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Clinics & Services


Family Planning and Sexual Health

Our doctors and nurses provide a full range of contraceptive services, including coil fitting, depot injections and implants. We offer a symptom based sexual health service for both men and women. We can test for sexually transmitted diseases in the surgery with simple non-invasive tests. We are part of the national chlamydia screening programme for 16 to 24 year olds. We are currently not commissioned to do routine sexual health screens, you will need to go to local GUM clinics for these.

Oral contraception - The most popular form of contraception is still the pill. We like to check all new patients to whom we prescribe the pill, taking a full history and measuring blood pressure. We take the opportunity to do a cervical smear and chlamydia test as appropriate. We follow up after three or six months. If the pill is well tolerated, we only need to check you every year. The nurses run a drop-in pill clinic at 8:00 to 9:00 every Thursday morning; otherwise, you need an appointment for a pill repeat.

Condoms - We cannot prescribe condoms on the NHS, but we do have a supply to start people off with. You can buy them from chemists or obtain them free from family planning clinics.

Coil fitting - We are fitting more and more intra-uterine devices these days, especially Mirena and Jaydess, the progesterone-releasing coils. Please make an appointment to discuss the coil. If you decide to have one fitted, you will need a coil fitting appointment with Dr. Kroll or Dr. Lucas and a nurse, at the appropriate time in your cycle. Please remember to take a painkiller before you come for the fitting, as the procedure can be uncomfortable and give some period like cramps afterwards.

Cap fitting - We can fit you with a contraceptive diaphragm, or 'cap', and teach you how to use it. Nuva ring and Evra - we can also offer the new vaginal ring which is the equivalent of the combined pill and the contraceptive patch if other methods don't suit.

Injectable contraception - We offer three-monthly progesterone injections, which provide very reliable contraception. They are particularly suitable for people with high blood pressure, people who are likely to forget the pill, and people who don't want a coil.

Contraceptive implant - Dr Kroll, Dr Lucas and Dr Carter offer Nexplanon progesterone implants, which provide very reliable contraception. They are particularly suitable for people with high blood pressure, people who are likely to forget the pill, and people who don't want a coil. They last 3 years.

Useful links 
Family Planning Association 
Marie Stopes sexual health charity

Smear Testing

The Health Authority runs a recall system and our nurses do most of the routine smears. We are now using the new and more accurate liquid based sampling technique.

The NHS offers smear tests every three years for women aged between twenty four and a half and fifty, and five yearly till sixty-five. The health authority sends invitations to all eligible women. If a previous smear has been abnormal, you may be recalled for your next smear after a shorter interval, for instance, six months or one year. If you are coming to the practice from abroad please bring documentation about your last smear, so we can update our records.

Click here for more information

Useful links 
Women's Health

Maternity Care

Our Doctors offer pre-conception counselling, ante-natal care and post-natal care, shared with local midwives. We will support requests for home births, but do not claim to be experts at conducting deliveries ourselves.

We also offer help with the diagnosis of sub-fertility, and suggest that you consult if you have not achieved a pregnancy after six to nine months of trying.

When you have discovered that you are pregnant, we suggest you consult early to give you the best choice of local providers of maternity care. Our most local hospital is St. George's in SW17, whose district midwives work in several clinics in Battersea. We usually share antenatal care with these midwives, and offer the six-week post-natal appointment. There are two other hospitals nearby which also offer maternity care to our patients: St. Thomas' and The Chelsea & Westminster. You can also self refer to all three hospitals for maternity care.

All the hospitals offer ultrasound scanning in early pregnancy if you are bleeding, suggesting a possible miscarriage, and all offer nuchal scanning at twelve weeks to screen for Down's Syndrome.

If you are interested in a home birth, you should be referred to your local community midwife team, which is likely to be connected to St. George's.

Useful links 
Netdoctor: Pregnancy & Parenting 
Dr. Foster: Good Birth Guide

Wandsworth little feet.


Child Health Surveillance and Immunisations

We work together with our health visitors to do eight-week checks. You should have your baby weighed and measured at Stormont clinic on the tuesday afternoon before the check. You should then come by appointment to our baby clinic when your baby is 8 weeks old. These checks are to make sure that your baby is developing normally. At the eight-week check we offer the first primary immunisations against diphtheria, tetanus, polio, whooping cough, haemophilus influenzae and meningitis C. The nurses then offer the routine immunisations after that.

The health visitors have a drop-in session on Tuesday and Wednesday afternoons,1-3pm, at Stormont Road Clinic, for weighing and general advice about caring for your baby. They can advise you about local parenting classes.

We advise parents to have children immunised against measles, mumps and rubella with the MMR vaccine. If you want more information about MMR and other vaccinations click here

The Health Visitors organise two-year and three-and-a-half-year checks. They offer practical support where needed for families with children up to five years old, and run post-natal groups in the surgery.

When the health visitor comes to see you at around 10 days after the birth of your child, she will give you a 'red book' giving information about child care, immunisations and routine check-ups. Please bring this book to all baby clinics and to consultations with doctors during the baby's first year of life: it may be helpful to refer to it.

Useful link

NHS Vaccination Schedule

Well Person Checks

We offer routine checkups for all new patients. These include a lifestyle history, medical history, measurement of height, weight and blood pressure and a simple urine analysis. Patients who have not been seen for some time may make a routine appointment with our nurses for a checkup to make sure their blood pressure is normal, etc. The nurses can also look for evidence of diabetes and test for blood cholesterol.

This may lead to further appointments with a doctor to follow up any abnormalities, or lifestyle advice from our nurses or dietician. Men may want to consider screening for prostate cancer with the PSA blood test, but we recommend a consultation with a doctor first to discuss the pros and cons of this imperfect test.

Women between the ages of 50 and 65 will be recalled for breast screening every three years. This involves an X-ray (called a mammogram), and any abnormality will be followed up either by St. George's Hospital if you live in Wandsworth, or King's College Hospital if you live in Lambeth.

There are locally funded groups for exercise and healthy eating advice. Ask to be referred to Footsteps.

Diabetes Care

The practice offers organised routine check-ups for diabetic patients either attending the surgery alone, or sharing care with local hospitals. We have a visiting diabetes nurse specialist to help our own practice nurses. Nurse Sam Norton is our Diabetes lead.

We will make sure that you are called up for your check-ups regularly and our nurses will arrange to do your blood tests before your appointment with the doctor.

Useful links 
Diabetes UK

Chest Disease Monitoring

Our nurses and community respiratory nurse specialist, offer check-ups for asthma and COPD patients and help with inhaled treatments. They have nebulisers available for asthmatic emergencies. If you have asthma, it can be helpful to monitor your peak flow with a special meter which can be prescribed. Our nurses can supply peak flow diaries for you to monitor the success of your treatment, and alert you to potential problems.

You can be shown how to get the best out of your inhaled asthma treatment, and referred to a doctor if the treatment is not working. The nurses can teach you how to vary your treatment so that you can keep control of your asthma in most circumstances.

For chronic obstructive airways disease, known as COPD, we offer spirometry to check lung function every year. This involves breathing out as fast as you can through a measuring device. You can come after taking your inhalers and we will see if you do any better after a dose of inhaler.

Many people who have been smoking for at least 20 years develop a "smokers cough" or get bronchitis in the winter and these may be this early signs of COPD. We use the spirometry test to diagnose it, so we can advise and treat you properly. Needless to say the most important advice is to stop smoking!

Useful links 
National Asthma Campaign 
BTS on Chronic Bronchitis

Minor Surgery and Dermoscopy

Dr. Kroll, Dr. Lucas, Dr Gray and Dr Gill offer Minor Surgery. If you have a mole or small skin lump that may need removing, please see Dr Kroll or Dr Lucas, who can inspect it with a dermatoscope. This allows us to analyse what it is with much greater accuracy. We do not offer cosmetic surgery, but we will remove lumps that are rubbing on clothing, skin cysts and moles that show any signs of possible malignancy. Some possibly more serious malignant skin lesions we ask our dermatology colleagues to deal with.

We use local anaesthetic and you may have stitches, which will need to be removed by our nurses five to ten days later. We use an electrocautery machine called a Hyfrecator, which can be used to remove some of the superficial skin lesions like tags and keratoses.

We also treat warts and superficial skin lesions with liquid nitrogen, called 'cryotherapy'. The freezing spray destroys the surface layer of cells. It may take several appointments at two-week intervals to destroy any particular wart or lesion.

Joint Injections

Arthritic joints can be swollen, stiff and painful. These joints can be injected with a mixture of anaesthetic and steroid to reduce pain and inflammation. This effect may last for months and give worthwhile relief. Joints particularly suited to this treatment include shoulders, knees and thumb joints. Injections can also relieve Carpal Tunnel Syndrome. Dr Kroll offers all of these injections. Dr Zuberi, Dr Gray and Dr Gill can offer shoulder joint injections.

Physiotherapy

You can be referred by any of the doctors, and you will be called with an appointment at the St John's Hill Healthcare Centre, where the physiotherapists are based.

The physiotherapist can offer treatment for acute injuries or chronic painful musculoskeletal conditions in adults. They perform manipulation, acupuncture, and ultrasound treatment and teach rehabilitation exercises.

Useful links 
Chartered Society of Physiotherapists

Dietician 

We have a visiting dietician who can help patients with all of the common dietary problems, referred by our doctors or nurses. These include obesity, diabetes, dietary deficiency and food intolerance.

A good way to check whether you are overweight or underweight is to calculate your body mass index. The calculation is based on your weight and height.

BMI Calculator

Useful links 
NHS Choices Healthy eating tools

Psychological Therapies

We have Talk Wandsworth  to help if you are suffering from depression or anxiety. They can offer a mixture of telephone and online help and can refer you on for one to one counselling. Have a look at what they offer at http://www.wandsworthiapt.nhs.uk. You can self refer on 020 3513 6264.

Denise Clarke-Campbell is our attached counsellor and her team of cognitive behaviour therapists. They and their trainees see patients with a variety of psychological problems for a maximum of twelve one-hour sessions each. We wish we had much more of their time!

Meanwhile you can try www.getselfhelp.co.uk  or moodgym.anu.edu.au to learn about and try mindfulness and CBT

Addiction Counselling

Sam Francis, our visiting addiction counsellor, can see patients with addictions to street drugs and prescribed painkillers, alcohol and sedatives. He is available for one session a week.

For alcohol problems, there is also a local community alcohol team at St. John's Clinic. For mild to moderate alcohol problem drinking ring the new Fresh Start clinic on 02035380882 which is at Bridge Lane Healthcentre nearby.

Smokers who are ready to stop are encouraged to see Tina, Victoria and our smoking counsellors. We can prescribe all forms of smoking cessation prescriptions that you may need to help you quit.

Useful links 
Wandsworth Stop Smoking Website 
Drugs Advice Line (Talk to Frank) 
Fresh Start Clinic

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