Causeway Medical CentreTel: 01925 630282
Great Sankey Health CentreTel: 01925 630282
Mental Health Campaign - Happy? OK? Sad?
For more information visit www.happyoksad.org.uk
St Rocco's Bereavement Cafe
We offer a range of clinics at both surgeries run by our Practice Nurses and Primary Health Care Team:
Dr Ravi holds a regular Minor Surgery Clinic at Causeway Medical Centre for routine procedures including:
*we do not carry out minor surgery procedures for cosmetic reasons.
If you would like a chaperone to be present during a consultation with a doctor for an examination of an intimate nature, this can be arranged. Where possible, please let the receptionist know when you book your appointment.
You may ask the doctor for a chaperone during your consultation, this can usually be arranged, if not you may make another appointment and 'book' a chaperone.
The doctor or nurse may sometimes decide that it is appropriate to have a chaperone in attendance during your consultation or examination, they will always discuss this with you first and seek your agreement.
We offer a range of contraception & family planning services including:
IUD/Coil fitting & removal
If you would like advice on contraception or require any of the above services please make an appointment with one of our female doctors.
'Morning After' Pill or coil (IUD)
The post-coital pill has to be given within 72 hours of unprotected intercourse (the earlier the better) as the sooner you take emergency contraception after unprotected sexual intercourse the more effective it is:
• Within first 24 hours..........95% effective
• Within 48 hours.................85% effective
• Within 72 hours.................58% effective
Emergency contraception pills can be prescribed by our doctors as well as local certified pharmacists and the Family Planning Clinic who have regular clinics.
If you have left it more than 72 hours, you can still have a coil (IUD) fitted up to five days after unprotected sexual intercourse. Make an appointment with Dr Jonna or the local Family Planning Clinic, as soon as possible.
It is important to see a health professional for family planning advice as soon as possible after taking emergency contraception to arrange a method of regular contraception.
*IF YOU DO NOT HAVE A PERIOD WITHIN 2 TO 3 WEEKS AFTER TAKING EMERGENCY CONTRACEPTION YOU MUST SEE A HEALTH PROFESSIONAL (DOCTOR OR NURSE) AS YOU MAY BE PREGNANT.
FEAR OF FLYING
Patients come to us, asking us to prescribe diazepam for fear of flying. There are a number of very good reasons why prescribing this drug is not recommended.
1) Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
2) Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than 4 hours.
3) Whilst most people find benzodiazepines like diazepam sedating, a small number have paradoxical agitation and increased aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
4) According to the prescribing guidelines doctors follow (BNF) Benzodiazepines are contraindicated (not allowed) in treating phobia. Your doctor would be taking a significant legal risk by prescribing against these guidelines. They are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.
5) Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.
6) Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.
We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. We have listed a number of these below.
We welcome all young people to our Practice and our mission is to help you stay physically and emotionally healthy.
We have a Young People’s Charter and Confidentiality Statement and a range of posters and leaflets aimed at young people.
Here to listen. Not to tell.
Any young person regardless of age can independently seek medical advice or treatment, if a health professional believes that they are capable of understanding the choices of treatment and their consequences. This includes contraceptive advice.The policy of the Practice is to support young people in exercising their choice of medical treatment, and to deal with them in a sympathetic and confidential manner. Where a young person presents at the surgery without adult support they may be booked in to see a clinician in the normal way.
All the doctors, nurses, receptionists and other staff at this surgery will keep anything you tell them private just as they would for any adult.
We will not discuss any information about you with anyone else, unless you ask us to do so, except in circumstances where you or anyone else’s safety is at risk. We would then keep you fully informed.
If any of our young patients have other suggestions regarding how we can improve the service we provide for them please let us know by completing a patient suggestion form or by speaking to a member of our team.
Don’t forget, the telephone number we have on your records might be your parent’s mobile number. You can give us a ring or update your contact details online if you want to change this. Click on the 'Update your contact details' link on the homepage. You can also sign-up for on-line booking of your own appointments, ordering repeat prescriptions and a summary of your medical record - just visit the surgery with some identification and we can set it up for you.
Talk to Us - A guide for young people
The Warrington C Card scheme provides young people aged 19 and under with access to free condoms in places other than clinics. For further information, such as how to register for a C Card and where you can pick up free condoms, please click here to visit the Warrington C Card website.
Please click on the link below to download a copy of our Practice leaflet on chlamydia. We offer free, straightforward and confidential chlamydia testing. Please contact your surgery to make an appointment.
Please click here to visit the NHS Choices website on sex and young people.
Please click on the links below to download information and leaflets on the following subjects:
Confidentiality PosterImmunisations at Secondary SchoolYour Guide to the HPV VaccinationEarly Intervention in Mental Health
Kooth.com free online support for young people
Young people & Mental Health
Talk To Frank is a website that offers friendly and confidential drugs advice. It can help you find out everything you might want to know about drugs.
Alcohol and Young People is part of ‘For Young People’, a website designed especially for young people in Kent.
Teen Girls’ Health and Teen Boys’ Health are pages on the NHS Choices website. They have lots of useful information and advice for teenagers on a wide range of topics.
We would love to hear what young patients think of our services. If you have any comments on our website or services for young people, or ways that we could improve, why not join our Patient Participation Group?
The group is a great way to have your say on your surgery. You can become a virtual member and take part in discussions using email or you can attend group meetings. For more information and to sign up, please click here.
As a practice we are always looking to go that extra mile to give people support who dedicate their time selflessly to care for those who need it the most. As well as supporting our current carers we are always trying to identify who our patient carers are to engage you and give you the recognition and support you deserve, to put you in touch with the fantastic services and support on offer through both the surgery and across Warrington.
This page will have up to date information on the following:
If you wish to be referred through the surgery to local carers services and you are a registered patient or caring for a registered patient our Patient Advisers can guide you through your journey. Literature such as booklets leaflets, events days are also available to hand at both practice sites.
We take carers needs very seriously and we want to show our support for carers of all ages. What you give as carers is incredible and does not go unnoticed by us. We want to help in any way possible.
When servicemen and women leave the armed forces, their healthcare is the responsibility of the NHS.
It is highly important for continuing healthcare that you register with an NHS GP and remember to tell them you’ve served. Telling the GP practice about your veteran status will trigger the transfer of your full medical documentation from the Ministry of Defence (MoD) to your GP and enable you to benefit from veteran-specific services, like prosthetics and mental health.
You shouldn’t be disadvantaged from accessing appropriate health services, so it's important that you notify your current GP that you are moving, particularly if you're on a waiting list for medical treatment, so that this information can be transferred across.
Details of GP surgeries and other health services within your area can be found by using Find GP services.
All veterans are entitled to priority access to NHS care (including hospital, primary or community care) for conditions associated to their time within the armed forces (service-related). However this is always subject to clinical need and does not entitle you to jump the queue ahead of someone with a higher clinical need.
If the NHS service you are dealing with is unaware of priority treatment, you are actively encouraged to tell them about it and ensure you have told them that you have served. Failing that, you can enlist local health care commissioners, your local authority community covenant lead, or one of the national service organisations, such as the Royal British Legion, to support you.
For more information on the duty of care owed to service personnel, read the Armed Forces Covenant (PDF).
http://www.livewirewarrington.co.uk : View the Leisure section for information on how to access the following services: Cook Healthy Eat Well (CHEW), Lifestyles Healthy Weight Drop-in Clinic, The Healthy Weight Service, Smoking Cessation
Computerised Cognitive Behavioural Therapy Service: If you are experiencing mild/moderate depression and/or anxiety, willing & able to attend up to 8 weekly 1 hour sessions, alternatively willing to commit to regular independent sessions from home (if suitable), able to read & understand english; Self Referral Form CCBT.doc
http://www.turnoveranewleaf.nhs.uk : If you want help to make changes to improve how you feel, visit the website for more details.
ADS (Addiction Dependency Solutions): free & confidential advice helping people understand their problems & to help them move forward, call 01925 428465 or visit 4 Museum St, Warrington.
Warrington NHS Stop Smoking Service: for free motivational support & medication, (patches, tablets, nasal spray, lozenges), call 0300 003 0818 (free phone number)
British Red Cross (FREE): Offering practical help to people in the first few weeks after discharge from hospital or after an illness, if you know anyone who may require the Red Cross Services. Simply refer them by calling 01925 662688 - for more details click on the link on the right.
Bereaved by Suicide: a local support group for people in Warrington, St Helen’s and Halton, meetings are on the 4th Monday of the month in the centre of St Helens, For more information contact Lorraine or Anne on 07580 358 312. The group is linked to the National organisation 'Survivors of Bereavement by Suicide'. http://www.uk-sobs.org.uk/ There is also a National Helpline, 03001115065 9am-9pm every day!
The Continence Service: an open referral service for children & adults in Warrington: http://www.bridgewater-warrington.nhs.uk/healthservices/continenceservice.html
Paediatric Speech and Language Therapy Service: accepting referrals from parents concerned about their childrens (0-16) speech & language development:http://www.bridgewater-warrington.nhs.uk/healthservices/paediatrics
Palliative Care Clinical Macmillan Nurse Specialists: a service for anyone involved in the patients care including the patient and family: http://www.bridgewater-warrington.nhs.uk/healthservices/palliativecare.html
Warrington Acquired Brain Injury Team is a community based team of experienced health professionals with the knowledge and skills to provide highly specialist advice, support and / or rehabilitation for people with acquired brain injury and their families:http://www.bridgewater.nhs.uk/warrington/acquiredbraininjury/
Health Visitors who work with children, families and communities, focusing on families with children under 5. Providing advice & support on; child care issues, e.g. behaviour, sleep, diet, breast feeding, minor ailments, safety, immunisations & general child development, group sessions including advice on parenting & baby massage, family health issues, domestic violence, post natal depression, support for special circumstances, e.g. homelessness, domestic violence, travelling families, older people, families who have lost a child through sudden infant death syndrome, & children with special needs, http://www.bridgewater-warrington.nhs.uk/healthservices/healthvisiting.html
Parkinson Disease and Neurological Conditions Specialist Nursing Service, for patients with a diagnosis of Parkinson’s (PD) or Parkinsonism’s, Multiple Sclerosis (MS) or Motor Neurone Disease (MND), call 01925 251366
Podiatry (Chiropody), you can refer yourself to the Podiatry Department if you meet one of the following criteria: have an in-growing toe nail that is not responding to conservative treatment and requires nail surgery, an open/weeping sore or an inflamed or infected area of the foot, have diabetes, take anti-coagulants, e.g. warfarin, heparin, have haemophilia, be on long-term steroid medication, e.g. prednisolone tablets, be at risk of infection as a result of chemotherapy, transplant operation or medical condition, e.g. HIV, have impaired foot circulation, also known as peripheral vascular disease (PVD), severe foot deformity (this does not include bunions and hammer toes), be registered blind, have a biomechanic problem, i.e. a muscular or bony problem of the leg or foot caused because the foot doesn’t work properly, have a neurological condition, e.g. spina bifida, cerebral palsy, have rheumatoid arthritis, systemic lupus erythematosus (an inflammatory autoimmune disorder that may affect the skin, joints and internal organs; also known as “lupus”) or a similar disorder;
Pulmonary Rehabilitation, group based exercise and education for people who are experiencing breathlessness due to a chronic lung disease for patients with chronic lung disease: http://www.bridgewater-warrington.nhs.uk/healthservices/respiratory.html
Community Respiratory Nursing, offering patients with chronic lung disease Individualised advice and support to help improve quality of life for both patients and their families: http://www.bridgewater-warrington.nhs.uk/healthservices/respiratory.html
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.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)
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