Singing with Ali

Wednesday 12.30 – 13.30

Drop in singing group for all patients. Drop in sessions, open to all

Great for alleviating stress and tension. Also great fun.

No requirement to sing. You are welcome to come and listen

Gentle Stretch & Yoga with Angela

Thursday 13.00 – 14.00

Drop in sessions, open to all

Exercises to relax and stretch the body and mind.

All equipment provided including fruit and water

Walking Group led by patient Rosemary.

Friday 11am

Drop in sessions – open to all

A warm and friendly walking session around the local area led by one of our patients, Rosemary.

Rosemary is lovely and has excellent knowledge of great walks – long and short.

Health Events & Coffee Mornings

Please look on our notice board for up and coming health events with speakers

Open to all patients

Chelsea Physic Garden Walking Tours

We run monthly walking groups in partnership with the Chelsea Physic Garden.

We are very grateful to the Chelsea Physic Garden and another wonderful patient for introducing us.

If a vaccine is given when a baby still has antibodies to the disease, the antibodies can stop the vaccine working. This is why routine childhood immunisations do not start until a baby is two months old, before the antibodies a baby gets from its mother have stopped working. This is also why it is important for parents to stick to the immunisation schedule, as a delay can leave a baby unprotected. A delay can increase the chance of adverse reactions to some vaccines, such as pertussis (whooping cough).

Vaccination Schedule

At two months old: 
* Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) – one injection 
* Pneumococcal infection – pneumococcal conjugate vaccine (PCV) – one injection 

At three months old:
* Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) – one injection 
* Meningitis C (meningococcal group C) (MenC) – one injection 

At four months old: 
* Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) – one injection 
* Meningitis C (meningococcal group C) (MenC) – one injection 
* Pneumococcal infection – pneumococcal conjugate vaccine (PCV) – one injection 

At around 12 months old: 
* Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) – booster dose in one injection

At around 13 months old: 
* Measles, mumps and rubella (German measles) (MMR) – one injection 
* Pneumococcal infection – pneumococcal conjugate vaccine (PCV) – one injection 

Three years four months to five years old (pre-school): 
* Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) – one injection
* Measles, mumps and rubella (German measles) (MMR) – one injection 
13 to 18 years old: 
* Diphtheria, tetanus and polio (Td/IPV) – one injection

Further reading

There are some excellent websites that will answer all your questions and queries about immunisation and vaccination. If you are worried about giving the MMR vaccine, you should access the MMR site.

NHS Choices – Immunisation Information
The most comprehensive, up-to-date and accurate source of information on vaccines, disease and immunisation in the UK. 

NHS Choices – MMR Information
This website has been put together to answer any questions you might have about MMR. You can look for information and resources in the MMR library, ask an expert panel a question, and read up on the latest news stories relating to MMR.

Cervical Screen Test

Cervical screening is a method of preventing cervical cancer by detecting abnormal cells in the cervix (lower part of the womb). 

Cervical screening is not a test for cancer, but it is a test to check the health of the cervix. Most women’s test results show that everything is normal. But for one in 20 women, the test will show some changes in the cells of the cervix. 
Most of these changes will not lead to cervical cancer and the cells will go back to normal on their own. In some cases, the abnormal cells need to be treated to prevent them becoming a problem later.

Useful Link
http://www.nhs.uk/conditions/cervical-screening-test/Pages/Introduction.aspx

HPV Vaccination

Since September 2008 there has been a national programme to vaccinate girls aged 12-13 against human papilloma virus (HPV).  There is also a three-year catch up campaign that will offer the HPV vaccine (also known as the cervical cancer jab) to 13-18 year old girls. 

The programme is delivered largely through secondary schools, and consists of three injections that are given over a six-month period. In the UK, more than 1.4 million doses have been given since the vaccination programme started.

Human papilloma virus (HPV)

Human papilloma virus (HPV) is the name of a family of viruses that affect the skin and the moist membranes that line your body, such as those in your cervix, anus, mouth and throat. These membranes are called the mucosa. 
There are more than 100 different types of HPV viruses, with about 40 types affecting the genital area. These are classed as high risk and low risk. 

What HPV infection can do 

Infection with some types of HPV can cause abnormal tissue growth and other changes to cells, which can lead to cervical cancer. Infection with other forms of HPV can also cause genital warts. 
Other types of HPV infection can cause minor problems, such as common skin warts and verrucas. 
Around 30 types of HPV are transmitted through sexual contact, including those that can cause cervical cancer and genital warts. Genital warts are the most common sexually transmitted infection (STI) in the UK. 
HPV infection is also linked to vaginal cancer and vulval cancer, although both are rare conditions. 

Useful Link

http://www.nhs.uk/chq/Pages/2611.aspx

Our core philosophy is all about promoting and encouraging a healthy lifestyle agenda

Here are some other great ideas that you can look at and follow through to ensure that you make a real positive difference for yourself, your family and your friends. Go for it!

CHANGE 4 LIFE

Learn how to eat well, move more and live longer. And have fun along the way at the same time! Find out how you can really start changing life around for you your family and your friends.

www.nhs.uk/change4life

HEALTHY ACTIVITIES

How much physical activity do adults aged 19-64 years old need to do to stay healthy
http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-adults.aspx

Early childhood (under 5 years old)
http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-children.aspx

Young people (5 to 18 years old)
http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-young-people.aspx

Older adults (65 and over)
http://www.nhs.uk/Livewell/fitness/Pages/physical-activity-guidelines-for-older-adults.aspx

YOUR PERSONAL HEALTH BAROMETER

See how you measure up. Try out at home the psychological and aptitude tests, the instant weight calculators and lots more. Find out how healthy you really are with just a click of the mouse.

www.nhs.uk/livewell
www.bhf.org.uk

DRUGS AND ALCOHOL

Misuse of drugs and alcohol can destroy the fabric of the individuals, families and friendships. Whether it is for you or for someone else see how you can access help and advice.

http://www.talktofrank.com/
http://www.nhs.uk/Livewell/alcohol/Pages/Alcoholhome.aspx

STRESS? WHAT STRESS?

Stress and anxiety can affect anyone at any time and can have consequences on job, family and health. Find out how to sleep better, beat the blues, do more and feel more confident in yourself.

http://www.nhs.uk/conditions/stress-anxiety-depression/pages/understanding-stress.aspx

10 Stress Busters
http://www.nhs.uk/conditions/stress-anxiety-depression/pages/reduce-stress.aspx

Mental Wellbeing

Evidence suggests there are five steps we can all take to improve our mental wellbeing.

If you give them a try, you may feel happier, more positive and able to get the most from life.

http://www.nhs.uk/Conditions/stress-anxiety-depression/Pages/improve-mental-wellbeing.aspx

https://youtube.com/watch?v=l6WLM0wGqq4%3Flist%3DPL62EAF16B2ED4E14A

Both men and women need to look after their sexual health and take time to understand the issues that surround contraception and sexually transmitted infections (STIs).
For instance there are some STIs, like chlamydia, that you could be carrying without having any symptoms. This infection can affect fertility, so it’s important to make use of the sexual health services available for free on the NHS.

Useful Links

• Sex & Yound People
• STIs (Sexually Transmitted Infections)
• Sexual Health Facts
• Netdoctor – Sex & Relationships

Chlamydia

Chlamydia is the most common sexually transmitted infection (STI).

Chlamydia is a bacterial infection, most commonly spread through unprotected vaginal, anal or oral sex.
75% of people infected with chlamydia don’t have any symptoms. However, testing and treatme

Useful Links

• The National Chlamydia Screening Programme (under-25s) has more 
• NHS Choices – Focus on Chlamydia

Contraception is free for most people in the UK. With 15 methods to choose from, you’ll find one that suits you.

Contraceptive methods allow you to choose when and if you want to have a baby, but they don’t protect you from sexually transmitted infections (STIs).
Condoms help to protect against STIs and pregnancy, so whatever other method of contraception you’re using to prevent pregnancy, use condoms as well to protect your and your partner’s health.

The methods of contraception

There are lots of methods to choose from, so don’t be put off if the first thing you use isn’t quite right for you; you can try another. You can read about each of the different methods of contraception by visiting these pages:

• Combined pill
• Condoms
• Contraceptive implant
• Contraceptive injection
• Contraceptive patch
• Diaphragms and caps
• Intrauterine device (IUD)
• Intrauterine system (IUS)
• Natural family planning
• Progestogen-only pill
• Vaginal ring

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the below.

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.

List of private fees
Item	Price	Notes	Who pays?
Simple Vehicle Exam	£95.00	Taxi and private hire	Patient pays
Full Vehicle Exam	£120.00	HGV, PSV and some minicab	Patient pays
Private Sick Note	£25.00	Sick notes within 7 days and ‘Fit to Work’ letters	Patient pays
Other ‘Fit’ letters	£25.00	Exercise, travel, school	Patient pays
“To whom it may concern” letter	£30.00		Patient pays
Recreational diving statement	£65.00	Some GPs will be unwilling to do these	Patient pays
Firearms license	£35.00		Patient pays
Private Prescription fee	£15.00		Patient pays
Certificate of Existence (for identity purposes)	£25.00		Patient pays
Insurance Forms (iGPR)	£104.00		Insurance company usually pays
Insurance Forms (supplementary request)	£50.00		Insurance company usually pays
Other uncategorised fees	£120 per 30 minutes £240 per 60 minutes	Total cost dependant on GP time spent	Patient pays
Private Health Insurance Form fees	£40		Patient pays – some companies, like BUPA, will reimburse the patient up to a certain amount.

List of private vaccinations – Vaccine (Brand name)
Vaccine	Price: Single Vaccine	Price: Full Course	Immunisation Schedule and notes
Hepatitis B Adult (EnergixB)	£65	£195	3 doses (0, 1 and 6 months)
Hepatitis B Paediatric (EnergixB Junior)	£50	£150	3 doses (0, 1 and 6 months)
Meningitis ACWY (Nimenrix)	£82	£82	Single dose
Oral Cholera (Dukoral)	£36.50	£73	2 doses (0 and 1-6 weeks) 2 years and older
Rabies (Rabipur)	£85	£255	3 doses (0, 7, 21 days)
Yellow Fever	Not available here	Contact Yellow Fever Site
Influenza (brand name differs)	£25	£25	Single dose
Pneumonia Private (Pneumovax)	£42	£42	Single dose
Pneumonia Private (Prevenar 13)	£70	£70	Single dose
Hepatitis A (Avaxim)	£75	£75	Travel Vaccinationm ONLY FIRST EVER Hep A available on NHS thereafter private
Shingles Vaccine (Zostavax)	£190	£190	Single
Shingles Vaccine (Shingrix)	£230	£460	2 doses (0, 2-6 months)
Varicella (Varivax or Varilrix)	£80	£160	Children (12 months to 12 years of age): If a second dose is administered, there should be a minimum interval of 3 months between doses. Adolescents (≥13 years of age) and Adults: 2 doses, to be administered with a minimum interval of 4 weeks between doses.
Japanese Encephalitis (Ixiaro)	£90	£180	0, 28 days
Meningitis B	£150	£300	Infants 2-5 months of age, three doses of 0.5 ml each at one month apart Infants 6-11 months of age, two doses of 0.5ml each two months apart. Children 12-23 months of age, two doses of 0.5ml each two months apart. Children 2 – 10 years, two doses of 0.5ml each, two months apart. Adolescents (11 years of age upwards) and adults two doses of 0.5ml one month apart. There are no data in adults above 50 years of age.
Hepatitis A + B (Twinrix)	£70	£210	0 -1 – 6 months – rapid protection in adults (18 years and above), use 0, 7 and 21 days schedule
Hepatitis A and B Child (Twinrix Paediatric)	£55	£165	0, 1 and 6 months
Typhoid	£50	£50	Needs booster every 3 years Travel Vaccination – ONLY FIRST EVER Typhoid available on NHS thereafter private
HPV Vaccination (Gardasil 9)	£200	£400	2 doses (0 and 6-24 months)

We welcome private patients and will endeavour to see you as soon as possible and at a time convenient to you. Appointments are available Monday to Friday and at selected times between 08:30am and 6:30pm.

Please note that you cannot be an NHS patient with us if we are to treat you privately.

Charges: There is a minimum charge of £80 per 20 minute consultation (& then pro-rata thereafter) and we require payment to be made at reception at the time of the appointment unless otherwise agreed. Payment can be by card, cash or cheque.