Certain small surgical operations can be performed at the surgery.

With minor surgery the recovery time is usually short and you will be back to your usual activities fairly quickly (depending on your procedure).

Before attending for minor surgery you will need to see a doctor for the diagnosis and then you will be given an appointment to attend for your procedure.

DUTY DOCTOR SERVICE – FOR WHEN YOU HAVE AN URGENT MEDICAL PROBLEM

Available 8am – 6.30pm MONDAY – FRIDAY (excluding bank holidays)

1. Phone the surgery and explain to reception that you have an urgent problem

2. Reception will ask the nature of your problem and can then put you on the Duty Doctor list

3. The Duty Doctor will ring you back within 2 hours

4. The Duty Doctor will decide with you what you need, which could be:

· Advice over the phone

· An appointment at the surgery

· A home visit if you are really not well

· A referral to another service

This service offers you quick access to your GP practice, where they know you and have your full medical record. We recommend this service instead of going to A&E at the hospital.

There are many things that impact our health and wellbeing, including feeling isolated or struggling with practical challenges. We have Social Prescribers in our practice who can speak with adults registered with the practice. They will ask you about what is happening in your life, what you enjoy, and what is getting in the way. The Social Prescriber might suggest services and activities that might help you or simply work with you to build your skills and confidence. They can tell you about community-based services, e.g. lunch clubs, gardening groups, benefits advice, exercise groups.

Please ask your GP to refer you to social prescribing.

For further information – https://www.youtube.com/watch?v=YZKjJMyLKvQ&t=63s

To learn more about social prescribing – https://www.family-action.org.uk/social-prescribing-city-and-hackney-service/

Keep your baby’s immunisations and developmental checks up to date by bringing your baby to baby clinic. We run a baby clinic once a week:

• On Tuesdays, cliic we operate a booked clinic for 6 week checks and routine childhood immunisations.

Lower Clapton General Practice Travel Health Services  

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We offer a full NHS travel service at LCGP.  Below are all of the details you need to know about our travel health services and how to access them.

Our clinics

• We offer travel clinics once every 2 weeks, these clinics are always in the morning between 10am – 1pm and appointments are available up to 4 weeks in advance.
• To ensure you are fully protected before you travel we ask you to book your appointment as early as you can in advance of your travels – this must be at least 4 weeks before you travel.  If we are unable to book you an appointment within this timeframe you will be directed to our local pharmacies to access private travel services.

Please note our clinics get booked up very quickly so we would advise you to contact us well in advance of your trip.

Booking a travel appointment

• To book an appointment please use our ask my GP service available through our website or via this link Welcome to askmyGP.  
• The nursing team who provide our travel health clinics have undergone specialist training to provide this service.  It is therefore very important that you let our reception team know you want to book a travel health appointment, to ensure you see the right team.  If you are booked in to the wrong clinic the appointment will need to be cancelled and re-booked but only if appointments are available, if we are fully booked this may mean you will need to access private travel services.  Please do NOT book an appointment with a GP to discuss travel as they are unable to provide travel health services.
• To ensure we provide safe travel health advice our reception team will ask you the details of all of the places you will be visiting during your travels, when you are going and how long you will be away.

What happens at the appointment

We provide a full risk assessment for travel, this includes general travel health advice, advice on and administration of NHS travel vaccinations (please see the full list of vaccinations available below), advice about additional private travel vaccinations that may be needed and advice around malaria prevention and other mosquito bourne illnesses.

Vaccinations

NHS Vaccines that we DO provide at LCGP	Private Vaccines that we DO NOT provide at LCGP
Hepatitis A	Hepatitis B
Typhoid	Meningitis ACWY
Diptheria, Tetanus, Polio	Rabies
Cholera	Japanese Encephalitis
	Tick Bourne Encephalitis

Important points

• We DO NOT provide travel advice over the telephone
• If you would like to know what vaccinations we have for you on record you can check these on the immunisation section of the NHS app.  Please note if you have received vaccinations through private travel services in the past these will NOT be available on the NHS app and you will need to contact the clinic directly.
• Before your appointment please have a look at the information provided by the NHS UK Health Security Agency (NHS UKHSA) about your specific travel destination here.

Travel health questionnaire

To help us offer the best possible advice, you can complete this online form before coming to your appointment.

• Benefit counsellor
• Drugs counsellor
• Social prescribing
• Psychological counselling and support
• Wellbeing advisor
• Health visiting services
• Midwives
• Physiotherapy
• Group consultations for certain long term conditions

Vaccination is the most important thing we can do to protect ourselves and our children against ill health. They prevent millions of deaths worldwide every year.

Since vaccines were introduced in the UK, diseases like smallpox, polio and tetanus that used to kill or disable millions of people are either gone or are now very rarely seen. However, if people stop having vaccines, it’s possible for infectious diseases to quickly spread again.

Here is the immunisation planner which shows which vaccines your child should have and at which age:

For more information about the vaccinations your child will be offered, please see some really useful resources below:

The NHS Immunisation Resource Page

Oxford Vaccine Knowledge Project

The Vaccine Mom

If you would like any further information or would just like to discuss immunisation in a bit more detail please get in touch with our friendly nursing team who will be happy to answer any of your questions. You can contact us using AskMyGP

Along with seasonal influenza immunisation, the NHS offers other immunisations to adults.

Shingles

People in certain age groups are at increased risk of long-term nerve damage caused by shingles. Ask your doctor or nurse whether you are entitled to vaccination to reduce the risk.

http://vk.ovg.ox.ac.uk/shingles

MMR (measles, mumps and rubella)

If you do not know whether you have received 2 MMR immunisations, ask your doctor or nurse whether you should have it. There are currently 5 outbreaks of measles in the UK, and many more in Europe. Measles can kill, cause brain damage, and other dangerous conditions. It is very infectious.

http://vk.ovg.ox.ac.uk/mmr-vaccine

Tetanus

If you do not know whether you have had 5 tetanus immunisations in your life, ask your doctor or nurse whether you should have a catchup booster. Although it is rare in the UK, even with good intensive care, tetanus kill 1 out of every 3 people infected.

http://vk.ovg.ox.ac.uk/tetanus

Pneumococcal disease

Although pneumococcal vaccine is offered to all babies to reduce the chance of invasive disease causing meningitis, it is also offered to older children and adults who have extra risks, either because of their age, or because of other health conditions they may have. Generally, only one dose is needed.

http://vk.ovg.ox.ac.uk/pneumococcal-disease

Whooping cough

14 babies under three months old died of pertussis in 2012, seven died in 2013, and another 18 died between 2013 and 2016, and others are living with the results of infections, which can include brain damage and lung damage. We offer vaccination to all women who are pregnant. Check with your midwife, doctor or nurse about the best timing for this, which must be early enough in pregnancy to allow the baby to get enough protection from the mother’s immunity. When a woman who is pregnant has a whooping cough booster, it also means that she is less likely to pass on whooping cough to any other children, or the new baby.

http://vk.ovg.ox.ac.uk/pertussis-whooping-cough

Immunisation for travel

We normally offer travel appointments. If you are intending to travel, you should book an appointment 8 weeks before departure. If there is no availability, you will need to access advice from a local travel clinic. Many local pharmacists offer this service.

Click here for further information.