Specialised Clinics at the Practice

We run structured clinics for people with chronic diseases ensuring the highest standards of care as part of the GP contract with the government.  The clinics are run by Doctors and Nurses with a specialist interest in the disease area. 

Patients with Diabetes are seen every six months and patients with Hypertension are seen every nine months.  Stroke and Heart Disease patients are seen annually by their own GP or the Cardiac Nurse. 

Asthma and COPD are seen annually by the Respiratory Nurse.  Patients with Thyroid disease, Epilepsy and Mental Illness are reviewed annually by their GP.  You are asked to obtain relevant blood tests before your appointment. 

Clinics offered include:

• Cardiology
• Child Health Surveillance and Baby Clinic
• Dermatology
• Diabetes
• Family Planning
• Maternity Care
• Minor Surgery
• Phlebotomy Clinic
• Respiratory Clinic
• Travel Clinic including Yellow Fever
• Well Man & Well Woman

Information Leaflets:

Blandford Fly Bites                                                    Holiday Medication

Coil fit                                                                          Hospital Blood Tests

Ear wax                                                                      Information for Patients Being Admitted to Hospital

ECG                                                                            Road Traffic Accident fee letter

Fasting Blood Test                                                    Warts and Verrucas

Glucose Tolerance Test

Hearing Aid Information

Hepatits B vaccination for employment      

Various information leaflets are available in reception for you to help yourself  but please bear in mind that content in non-NHS leaflets is not promoted or recommended by the surgery but may contain information which some patients find useful.

In certain circumstances we are able to offer private services to patients NOT registered at The Quarter Jack Surgery.  If you have ascertained with us that you qualify for one of these services, please download and complete a 'Private Patient Registration Card' and hand to reception a minimum of 30 minutes prior to your appointment. 

Private Patient Registration Card

Travel Information

If you require any vaccinations relating to foreign travel you need to make an appointment with the travel nurse to discuss your travel arrangements.  This will include which countries and areas within countries that you are visiting, to determine what vaccinations are required.  There is further information about countries and vaccinations required on the links below

Europe & Russia	North America
Central America	South America
Carribean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

It is important to make this initial appointment as early as possible  - at least 6 weeks before you travel - as a second appointment will be required with the travel nurse to actually receive the vaccinations.  Some of  these vaccines have to be ordered as they are not  stock  vaccines.  Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

To help us offer the appropriate advice, please allow time to complete our Travel Questionnaire before coming to see the nurse.

Travel questionnaire page 1  Travel questionnaire page 2      

HPV Vaccination

During 2008/2009 the Department of Health is allowing practices to offer Cervarix to women born between 1/9/90 and 31/8/91.
 
You may be aware of the recently launched National Cervical Cancer immunisation programme. Cervical cancer is caused by the Human Papilloma Virus (HPV). This vaccination offers you protection against the two types that cause the majority of cases. 
 
There are two vaccines on the market, Cervarix and Gardasil and the NHS has decided to offer Cervarix.   The government is offering Cervarix free via the NHS to  females born between 1/9/90 and 31/8/99 to be given as a staggered programme over 4 years. Female patients in the current catch-up year have been sent letters inviting them to make an appointment for the vaccination. 
There are some important differences between the two vaccines which we feel you should be aware of.
 

• Both vaccines are highly effective at reducing the risk of cervical cancer in later years but Cervarix may produce a longer lasting and stronger response (so far theoretical). At present the vaccines have been effective for a period of 7 years and the cover is predicted to last 20-30 years.
• Gardasil is the only vaccine to offer protection against genital warts (a significant condition but not often discussed).
• There is concern that the Government decision was based on economics and that an opportunity to also vaccinate against genital warts has been missed.
• Both vaccines cost the same when bought by consumers.

Please note these vaccinations represent a tremendous step forward in preventative health care, they appear to be safe and we would encourage all to take up one of the vaccines but there is a choice to be made.
 
This choice also has an economic implication as the Cervarix vaccine will be free (to NHS patients) within the constraints of the catch-up schedule but Gardasil will cost recipients £450-£600 in the private market. As your registered GP’s we are unable to offer you the vaccine outside of the national programme as there is no funding and nor are we allowed to provide it to you privately.  Thus if you wish to be vaccinated and are not eligible for the free vaccine as detailed above then we have negotiated a heavily discounted rate through a local practice for the full course of either vaccine (Gardasil or Cervarix-if wanted earlier).  Whilst many people may not be able to afford this option or may object to having to pay for this we would like to reiterate that the Cervarix vaccine is possibly the best one at cancer prevention, it represents a tremendous advance in health care and is FREE via the NHS and we recommend that women are vaccinated with one or other vaccine. 
 
Please note the vaccines are not licensed for males or females older than 26 but trials are underway.
 
In summary, females are entitled to Cervarix on the NHS according to the catch-up schedule,  but please note:

• Individuals born before the 1^st Sept. 1990 are not covered by the programme.
• The programme cannot vaccinate the girls before they are due
• The programme does not offer Gardasil.

• If you are registered with The Quarter Jack Surgery and wish to be vaccinated with Cervarix according to the NHS programme free of charge (i.e. born between 1/9/90 and 31/8/91) then please book an appointment at the surgery via your registered GP telephone number stating it is for the NHS HPV vaccination.  You will need to complete a consent form prior to vaccination.  PLEASE NOTE, THIS IS ONLY AVAILABLE TO THE AGE GROUP STATED.
• If you would like HPV vaccination privately then please telephone Frankie on 01202 848261.  We can offer you an appointment at the Quarter Jack Surgery if you are not registered here, or suggest who to contact if you are registered here. You will need to complete a consent form and medical questionnaire prior to vaccination.
• Cost:  £130 per vaccination, including consultation.
• The vaccine can be started at any time acknowledging that it is recommended to be given as 3 doses, with the 2^nd dose 1 month after the first vaccine and the 3^rd dose 6 months after the first vaccine.

Recommended reading :  Not_warts_and_all.doc 

Forms to be downloaded and completed prior to an appointment:

HPV Consent Form;    Medical Questionnaire - non Quarter Jack patients

Information sites recommended:
Official NHS HPV/Cervarix site: www.immunisation.nhs.uk/Vaccines/HPV
Merck (parent company) site: http://www.gardasil.com/ 
  
 

Non-NHS services

GP’s are asked to carry out many tasks not covered by NHS services.  There is a fee for completing these tasks which include:
 

• Consultation by first doctor providing treatment after a road traffic accident
• Blood test (ie lead level or blood grouping)
• Insurance claim forms
• Character reference
• Shotgun licence
• Ofsted health declaration form
• Overseas visitor consultation
• Medical examination
• Fit to travel certificate
• Hepatitis B vaccination/blood test for employment
• Holiday cancellation
• Immunisation record
• Insurance claim form/continuation certificate
• Private sick note
• Letter
• Lighter Life form
• Passport/driving licence countersignature
• Pilots licence
• Power of Attorney
• Travel certificate
• Specified travel vaccinations including Yellow Fever
  This list is not exhaustive. 

Please note that VAT at the current rate will be levied on services primarily to enable a third party to take a decision.  Services intended primarily to protect, maintain and restore health will be exempt.
 
VAT Registration Number: 879085665
 
 
Please telephone your registered GP’s PA or call at reception for current prices.  On occasion, we will need to refer to your GP to ascertain the fee involved.