Dr Duggleby & Partners - The clinics and other services offered by our doctors surgery

Clinics & Services

We offer a range of NHS GP Services as part of Hambleton, Richmondshire and Whitby Clinical Commissioning Group which is based at Civic Centre, Stone Cross Northallerton, North Yorkshire DL6 2UU. Tel: 01845 573956. If we are unable to provide a specific service please bring this to our attention or alternatively you make wish to contact the CCG on the above number.

Family Planning

Our doctors and nurses offer contraceptive advice and care. Dr Parker performs coil fitting. Telephone the surgery for more details.

NEW SEXUAL HEALTH SERVICE AVAILABLE:

We now have a walk in service starting here at the surgery on the 5th April 2018. These clinics will be held every Thursday between 4pm-6pm. No appointment is needed. The clinic will offer a range of sexual health services including STI & HIV tests and treatments, contraception such as Depo injections and Implants (excluding coils and smears) free condoms and counselling and guidance on sexual health.

You can visit online at www.yorsexualhealth.org.uk for more information.

Cervical Cytology (Smear) Appointments

This service is provide by our practice nurse team. You are unable to book these appointments online at present. Please contact the surgery by telephone between the hours of 8.30am and 18.00pm to arrange an appointment.

Minor Surgery

The practice offers minor surgery appointments and cryosurgery clinics (i.e. the controlled destruction of unwanted tissues, moles, warts etc by the application of extreme cold.)

Appointments for these clinics or further information speak to the reception staff who will either book you an appointment for the necessary clinic or make you an appointment with one of our health care professionals to discuss your options.

Vaccinations, Immunisations & Travel Clinics

The practice nurses offer a full vaccination and immunisation service both to children and adults.

Two of our practice nurses are experienced in travel vaccination and advice. If you wish to book an appointment for this service please speak to the reception staff. In order to provide the best possible service you will be required to complete a questionnaire prior to your appointment with the nurse which should be no later than 4 weeks before you travel. Due to recent changes to government legislation on travel vaccine there could be a charge – please refer to our news article.

The surgery is a registered yellow fever centre (fee payable).

Anticoagulation (INR) & Other Drug Monitoring

Warfarin and Near Patient Testing advice and monitoring assistance is available.

Over the past few years travel medicine has become increasingly specialised and we are finding that our patients are travelling to ever more exotic locations. There are some occasions when travel itineraries fall outside of what we regard as the limit of our expertise and failure to cover all aspects expertly could be a potentially serious issue. Basic travel advice and certain vaccinations are funded by the NHS. More specialist advice and other vaccinations are NOT funded by the NHS. For this reason we have adopted a new policy with regards to travel advice and immunisations to provide effective and safe practice to our patients, an attached copy of vaccinations provided by NHS is provided overleaf.

What you have to do

We request that you complete the attached questionnaire and list of the costs for vaccines not provided on the NHS. Please answer all the questions as accurately as possible and add any additional information for your trip. You will need to complete a separate form for each person travelling; this is because travel needs depend on the individual’s age, medical history and past vaccination history.

We ask that you make your appointment in the travel clinic when you hand your completed questionnaire in to the reception. Appointments cannot be made until we have receipt of the information so we have time to prepare for your travel consultation. We ask that you make contact with us as early as possible, but do insist on at least 4 weeks prior to your travel date, as this makes it easier to help you. Some travel vaccines take several weeks to provide protection, and others require a course of treatment separated by more than 3 weeks.

NOTE: if your trip is deemed to be outside of our area of expertise, or we have not been given sufficient time to prepare for your travel or give vaccines in a timely fashion we will advise you to contact a local dedicated Travel Vaccination Clinic. These can be found on the internet under Travel Clinics.

Travel related internet sites for additional information:

National Travel Health Network and Centre – www.nathnac.org

Medical Advice Service for Travellers Abroad – www.masta.org

Department of Health – www.dh.gov.uk/PolicyAndGuidance/HealthAdviceToTravellers/fs/en

Foreign and Commonwealth Office – www.fco.gov.uk/travel

The following vaccines are funded on the NHS:

Hepatitis A (infectious hepatitis) – first and second/booster dose (6-12 months after first dose)
Combined hepatitis A and B – all doses
Typhoid – first and any booster doses
Combined hepatitis A and typhoid – first dose (second dose is with Hepatitis A alone)
Tetanus, diphtheria and polio as given in the Td/IPV vaccine
Cholera injection

The following vaccines are NOT funded on the NHS (You will need to source these privately as the we not offer these vaccinations).

Rabies
Combined Hepatitis A & B - C
Hepatitis B
Japanese B encephalitis
Meningococcal A, C W & Y
Tick-borne encephalitis
Yellow Fever

Malaria prophylaxis -no longer requires a private prescription and other anti-malarials are available over pharmacy counters.

Ciprofloxacin requires a private prescription for which we will charge a “prescribing fee” of £25.00.

* We reserve the right to vary the fee according to the cost of the vaccines.

Extended Periods Abroad

The NHS accepts responsibility for supplying ongoing medication for temporary periods abroad up to 3 months. For longer periods a person’s NHS entitlement is a sufficient supply of regular medication to get to the destination and find an alternative supply of that medication.

Medicines in anticipation of onset of ailment/illness

Medicines which are required solely in anticipation of the onset of an ailment while outside the UK but for which treatment is not required when the medicine is prescribed are not available on the NHS. These

require a private prescription for which we will charge a “prescribing fee” of £25.00.

Travel advice leaflet

Travel risk assessment form

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
Insurance claim forms
Passport signing
Prescriptions for taking medication abroad
Private sick notes
Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.

Test Results

We encourage patients to register for online services to access their results, if needing to phone for results at least allow 48 hours for your results to be actioned. Please phone after 10am for your results.