Shirebrook Clinics & Services
Ante Natal Clinic
The practice has a full ante-natal and post-natal service provided by our midwives. This involves shared care between the midwife, the doctor and the hospital. The ante-natal clinics are held on Monday and Tuesdays.
We aim to provide continued monitoring and care of asthma/COPD patients, and help them to improve self–management. Appointments are offered to all patients with asthma/COPD to attend for annual review with the practice nurse. Children with asthma are reviewed on a more regular basis depending on the severity of their asthma, appointments are given every three to six months. Where appropriate, respiratory tests are performed to confirm the diagnosis and continually monitor progress using computerised vitalographic equipment. Patients can have their peak flow and inhaler techniques reviewed and get up to date information about new medications. Patients are advised to bring all their medicines/inhalers and anything else that they use with them.
Blood Pressure Checks
Patients are advised to have their blood pressure checked every 3-5 years if they are under 60 years old and annually thereafter. If their GP has prescribed medication to control their blood pressure they will be advised to attend for more frequent monitoring. Routine blood pressure checks are carried out by our Health Care Assistants, appointments are available each morning (Mon-Fri) between 9am and 12.30pm and Monday to Friday afternoon 2.00–4.00pm.
All women between the ages of 25 and 49 should have a cervical smear test every three years. All women aged 50- 64 should have a cervical smear test every five years. Patients are notified by letter when their smear is due. Patients are advised to make an appointment to see the practice nurse about halfway between periods.
Child Health Development
The practice in conjunction with the Health Visitors undertakes the child health development checks. At the first development check we arrange for the mum to have her post-natal check by the Doctor and the baby will receive their first immunization. Patients will be invited by letter to attend for the child development checks. All children under school age are enrolled to have regular reviews.
Childhood immunisations are given at 2, 3 and 4 months, to protect small babies from whooping cough, tetanus, diphtheria, polio, HIB meningitis and meningococcal meningitis C. Booster immunization is also offered to pre-school and 15 year old children. The Immunisation Clinic is held every Tuesday between 2.00 and 4.00pm, patients will be invited by letter to attend. If, however, patients are unable to attend the clinic, an appointment can be made at any time with the practice nurse for the immunization to be carried out.
The clinic is held on a Tuesday between 9am and 4.30pm (self referral, make an appointment at reception) and provides patients who have a problem with bladder/bowel continence the opportunity for full assessment, treatment and/or management.
CVD Health Checks
UK guidelines recommend that all people aged 40 or more should have a routine cardiovascular risk assessment. A risk factor calculator is commonly used by doctors and nurses to assess the risk of you developing a cardiovascular disease such as: heart attack, angina, stroke, and peripheral vascular disease. If you already have a cardiovascular disease or diabetes then your risk does not need to be assessed. This is because you are already known to be in the high-risk group
We aim to achieve good control of diabetes and prevent complications by providing regular check-up’s and education. Appointments will be offered to all patients with diabetes by letter for a six monthly check-up. There is also a follow-up clinic for patients who need to be seen more frequently. When attending for a diabetes check, patients are requested to bring all medicines and records of finger prick and/or urine testing with them. The clinics are run by the practice by appointment only.
An appointment for an annual review will be offered to all patients who are diagnosed as epileptic. The aim is to review the condition, patients physical condition, review and optimise treatment. The clinic is run by Lorraine Plumb, Nurse Practitioner, the day the clinical is held varies. All patients will receive a letter advising them of their annual review appointment.
Family Planning/Contraceptive Services
The doctors and nurses provide advice on family planning, including oral contraception, depot (injectable) contraceptive preparations. Dr Srinivasan specialises in hormone implants (implanon) and I.U.C.D.s (coils). For Emergency Contraception – patients are advised to see a doctor or nurse within 72 hours of unprotected intercourse for appropriate advice. The contraception clinics run on a Thursday afternoon and a Friday morning by appointment only.
Heart Disease Clinic
An appointment for an annual review will be offered to all patients who have angina or who have had a heart attack. The aim is to review the condition, optimise the treatment, and lower risk factors in order to prevent further illness. The clinics are run by the practice by appointment only.
An appointment for an annual review will be offered to all patients who have had a stroke or mini stroke. The aim is to review the condition and treatment and to lower the risk factors in order to prevent further illness. The clinics are run by the practice by appointment only.
Weight Management Programme
This clinic is held on a Friday between 2pm and 4pm (self-referral, make an appointment at reception) and provides patients who have a problem with weight management it offers opportunity for full assessment, treatment and/or management.