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Asthma can be a frightening condition but we aim to optimise your asthma control so that you are able to use the minimum amount of medication to manage your problem well.
Come and see us in surgery, or see our dedicated asthma nurse to discuss your management and get your annual check up. You will also need to be seen annually to have any existing prescriptions updated.
More information on asthma can be found at the National Asthma Campaign website.
We offer a comprehensive childhood immunisation programme. The immunisation clinic is run by a Doctor and a Practice Nurse every Monday (except Bank Holiday) from 1.00 - 2.15 pm.
Children will automatically be sent appointments at the appropriate times. We strongly believe that prevention is better than cure and feel that it is essential that children are protected against these potentially serious diseases.
Diabetes is a serious illness that requires regular follow-up. We can provide most of this care within the practice, but we also use external services provided by outside agencies where appropriate.
The specialist nurse in the Diabetic Clinic will perform your annual check and review your recent blood test, management of co-existing diseases that impact upon diabetes and referral for insulin support where needed.
It is very important to note that hospital-based diabetic clinics are moving away from full annual checks to a problem-solving approach. Therefore, even if you have been to a hospital clinic for an annual review, they are unlikely to have performed the complete range of tests that are recommended for annual follow-up. We very strongly encourage you to come to the annual check that we offer all diabetics, even if you have been seen in the hospital too.
There is lots of helpful information at the Diabetes UK website.
Rowden Surgery is taking part in the National Diabetes Audit (NDA). The NDA checks to see whether people with diabetes are getting good care. There are very strict rules about how your information is used and stored.
There is a patient information leaflet available here: Diabetes Audit Leaflet and for more detailed information you can look at the main website here: National Diabetes Audit. If you do not wish to be included in the audit please let the surgery know.
We are currently in the process of changing the way we invite patients in for Diabetes annual reviews.
These reviews are called LTC (Long Term Condition) reviews. You will be invited via text message or letter to book an appointment in the HCA LTC clinic where your annual observations and investigations will be performed. These will then be reviewed by the diabetic specialist nurse who will advise you to either book a face to face or telephone appointment with them.
Please let us know your mobile number in order to receive the text invitations.
Annual HbA1c Reviews
We are now running a programme for patients with certain conditions to check their annual blood sugar levels (HbA1C) in order to monitor for Diabetes. If you have any of the following conditions, you will be invited in for an annual blood test:
Polycystic Ovaries Syndrome
Diabetes in remission
All doctors offer advice on family planning and most methods of family planning. We also have a trained nurse in family planning and she will be happy to discuss all methods of contraception including emergency contraception with you, although regular planned contraception is the simplest, most efficient way to avoid an unplanned pregnancy.
Also several of our doctors' fit intrauterine devices (coils) and contraceptive implants.
Following confirmation of pregnancy, you should contact the maternity unit for delivery at either Chippenham Birthing Centre or at the Royal United Hospital, Bath.
Annually, from the end of September we run a programme to vaccinate eligible patients. The surgery will not send you a letter inviting you but may send you a text message if you have let us know your mobile number. To make an appointment in one of the scheduled flu clinics please ring our dedicated flu line 01249 479812 (active during flu season).
If you are over 65 you will also be eligible for a Pneumovax immunisation (if you have not had this previously). Please mention this to the receptionists when you telephone us to make your appointment.
Several of the partners perform minor surgery for a variety of conditions. Your registered doctor will discuss the options available with you.
Should you feel that you might like to see a Psychological Therapist, please call on 01380 731335. A referral from a GP is not necessary in order to see a Psychological Therapist, though it may be helpful to discuss this matter with your GP to ask for advice.
This service aims to help people deal with anxiety, depression, stress and other emotional difficulties. Sessions which will focus on helping people to find ways of coping and moving forward in life can be offered both individually (based at the surgery) and through taught courses and a variety of other self help options.
Please see the Primary Care Psychology Service Website for more information or take a look at the Counselling (IAPT) Leaflet available:
Counselling Leaflet (IAPT)
Everyone knows that smoking is one of the most destructive things you can do to your health. It is never too late or too early to give up smoking.
The Stop Smoking Clinic provides specialist advice and support to those wishing to stop smoking and now has the addition of on the spot lung function testing to help spot early signs of lung disease. Current regulations mean that we can help by prescribing smoking cessation medications with clinical support thus increasing the chances of success.
Most of the services offered by the surgery are free under the NHS however, some services are not covered by the NHS and for these your GP may charge a fee.
The fee charged will reflect both the doctor’s time to carry out the service and his/her professional opinion. It may also include the cost of nursing or secretarial support, stationery and consumables as appropriate.
For all other fees please contact the surgery. Please be aware that we are only able to accept payment by cash or cheque upon receipt of the above requests. We are unable to accept card payments.
Should you wish to travel abroad, the surgery is able to assist with vaccinations and travel advice.
There are also plenty of good sources of information available on the internet and we would recommend the following:
There is further information about countries and vaccinations on the links below:
It is important that you allow sufficient time for your travel vaccinations to be given and take effect; you should therefore make your first appointment with as much time as possible prior to your date of travel.
Rowden Surgery is a registered yellow fever centre and can give yellow fever vaccinations to patients not registered at the practice.
Some vaccinations are available on the NHS, but many incur a fee or occasionally may need to be obtained by a private prescription from the surgery for dispensing at the chemist. The private prescription is £20.00 per patient per prescription, payable upon collection; the chemist will also charge for dispensing the drug.
Should a fee be required, you will need to pay this prior to attending for your appointment.
Hepatitis A Vaccine (Havrix) 1st dose, adult
Hepatitis A Vaccine (Havrix) 2nd dose, adult
Hepatitis A Vaccine (Havrix) 1st dose, child
Hepatitis A Vaccine (Havrix) 2nd dose, child
Hepatitis A and B - Twinrix
Free first dose
£40 per additional dose Hep B
£40 per dose
£120 per course of 3 vaccinations
Japanese B Encephalitis *
£150 per course of 2 vaccinations
£150 per course of 3 vaccinations
Tick-Borne Encephalitis *
£180 per course of 3 vaccinations
Malaria - tablets (Private Prescription)
* Prices are approximate due to supplier's charge
Some patients who feel they are at a particularly high risk from travelling may wish to discuss their travel arrangements with their GP. However, our nurses are capable of answering most questions and will call upon the GP’s advice if they feel the question lies outside their expertise.
The following information advice leaflet will help you stay healthy on your trip:
Travel Health Advice Leaflet
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
Your employer can ask you to confirm that you've been ill.You can do this by filling in a form yourself when you return to work. This is called self-certification.
If you're sick and off work for more than seven days, your employer will probably ask for proof of your illness. Most employers ask for a fit note from your GP.
However, this will also depend on your employer's company policy on sick leave (or sickness absence). This policy should tell you how many days you can be off sick before you need to provide proof of illness or a fit note.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website (where this information was sourced)
Please see this link below for additional counselling services provided outside the NHS:
National NHS Diabetes Prevention Programme
The NHS Diabetes Prevention Programme offers free support to help you reduce your risk of developing Type 2 diabetes.
Please see the leaflet below for more information.
Please click on the link below for the self referral form.
Self Referral Form
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