Practice Nurse Clinics

• The following clinics are held Monday to Friday by appointment at both surgeries:
• Immunisations
• Removal of stitches
• Travel advice
• Blood test (arranged by the doctor)
• Dressings
• Ear syringing
• Routine cervical smears

Health Promotion Clinics

Stop Smoking Clinic

For useful tips, help and support in giving up this unhealthy habit. Weekly clinics are held at both surgeries. Ask at Reception for details.

You are four times more likely to quit if you see a stop smoking advisor! So book now!  

Coronary Prevention and Assessment Clinic/Blood Pressure Clinic

For advice on preventing heart disease.

Specialised Clinics

Blood Pressure Clinic

Patients who are on medication to reduce their blood pressure are encouraged to attend every six months for a check-up.

Respiratory and COPD Clinic

Patients with asthma and COPD are encouraged to attend for annual checks and medication reviews.

Diabetic Clinic

Diabetic patients are invited to attend 6 monthly for a check-up.

Healthy Heart Clinic

Patients with existing heart disease are invited for an annual review.

Leg Ulcer Clinic

For the assessment and management of chronic leg ulcers.

Weight reduction

The Surgery offers a number of referral options for patients who would like to shed a few pounds:

Exercise on Referral

(also known as Passport to Health) entitles you to discounts on a variety of activities such as gym sessions, swimming & exercise classes, as well as motivational sessions and support for fitness and weight loss. If you are overweight and have a range of medical conditions and feel you may benefit from increasing your activity please call the surgery on 01225 428277 and make a telephone appointment with Sister Sharon Burge to discuss referral. For more information please follow the link to Healthy Lifestyle Services.

Slimming on referral entitles you to 12 weeks worth of vouchers to attend either Slimming World or Weightwatchers.

In order to qualify you must have a BMI greater than 30. Please book an appointment to see our Health care assistant or nurses to discuss.

Counterweight: Counterweight is aimed at helping you change all aspects of your lifestyle (such as diet, exercise and attitudes to food) in order to facilitate weight loss. Suitable for patients with a BMI >30 or >28 with an obesity related disease. Please see your Healthcare Assistant, Practice Nurse or GP for referral to our Counterweight Advisor, Sharon Burge.

Child Health Clinics

Southdown Clinic (in the Methodist Church), The Hollow, Whiteway

From 15.5.12 clinics will be held on a Tuesday afternoon 2.00pm - 3.30pm

Twerton Clinic at First Steps Nursery, Wedgewood Road, Twerton

Thursday 10.30am to 12 midday

Baby Massage

Baby massage courses are offered via the Health Visiting Team and run alongside the Child Health Clinics at Twerton and Southdown.

Family Planning Clinic

A weekly clinic for women on the contraceptive pill or injection and for anyone wanting advice on contraception or safer sex. Health advice to couples planning to start a family is available.

Specialist Services

To ensure we support our practice population we also provide these specialist clinics and services

Cervical Smears

Women are advised to have a cervical smear at least every 3 years from age 25 to 49 years and 5 years aged 50-64. Please make an appointment with a Practice Nurse or in the Women’s Health Clinic.

Children’s Immunisations

St. Michael’s Surgery: Tuesday 2.30pm to 3.30pm

The Beehive Surgery: Wednesday 11:20am – 12:15pm

These are important to prevent serious illnesses. Appointments will be sent out direct from Child Health Dept. However if you are unable to attend your appointment you are welcome to bring your child to clinic the following week or check in to a practice nurses clinic.For more information on children's immunisations and the schedule visit the NHS Immunisation website.

Minor Surgery

A variety of minor operations, joint and soft tissue injections are performed by the doctors. Please consult your GP for further information.

Influenza and Pneumonia Vaccinations

Are available in September/October/November. Information regarding influenza/pneumonia vaccination clinics will be posted in the waiting room and on the web site in the Autumn. Patients who are over 65 or who suffer from asthma, diabetes, heart disease or chronic ill health are strongly advised to be vaccinated. Carer’s of people with long term disability or chronic illness are also entitled to vaccination.

Cognitive Behaviour Therapy (CBT)

One to one guided self-help sessions are run weekly at St Michael’s Surgery. CBT is beneficial for people suffering from mild to moderate anxiety or depression. Referral for CBT is via GP/HV/Practice Nurses.

Travel Vaccinations

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

Europe & Russia	North America
Central America	South America
Caribbean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

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.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

Travel Questionnaire

Travel Vaccination Charges

Click here for travel vaccination charges

Travelling in Europe

If you are travelling to Europe the EU has published useful information for travellers on the European website.

Chiropractic Clinic

St Michael’s Chiropractic Clinic
Walwyn Close, Twerton, Bath BA2 1ER
Telephone 01225 484800

Chiropractors

Wayne Rhodes M.C.C., D.C. (www.chirohelp.co.uk)

(Members of the British Chiropractic Association)

Registered with the General Chiropractic Council 

What do Chiropractors treat?

How does Chiropractic help?

Chiropractice is based on a very simple fact. Your body is literally a ‘machine’. It has power sources, wiring, electricity and lubrication, etc. But, like all machines it also has a mechanical structure. That mechanical structure, with the spine as its most important support and carrier of the major nervous system, can get damaged, distorted or irritated. When it does, the result is acute or nagging pain, not only in the back, but often in the neck, shoulders, arms and legs. The treatment does not involve any drugs or surgery. Manipulation, mobilisation, massage, traction and exercise therapies are used to restore full and pain-free movement to the affected area.

Who can have treatment?

Chiropractic treatment is available to everyone of all ages. No referral is needed and you do not have to be a patient of this surgery.

What will it cost?

It is dependent on the number of sessions needed to solve the problem. The cost of treatment is probably less than you think, why not call for details? We are approved to treat BUPA, PPP and all other major insurance company patients.

How to make appointments

You can call in or telephone the clinic on Bath 01225 484800.

We also have Castle Street Clinic based in Trowbridge, where we also offer a chiropody service as well as Chiropractic.

Please phone them on Trowbridge 01225 766662 for details.

St Michael’s clinic is open as follows:

Monday, Tuesday, Thursday 8.30am – 7.15pm
Wednesday Closed
Friday 9.00am – 6.00pm
Saturday 9.00am – 12 Midday

If you would like any further information or wish to speak to me please contact the clinic as I will be pleased to help.

Additional Services

Cruse (Bereavement Counselling)

A CRUSE Counsellor visits the practice weekly. Please ask at Reception for details on how to make an appointment. Alternatively contact them on their national helpline number which is 0844 477 9400.

Drug & Alcohol Services

If you are concerned about your own or somebody else’s drug or alcohol intake please speak to one of our GPs or practice nurses. Useful information about the services available and self- referral in BANES can be found here

We also offer specialist ‘shared care’ for opiate addiction and have weekly community alcohol and drugs advisor clinics at our surgery.

Domestic Abuse

It is important that anyone experiencing domestic violence or sexual abuse knows they are not alone. Please speak to one of our GPs or practice nurses, we work closely with Southside and an Independent Domestic Violence Advisor Jo Cosgrove who can be contacted directly on 01225 331243 at Southside. Alternatively please follow this link for more information.

http://www.south-side.org.uk/domestic-abuse.html

One of our GP Partners Dr Pauli has a special interest in this area and works with IRIS to improve recognition of domestic violence in general practice and its impact on health, for more information please see:

http://www.irisdomesticviolence.org.uk/iris/

Learning Difficulties

We have a very high number of patients registered with us who have a significant learning difficulty and cover the RNID nursing homes. We provide specialist reviews for patients with a learning difficulty and work closely with the Specialist LD Nurses to ensure patients are given the correct medical information in a way they can understand it. Dr McNab has a special interest in this area and provides weekly ward rounds to the RNID.

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

• Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
• Insurance claim forms
• Passport signing
• Prescriptions for taking medication abroad
• Private sick notes
• Vaccination certificates

Continuation sick notes requested outside of a consultation with a GP will take 1 week to turn around. These notes can be back-dated and will therefore not affect any benefits.

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
 

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