Underwood Surgery

139 St. George's Road, Cheltenham GL50 3EQ

Clinics



Please check with your Doctor which clinics you should attend. It would be helpful if you could book these before we remind you.

Antenatal

Pregnancy care in Gloucestershire is midwife lead. When you have confirmed that you are pregnant please phone the Surgery to organise a telephone appointment with your GP. If you have no medical complications your doctor will probably not need to see you face to face but will request that you collect a 'pregnancy pack'.

The pack includes your shared care folder and information on how to contact our Community Midwife.

Your GP will see you at about thirty weeks and at six weeks after delivery.

Day Time Who
Friday 12:00 - 15:00 with Midwife
General Surgeries Various Times with General Practitioners

Well Baby Clinics & Childhood Surveillance

Our Health Visitors are not based at the Underwood Surgery. They do meet however with the clinical team once a month.

Family Planning and Cervical Smears

All doctors provide routine contraception during Surgery. Dr Kate Philpot is qualified to fit intra-uterine contraceptive devices (coils). She and Sister Sue Foster also fit and remove subcutaneous implants (Nexplanon). If you are considering this method of contraception then please make a face to face or telephone appointment with your usual GP or Dr Philpot for detailed discussion.

Women between the age of 25 and 65 years should have a cervical smear test. Women aged between 25 and 49 are invited for testing every three years and women older than this are invited every five years. The Surgery is not primarily responsible for these invites but we do have a back up system for reminding non-attenders which is coordinated by one of our staff.

You can make a routine appointment with the practice nurse for a smear. Please note that the appointment should be booked when you are in the middle of your menstrual cycle. Smears cannot be taken if you are menstruating.

Breast Screening

All women aged 50 to 70 are invited for breast screening every 3 years. However in Gloucestershire this is done every 3 years in rotation by Surgery so that we can check that it is appropriate for an invite to be made.

If you are over 70, you are still at risk of breast cancer. Although you will no longer automatically get screening invitations after you are 70, you can still have breast screening every three years. You will need to contact Gloucestershire Breast Screening Service, Thirlstaine Breast Centre, Thirlstaine Road 0300 422 3786 for an appointment.

Bowel Cancer

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. If you are in this age group you will be sent a screening pack in the post.

Aneurysm Screening

Men aged 65 and over are eligible for AAA screening. The NHS invites men for AAA screening during the year they turn 65. Men over 65 who have not been screened previously can arrange a screening appointment by contacting their local programme directly Tel 01452 318836.

Screening takes place every year in the Surgery and involves an ultrasound scan that takes around 10 minutes. The NHS AAA Screening Programme aims to reduce deaths from ruptured AAA amongst men aged 65 and over by up to 50%

NHS Health Checks for 40YRS - 75YRS

The NHS Health Check programme aims to help prevent heart disease, stroke, diabetes and kidney disease. Everyone between the ages of 40 and 74, who has not already been diagnosed with one of these conditions or hypertension, will be invited (once every five years) to have a check to assess their risk of heart disease, stroke, kidney disease and diabetes and will be given support and advice to help them reduce or manage that risk.

You may receive a postal invite for blood tests and then a follow- up appointment with one of the practice nurses.

[Health Check Leaflet (.pdf)]

Asthma

If you have Asthma you will occasionally be invited for an Asthma review with a practice nurse. Sister Linda Hume and Sister Sue Foster in addition run a telephone clinic once a week.

Any Day Various Times with Any Nurse

COPD

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung condition encompassing diseases such as bronchitis and emphysema. Patients suffering from this condition are usually over 40 years of age, get breathless on exertion, may have a chronic cough and usually (but not always) have a history of smoking.

All patients who have have COPD are invited to the COPD Clinic yearly in their birth month. Sisters Sue Foster and Linda Hume are our lead nurses for COPD.

They run a specialised service to help patients with COPD. Appointments for the clinics can be made with our Reception Staff. Please try and avoid using your inhalers on the day of your attendance.

Various Days Double Appointment with Sister Sue Foster/Linda Hume

Vascular Clinic

All patients who have have had angina, a heart attack, a stroke or peripheral vascular disease are invited to the Vascular Clinic yearly (not Diabetics) in their birth month.

Wednesday 14:00 - 15:30 with Sister Fran Knight

Dr Mark Jackson rus the Vascular Clinic with Sister Fran Knight for those with an increased risk of heart disease or for those who have had heart disease,a Stroke or Peripheral Vascular Disease.

Diabetic Clinic

Dr Mark Jackson and Sister Liz Bennett run the Diabetic Clinic.

All diabetics are invited to the Diabetic Clinic yearly in their birth month. Patients are encouraged to have a blood test a week before the clinic. In addition non-insulin diabetics who are not under hospital care are invited six months later to see any practice nurse for a second review. Diabetics need to remember to bring an early morning specimen of urine to their annual review.

Smoking

To access this service you will need to make an appointment with a practice nurse. She may suggest the use of patches or medication such as Champix to aid success in quitting.

Anti-Coagulation Therapy

Clinics are held daily for patients on anti-coagulation therapy.We test your INR by a finger prick test which gives an immediate result.

We encourage you to attend on Thurs or Fridays when when we have dedicated times set up for testing.

Flu Vaccinations

An annual NHS influenza vaccination by injection is recommended for patients with heart, lung or kidney disease, diabetes, people on certain medications that might affect immunity and residents of nursing and rest homes. In addition patients over 65 years and people who are carers are also offered the vaccine.

We normally run a vaccination clinic on the first two Saturdays of October so please watch our for posters or read the front page of the website for details. Please contact our Reception Staff if you have missed an appointment. We no longer write to all patients.

If you are housebound and we are aware, a home visit will be arranged to administer this vaccination. We aim to do these visits by 1st December each year.

In 2014 an inhaled nasal flu vaccine was offered all children aged two, three and four on September 1 2014. The vaccine's brand name is Fluenz Tetra.

The nasal spray flu vaccine is also for children aged two to 18 who are "at risk" from flu, such as children with long-term health conditions. Some of these children will be offered two doses of the vaccine.

Pneumonia Vaccinations

A one off vaccination is offered to the above risk groups to prevent a type of pneumonia caused by "pneumococcus".

Minor Surgery

Dr Kate Philpot, and Dr Robin Hollands undertake minor operations at the Surgery.

An appointment can be made after the condition has been discussed with a doctor.

Friday 14:00 - 15:30 with Dr Kate Philpot
Various Days Various Times with Dr Robin Hollands

Blood Taking and Results

Please ensure that you have had a blood test authorised by your GP before booking in for a phlebotomy appointment. We would prefer it if a form given to you by a hospital consultant was taken for blood testing to the West Block at Cheltenham General Hospital before 16:00.

We will always contact you after a blood test if there is any follow-up required. You do not need to contact us. However, if you need to find out your results at the Main Surgery then please phone 01242 520022 and book a telephone appointment with the doctor who requested the investigation. The doctor will then phone you back or will text you the result (if you have agreed to this) at the booked time. Most blood tests and urine tests will be ready after 2 days.

Some tests such as thyroid tests will not be ready for about a week.

Some hormone tests and clotting studies may not be ready for a month.

Most x-ray and ultrasound results are available 10 working days after the test is performed.

Tests requested by Private Hospitals and Consultants

If you see a private doctor and you are discharged then the practice will consider providing pathology tests and prescriptions under the NHS.

If you are under a private doctor, e.g. for surgery, and tests are required then the NHS will not fund this. You will have to have these tests undertaken elsewhere in the private sector. If you would like to make an appointment with a private Nuffield GP, please call 01242 806502 . Please note that this number is manned during office hours only, you will have the option to leave a message outside these hours.

Hospital Referrals

Your doctor will generally try and book your hospital referral with you during a consultation using the e-Referrals service.

Decisions regarding your treatment, including the options open to you, will be explained and discussed with you before any referral is made.

Wherever possible, routine hospital referral letters will be done within TWO days or on the same day, if very urgent.