The Park End Surgery

3 Park End, London, NW3 2SE, Tel: 020 7435 7282, Fax: 020 7794 2455, [email protected]

Ill heath prevention

If you feel your social life revolves around alcohol, your’re drinking alone or in the morning or you’re unable to stop once you start, you may have a problem. The safe limits for men are 3-4 units of alcohol a day and 2-3 units per day for women.pregnant women should try and avoid alcohol altogether. Please feel frre to discuss things further with a doctor, nurse, health care assistant or our alcohol adviser.

Breast Examination And Mammography
We advise all women to learn to examine their breasts regularly. Please ask for a leaflet.
Contact your doctor immediately if you find a lump.
Mammography is available three yearly for women between the ages of 50 and 64, especially those with a family history of breast cancer and on request after the age of 64 every three years. If you have not been called for mammography, please inform your doctor.

Cervical Smears
All women should have three yearly cervical smears between the ages of 25 and 49 years and every 5 years between the age of 50 and 64. You can make a routine appointment with the practice nurse.
Please note that the appointment should be made when you are mid-cycle; this is approximately 14 days from the 1st day of your last period. Smears cannot be taken if you are menstruating. Results take 2-3 weeks to be reported by the CCG (Clinical Commissioning Group).

Childhood Immunisations
We strongly recommend that all children are immunised against diphtheria, tetanus, whooping cough, polio, measles, mumps, rubella, haemophilus influenzae and meningitis C, and pneumococcal pneumonia unless your doctor advises otherwise. The following schedule will be introduce in the summer of 2006.

Vaccine Age
DTaP/IPV Hib+pneumococcal vaccine 2 months
DTaP/IPV Hib+Men C 3 months
DTaP/IPV Hib+pneumococcal + menC vaccine 4 months
Hib/Men C 12 months
Measles/mumps/rubella (MMR)+ pneumococcal 13 months
Booster DTaP/IPV 3 1/2 years
Booster MMR 3 1/2 years
BCG not required
Booster Td/IPV 15-18 years

If you have a personal or strong family history of heart disease and wish to have your cholesterol checked, please consult your doctor or nurse. Please also ask for advice on cholesterol reducing diets.

Chronic Disease Management
Appointments are available with the practice nurse to review and support patients with asthma, diabetes ,heart disease, strokes, chronic obstructive airways disease, and other chronic diseases.

Family Planning
Advice on family planning is discussed with the doctor of your choice at routine appointment. Emergency contraception (the morning after pill) is available after unprotected intercourse or if your method of birth control fails, but you must be seen within 72 hours of the event.

Health Checks
Any patient between the age of 16 and 74 who has not attended the surgery in the past three years may request a health check appointment.

Housebound Visits
We offer planned housebound visits for patients who are registered as housebound at the surgery. These visits are arranged every six months. Please contact reception if you are housebound and have not had a visit in the past year.

Influenza Immunisation
During the winter, influenza vaccinations are available to all patients aged 65 or over and patients with chronic chest problems, asthma, diabetes, heart disease and reduced immunity.

Please contact the surgery in September for details of our flu vaccination clinics. We are unable to offer influenza vaccination if you do not fall into the categories listed above.

If you think you are overweight, consider more exercise and ask for information on weight reducing diets. A waist measurement greater than 94 cm for men or more than 81 cm for women may mean that you are at a higher risk of health problems Please telephone Weight Watchers on 08457 123000 to find out details of local weight-reducing programmes. Your doctor may also recommend medication to help

Over 75 Health Checks
Patients aged 75 should be seen at least once a year by one of the clinical staff. Please contact the surgery to book an over 75 health check if you have not been seen in the past 12 months. We can visit you at home if you are unable to attend the surgery for your health check.

If you are considering a pregnancy and are uncertain of your rubella status, please contact your doctor. We recommend 0.4 milligrams of folic acid prior to conception and for the first 12 weeks of pregnancy. This can be purchased from the chemist in tablet form. It is important that patients with diabetes and epilepsy consult their doctor prior to conception.

One in three men over the age of 50 develops prostate problems. Symptoms include difficulty in starting to pass water, poor stream, terminal dribbling, urgency and frequency. There are treatments available if this is a problem.

If you would like help to give up smoking please book a smoking cessation appointment with our practice nurse. She is able to offer advice and support to help you stop smoking. You can also call the NHS Smoking helpline on 0800 169 0169.

Learn a meditation technique and practise it daily if possible. The purpose is to empty your mind of disturbing thoughts and encourage mental relaxation. Take a short period of time out from any stressful situation you encounter during the day. Adopt an exercise programme.

Testicular Examination
All men should examine themselves for testicular lumps regularly. A leaflet is available to show you how this should be done. Any irregularity or lump should be checked by your doctor.

Tetanus And Polio Boosters
The Department of Health recommends that adults should have a tetanus and polio booster every 10 years.
If you have never had a full course of tetanus or polio immunisations please make an appointment with the practice nurse.

Travel Vaccinations
If you intend to travel abroad, especially to developing countries, it is important to see the practice nurse in good time for your vaccination. Travel vaccination appointments should be made at least four weeks before your departure. We may not be able to help you if you do not book your appointment in sufficient time.

The nurse will give you advice on immunisations and malaria protection when you attend your appointment. If your trip involves a complex itinerary it is advisable to contact the Hospital for Tropical Diseases helpline on 09061 337733 for advice and to bring the information sheet they will send you to your appointment.

There is a fee for non-NHS vaccinations and travel prescriptions provided by the surgery. The reception staff will be able to advise you of our current fees.

Please note that you will be asked to pay by cash or cheque after each appointment with the nurse.
It is important that you keep an up to date record of your immunisations. To facilitate this we can provide an immunisation record for a nominal fee.