Coxhoe Medical Practice1 Landsdowne Road Coxhoe Durham, DH6 4DHTel: 0191 377 0340
Clinics & Services
Asthma and chronic airways disease services
Asthmatic patients need to book an appointment for an annual review with our Practice Nurse Clare Botone. Who will check your asthma medication and your correct use of inhalers. Patients who suffer from chronic airways disease will be referred by their doctor to either of the practice nurses for spirometry checks at regular intervals.
Coronary Heart Disease
Patients suffering from coronary heart disease will be sent two appointments for their annual review. The first is for a blood test. The second appointment, for 4 days after your blood test, will be with our Practice Nurse Clare Botone. Your doctor may advise you to see Clare more frequently than this if necessary.
Clinics are run by Practice Nurse Clare Botone or Practice Nurse Susan Walton, who provide regular health care checks and educational advice to diabetic patients. You will also have an annual review appointment with our dietitian.
We also have the Diabetic Nurse Specialist who comes in and does clinics once a fortnight with Clare or Susan.
Patients suffering from hypertension will be sent two appointments for their review. The first is for a blood test. The second appointment, for 4 days after your blood test, will be with our practice nurse Clare Botone or Susan Walton.
Patients who have a history of a stroke will be required to have a blood test and a review appointment with our Senior Practice Nurse Clare Botone or Practice Nurse Susan Walton.
Self-referral to physio download our leaflet
Please make an appointment with our Senior Practice Nurse Clare Botone or Practice Nurse Susan Walton, if you are trying to conceive. She will offer you lifestyle advice to you and your partner and give you any other information that you need.
If you think that you are pregnant and would like confirmation of this please contact Clare or Susan by phone to arrange a test. You do not need to see your doctor for this test.
Ante-natal Clinic - Tuesday and Friday
Our midwife Michelle Anderson runs this clinic. Once your pregnancy is confirmed you will be offered an appointment in this clinic. Michelle will explain about the health checks and tests you will have during your pregnancy and arrange hospital appointments for a scan and to see a hospital consultant. You will be seen regularly throughout your pregnancy either at the surgery or hospital, or both.
Child health clinic
Parents of new babies will be offered an appointment with a nurse and GP for their child’s first immunisations and developmental check. Appointments for further immunisations will be with practice nurses Clare Botone or practice nurse Susan Walton in the surgery clinic. These appointments will be sent to you by child health services at Chester-Le-Street. You can contact the health visiting team for general advice on 03000 269833.
The GP will see you about 8 weeks after the birth of your baby, unless you have been asked to attend hospital. The GP will see you for your health check and your baby for immunisations and a developmental check.
Main Clinic on Wednesday Morning
Patients who require warfarin treatment will attend the in-house clinic at the surgery. The GP will provide the dosing for the warfarin in the clinic, after Lisa Graham has taken the blood samples.
Quit smoking support
Our practice nurses are trained to provide support to you if you are trying to give up smoking. Please let anyone at the practice know if you need this support and they will record your request. We will let you know as soon as possible when an appointment is available. Your local Chemist also provides quit smoking support. The local health authority also provides clinics. Please ask the surgery for further details.
Citizens Advice Bureau - Telephone Number available at reception
Sessions are once a fortnight on a Thursday. Clinics are run by our community dietitian Rachael Masters who provides support and educational advice to patients. Patients are seen by referral from another team member.
Your doctor may refer you to our Mental Health Taking Changes Team, who will write to you directly to offer you an appointment, which will usually be at the surgery. Please contact the Talking Changes office if you need to cancel or rebook an appointment.
Young people’s health
We do not have any specific clinics for young people. We would advise you to see your doctor, or one of our nurses, if you have any questions or concerns about your health. We appreciate that you might not feel comfortable being seen in the surgery but assure you that, like all patients, you will be treated with courtesy and in confidence.
The NHS Bowel Cancer Screening Programme offers screening every two years to all men and women aged 60 to 69. People over 70 can request a screening kit by calling the freephone helpline 0800 707 6060.
The NHS National Breast Screening Programme provides free screening for breast cancer for all women over the age of 50. If you're between 50 and 70 you should be routinely invited for a mammogram. Women over 70 are encouraged to make their own appointments.
As a practice we strongly recommend that you have this test; it is designed to pick up early cell changes in the cervix. These early cell changes often have no symptoms but if detected early can be treated to avoid them developing in to Cancer of the cervix.
Download the Cervical Screening Leaflet here
It is recommended that cervical smear tests are carried out as follows:
Between the ages of 25 and 49 years – every three years
Between the ages of 50 and 64 years – every five years
Please contact reception to arrange an appointment for a smear with one of our nurses.
Chlamydia is the most commonly diagnosed Sexually Transmitted infection in men and women. Most of the people who have this infection will have no symptoms. If you or your sexual partner remain untreated it can cause infertility.
For further information visit www.chlamydiascreening.nhs.uk
NHS e-Referral Service
The NHS e-Referral Service has replaces the Choose and Book system. When you and your GP agree that you need to see a specialist you will be able to choose from a list of hospitals or clinics. You will also be able to choose the date and time of your appointment.
Our practice nurses provide the following nursing services
Blood pressure checks, blood tests, contraceptive pill checks, dressings, ear syringing, ECG’s, hearing tests, injections, pregnancy tests, removal of stitches, smoking cessation support, spirometry (lung function) tests, travel advice and injections, cervical smears, childhood immunisations.
Asthma care, Cervical Cytology, Chronic Obstructive Airways Disease (COPD) care, Coronary Heart Disease (CHD) care, Diabetes care, Epilepsy care, Family Planning advice and Hypertension (high blood pressure) care. Nurses Clare Botone & Susan Walton will offer you advice, support and education to help you to care for yourself if you suffer from chronic illness.
Coxhoe Medical Practice
Patient Information Leaflet – Travel Vaccinations
From 1st September 2017 Coxhoe will no longer provide a full travel vaccination service due to our nursing team concentrating on core NHS care.
Some vaccines are available on the NHS and if you are travelling abroad you will need to start thinking about vaccinations at least 4-6 weeks before you are due to travel. There are some destinations with requirements for multiple vaccinations so you may need to seek advice 2-3 months prior to travel to ensure you can complete the vaccinations in time.
Up to date travel information
Before travelling abroad, it is important to be aware of the possible health risks and how to prevent problems, or minimise the chances of them occurring. Most importantly you should know:
Below are the links to some external websites which will advise you which vaccinations are mandatory, which are strongly recommended and which ones you may want to consider. The websites will also advise on malaria areas
Getting your travel vaccinations
Step 1 Obtain a free Masta vaccine check via www.masta-travel-health.com
This is a quality medical travel guide containing a personal travel schedule for every country on your trip. It will advise about recommended vaccinations, give alerts and warnings for each country including any disease outbreaks, and provide tailored advice for your trip. Make sure you print a copy of your travel information from the website.
Step 2 Decide on your vaccines
The Masta vaccine checker will tell you which vaccinations are mandatory, which ones are strongly recommended, and which ones you may choose to consider. It is up to you to decide which vaccinations you would like to have. If you have had travel vaccines at Coxhoe we will be able to give you the dates that they were administered. We do not hold information on vaccines given elsewhere.
Step 3 Plan your vaccination schedule
Free NHS vaccinations which Coxhoe can provide are Diphtheria, Cholera, Tetanus, Polio, Typhoid and Hepatitis A. You must make an appointment with the Practice Nurse and bring a copy of the Masta vaccine checker information: without this information, our Prcatice Nurse will not be able to provide you with your free NHS vaccinations.
Please note that NHS vaccines less than 4 weeks prior to travel are subject to availability of nurse appointments.
If the Masta vaccine checker recommends other vaccinations that Coxhoe do not provide you can obtain them from one of the nearest travel clinics listed below (please note other travel clinics are available elsewhere):-
Step 4 Antimalarial Medicines
You need to decide whether you need to take antimalarial medicine. The Masta vaccine checker will tell you what type of antimalarial medicine you will need. If you are recommended to take Doxycycline, Malarone or Mefloquine these are available from a private travel clinic (details above).
Antimalarial medicines are available without prescription from pharmacies; contact your local pharmacy to discuss further.
Information about countries and vaccinations required can be found on the links below:
It is important to make the initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 4 weeks before you travel to allow the vaccines to work.
Female patients will be sent reminders from County Durham and Tees Valley Health Authority when their cervical smear is due. Please contact reception to book your appointment.
If you have problems getting to the surgery you may prefer to use the Well Woman Clinic in other areas. Please ask reception staff for the latest providers.
Coil (IUCD – Intrauterine Contraceptive Device)
Please discuss this form of contraception with your doctor who will refer you to the appropriate clinic.
If you have unprotected sex, and do not wish to become pregnant, it is very important that you receive this form of contraception immediately and within 72 hours at the latest. Evidence shows that it is more effective the earlier you take it. Please make an appointment with your doctor as quickly as possible. Some pharmacies also provide this service if a trained pharmacist is on duty.
Oral Contraceptive Pill ( OCP)
If you have not used this type of contraceptive before you will need to see your doctor to prescribe it initially. After that, you will need to see one of our practice nurses once a year for a pill check. They will check your health to make sure you can continue to use this type of contraceptive. If you have any concerns or problems with your pill at other times please make an appointment to see your doctor.
If you have not used this type of contraceptive before you will need to see your doctor or nurse practitioner to prescribe it initially. They will check your health to check if you are suitable for this form of contraception.
It is important for men of any age to regularly examine their testicles for signs of disease. Please pick up a leaflet that explains the best way to do this. If you think that you have a problem please make an appointment to see your doctor quickly.
Local practices no longer have an in-house counsellor but the GP can refer you to appropriate local services (Talking Changes) for mental health support.
Counselling can help you deal with the problems and difficulties you are experiencing in your life. You may be living with feelings or thoughts that are causing concern or interfering with everyday life. You may have a problem that is worrying you and feel unable to talk about it to friends or family. Some people come because they are having trouble coping with the loss of a friend or relative. There are many reasons for seeing a counsellor and your doctor will only suggest counselling if they think that it may help you.
If you require further information about Counselling you can contact them at:
British Association for Counselling and Psychotherapy 15 St John’s Business Park Lutterworth Leistershire LE17 4HB Tel. 01455 883 300
Relate 0300 100 1234.
The Samaritans (0191) 3842727
Victim Support 01388 660580
Cruse (Bereavement) 01325 288 633
Citizens Advice Bureau (0191) 3842638
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