears as small red patches about 3-4mm across and a slight temperature may develop. Within a few hours, small blisters appear in the centre of these patches. During the next three or four days further patches will appear and the earlier ones will turn 'crusty' and fall off.
GERMAN MEASLES (Rubella)The rash appears during the first day and usually covers the body, arms and legs in small pink patches about 2-4mm across and doesn't itch. No other symptoms are usually present apart from occasional aching joints.
MEASLESThis usually causes high temperature, cough and sore eyes, before the typical rash appears. The rash is red, blotchy and occurs on the face and trunk around the fourth day of illness. It is contagious from two or three days before the rash apears until 10 days after the rash began. Severe illness is unusual, but complications can occur, so consult your doctor. o Immunisation can prevent this disease
MUMPSSymptoms are: Swelling of the gland in front of one ear often followed, after a couple of days by swelling in front of the other ear. It is infectious from two or three days before the swelling appears until eight to ten days after that date If the pain is severe you should consult your doctor.o Immunisation can prevent this disease
Managing Children’s Temperatures
A child will develop a fever because of an infection. Usually the child will get over such an infection without the need for antibiotics. Viruses cause most childhood infections and these do not respond to antibiotics. The following advice will help to bring your child's temperature down and make them feel better. 1. Always keep a supply of paracetamol syrup (Calpol, Disprol) at home. If you wait until you need it, there will be none close at hand. 2. If your child feels hot or appears unwell:- a) Give the maximum dose of paracetamol stated for a child of that age. b) Dress your child in cool clothes. A lot of heat is lost through a child's head, so leave it uncovered. Cool down the room by opening doors and windows. c) Give your child plenty of cool drinks, as fluid is lost with a fever. If they are reluctant to drink, encourage small amounts from a favourite cup. d) Sponging your child down with a tepid flannel will make them feel better as well as bringing their temperature down. Using tepid water is more effective than using cold water. e) Repeat the dose of paracetamol every four hours as necessary, up to the maximum daily dose stated. f) A child with a fever is likely to be restless at night. Offer cool drinks and sponge them down if they wake. g) If your child does not improve after giving paracetamol and sponging, or appears particularly ill, call the doctor. 3. Very rarely, a child under five years will have a convulsion with a high temperature. They will shake all over and become very still. It usually subsides in less than five minutes. Lie the child on their side and stay with them while it lasts. If there is another adult in the house, ask them to phone a doctor. If not, call when the convulsion has passed.
Preparing For PregnancyIf you are planning to start a family you must, of course, cease contraception. If you are taking the pill you should change to a barrier method for a period of at least three months. This is to allow for the normal hormone levels and egg production cycle to re-establish itself. If you smoke, both you and your partner should stop. A woman who smokes during pregnancy stands a 30% greater risk of miscarrying or losing the baby at birth due to a variety of complications. You should also ensure that your alcohol consumption is kept to an absolute minimum if you are unable to abstain totally. Both partners should give attention to their diet with particular regard to choosing fresh unrefined foods. Ask your doctor to check if you are immune from rubella (German measles). If not, he will arrange immunisation. In such a case you should continue with a barrier method of birth control for a period of at least two months whilst the vaccine takes effect. Unless you've had one during recent months it is advisable to arrange for a smear test to ensure you have a healthy cervix prior to becoming pregnant.
PROBLEMS CONCEIVINGOne in ten couples experience some degree of difficulty in conceiving. This difficulty may equally be caused by a problem concerning either partner. The causes of infertility are wide and varied but most can be helped with treatment. Good pre-conceptual care will lessen the need for such treatment.
Here is a list of useful medicines and dressings with a description of their uses. All are quite cheap and worth stocking at home in readiness for minor illnesses. Keep them in a box or cupboard with a lock - or store them well out of the reach of children.
Soluble Aspirin TabletsGood for headaches, colds, sore throats (gargle with the solution), and pains in general. Aspirin should NOT be given to children under 16.
Paracetamol MixtureFor relief of pain or fever in young children
Sedative Cough LinctusFor dry or painful coughs - but not coughs caused by common colds.
Menthol CrystalsAdd to hot water to make steam inhalations for treating catarrh and dry or painful coughs.
Vapour RubAgain, for steam inhalations. Also useful for children with stuffy noses or dry coughs. Rub on the chest and nose.
Ephedrine Nose DropsFor runny noses in children over one year old. Use before meals and at night but not for more than four days.
Antiseptic SolutionOne teaspoon diluted in warm water for cleaning cuts and grazes.
Antiseptic CreamFor treating septic spots, sores in the nose amd grazes.
Calamine LotionFor dabbing (not rubbing) on insect bites, stings and sunburn.
Dressing StripsFor minor cuts.
3" Wide Crepe BandageTo keep dressings in place. To support sprained or bruised joints.
Cotton WoolFor cleaning cuts and grazes.
TweezersFor removing splinters.
Remember that your local chemist can give you advice about medicines
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.
Information about countries and vaccinations required can be found on the links below:
It is important to make an appointment as early as possible - at least 6 weeks before you travel.
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.
Broomfield Hospital Court Road Broomfield Chelmsford Essex CM1 7ET 01245 362000
St. Michael’s Hospital 142 Rayne Road Braintree Essex CM7 2QU01245 362000
Braintree Community HospitalChadwick Drive BraintreeEssexCM7 2AL 01376 555 900
Springfield Hospital Lawn Lane Springfield Chelmsford Essex CM1 7GU01245 234000
The Priory Hospital Stump Lane Springfield Chelmsford Essex CM1 7SJ01245 345345
Health AuthorityCarnarvon HouseCarnarvon RoadClacton on Sea C015 6QD01255 206000
Chelmsford Social Services County HallPO Box 297Chelmsford. CM1 1YS
Braintree Social ServicesTabor House5 Coggeshall RoadBraintree Essex. CM7 9BD
Citizens Advice BureauBurgess Well HouseCoval LaneChelmsford Essex. CM1 1FW
Great Dunmow Social Services Twyford Court2-2a Twyford CourtGreat DunmowEssex. CM6 1AE
Monday10am - 11.30am
Chelmsford West Children's CentreDixon AvenueCM1 2AQ
Wednesday10am - 11.30am
All Saints ChurchSpringfield GreenCM1 7HS
Thurday1pm - 2pm
Chelmsford LibraryCM1 1LH
Friday10am - 11.30am
St Michael's ChurchCM2 8RT
Tuesday10.30am - 12 noon
See Saw Children's CentreCM7 5UL
Thursday10.30 am - 12 noon
Carousel Children's CentreCM7 3QZ
The Stroke Association(National Info Service)Stroke House240 City RoadLondon EC1V 2PR
Child & Family Consultation Unit ChelmsfordRannoch Lodge245 Broomfield RoadChelmsford CM1 1RN
Farleigh Hospice North Court RoadChelmsfordCM1 7FH
Farleigh Hospice Hospice Outreach Project
Mid Essex CCG Kestrel House, Colchester Road Springfield Chelmsford CM2 5PF
Hearing Help Essex3 Lockside MarinaHill Road South ChelmsfordCM2 6HF
Mid Essex Breastfeeding Support Services
0844 803 0253
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