Clinic We Offer

Telling your GP and/or Midwife promptly will help to make sure you receive maternity health care that takes into account all your health needs and preferences. You can book an appointment with your GP or directly with your Midwife as soon as you know that you’re pregnant.

It’s best to see them as early as possible to obtain the information you need to have a healthy pregnancy, and because some tests, such as screening for sickle cell and thalassaemia should be done before you’re 10 weeks’ pregnant.

The Midwife works with the Doctor to give care to women having a baby, both before birth and for ten days after the baby is delivered. Antenatal appointments are now generally provided by the Midwife at the Hospital or satellite clinic. For further information please contact your Practice.

A Midwife is a qualified nurse who has undertaken further training to provide and promote normal midwifery.

They help you to prepare for motherhood and promote good health for yourself and your baby by advising on the effects of drinking, smoking and good diet whilst you are pregnant.

The Midwife guides you through your pregnancy and endeavours to detect any problems and make relevant referrals if necessary.

If you are pregnant and need to self refer to the Maternity Services at Harrogate District Hospital. Maternity services at Harrogate District Hospital

Healthy Start is a government scheme that aims to improve the health of pregnant women and mothers on benefits or low incomes, all pregnant women under 18 years of age and children who are under 5 years of age. Families who are supported by the scheme receive vouchers to spend on milk (including infant formula), fresh fruit and vegetables. What is Healthy Start?

When you first learn that you’re pregnant, get in touch with a Midwife or GP as soon as possible. Ideally this should be by 10 weeks of your pregnancy. Telling your GP and/or Midwife promptly will help to make sure you receive maternity health care that takes into account all your health needs and preferences. Pregnancy

Birth to Five

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You can normally see the Health Visitors at their drop-in clinic; for further information please contact the Practice.

Health Visitors are all trained Nurses who have extra training and qualifications in child health.They are a fantastic source of information about child development and health, parenting strategies, breastfeeding, nutrition and community support. They also offer help with social, emotional and environmental issues that affect families.

Please do not bring ill children to this clinic Appointments are sent out automatically by the local health authority for routine child health checks.

The first will be with a GP at the Surgery when your baby is around 6 weeks old. You will be sent information about this and asked to make an appointment at your local Clinic or Practice.

You will also be offered routine health reviews for your child, with your Health Visitor, at 6-8 weeks, 8-12 months and 2-2½ years old.

Immunisations are given by our Practice Nurses or other Healthcare Professionals in accordance with the NHS vaccine schedule.

The practice believes it is very important to ensure that all children are immunised against all potentially serious illnesses.

Different vaccines are given at different ages to protect you and your child. Find out when these vaccinations are offered, and when and where they’ll be given:

NHS vaccinations and when to have them

Safety netting and parent info sheets
It can be extremely stressful when you or your child is unwell. We know that there is a huge amount of information available at your fingertips, but finding something that provides clear and accurate information is not always easy!

You’ll find clear information on common illnesses, including advice on what serious ‘red-flag’ signs to look out for, where to seek help if required, what you should do to keep comfortable and how long symptoms are likely to last.

Healthier Together

This way of working aims to give you the opportunity to get more out of your annual review appointments by reorganising the way things happen and giving you more information before you see one of our Nurses. It should help you talk about:

• What support you may need
• What is important to you
• What you can do to look after your health and stay well

Any patient who has a Long Term Condition (LTC).

This means that your care and support planning review will normally take place over two separate appointments and you will have time to think about what you want to get out of these visits.

At the first appointment, you will be asked to attend the surgery to have a number of tests done with a Practice Nurse or Healthcare Assistant. The tests may include a blood test (non-fasting), weight, blood pressure and, if you’re diabetic, a foot check. The Practice Nurse or Healthcare Assistant will either book your next appointment which will be with one of our Nurses, or ask you to arrange this appointment with the Reception desk.

Your test results from this appointment will be available when you attend to see the Nurse. The results of this test will be discussed with the Nurse and any appropriate action taken.

At your care and support planning appointment you will be able to ask questions and talk about what’s important to you. The Nurse will raise any issues she is concerned about. Once you both agree on the main things to work on, you will get the chance to work out a plan and identify any support you need to help you look after your health.

There are a number of services that can help you when it comes to looking after yourself if you have the following Long Term Conditions – Diabetes, Chronic Heart Disease, (CHD), Cardiovascular Disease (CVD) or Chronic Obstructive Pulmonary Disease (COPD).

This way of working is nearly always preferred by patients. It will help both you and our Nurse make the best use of the time you have in your care and support planning appointment. All the important tests and results needed at your appointment will be available for discussion at your second appointment.

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.

Please note only the undernoted vaccines are available on NHS Prescriptions:-

• Hepatitis A
• Typhoid
• Diphtheria
• Tetanus
• Polio

Available vaccines – Travel vaccinations

We do not provide the following vaccinations and you will be required to go to a specialist travel clinic and pay for these vaccinations:

• hepatitis B when not combined with hepatitis A
• Japanese encephalitis and tick-borne encephalitis
• meningitis vaccines
• rabies
• tuberculosis (TB)
• yellow fever

Have you checked if there are medication restrictions in the country you’re travelling to, or if you might need a letter to support having medication on board in cases like allergies or insulin? Have a look at the NHS guide and ensure you check with your airline if you aren’t sure.

Make sure you check with your GP or Surgeon any precautions you may need to take and have a look at these guidelines for an idea.

Immunisation against infectious Hepatitis (Hepatitis A) is available free of charge on the NHS in connection with travel abroad. However Hepatitis B is not routinely available free of charge and therefore you may be charged for this vaccination when requested in connection with travel abroad.

If you are unable to wait for our next available travel advice appointment, as advised by the reception staff, then you can attend any Private Travel Clinic—charges will apply at these clinics.

Under NHS legislation, the NHS ceases to have responsibility for people when they leave the UK. GP’s are not required to provide prescriptions for the treatment of a condition that may arise while the patient is abroad.

For example:

• sun cream/lotions
• pain relief
• antidiarrhoeals
• travel sickness medicines

For Prescription Only Medicines (POM), patients may be offered and charged for a private prescription e.g. Ciprofloxacin for traveller’s diarrhoea. The GMS contract allows items for travel to be prescribed by GPs for patients on their NHS list.

Drugs for malaria prophylaxis are not prescribed on the NHS.

Patients should be advised to purchase where possible over the counter medications.

For prescription only medicines (e.g. Doxycycline, Lariam®, Malarone® and Maloprim®), GPs may charge for and issue a private prescription.

All other travel vaccinations are not available on the NHS and must therefore be offered to patients via a private prescription:

• Meningitis ACWY
• Tick Borne Encephalitis
• Japanese Encephalitis
• Rabies
• Yellow Fever Vaccine

Under NHS legislation, the NHS ceases to have responsibility for people when they leave the United Kingdom. However, to ensure good patient care the following guidance is offered. People travelling to Europe should be advised to apply for a Global Health Insurance Card.

Medication required for a pre-existing condition should be provided in sufficient quantity to cover the journey and to allow the patient to obtain medical attention abroad. If the patient is returning within the timescale of their usual prescription, then this should be issued (the maximum duration of a prescription is recommended by the Care Trust to be two months, although it is recognised that prescription quantities are sometimes greater than this). Patients are entitled to carry prescribed medicines, even if originally classed as controlled drugs, for example, morphine sulphate tablets.

For longer visits abroad, the patient should be advised to register with a local doctor for continuing medication (this may need to be paid for by the patient).

General practitioners are not responsible for prescriptions of items required for conditions which may arise while travelling, for example travel sickness or diarrhoea. Patients should be advised to purchase these items from community pharmacies prior to travel.

Please be aware that the whole episode of the treatment should be provided by the private provider, i.e. blood tests and other tests, suture removal, dressing changes, routine wound check, prescribing during your episode of private treatment, etc., and the Practice should not be involved in any aspects of this episode of treatment, with the exception of emergency care relating to the treatment.

It is also the private providers responsibility to issue a Fit Note covering the entire anticipated period off work, but if any longer time off is then required when you are no longer under the care of the provider then this would be the practice responsibility.