Cervical Smears

All women are invited for Cervical Screening at the age of 25, and are then invited every 3 years until the age of 50.

From 50 – 65 they are invited every 5 years

These times are based on routine recall invites and it may be clinically necessary for some women to have a smear more regularly.

All of our Practice Nurses are very experienced in performing Cervical Smears

You can book an appointment using Patient Online Services or by speaking to our Care Navigators on 020 8772 8772 – option 2

For more information on Cervical Smears you can visit www.jostrust.org.uk

Contraception

At Balham Park Surgery we offer all the methods of contraception that are available on the NHS.

Please make an appointment with one of the Practice Nurses if:

  • You would like to start the ORAL CONTRACEPTION PILL or request a repeat prescription for the pill. We will ask to see you on an regular basis for a pill review.
  • You would like to start or continue on the CONTRACEPTIVE INJECTION – Depo Provera
  • You would like to be fitted with the DIAPHRAGM – Please make an appointment with Sara Moloney – Lead Practice Nurse
  • You require the EMERGENCY CONTRACEPTIVE PILL ‘Morning After Pill’ – please contact a Practice Nurse, on 020 8772 8772, as soon as possible; as this can be done via a telephone consultation
  • You are considering being fitted for a copper IUD or IUS – Mirena (COILS). Please look at the podcast below. If it is something you would like to consider, please call Reception and ask to book a pre-coil telephone consultation to discuss this option further.

Dr Marietta Swanne and Dr Jennifer Paris have allocated appointments to fit both types of coil. At your appointment you will be asked to make a 6 week post fitting ‘coil check’ with one of the Practice Nurses. If you wish for your coil to be removed, make an appointment with the Nurses.

N.B Please note that unless your intention is to get pregnant after the removal of the coil, you must not have had any unprotected sexual intercourse for 7 days prior to the removal of your coil.

  • If you are considering the CONTRACEPTIVE IMPLANT – Nexplanon, please contact Kate Taylor (Practice Nurse) to discuss this option or you would like to book an appointment for a fitting or removal of the implant.

For further information please look at the NHS Choices website  Contraception Choices  Or the  Family Planning Association  website.

The Contraceptive Coil

If you are considering having a coil fitted, please watch the following podcast

Cryotherapy

As from 1st January 2017, the practice is no longer offering cryotherapy to patients due to cuts in NHS funding and no new appointments for this service will be made.

Anyone who needs cryotherapy for the removal of a wart can book to see a GP for onward referral to Community Dermatology.

Anyone with a verucca requiring treatment should see a local Chiropodist.

Please note that veruccas and children under 7 are not usually treated by cryotherapy.

Holiday Travel

Travel Advice and Travel Vaccination (including yellow fever)

Holidays need careful planning and, depending on the type of holiday, length of stay and the destination, most will need some sort of vaccination programme or an update of routine immunisations as necessary.

Gap years and sabbaticals usually require more detailed immunisation programmes. We would recommend you consult a practice nurse at least 6 weeks before your trip.

The surgery is an authorised yellow fever centre and provides a full range of travel requirements. Any charges that apply for immunisations compare favourably with other private travel clinics.

We would thoroughly recommend that all patients planning to travel outside the EU visit the NHS Fit for Travel website, it contains a huge amount of useful information on immunisations and healthcare abroad.

Hospital Referrals

E-Referrals

E-Referrals is the centralised appointment booking system to which nearly all hospitals in the UK are now linked. The basic idea behind E-Referrals is that control of your referrals and hospital appointments is transferred to you, the patient:

After deciding to proceed with a referral, you and your GP should pick a shortlist of up to five hospitals or clinics that you would like to attend. An appointment request to those hospitals is made there and then in the consultation.

Your GP will then print off a form with your booking reference number, NHS number, password, the list of hospitals and instructions on how to turn the appointment request into a confirmed booking – either by phone or online.

The real advantages of the system lie in this booking stage – particularly if you use the online booking system. After logging into E-Referrals with the details provided on the form you will see a selection of available appointments from all of your short listed hospitals – you can then pick the exact time and date that suits you best. You can log in and change your appointment as often as you like, regularly check for any earlier cancellations and cancel your own appointment if needs be – all without a minute spent on hold at a busy hospital switchboard!

We recommend browsing the E-Referrals website as it contains much more detailed information about how to use the system.

Please note that once you have been referred you need to chase your own appointment with the hospital

Other NHS Referrals

Whilst E-Referrals is now the main way of referring patients on the NHS, there are still some services that are not available on that system.

Two Week Rule (Suspected Cancer Referrals)
A highly successful national programme, the Two Week Rule referral system sees all patients who are referred with suspected cancer are given an initial appointment with a hospital consultant who has a special interest in their type of suspected cancer within two weeks, without fail.

We send these referrals directly to the Two Week Rule department at the relevant hospital. The hospital should contact you within 4-5 days of receipt of the referral and usually sends confirmation to Thurleigh Road with details of the appointment date and time. However, if the hospital has not contacted you within 10 working days of your referral, please contact the practice.

Rapid Access Clinics
St George’s Hospital in Tooting is our nearest and most commonly referred to hospital. They run Rapid Access Chest Pain, Fracture, Emergency Eye, Acute Gynaecology, Early Pregnancy Unit, Paediatric and Neurosurgical Clinics all of which require a referral from a GP to attend and which fast-track clinically urgent patients. We send these referrals directly to the clinics at St George’s.

St John’s Therapy Centre
Almost all referrals to St John’s are sent directly to the clinic. Once your referral has been processed, you will be sent a letter from the Therapy Centre giving you a number to ring to book your appointment. Please look out for this letter.

Private Referrals

Our clinicians have excellent relationships with specialists throughout London. We are very happy to refer our NHS patients to private healthcare providers, if requested, and do so on a regular basis.

You will usually need to consult with one of our GPs before a private referral can be written.

For minor problems, such as straightforward physiotherapy, or a recurrence of a problem for which you have previously seen your GP, a referral might be possible via a telephone consultation. For more serious or newly arising problems, for which we have no previous record, we suggest making an appointment to see a GP for review, before proceeding with the referral.

Referral Letters

A private referral letter will be available for collection at the surgery 5 working days following your consultation with the GP. Following a referral by your doctor, who will give you the contact details of the specialist, we would simply ask you to book your appointment then call in at the surgery after the five days have passed, to collect your letter.

Unless clinically urgent, when special provisions can be made to expedite this process, it would be preferable to book an appointment after these five days have passed, in order to ensure the relevant paperwork is ready to take with you. It may be possible to provide a referral letter for simple matters during your consultation with the GP, depending on the nature of the problem.

Please note that once you have been referred you need to chase your own appointment with the hospital

Private Health Insurance Claim Form

If you make a claim on your health insurance, your provider may require a private claim form to be completed by your referring GP.

Some providers will need the form to be completed before they will agree to fund your private treatment, others will accept forms after treatment has taken place – please check your cover with the insurers before seeing your specialist to avoid any confusion.

Your provider will usually issue you with the claim form directly. It should then be forwarded, with a covering letter, to Eva Stoklosa in our administrative team.

Completion of these forms can be time consuming, usually involves reading your entire medical record and carries a considerable responsibility. Like most practices, we therefore charge an administrative fee of £40 for this non-NHS work, payable as the forms are dropped off. This fee may or may not be covered by your provider.

Immunisations

This practice follows the national policy for childhood immunisation. Further information can be found on the NHS Immunisation Schedule website.

We have developed a short video “TB, BCG and your baby – video for parents and carers” that outlines the changes to neonatal BCG and who is now eligible.

Childhood Immunisation:

When is the immunisation due?Which immunisationsInformation
At two months5-in-1 (DTaP/IPV/Hib) vaccineThis single jab contains vaccines to protect against five separate diseases: diphtheria, tetanus, whooping cough (pertussis), polio and Haemophilus influenzae type b (known as Hib – a bacterial infection that can cause severe pneumonia or meningitis in young children)
Rotavirus vaccineThe vaccine is given as a liquid from a dropper straight into the baby’s mouth for them to swallow
Men B vaccine (from September 1 2015)One Injection
PneumococcalOne injection
At three months5-in-1 (DTaP/IPV/Hib) vaccine (Second Dose)One injection
Rotavirus vaccine (Second Dose)The vaccine is given as a liquid from a dropper straight into the baby’s mouth for them to swallow
Meningitis COne injection
At four months5-in-1 (DTaP/IPV/Hib) vaccine (Third Dose)One injection
Pneumococcal (Second Dose)One injection
Men B vaccine (Second Dose) (from September 1 2015)One injection
At 12-13 monthsHib/Meningitis C boosterGiven as a single jab containing meningitis C (second dose) and Hib (fourth dose)
Measles, mumps and rubella (MMR) vaccineOne injection
Men B vaccine (Third Dose) (from September 1 2015)One Injection
Pneumococcal (Third Dose)One injection
18 MonthsChildren’s flu vaccine (Annual)One injection
From 3 years and 4 months (up to starting school)Measles, mumps and rubella (MMR) vaccine (Second Dose)One injection
4-in-1 (DTaP/IPV) pre-school boosterGiven as a single jab containing vaccines against diphtheria, tetanus, whooping cough (pertussis) and polio
Girls 12 to13 yearsHPV vaccineProtects against cervical cancer – two injections given between six months and two years apart
13 to 18 years3-in-1 (Td/IPV) teenage boosterGiven as a single jab and contains vaccines against diphtheria, tetanus and polio
19-25 years (first-time students only)Men ACWY vaccineOne Injection
65 and overFlu (every year)One Injection
Pneumococcal (PPV) vaccineOne Injection
70 years (and 78 and 79 year-olds as a catch-up)Shingles vaccineOne Injection

Influenza Immunisation

From October to January every year we offer a free flu immunisation to all of our patients over the age of 65 and to those in clinical ‘At-Risk’ groups (i.e. asthmatics, diabetics, patients suffering from heart or renal disease).

If you are eligible, our administrative team will contact you each year by text message, phone or letter to offer you an appointment. We hold special Saturday Flu clinics as well as other clinics throughout the day to ensure that all our eligible patients can attend at a time that works for them. Appointments are bookable via patient online services and by calling through to reception.

We are unable to provide flu immunisations privately so if you do not fall into one of the NHS eligible groups, we will be unable to provide you with your flu jab. Local pharmacies provide a private flu immunisation programme.

This year the government have announced that ages 55-65 will also be eligible for a flu vaccine. Please note that people in the 50-64 year old age group will not be vaccinated until November and December. No appointments will be offered for this age group until then, at that point it will be subject to vaccine supply. This is nationally directed – not the decision of the practice – and is to ensure that those who are most at risk are vaccinated first. If you are 50-64 and you are in one of the other groups eligible for the flu vaccination – for example you have a health condition which puts you at risk from the flu – you will be invited earlier.

  

Maternity Services

THIS SECTION IS CURRENTLY BEING UPDATED

Antenatal Care

You can self refer to your hospital of choice for Antenatal Care. Please visit their website for further information.

If you need to speak to a GP please call us to book an appointment.

Post-natal & 8 Week Checks

Minor Surgery

CURRENTLY SUSPENDED – The website will be updated when this service is available again 

Our minor surgery schedule is subject to changes according to staff availability. The health authority limits the type of lesions we can remove but troublesome skin lesions is one example. A doctor or nurse usually needs to refer you to this clinic after reviewing the skin lesion.

Surrey Physio

Surrey physio provide an AQP Physio service (via a referral by our GPs) and a directly bookable First Contact Practitioner service.

What is AQP?

Any Qualified Provider’s (AQP) are a number of companies that operate across Wandsworth providing spinal physiotherapy treatment. Surrey Physio is one of these providers and work directly out of Balham Park Surgery (as well at Mitcham and Putney), therefore if you are referred for physiotherapy by a GP or FCP you can request for this to be directly at Balham Park Surgery, you are usually given 5 sessions of physiotherapy before a further referral is needed. With AQP and FCP both being from Surrey Physio and out of Balham Park Surgery it means there is a very central and combined approach to your care.

Muscular/joint pain (First Contact Practitioner)

This service is for patients who are suffering from joint or muscle pain. If you have a problem that affects your neck, back, joints or muscles you are able to directly see a First Contact Practitioner (FPC) instead of a GP!

What is a First Contact Practitioner (FPC)?

First Contact Practitioner’s (FCP) are specialised Band 6/7/8 Physiotherapists, who have had a number of years’ experience working in an MSK (musculoskeletal) setting. The idea of the FCP service is to offload the MSK caseload from the GP’s. This means that patients get to speak to a highly experienced physiotherapist within days of contacting their GP practice about any MSK conditions. The FCP will then assess and diagnose the patient before providing self-management advice, therefore cutting onward referrals and wait times at major MSK providers such as SGH or they can refer onto the most relevant service such as Physio, Orthopaedics or Scanning. By having this early input from a physiotherapist it gives the patient the best possible change of recovery and a smooth journey through the NHS MSK pathway.

Why see an FPC instead of a GP?

Around one in five people book to see their doctor with a neck, back, joint or muscle problem, and often have to wait for a GP referral to get access to physiotherapy advice for their conditions. Seeing an FPC gives you the opportunity to see the right person at the right time. The expertise of the FPC means that you will have quicker access to the treatment you need.

To book an appointment with a First Contact Practitioner, please speak to reception on 020 8772 8772 -option 2 OR go online and book in directly.

Who are we?

Surrey Physio provide the FCP service in nearly all the Primary Care Network’s in Croydon and Wandsworth, as well as an expanding service in Lambeth and Merton. We also are an AQP Provider in Wandsworth for Musculoskeletal Physiotherapy. We pride ourselves on providing high quality and individual personalised patient centered care from an exceptional team of physiotherapists and FCP’s.

How Can You See Us?

If you call your surgery with any MSK problem the administration team can book you straight in with a FCP, a GP can also do this if you speak to them about your MSK problem.

Will Bateman- Clinical Lead FCP- will.bateman@nhs.net

Will is the Clinical Lead for FCP at Surrey Physio, overseeing the whole South London area specifically Wandworth and Lambeth where he is also the Clinical Lead for the AQP service.

Please contact Will if you have any clinical questions or feedback regarding FCP.

Luke Woodward- Business and FCP Lead- luke.woodward@nhs.net

Luke is the Surrey Physio Business Lead where he is instrumental in setting up new FCP services as well as being the central link between GP Practices and Surrey Physio. Please do contact Luke if you have any questions about the FCP service or feedback regarding our FCP’s

Will Bateman - FCP Clinical Lead

Will is the Clinical Lead for FCP at Surrey Physio, overseeing the whole South London area specifically Wandsworth and Lambeth where he is also the Clinical Lead for the AQP service. He also is the Head Physiotherapist at Whitgift School treating some of South London’s most promising young sportsman, as well as treating some elite-athletes privately which he has built up over the years. This includes professional footballers and potential Olympians! Will’s background is mainly in elite sport working at Premiership Football and Hockey Clubs as well as working in Australia with Professional Cricket.

Outside of work, Will regularly plays cricket as well as playing golf and football, and enjoys travelling the globe whenever he can.

Will currently works across a number of PCN’s in Wandsworth and Lambeth, he is also a Soft Tissue and Joint Injection Therapist, and soon hopes to start offering these as part of the FCP service.

Jeremy Burton FCP

Jeremy qualified from the London School of Osteopathy in 2009 with a BSc (Hons) in osteopathy. Since qualifying he has completed a number of further education courses including a postgraduate in academic and clinical education; Active Release Technique (ART), Functional Range Release and Functional Range Assessment two of the leading commercial myofascial treatment systems; as well as clinical testing and spine rehabilitation with professor Stuart McGill. Jeremy has worked in both private practice and the NHS as an osteopath and First Contact Practitioner. Prior to working as an osteopath, he worked briefly in the stock market as a trader and then for a number of years as a software developer.

Outside work, Jeremy is an avid reader and has numerous interests including practicing Bagua, Tai Chi and Qigong, functional training, running and learning guitar.

Jeremy currently works at Nightingale PCN in Balham and has been one of the longest serving FCP team members at Surrey Physio.

Gabi Guscott FCP

Gabi is a First Contact Practitioner and Senior Physiotherapist at Balham Park Surgery. She studied at Brunel University of London and specialised in Musculoskeletal health as a graduate. Since then she has been working privately (with Surrey Physio) and with the NHS to deliver care to anyone struggling with MSK conditions. Gabi is a holistic practitioner and will get you the referral you need. She takes pride in her meticulous assessing skills to troubleshoot and choose the most appropriate referral pathway.

Gabi currently has a number of FCP and AQP clinics at Balham Park Surgery.

Angus Belgrave

Angus studied physiotherapy in New Zealand at the University of Otago, then worked for a number of years in a private practice in New Zealand treating a whole range of MSK and sporting injuries before moving to the UK in 2019 and joining Surrey Physio as an FCP.

Angus currently works across two different PCN’s Battersea and Nightingale in Balham. As well as seeing some AQP and Private clients in Mitcham.

Jarryd Ferreira FCP

Jarryd a friendly and outgoing South African Portuguese Physiotherapist who’s been living in London for the past 3 years. Jarryd has experience working in both Public and Private settings in South Africa, in a Central London NHS trust (based in a rehabilitation unit and the community), and at a private musculoskeletal practice in Central London before starting as a First Contact Practitioner with Surrey Physio. Outside of work, Jarryd enjoys travelling and exploring new places with friends, reading, hiking, and taking advantage of all the quirks that London life has to offer.

 Jarryd is currently split across three PCN’s- West Wandsworth, PRIME and Nightingale. He also runs some of our AQP service out of Heathbridge in Putney, and was instrumental in setting that up quickly for our patients.

Blood tests

We have a booked appointment phlebotomy service for children for our registered patients at the practice on most days of the week

For Adults we provide a pre-booked phlebotomy service for any patients in Wandsworth if referred by their GP Monday – Friday 08:00am – 12.00pm. Your GP Practice can book you into one of these slots

Read our Blood Taking Protocol (Phlebotomy Protocol)

Information about having a blood test at Balham Park Surgery

Blood test information leaflet

ADULTS

Balham Park Surgery

We are currently only offering pre-booked blood test appointments.
Please speak to you GP Practice to book an appointment.

Balham Health Centre

Monday to Friday: 8.30 12.15
No appointment necessary

St. John’s Therapy Centre, SW11 1SW

Monday to Friday: 08.00 – 16.15, *Fri 08.00 – 12.45 and 13.30 – 16.15 (*Children will take priority on Fridays)

The Nelson Health Centre (Kingston Rd, SW20 8DB)

Monday to Friday: 08.00 – 19.30, Saturdays: 08.30 – 13.30

CHILDREN

St George’s Hospital (Dragon Centre)

Monday to Thursday: 09.00 – 12.45 and 14.00 – 16.15

St. John’s Therapy Centre, SW11 1SW

Friday: 08.00 – 12.45 and 13.30 – 16.15

The Nelson Health Centre (Kingston Rd, SW20 8DB)

Monday to Friday: 08.00 – 19.30, Saturdays: 08.00 – 13.30

 

St George’s Phlebotomy telephone: 020 8725 1733

Nelson Phlebotomy telephone: 020 3668 3352

South West London Pathology

FASTING BLOOD TESTS:

If you have been asked to have a fasting blood test you should attend in the morning and have had nothing to eat for 12 hours prior to the test. You may drink water but nothing else in this time period.

RESULTS:

It is important that you follow up and find out the results of your blood tests.  You may have been asked to make a follow up appointment to discuss your blood tests.  If you are phoning for results please allow about 1 week before calling the surgery (your GP will inform you if the test may take longer to come back)

  • Normal results: the receptionists may be able to tell you over the phone if all the tests were normal
  • Abnormal results: the GPs review all the results and will contact you if there is anything that needs to be discussed urgently.  If not, they may contact you by text, phone or letter or wait for you to phone in.  Ideally you should speak with the GP who ordered the results, who has assessed you and understands your case- if the GP concerned is not working on the day you phone in, this may mean arranging with reception a call back from that GP when they are next in. When the GP gives you the blood form please check what days they are at work and, therefore, available to discuss results.

Stop Smoking

Stop smoking support on your mobile phone

If you have an iPhone, iPad or iPod touch you can download the free NHS Stop Smoking app from the iTunes App store. The NHS Stop Smoking app makes it easier to stop
because it:

  • Provides daily support and instant tips
  • Keeps track of how much money you’re saving
  • Shows how many days you’ve been smoke free
  • Includes a direct line to the NHS Smoking helpline
  • Provides links to local NHS Smoking Services

Read all about stopping smoking and get more help, advice and information.

Find NHS stop smoking support near you

DOWNLOAD THE NHS STOP SMOKING APP

Substance misuse

We have a Primary Care Liason Nurse for Substance Misuse.  Currently, clinics run at the surgery on Wednesdays.

The service deals with patients who have problems with:

  • Alcohol dependency
  • Illicit drug dependency
  • Cannabis use
  • Prescription dependency (for example, to pain killers or sleeping tablets)

The nurse also sees patients who are at risk of relapse from any of the above problems.

The GP may suggest a referral or patients can self-refer by booking an appointment with the nurse via reception.

Test Results

Patients should wait for the Doctor to contact them via text or phonecall within 7-10 working days from when the patient had the test done.  X-rays and ultrasound results can take a day or two longer.

We kindly ask you to refrain from calling the Practice for your test results as only the Doctor will be responding to your results and Reception will not be provided with any further information for you.

Blood testsX-rays and ultrasound scans are usually performed at St John’s Therapy Centre or St George’s Hospital. The results are processed at these locations then sent back electronically to Thurleigh Road where they are assigned to the relevant doctor for review.

Please note that tests arranged by the hospital team are not automatically sent to us therefore patients need to contact the team that organised the test for the result and any follow up.

If you would like to access your results online, please fill the below form and return to reception with photo ID.

Online Access Form (Word document)