Clinics and services

Orchard Medical Practice
Innisdoon
1 Crow Hill Drive
Mansfield
Nottinghamshire
NG19 7AE
Tel: 01623 400 100

News:

Wednesday Closing

The Practice is closed ONCE a month for staff development and training. Our Doctors, Nursing and administrative staff do need time to train together, which is vital to improve service delivery. We DO NOT close on other Wednesday afternoons.

Cancelling Appointments
If you are unable to attend an appointment with one of the doctors or nurses, please telephone or use the link at the bottom of this page to cancel your appointment. By giving us as much notice as you can you are helping us to make sure that someone else is given your slot. Please note that the Practice has a policy for Patient who DO NOT ATTEND or fail to cancel their appointment. Patients who continue to DNA risk being removed from the Practice.
Please keep your appointment, don't waste it.

Emergency Appointments
If you require to be seen urgently, please tell the receptionist the nature of your request to assess the urgency. This facility is for emergency cases only and we ask you to not use this service for routine problems

Home Visits
Home Visits are reserved for patients who are genuinely too ill to attend surgery. Please telephone before 10.00am and be prepared to answer a few questions to help the doctors plan their calls and to assess the urgency. Please remember the doctor can see at least four patients in surgery in the time taken to do one visit.

Announcements

01 Sep - 01 Oct
NHS Smokefree

Find out about all of the free NHS services available to support you as you go try to give up smoking.

01 Aug - 01 Oct
NHS Summer Health

Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more

01 Jul - 01 Oct
Change for Life

Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.

Yahoo Health

Expert warns of complacency after swine flu fizzle (AP)

Robert Webster, chairman of the Department of Virology and Molecular Biology at St. Jude Children's Research Hospital in Memphis, Tenn., attends the Options for the Control of Influenza conference in Hong Kong Sunday, Sept. 5, 2010 in Hong Kong. Webster urged health authorities around the world to stay vigilant even though the recent swine flu pandemic was less deadlier than expected, warning that bird flu could spark the next global outbreak. (AP Photo/Vincent Yu)

AP - A leading virus expert urged health authorities around the world Sunday to stay vigilant even though the recent swine flu pandemic was less deadly than expected, warning that bird flu could spark the next global outbreak.

Cholera kills 41 in Central African nation of Chad (AP)

AP - Health officials in Chad say an outbreak of cholera in the Central African nation has killed at least 41 people.

Can home cooking be hazardous to your health? (AP)

AP - Could your kitchen at home pass a restaurant inspection?

Botox maker to pay $600M to resolve investigation (AP)

Food and Drug Administration (FDA) Commissioner Margaret Hamburg speaks to reporters during a news conference at the Justice Department in Washington, Wednesday, Sep. 1, 2010, regarding a major settlement with a pharmaceutical company for False Claims Act and off-label marketing violations. Allergan Inc., the maker of wrinkle-smoothing Botox, has agreed to pay $600 million to settle a years long federal investigation into its marketing of the top-selling, botulin-based drug. (AP Photo/Manuel Balce Ceneta)

AP - Allergan Inc., the maker of wrinkle-smoothing Botox, has agreed to pay $600 million to settle a yearslong federal investigation into its marketing of the top-selling, botulin-based drug.

New test seen as big advance in diagnosing TB (AP)

This undated photo released by Cepheid, shows a Cepheid Xpert MTB/RIF cartridge. The cartridge is part of a test that is a major advance in diagnosing tuberculosis and can reveal in less than two hours, with very high accuracy, whether someone has the disease and if it's resistant to the main drug for treating it. (AP Photo/Cepheid) NO SALES

AP - Scientists are reporting a major advance in diagnosing tuberculosis: A new test can reveal in less than two hours, with very high accuracy, whether someone has the disease and if it's resistant to the main drug for treating it.

Journal editors question sale of diet pill Meridia (AP)

AP - Editors of a top medical journal call Meridia "another flawed diet pill" and question whether it should stay on the market as a study shows it raises the risk of heart attack and stroke in people with heart problems.

Study: Diet Drug Meridia May Boost Heart Risks (Time.com)

Time.com - A new study finds that some users of the weight-loss pill Meridia may have an increased risk of heart attack or stroke

For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)

LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.

Clinical Trials Update: Sept. 3, 2010 (HealthDay)

HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:

More parents 'redshirting' kindergartners (LiveScience.com)

LiveScience.com - As schools start back into session around the country, some parents of young children face a difficult question: Send their little ones to kindergarten as soon as they become age-eligible, or hold them back in hopes that an additional year of maturity will give them an academic boost?

MedPage Today

Investigation Reveals More Woes for Rosiglitazone

(MedPage Today) -- On July 15—a day after the FDA completed two days of hearings on rosiglitazone (Avandia)—a British advisory commission on drugs concluded that the product should be withdrawn from the market, according to an investigation conducted by BMJ.

Washington Week: Insurance, State Actions Top News

WASHINGTON (MedPage Today) -- Several studies highlighting insurance issues were released this week, including one on federal programs for kids and two others focused on employer-provided medical coverage.

FDA Approves New Eye Pressure Drop Formulation

WASHINGTON (MedPage Today) -- The FDA approved a new formulation of the drug bimatoprost (Lumigan) in a 0.01% solution as a first-line treatment to reduce elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Kids on HAART Would Benefit from Revaccinations (CME/CE)

(MedPage Today) -- Children with HIV who received standard childhood immunizations before starting on highly active antiretroviral therapy (HAART) could benefit from revaccination, a review suggests.

New Guidelines Out for Pneumococcal Vaccine (CME/CE)

(MedPage Today) -- Adults with asthma and those who smoke should receive the 23-valent polysaccharide vaccine to prevent pneumococcal disease, according to new recommendations from the CDC.

OSHA Should Dictate Residents' Hours, Group Says

WASHINGTON (MedPage Today) -- The consumer group Public Citizen is urging the Occupational Safety and Health Administration (OSHA) to regulate the work hours of resident physicians.

Four Factors Increase Risk of Opioid Dependence (CME/CE)

(MedPage Today) -- A combination of four factors appears to significantly increase the risk of opioid dependence among patients taking prescription painkillers, researchers have found.

Low IgG Poses Infection Risk With Rituximab (CME/CE)

(MedPage Today) -- Certain subgroups of patients with rheumatoid arthritis, particularly those who have low levels of IgG, are at risk for severe infections when treated with rituximab, French investigators found.

ESC: Stockholm Take Home Message -- Watch the 'Not' Warfarins

STOCKHOLM (MedPage Today) -- An investigational antiplatelet -- ticagrelor (Brilinta) -- emerged as a big winner from the five-day long European Society of Cardiology congress, but the buzz here focused instead on a trio of investigational oral anticoagulants -- dabigatran, rivaroxaban, and apixaban.

Admitting Clinical Errors Not Always Best Policy

(MedPage Today) -- Wide-scale disclosure of clinical errors seems intuitively to be the ethical choice for hospitals and physicians, but researchers from the University of Washington suggest that disclosure should be decided on a case-by-case basis rather than a one-size-fits-all solution

WHO Swine Flu

Influenza - update 115

Worldwide, H1N1 2009 virus transmission remains most intense in parts of India and in parts of the temperate southern hemisphere, particularly New Zealand and more recently in Australia.

Influenza - update 114

The situation in New Zealand and India remains largely unchanged since the last update. Influenza H1N1 (2009) virus transmission remains locally intense in parts of India and New Zealand.

Influenza - update 113

Influenza H1N1 (2009) virus transmission remains locally intense in parts of India and New Zealand.

Director-General statement following the ninth meeting of the Emergency Committee

The Emergency Committee held its ninth meeting by teleconference on 10 August 2010.

WHO recommendations for the post-pandemic period

The world is now in the post-pandemic period. Based on knowledge about past pandemics, the H1N1 (2009) virus is expected to continue to circulate as a seasonal virus for some years to come. While the level of concern is now greatly diminished, vigilance on the part of national health authorities remains important. Such vigilance is especially critical in the immediate post-pandemic period, when the behaviour of the H1N1 (2009) virus as a seasonal virus cannot be reliably predicted.

Pandemic (H1N1) 2009 - update 112

As of 1 August 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18449 deaths.

Pandemic (H1N1) 2009 - update 111

As of 25 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18398 deaths.

Pandemic (H1N1) 2009 - update 110

As of 18 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18366 deaths.

Monitoring patterns and levels of worldwide activity

As part of regular monitoring of H1N1 pandemic influenza, the WHO is in close dialogue with public health experts in countries worldwide, specifically to determine whether H1N1 activity has returned to levels and patterns normally seen for seasonal flu.

Pandemic (H1N1) 2009 - update 109

As of 12 July, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18337deaths.

Services

Travel Information

Vaccination Schedule

Please note that our clinics are by appointment only

Practice Nurses – our Practice Nurses are available Monday to Friday and provide a range of services including:

Ear Care
Dressings
Spirometry
Vaccinations and Immunisations
Travel advice and vaccinations
Breast Awareness
Cervical Smears
Contraceptive Checks
Chronic Disease Management such as diabetes, asthma, hypertension, chronic heart disease
Smoking Cessation
Well person clinics
Weight Management

We have a fully trained Phlebotomist to take blood samples (mornings only)

WELL BABY/CHILD HEALTH CLINICS/HEALTH VISITOR

These are held on Mondays from 1.00 pm onwards with the Health Visitor (open to all mums and dads – no appointment necessary for ‘open’ baby clinics)

ANTE-NATAL CLINICS

For the care of expectant mothers. By appointment with the Midwife, please call the Practice to make an appointment. Post natal examinations are undertaken by the doctor. You will be sent an appointment to see the doctor, 6-8 weeks after the birth of your baby.

MINOR SURGERY & CRYOTHERAPY

Minor surgical procedure for removing moles, skin tags etc, these procedures are carried out by the doctors and or nurse practitioner. Appointment is by prior arrangement with the doctor or nurse practitioner.

TRAVEL CLINICS

By arrangement. Please ask for a travel advice form from reception before making your appointment. Please note that charges may apply for certain travel vaccinations (not covered by NHS).

CHRONIC DISEASE MANAGEMENT

We hold clinics for the management of selected long-term medical conditions including asthma, diabetes, chronic heart disease, high blood pressure, smoking cessation etc. Please ask at reception to make an appointment to see the nurse.

IMMUNISATIONS

Everyone is advised to keep up-to-date with immunisations and vaccinations including tetanus and polio. Please ask at reception for further details.

Advice On Self Certification

Any patients off sick from work for any length of time can self certify for the first working week. Only after then will you require a medical certificate signed by your doctor.

Referrals, Letters And Reports

When you and your GP agree that you need an appointment with a specialist, Choose and Book shows your GP which hospitals or clinics are available for your treatment. Your GP will discuss with you the appropriate options which are available for treating your medical condition.If you know where and when you would like to be seen, you can book your appointment before you leave the surgery.

You will be given confirmation of the place, date and time of your appointment. You may want more time to consider your choices. If so, you can take the appointment request letter away with you and book your appointment later.

Non NHS Services

Some services are not covered under the NHS and for these your GP can charge a fee.The fee will reflect both the doctors’ time to carry out the service and the doctors’ professional opinion. Please contact reception if you wish to arrange a medical examination/report other than that covered by the NHS.

By arrangement. Please ask for a travel advice form from reception before making your appointment. Please note that charges may apply for certain travel vaccinations (not covered by NHS).

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required. There is further information about countries and vaccinations required on the links below

Europe & Russia	North America
Central America	South America
Carribean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

It is important to make this initial appointment as early as possible - at least 2 months before you travel to ensure you are fully protected by the time you leave the UK. If you are planning to travel:

Please allow plenty of time - some vaccines need to be given up to two months in advance
Certain vaccines may need to be ordered and kept for your use only
You will be advised in advance of your appointment of any costs involved and asked to bring payment with you prior to your appointment
You may require booster vaccinations - advice will be given as to timescales and any other additional costs involved.

Where travel vaccines are ordered on a private prescription, these incur a charge over and above the normal prescription charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

Travel Questionnaire

At two months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At three months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection

At four months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At around 12 months old:

Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) - booster dose in one injection

At around 13 months old:

Measles, mumps and rubella (German measles) (MMR) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

Three years four months to five years old (pre-school):

Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) - one injection
Measles, mumps and rubella (German measles) (MMR) - one injection

13 to 18 years old:

Diphtheria, tetanus and polio (Td/IPV) - one injection

Practice Information

For quick medical advice online or on the telephone contact NHS Direct