All diabetics who are not regularly monitored at the hospital will be invited to attend this clinic on a regular basis. Progress is carefully monitored to reduce the long term risks associated with diabetes, such as heart disease and deteriorating eyesight.
We have clinicians at each surgery who have an interest in Asthma and COPD (smoker's asthma). Regular monitoring of asthmatics is recommended and you are advised to make an appointment with one of these clinicians where possible. Additionally, we have a nurse who can perform an asthma review for you.
We have Nurses and Health Care Assistants who can check your blood pressure in a 5 minute appointment. Additionally we have a blood pressure machine in our downstairs waiting area for patients to use themselves. A member of our reception team will be happy to assist. It is important that our patients whose blood pressure is poorly controlled have regular checks, providing comprehensive screening, advice and relevant medication.
Please see our Flu Clinics section for updates on Flu Clinic dates for both 65+ patients and the 18 - 64 age group, and all other Flu vaccine information.
The Surgery has a well equipped treatment room and some of the Partners are trained in a range of minor surgical procedures. Appointments for a minor operation should only be made after an initial consultation with one of the doctors.
This clinic is by invitation letter or GP/nurse referral. Primarily it deals with cholesterol levels but involves assessing risk of heart disease and giving lifestyle advice as well as monitoring treatment.
Regular clinics for the treatment of superficial skin problems using specialised freezing techniques. Appointments for the Cryology clinic should be made after an initial consultation with one of the doctors.
This service is available at all sites. Women considering a coil need to see a GP initially to confirm suitability. It is then important to have some routine swabs 2 weeks before the fitting.
This service is available at all surgeries. Women considering an Nexplanon need to see a GP initially to discuss suitability. This can then be performed in a minor operation appointment (30 mins).
Child Immunisation clinics are held regularly. You will receive a letter from the hospital with an invite to this clinic. You will need to call the surgery to make an appointment.
All children are checked regularly during their first five years of life. This will be done by the Health Visitor. You will either be contacted by the health visitor or sent an appointment to attend one of the 4 clinics held in various children clinics around the city.
Our smoking cessation service has a quit rate of 80% - that means that 4 out of every 5 people who attend the service manage to quit.
If you wish to stop smoking, the Practice Nurses are available to offer advice. Your first appointment will need to be 20 minutes so that we can discuss your reasons for wanting to quit, how we can support you and we will also do some test and give you some information. We can also discuss whether you feel 1:1 support or a group environment would be best for you.
Carers' Clinics are run regularly throughout the year and are open to anyone who cares for another person. At the clinic you get a general health check with one of the Nursing Team, then a session with a representative from Carers Support Wiltshire who will be able to give you all sorts of support and advice. If you would like to come along, please ask our receptionists who will put you in touch with the organiser. For more information on our Carer's Services please see the link in our footer or click here
Our Flu Clinics will commence in September 2019 - information to be supplied very soon.
The following information should help parents trying to decide what action they should take over organising Fluenz vaccinations for their children, or what expectations they can have of their child's school.
Children aged 2 and 3 will be given the vaccination here at Three Chequers Medical Practice. Please call to book an appointment.
Children who are 4 years old are also eligible for flu vaccination provided they were 3 on August 31 2018. These children can have the vaccination here at Three Chequers Medical Practice. Please call to book an appointment.
Children in Reception class and school years 1, 2, 3, 4 and 5 will be offered their vaccination in school. In a couple of areas it might be offered in primary care settings.
Children who are home educated will also be offered the vaccine, provided they are in an eligible age group. Parents can obtain information about arrangements from their local NHS England Public Health Commissioning team. Please call your surgery to book.
Children who board in a dormitory situation will be offered the vaccine by their school and this will be carried out at school.
If your child misses the flu jab for any reason at school, you should phone the Child Health number on Tel:0300 2470090
Children aged 2 to 17 with long-term health conditions such as diabetes are at higher risk from flu.
It's especially important that they are vaccinated with the annual flu nasal spray instead of the annual flu jab, which they were previously given.
Children between the ages of 6 months and 2 years who are at high risk from flu are offered the annual flu jab, usually at their GP surgery.
The nasal spray flu vaccine has few side effects – most commonly getting a runny nose after vaccination for a few days.
Read more about the side effects of the flu vaccine for children.
Talk to the GP, practice nurse or your child's school nurse if you want more information about when and how your child will be vaccinated against flu.
Please contact your surgery directly to make an appointment.
The vaccine is given as a single spray squirted up each nostril. Not only is it needle-free – a big advantage for children – the nasal spray is quick, painless, and works even better than the injected flu vaccine.
The vaccine is absorbed very quickly. It will still work even if, after the vaccination, your child develops a runny nose, sneezes or blows their nose.
Read the patient information leaflet for the nasal spray flu vaccine (PDF, 238kb).
Children should have their nasal spray flu vaccination delayed if they:
If your child has a fever, the vaccination can be delayed until they feel better.
If a child is wheezy or has been wheezy in the past week, their vaccination should be postponed until they have been wheeze-free for at least 3 days.
If a child has a heavily blocked or runny nose, it might stop the vaccine getting into their system. In this case, their flu vaccination can be postponed until their nasal symptoms have cleared up.
There are a few children who should avoid the nasal spray flu vaccine.
The vaccine is not recommended for children who have:
If your child is at high risk of flu due to one or more medical conditions or treatments, and can't have the nasal flu vaccine because of this, they should have the injected flu vaccine.
If you're unsure, check with the school immunisation team or the school nurse or ask for information from a nurse at your surgery.
Flu is a very common infection in babies and children. It can be very unpleasant for them.
Children with flu have the same symptoms as adults – including fever, chills, aching muscles, headache, stuffy nose, dry cough and a sore throat lasting up to a week.
Some children develop a very high fever or complications of flu, such as bronchitis, pneumonia and a painful ear infection.
They may need hospital treatment, and very occasionally a child may die from flu.
In fact, healthy children under the age of 5 are more likely to have to be admitted to hospital with flu than any other age group.
For children with long-term health conditions such as diabetes, asthma, heart disease or lung disease, getting flu can be very serious as they are more at risk of developing serious complications.
Learn more about protecting your child from flu
We want to give our patients the best travel service we can. In order to do this we need adequate advance notice of travel. Please follow the advice below for a smooth service.
In order to avoid disappointment you must call us on 01722 336 441 or visit your surgery Reception to book your Initial Travel Consultation TWO MONTHS in advance of travel. This can only be done on our receipt of your completed Travel Risk Assessment Form (you can fill one in at the surgery if you wish, or download and print one from the link below).
Please note that handing in a submitted travel risk assessment form does NOT mean you have booked an Initial Travel Consultation.
See download links for our Travel Advice Leaflet and our Risk Assessment Form here. The file will appear at the bottom left of your browser window. These forms can also be collected from Reception.
Travel Advice Leaflet Travel Risk Assessment Form - Print, Complete, Hand In
For up to date information about each country and the vaccinations required please visit:
Fit For Travel provided by the NHS (click here to open link)
Please be aware that some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
We may have to order vaccines we do not have in stock and this can take up valuable time. If forms are received later than six weeks in advance we regret to say we may not be able to cover you for your trip.
For all Non-NHS work please contact Tina in the Admin team who will be pleased to help. Tina may be contacted through any of our reception teams. Please note that such work will require pre-payment. This decision was made regrettably as in the past some patients have failed to pay when the work was completed before payment.
Isn't the NHS supposed to be free?
The National Health Service provides most health care to most people free of charge, but there are exceptions: Prescription charges have existed since 1951, and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees. In other cases it is because the service is not covered by the NHS, for example, medical reports for insurance companies, claim forms for referral for private care and other letters and forms which require the doctor to review the patient's medical records.
Surely the doctor is being paid anyway?
It is important to understand that GPs are not employed by the NHS. They are self employed, and they have to cover their costs - staff, buildings, heating, lighting etc - in the same way as any small business. The NHS pays the doctor for specific NHS work, but for non-NHS work the fee has to cover the doctor's costs.
What is covered by the NHS and what is not?
The government's contract with GPs covers medical services to NHS patients. In recent years, more and more organisations have been involving doctors in a whole range of non-medical work.
Examples of non-NHS services for which GPs can charge their NHS patients are:
Examples of non-NHS services for which GPs can charge other institutions are:
Why does it sometimes take my GP a long time to complete my form?
Time spent completing forms and preparing reports takes the GP away from the medical care of his/her patients. GPs have a very heavy workload and paperwork takes up an increasing amount of their time.
I only need the doctor's signature-what is the problem?
When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. Therefore, in order to complete even the simplest of forms, the doctor needs to check the patient's entire medical record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police.
What will I be charged?
The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual practice to decide how much to charge, but the BMA produces lists of suggested fees for the Doctors to use as a guideline.
At Three Chequers Medical Practice we have a list of fees displayed at all our receptions, and they are also listed below.
In the past we have completed reports and forms before payment has been made, but have sadly found there to be too many occasions when the doctor has given up the time to do the work, but the fee has not been forthcoming. Therefore, the fee must be paid in advance at the time the request for the letter or form to be completed is made or when the appointment for a medical is booked.
THERE WILL BE NO EXCEPTIONS.
What can I do to help?
Not all documents need signature by a doctor. For example, you could ask another person in a position of trust, who may be willing to sign a passport application free of charge. (Teacher, Accountant, etc).
You can complete the form to the best of your ability in pencil, so the doctor just has to verify your entries against the information we hold.
Do not expect your GP to process forms overnight; urgent requests may mean that a doctor has to make special arrangements to process the form quickly and this will cost more.
1) Please read the leaflet attached to see if you think you qualify Physio Patient Self-Referral Leaflet
2) If you believe you are suitable, please fill in PART A of the following form ONLY Patient Self-Referral Form for Physiotherapy
3) If you have answered NO to ALL the questions in PART A, please fill in PART B and send the form using one of the methods below:
SEND FORMS TO:
Scan / email to: firstname.lastname@example.org
Fax: 01722 425 258
Post: Physiotherapy Outpatients, Level 3, Salisbury District Hospital, Odstock, Salisbury, SP2 8BJ
The Public Health Nursing Service is a dedicated team of professionals holding a range of skills and qualifications to support expectant mothers during pregnancy and after the birth.
They deliver child and family health services, provide ongoing additional services for vulnerable children and families and contribute to multidisciplinary services in safeguarding and protecting children.
Wiltshire Children’s Community Health Services PHN Teams serve families from convenient locations across our Practice area.
Please contact them on:
Virgin Care Services Limited,1st Floor, Technology House,Unit 10, High Post Business Park,Salisbury SP4 6AT
t: 0300 247 0090
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