King Street Surgery Tel: 01524 541651
University Medical PracticeTel: 01524 387780
Our team includes fourteen GPs, three nurse practitioners, three senior nurses, and two health care assistants as well as our Practice Director, a Practice Manager at both sites and the office supervisors at both King Street Surgery and Lancaster University Medical Centre.
We also have a secretarial, audit and reception team. The Practice Pharmacist does 1 clinic a week at the surgery, and helps to manage patients with long term conditions who take regular medication.
We offer a full General Practice service and also run specialist clinics for child development, child vaccination, contraceptive devices and patients needing minor surgery, including joint injections and removal of lumps and bumps.
There are many clinics to encourage good health including blood pressure (hypertension), heart failure, diabetes, asthma, chronic kidney disease, respiratory disease and coronary heart disease clinics.
In addition to the numerous clinics a dietician, midwife, mental health workers and a physiotherapist also hold clinics at the Practice so that you do not have to travel to the hospital for this. We have a health visitor for the elderly and two health visitors who care for children less than 5 years old. We also have four district nurses attached to the King Street Surgery.
Antenatal clinics - run by community midwives. Link to Emma's Diary - information about pregnancy.
Child Health Surveillance - clinic run by the Health Visitors to check your child’s health and development at key stages up to the age of 5. Routine infant and childhood vaccinations undertaken. Link to NHS immunisation site
Leg Ulcer Clinic - District Nurses offer this service to provide wound care management for patients with leg ulcers.
Family Planning - confidential advice including emergency contraception, contraceptive pill, inter-uterine devices (coils), caps and Implanon are available. Link to Family Planning Association site
Minor Surgery - provided by the Doctor at pre-arranged times.
Smear Tests (cervical cytology screening) - women between the ages of 25-49 are advised to have a smear test every 3 years. If you are aged between 49 – 65 years the Health Authority will send you a reminder when you are due to attend. Link to NHS screening site
Blood pressure, heart failure and coronary heart disease - appointments for these clinics will be sent to you at the Doctor’s request.
Diabetes Clinics - appointments for this clinic will be sent to you at the Doctor’s request. Link to Diabetes UK website
All the methods of contraception listed below are effective. However, no method is absolutely 100% reliable. The reliability for each method is given in percentages. For example, the contraceptive injection is more than 99% effective. This means that less than 1 woman in 100 will become pregnant each year using this method of contraception.
The effectiveness of some methods depend on how you use them. You have to use them properly, or they may lose their effect. For example, the 'pill' is more than 99% effective if taken correctly. If it is not (for example, if you miss a pill, etc) then it becomes less effective. Other 'user dependent' methods are barrier methods, the progestogen only pill, and natural family planning.
Some methods are not so 'user dependent' and need to be renewed only infrequently or never. These methods are: the contraceptive injection, implant, intrauterine devices, and sterilisation.
When no contraception is used, more than 80 in 100 sexually active women become pregnant within 1 year.
Choosing a method of contraception involves a balance between.
Combined pill Often just called 'the pill'. It is more than 99% effective if used properly. Contains oestrogen and progestogen. Works mainly by stopping ovulation. It is very popular. Different brands suit different people.
Progestogen only pill (POP) Used to be called the 'mini-pill'. Contains just a progestogen hormone. More than 99% effective if used properly. Is commonly taken if the combined pill is not suitable. For example: breast-feeding women, smokers over the age of 35, and some women with migraine. Works mainly by causing a plug of mucus in the cervix that blocks sperm, and by thinning the lining of the uterus. May also stop ovulation.
Barrier methods These include male condoms, female condom, diaphragms, and caps. Prevents sperm entering the uterus. Male condoms are about 98% effective if used properly. Other barrier methods are slightly less effective than this.
Contraceptive injections (eg Depoprovera and Noristerat)Contains a progestogen hormone which slowly releases into the body. More than 99% effective. Works by preventing ovulation and also has similar actions as the POP. An injection is needed every 8-12 weeks.
Some women have side-effects. Normal fertility after stopping may be delayed by several months. Can't undo the injection, so if side-effects occur they may persist for 8-12 weeks or slightly longer.
Contraceptive implants (eg Implanon)An implant is a small device placed under the skin. Contains a progestogen hormone which slowly releases into the body. Is more than 99% effective. Works in a similar way to the contraceptive injection. Involves a small minor operation using local anaesthetic. Each one lasts 3 years.
Intrauterine device (IUD) A plastic and copper device is put into the uterus. Lasts 5 or more years. It works mainly by stopping the egg and sperm from meeting. It may also prevent the fertilised egg from attaching to the lining of the uterus. The copper also has a spermicidal effect (kills sperm).
Hormone releasing intrauterine device (eg Mirena)Otherwise called the intrauterine system (IUS). A plastic device that contains a progestogen hormone is put into the uterus. The progestogen is released at a slow but constant rate. More than 99% effective. Works in a similar way to the POP. Is also used to treat heavy periods (menorrhagia).
Natural methods This involves fertility awareness. Effective if done correctly. Requires commitment and regular checking of fertility indicators such as body temperature and cervical secretions.
Sterilisation Involves an operation. Is more than 99% effective. Vasectomy (male sterilisation) stops sperm travelling from the testes. Female sterilisation prevents the egg from travelling along the Fallopian tubes to meet a sperm. Vasectomy is easier and more effective than female sterilisation. Popular when family is complete.
Emergency contraception Can be used if you had sex without using contraception. Also, if you had sex but there was a mistake with contraception. For example, a split condom or if you missed taking your usual contraceptive pills.
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You don't need to have a lot of sexual partners to get a sexually transmitted infection (STI). Sex just once with someone who has an infection can be enough.
Common signs of an STI are:
However, symptoms vary and many people have no symptoms at all.
Link to NHS website answering questions about sexual infections Most STI's can be completely cured if found early enough. However, if left untreated they can be painful and uncomfortable or at worst cause permanent damage to your health and your fertility.
What is important is that you contact your general practice or a genitourinary medicine (GUM)/sexual health clinic as soon as possible. Information and tests are free and confidential. If you go to your general practice, you may have to pay a prescription charge for treatment.
Local GUM Clinic opening times, addresses, and contact number
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. There is further information about countries and vaccinations required on the links below
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
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.
Tickets ,Money,Passports are you ready to go? see the useful link below.
Travel Health Questionnaire
To help us offer the appropriate advice, you will be asked to fill out a travel questionnaire before your appointment, one of our receptionist will ask you to complete it just before you see the nurse.
A number of medical examinations, reports, insurance forms and certificates are not available on the NHS, but may be provided by the GPs privately, for a fee. These may be requested via the receptionist and you will be notified of the relevant charge. While the GP’s endeavour to complete requests within 10 working days, clinic work must take priority.
Although some travel vaccinations are available on the NHS, many are not. Patients travelling abroad are advised to complete a travel form (available here and from reception) and make a travel advice appointment, so that the nurses can advise you of any NHS or non-NHS vaccinations you might need. You will need to return the completed travel form at least 2 days prior to your appointment to give the nurse the opportunity to decide which vaccines you need prior to your appointment. Both types of vaccination are available, although there will be a charge for non-NHS vaccinations.
Occupational Health Services such as Hepatitis B vaccinations should be available from your employer’s occupational health service. We can provide these services, but there will be a charge. Please obtain authorisation from your employers before booking these services if you wish us to invoice them.
North LancsEaster & BH Poster 2015 v1 12 12 15.docx
Listening Service Leaflet
As part of Better Care together, Dr Lauren Dixon, GP at Bridgegate Medical Centre in Barrow-in-Furness, has helped create two films for children which cover coughs, colds, breathing and high temperatures.
Better Care Together is a partnership of eleven organisations, including Lancashire Care NHS Foundation Trust, University Hospitals of Morecambe Bay NHS Foundation Trust, Blackpool Teaching Hospitals NHS Foundation Trust, the North West Ambulance Service, Cumbria Partnership NHS Foundation Trust, NHS Cumbria Clinical Commissioning Group, NHS Lancashire North Clinical Commissioning Group and the two Local Authorities: Cumbria County Council and Lancashire County Council and two GP Provider Federations: North Lancashire Medical Group and South Cumbria Primary Care Collaborative working together in partnership.
The videos aims to help parents and those who care for children to look after their young ones if they are suffering from these conditions.
Coughs, Colds and Breathing
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