Services for Adults

Our adult health services include vaccinations, family planning and maternity services


 

Vaccinations

As well as travel vaccinations adults sometimes require boosters (eg. tetanus, after an injury), or special vaccinations for their employment (eg. hepatitis B for a health worker). In addition we are always on the lookout for adults who, for whatever reason, missed their childhood vaccinations. If you think you may have missed out on some vaccines as a child, please see one of our nurses to discuss it.

 


 

Family Planning

Western Elms Surgery has always provided a full family planning service in-house, and this is proving more popular than ever. All the doctors and Diana Tilley (our family planning nurse) are able to provide family planning advice and prescriptions in their ordinary surgeries, but in addition to this, a clinic is held evey Monday and Friday afternoon, staffed by a nurse and doctor. Furthermore, since 2002 Diana has held a Drop-In Family Planning Clinic every Monday afternoon between 16:00 and 19:00: No appointment needed, just turn up. As of April 2017 we have changed this drop-in service to Tuesdays, 16:00 to 19:00 as well.

We offer the full range of contraceptive methods, including contraceptive injections, implants, the ‘pill’ (combined oral contraceptive), the ‘mini-pill’ (progesterone-only oral contraceptive), coils (including the hormonal coil, or intra-uterine system), emergency contraception, barrier methods and advice/referral for sterilisation.

We are also very happy to provide contraceptive services and advice to teenagers, no matter how young. The same rules of confidentiality apply to teenagers, as with adults - in other words, if you wish a medical consultation to be secret from your parents, the doctor or nurse has to respect this wish. Also, you do not have to tell the reception staff why you wish to see us.


 

Maternity Services

The midwives and doctors share a programme of regular checks on women who are pregnant, or who have recently given birth.

As soon as you know you are pregnant, make a routine (not emergency) appointment to see your doctor. Please note that we do not routinely do tests to confirm pregnancy, as the pregnancy-testing kits available in chemists are every bit as accurate as the hospital urine tests. The doctor will work out your dates, and give you some basic information, including the schedule of antenatal checks, blood tests and scans. You will then be asked to see the midwife for a ‘booking’ at 7-8 weeks (from your last period).

The ‘booking’ appointment is probably the most important. It is usually an hour long and as well as providing you with a large quantity of booklets and information on your pregnancy, the midwife arranges your first blood tests (to be done at 16 weeks) and ultrasound scans (at 10 weeks and 19-20 weeks).

In an uneventful pregnancy, antenatal checks follow at 18, 24, 28, 32, 36, 38, 40 (the due date for your baby) and 41 weeks, if you get that far. The 18 week check is with the GP and subsequent checks alternate with the midwife. At each check they will test your urine for sugar and protein, do a blood pressure and check on your baby, as well as deal with any questions or problems you may have.

Please remember to bring a urine sample to each antenatal check and, if you are seeing the doctor, make sure you tell the receptionist when you book the appointment that it is for an antenatal check (antenatals are given longer appointments, and different records have to be given to the doctor).

After your baby is born, the midwife will see you both regularly for the first two weeks, and then hand over your care to your health visitor. At about 6-8 weeks after delivery you should see the doctor for a postnatal check and your baby’s second child health check (the first is done in the first couple of days after delivery, usually by the hospital doctor). Again, when booking this appointment, make sure you tell the receptionist it is for a postnatal check - The appointment has to be at least 30 minutes long.