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.

Childhood Immunisation:

When is the immunisation due? Which immunisations Information
At two months 5-in-1 (DTaP/IPV/Hib) vaccine This 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 vaccine The 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
Pneumococcal One injection
At three months 5-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 C One injection
At four months 5-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 months Hib/Meningitis C booster Given as a single jab containing meningitis C (second dose) and Hib (fourth dose)
Measles, mumps and rubella (MMR) vaccine One injection
Men B vaccine (Third Dose) (from September 1 2015) One Injection
Pneumococcal (Third Dose) One injection
18 Months Children’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 booster Given as a single jab containing vaccines against diphtheria, tetanus, whooping cough (pertussis) and polio
Girls 12 to13 years HPV vaccine Protects against cervical cancer – two injections given between six months and two years apart
13 to 18 years 3-in-1 (Td/IPV) teenage booster Given as a single jab and contains vaccines against diphtheria, tetanus and polio
19-25 years (first-time students only) Men ACWY vaccine One Injection
65 and over Flu (every year) One Injection
Pneumococcal (PPV) vaccine One Injection
70 years (and 78 and 79 year-olds as a catch-up) Shingles vaccine One Injection

Influenza Immunisation

From October to January every year we offer a free flu immunisation to all 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 early morning and late evening clinics to ensure that all our eligible patients can attend at a time that works for them.

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 such as Northcote Pharmacy provide a private flu immunisation programme.

Maternity Services

Antenatal Care

If you are planning a pregnancy, please book a routine appointment to see a nurse for health advice, preferably three months before you start trying for a baby. In particular, we suggest a check for immunity for German measles (rubella) and that all women are taking folic acid.

If you know you are pregnant (a home test is very accurate) please book an antenatal appointment with a doctor 6 to 8 weeks after the first day of your last period (please book a double appointment). We usually provide shared care with your hospital.

Post-natal & 8 Week Checks

Following the birth of your baby, we combine your baby’s check with your own post-natal check when your baby is 8 weeks old.  The doctor sees you and your baby first for a postnatal and a full developmental check, followed by an appointment with a practice nurse who checks your baby’s growth and gives their first immunisations.

These appointments are scheduled by our Maternity Administrator, who contacts parents directly to arrange date & time, and must not be booked on-line.  If you have had a Caesarean, and need a post-natal at 6 weeks, please let our Maternity Administrator know.

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.

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)?

An experienced physiotherapist or osteopath who has the advanced skills necessary to assess, diagnose and recommend appropriate treatment for problems that affect your neck, back, joints or muscles. They act as your first point of contact and offer advice and referrals for further treatment and scans.

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.

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 always call the practice for their test results, allowing 5 working days from when the patient had the test done before phoning.  X-rays and ultrasound results can take a day or two longer.

Please call after 12 noon for test results to avoid busy phonelines first thing in the morning.  We would ask you to always call the practice for your test results, although if there is something seriously abnormal a clinician will contact 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)