Clinics and Services

We offer a wide range of clinics and services including those below. For more information, please visit our Health Review and Assessment Clinic Room. If you would like to attend any of the below clinics, please visit our Consulting Room.

Ante-Natal Care

Ante-natal care is now led by our team of midwives, who work in close co-operation with the GPs. We advise women to try to see one of the midwives at around 8 weeks of pregnancy for initial advice. We advise all women who are trying to conceive, and until they are 12 weeks pregnant, to take folic acid 400 microgrammes daily (available from any pharmacy).

During pregnancy, most care is provided at the surgery, but we follow the latest guidelines from York District Hospital for women’s health in pregnancy. Most women are booked to have their baby in York District Hospital, but we can make arrangements easily with other hospitals, such as Pontefract or one of the Leeds Hospitals.

Family Planning and Gynae Services

We provide a full contraceptive service in normal surgery hours. For women wishing to have a contraceptive implant fitted or an IUD/IUS (Mirena) fitted, it is important to have an initial appointment with Drs Batty, Benson or Bradley-Wood who specialise in the fitting of implant and IUD/IUS (Mirena).

Emergency contraception is available from the Urgent Treatment Centre at Selby War Memorial Hospital or the nurses as well as the doctors at the surgery. It is important to be seen as soon as possible and certainly within 72 hours of any potential contraceptive failure or omission. This service is also available from your local pharmacy (although there may be a charge and some age restrictions to their service).

If you have been advised by the surgery to submit a contraceptive pill review, please    complete the Contraceptive Pill Review form.

Health Screening

For more information about screening, please visit our Screening page.

Immunisations and Vaccinations

For more information about immunisations, please visit our Immunisations page.

Child Development Checks

All children are offered an initial check at 8 weeks by Drs Benson, Czajkowski or Dodd. It is helpful if you can remember to bring your child’s red book in order that it can be completed.

Asthma and Chronic Obstructive Pulmonary Disease (COPD) Clinics

We have nurses with additional training in the management of asthma. Adults and children with asthma should be reviewed yearly. If you have asthma and are using a blue inhaler on a daily basis, please make an appointment for an asthma review.

Newly diagnosed patients do require longer appointment times, so please ensure you highlight this if relevant. We are also interested in helping patients with Chronic Obstructive Pulmonary Disease (COPD) in a similar way. Treatments for COPD can differ from asthma, but we run the clinics for people with either problem.

For more information, please visit the British Thoracic Society website: www.brit-thoracic.org.uk.

If you have been advised by the surgery to submit an annual review of your asthma symptoms, please complete the Asthma Review form.

If you have been advised by the surgery to submit a COPD assessment, please complete the COPD Assessment form.

Diabetes Clinics

We run weekly GP-led diabetic clinics. These are held at 3 separate times during the week with Drs Stockley, Bradley-Wood, Dodd and Dr Pointon with nursing support, undertaking annual assessments of patients’ diabetes. We also have nurse-led clinics during the week for interim checks. Retinal photographs are taken at the surgery by the team from York Hospital Trust on an annual basis for most people with diabetes.

We provide a comprehensive package of support to new diabetic patients. For suitable patients, we can also start insulin without referral to the hospital clinics.

Please note, if you are sent an appointment for your annual diabetic review and the date and time are not convenient for you, please telephone one of our secretaries to rearrange a more suitable appointment. Please do not cancel and rebook your own appointment using the internet.

Minor Surgery

Several of our doctors undertake some minor surgical procedures, such as joint injections and removal of some skin lesions.

Skin lesions that meet the CCG criteria are treated on our minor surgery operating on Wednesday afternoons.

Appointments for the minor surgery lists can only be agreed after the patient has been seen by a GP. GPs will only perform procedures they feel are suitable. More complicated problems may be referred to specialists for treatment.

Lesions that do not meet the CCG criteria may result in patients being advised to consult a private doctor/organisation.

Heart Disease Review

With more patients having ischaemic heart disease (angina or past heart attack), we offer nurse-led clinics, to ensure patients are having the optimum advice and health checks.

In these clinics we concentrate on patients who have not had any sort of check-up related to their IHD in the recent past. We have clear advice on what constitutes best practice for most patients and we wish to ensure our patients receive it.

If you have been advised by the surgery to submit your blood pressure readings on a regular basis, please complete the Blood Pressure Review form.

Over 40 Year Checks

We offer check-ups to people over 40 years, concentrating on patients who have not been seen by the practice for some time. We ask patients to come to the surgery if possible, but are quite happy to arrange home visits for these checks if necessary. If you would like a check-up, please contact the surgery to arrange a suitable time.

Drug Misuse

A drug counsellor attends the surgery weekly. We make referrals to the service, which is linked to the local North Yorkshire Horizons drug clinic. We do not prescribe any drugs for people misusing opiates, until they have attended the counsellor, and we work very closely with the counsellor. If misusers do not attend appointments, we will refuse to prescribe for them until they have made contact with the drug misuse service.

Health Promotion

All of our nurses and HCAs can give advice on health and lifestyle problems. They can check blood pressure, advise about alcohol intake, diet and exercise. We advise that every adult should have a blood pressure check at least every 5 years.

Smoking Cessation

The practice encourages patients to stop smoking. We no longer run smoking cessation clinics. It is advised that patients who want help to quit smoking receive professional support (see link below), as well as any necessary prescribed medication.

Website – www.nhs.uk/smokefree
Contact number – 0800 169 0169

Or for local support:

Website – www.northyorks.gov.uk/stopping-smoking
Contact number – 01609 797272
Email – stop.smoking@northyorks.gov.uk

If you have been advised by the surgery to submit a smoking review, please complete the Smoking Review form.

Warfarin Patients

Did you know we can now check your clotting status for you here in the surgery?

It’s a one stop service:

  • Your clotting levels are checked with a finger prick sample
  • Your yellow warfarin book is updated in the appointment
  • You can be booked in for your next appointment there and then

Practice Warfarin Clinics

For the first appointment your information is added to the warfarin software so that we can get you set up on the system, using information from the yellow warfarin book, including previous INR results (usually a minimum of two results are added), what you are on warfarin for and what INR range you should be.

For all appointments:

  • You will be asked if you have missed any tablets since your last appointment (as this can affect your result or any new medicines).
  • Blood is taken from your either your ring finger or your little finger using a finger pricking device.
  • Blood is then added to the test strip on the machine for an answer. The results are usually available in a short time period – providing a very quick answer.
  • The result is added to the software and a new warfarin dosing schedule is printed out and added to your book with a suggested date for the next appointment.
  • Your next appointment is usually booked for you there and then.
  • We can easily share information with York and Selby hospitals.

Advantages to the patient/GP/Hospital:

  • There is no waiting for your yellow book to come back and if you need to be seen earlier (if you have started new medicines such as antibiotics or have unexpected symptoms) we are able to see you quickly.
  • It also has the advantage of not needing to see your yellow book when you collect prescriptions as we know what dose you are taking.
  • The result can be viewed by other organisations that also are looking after your care – information is easily shared.

Patients should still record anything new in your yellow book as this is your warfarin passport as well as in their electronic record such as missed tablets, starting new medicines, nose bleeds and any recent vaccinations.

For more information please take a look at the anticoagulation service leaflet.