Strensall Medical Practice

Enhanced Services

We provide community based treatment for all medical conditions in line with national and local guidance. We aspire to the reach the highest standards in all services that we provide.

The Practice is party to a contract to provide medical services with the North Yorkshire and York Primary Care Trust.

In addition to providing standard general medical services the Practice also provides the following Directed Enhanced Services:

• Access to general medical service standards
• Childhood Immunisations
• Influenza and Pneumococcal Immunisation
• Minor surgery
• Practice Based Commissioning
• Dispensing Services Quality Scheme
• Information Management & Technology

The following National Enhanced Services are provided by the Practice:

• Intra-uterine contraceptive device fitting
• Minor Injury Services
• Multiple Sclerosis specialised services
• Anti-coagulant Monitoring
• Near Patient Testing (drug monitoring for specified drugs)

The Practice also participates in Local Enhanced Services including provision of Phlebotomy services, Complex Wound Care, Palliative Care and Smoking Cessation. Further detail on a selection of general and enhanced services is provided below.

Chronic Disease

We put a lot of effort in to reviewing and treating long-term conditions such as diabetes, asthma, chronic bronchitis, coronary heart disease and high blood pressure.

The Practice and Community Nurses provide much of this care following national and local guidance and are supported by the Doctors in the Practice.

Well Person Checks

Adults aged 45 and over are advised to have a blood pressure check at least every 5 years. We offer a screening well person examination with the practice nurse. This includes blood pressure, weight, urine testing and lifestyle advice.

New Patients

Please complete a new patient questionnaire when you register with the practice. This records details of your medical background and lifestyle which will help the doctor when you first attend.

Contraception

The practice provides most contraceptive methods. Book to see a doctor if discussing contraception for the first time or changing to a new method. Otherwise arrange your check-ups with the practice nurse.

Maternity Care

We encourage anyone considering pregnancy to book with a doctor for advice before becoming pregnant. You are advised to be take daily folic acid tablets before becoming pregnant and to check that you are immune to rubella.

Pregnancy care is shared between by the midwives and doctors in the practice.

Minor Surgery

Most of the doctors perform 'minor' surgical procedures including joint injections at our surgeries.

See your usual doctor for advice if you think you need treatment. Any intended treatment will be explained to you and you will be asked to sign a consent form to record your agreement before treatment.

Minor Illness Clinics

As well as performing normal practice nurse duties, Fiona Wilby runs Minor Illness Clinics at Strensall and Stamford Bridge for adults and children over the age of 12 months.

A receptionist may offer you an appointment with Fiona or you can request an appointment in her minor illness clinic if you need to be seen for any of the following conditions:

• Hay fever
• Emergency contraception
• Urine infections/cystitis
• Sore throats
• Sinusitis
• Earache
• Vaginal discharge
• Diarrhoea or vomiting
• Chest infections
• Insect bites
• Eye infections

Stop Smoking Clinics

Help to stop smoking is available from specialist Smoking Cessation Advisors at our surgeries and also at other venues in York. Please book if you are ready to quit. Ask at reception for more information.

Travel Health Advice

We are able to give most travel immunisations. See Going Abroad - Advice for Travellers for details.

If you think you need immunisations or malaria prevention please complete a Travel Questionnaire at least 8 weeks before you travel and send it to the surgery. Please return a completed form for each traveller.

A nurse will check what is needed and note this on the forms. Contact us 4 day after we receive the form to find out what has been advised and to make any necessary appointments.

You will need to pay for any vaccine not provided by the NHS. Malaria tablets and any other travel medicines required are supplied on a private prescription.

The Fit For Travel web site is full of essential health information including the latest immunisation advice. We suggest you also check Health Advice for Travellers on the DOH web site.

Private Medical Examinations and Reports

If you have a form or report that requires completion by a doctor please enquire at reception. Please note that most reports are not part of NHS work and there will usually be a fee. Fees are displayed at the reception desk.

We are also happy to undertake private medical examinations by appointment. When booking be sure to mention the examination required so that we can allow sufficient time and advise you of the likely charge. Also make sure that you have the necessary paperwork with you or that it has already been received by us before your appointment.

Child Healthcare

Health visitors working with the practice offer support to families with young children and check that growth and development is OK. This is arranged in clinics and sometimes on home visits. The 6 week baby check is done by the doctors.

Childhood Immunisations

We recommend immunisation in line with current Department of Health advice. See the Childhood Immunisations section on NHS Direct for full details.

Routine Immunisations

Tetanus: A booster is advised if it is 10 or more years since your last immunisation and you have not had a total of 5 doses in your life.

Influenza: Yearly influenza immunisation is advised for everyone aged 65 or over and to others in high risk health groups. You will be sent a letter each October to remind you if this applies to you. Carers are also eligible for influenza immunisation.

Pneumonia: A single immunisation usually gives protection for life. This is recommended for patients aged 65 and over and others prone to infection with conditions such as COPD, diabetes or splenectomy.

Counselling Services

An NHS Primary Care Counsellor provides a counselling service at Strensall and Stamford Bridge Surgeries for adults from age 18.

Counselling is a talking therapy that can be useful when you are experiencing emotional difficulties; when you are upset or worried about your feelings, your thoughts or the way you are behaving. Your counsellor will not offer advice but will work with you to help you make your own decisions about your life.

Counselling is offered on a time limited basis, usually 6-8 sessions, during working hours (Tuesdays at Stamford Bridge between the hours of 13.45 to 16.00 and Wednesdays at Strensall between 9.00 to 14.45)

Referral is usually made by your General Practitioner.