The Tudor Way Surgery

SPECIAL CLINICS

ANTENATAL - Patients are seen regularly for their shared antenatal care by both the doctor/practice midwife and the hospital. An appointment is necessary although patients will always be seen if problems develop. If, because of work or other essential commitments, it is not possible to attend the antenatal clinic, the doctor is sometimes willing to see patients during the ordinary surgery for antenatal examinations.

A comprehensive postnatal examination and postnatal support is offered to all new parents by the practice.

CHILD DEVELOPMENTAL ASSESSMENT (BABY CLINIC) - A doctor and practice nurse are regularly available at the baby clinic for consultation.

Regular developmental examinations are performed by the doctor and health visitor in accordance with the guidelines laid down by the Health Authority. Due to changes in the health visiting department the health visitor clinics are now held at Crofton Baptist Church and Bromley Park Surgery. These clinics are intended for advice regarding well children. If your child is ill, please come to the ordinary surgery.

CHILD IMMUNISATION - A comprehensive routine immunisation programme, following the guidelines laid down by the Department of Health, is carried out at the baby clinic. Advice will be given by either the doctor, or practice nurse.

Please remember to bring your 'Red Book' with you.

Before the first injection, the baby will be seen by the doctor to ensure its suitability for and fitness to commence the programme.

Check-ups and immunisations for your child:

You should receive invitations automatically for developmental checks from the health visitor. Appointments for immunisations (other than the first) should be made by telephoning the surgery or calling in.

NURSE'S CLINIC - The nurse's clinic is held daily and patients are seen by appointment. Wound dressing, suture removal, ear syringing and injections for those on regular maintenance therapy may be arranged.

Comprehensive foreign travel advice is given by the nurses who have attended specific courses of training in this field. Immunisations against all appropriate conditions (including yellow fever) can be given in the surgery. A travel immunisation certificate is routinely issued on completion of the course.

ECG recordings are performed on the recommendation of the doctor.

WELL WOMAN CLINIC - This clinic, conducted by the practice nurse, gives women the opportunity to discuss matters concerning general health, diet, exercise, smoking and alcohol consumption as well as issues related to the menopause (eg. HRT and osteoporosis). Blood pressure, urine examination and appropriate blood tests will be arranged.

Routine immunisations against tetanus and polio will be brought up to date.
Cervical smears will be arranged if they have not been performed or are overdue.

Breast examination will be performed by the nurse and can be arranged through the nurse at the clinic.

MENOPAUSE CLINIC - Menopausal advice is offered by the practice doctors and nurses.

SMEAR CLINIC - Routine cervical smears are performed by the nurse at a special clinic by appointment, although if the time of this session is impossible because of work or other commitments, smears may be arranged at other times through the nurse or your doctor. Please remember to bring with you the date of your last menstrual period. You will be notified of the result. If you would like a urine examination, this can be arranged if a sample is brought to your appointment.

FAMILY PLANNING - A comprehensive family planning and menopause service is offered by the practice which includes oral contraceptive pill prescription in addition to the fitting of diaphragms, implants and IUCDs (coils). Vasectomy and female sterilisation can be arranged through the hospital by the GP. To preserve anonymity and confidentiality all consultations regarding family planning are by ordinary appointment during normal surgery hours.

WELL MAN CLINIC - These clinics are designed to give men the opportunity of discussing health matters relating specifically to men. In particular, blood pressure, weight, exercise, smoking, alcohol consumption and stress factors will be explored. Where appropriate, blood cholesterol estimations will be arranged and the urine will be routinely examined.

ANNUAL EXAMINATIONS FOR OVER 75s - For patients over 75 years of age the practice offers an annual health check either by the doctor or practice nurse. If you have not been seen in the past year by one of the above mentioned health professionals and have not been invited for a check-up, please contact the surgery if you would like this check.

HEALTH PROMOTION CLINICS - According to the National Service Framework of the NHS we have specially conducted screening programs for heart disease with particular emphasis on assessment of risk factors; this includes blood pressure, anti-smoking, cholesterol management and diabetic management. This clinic is run by the practice nurse. All patients who have not been seen in the previous three years are entitled to a health check. This appointment should be booked with the practice nurse.

DIABETIC CLINIC - All diabetic patients in the practice are invited to attend the practice diabetic clinic, which is conducted by the practice nurse. Full diabetic reviews, including foot pulses and neurotherapy testing, are regularly undertaken.
Blood and urine examinations are arranged through the hospital.

ASTHMA CLINIC - This clinic allows patients and parents of affected children time to discuss the problems fully, outside the time constraints of a busy surgery. Peak flow (breathing measurement) charts are arranged and all medication will be regularly monitored and discussed.

CHD CLINIC - Here patients will receive regular reviews of medication and lifestyle advice if they have had heart problems including stroke and heart attacks.

ANTI-SMOKING CLINIC - The surgery offers help and advice on giving up smoking. This clinic is run by the practice nurse. Please ask at reception for information or make an appointment if you wish to attend the clinic.

MINOR SURGERY - Bromley Park Surgery is approved to accept referrals from other GPs in Bromley for minor surgical procedures. Many minor surgical procedures are now offered by the practice. Assessments will be made during the ordinary surgery, although the procedures themselves may be performed at other times.

We also provide a suture removal service for patients who need to have stitches removed following a surgical procedure. This applies to temporary registered patients as well as registered.

CHILDREN'S VACCINATIONS - Routine immunisation against tetanus, diphtheria, whooping cough, polio, measles, rubella, mumps and haemophilus is routinely offered to all children, and full immunisation is actively encouraged by the practice for all these conditions. The timing of immunisation injections is discussed at the baby (development assessment) clinic, and you may obtain advice either from the doctor or health visitor. Reminder cards will be sent to all parents when injections are due. Boosters of tetanus and polio are available for teenagers if the service is not available through the school. BCG is not performed in the surgery, but arrangements can be made for those who miss vaccination at school, to attend Bromley Hospital Chest Clinic.

TRAVEL VACCINATIONS - We offer a comprehensive travel vaccination service including Yellow Fever, for which we are approved. Information on charges for certain vaccinations and prescriptions relating to travel and not covered by the NHS (eg rabies and meningitis) is available at reception. We encourage you to purchase a vaccination certificate which is a permanent record for future reference both in this country and abroad. If you need clarification regarding vaccinations and immunisations you are welcome to discuss this with the practice nurse or doctor.

FLU VACCINATION - Clinics are run by the practice nurses from September each year to vaccinate the elderly and people with chronic heart or lung disease, asthma or diabetes. Please contact reception in August to book an appointment. Patients who are too infirm to attend the surgery may receive their vaccination at home from the district nurse. Please contact reception to arrange this.

COUNSELLING SERVICE - This practice offers limited counselling services by fully qualified counsellors for depression, anxiety, stress etc. Patients need to see the doctor first who will refer them if appropriate.

NON NHS EXAMINATIONS - Medical examinations for insurance companies, schools, solicitors, employers, leisure pursuits, etc, can be arranged by appointment. As these examinations are outside the NHS patient/doctor contract, they are available to anybody, whether registered patients of the practice or not. A fee recommended by the British Medical Association will be charged. This includes PPP forms, private letters, holiday cancellations and fitness to travel. A list of approved charges is available for inspection in the waiting room, or through a receptionist.

A number of additional services are available at our Bromley Park branch surgery. These include:

DENTISTRY

A modern purpose-built dental studio is available, where Dr Toun Ladega FRCS offers a wide range of services at very reasonable prices. To contact her receptionist for an appointment, please telephone 020 8295 2534.

PHYSIOTHERAPY

We have a physiotherapy, acupuncture and sports injuries clinic. Please make an appointment with the doctor for a referral.

COUNSELLING

Westmeria counselling is a registered charity providing this service for our patients, Please speak to the doctor for a referral. Private counselling is also offered with a BUPA recognised therapist, Sue Doughty. Call Sue for details 0774 703 5830 or speak to one of the doctors.

OSTEOPATH

We have an experienced osteopath providing a comprehensive range of services. Please ask the doctor or receptionist for contact details.

CONVENIENCE STORE

Daly Express convenience store is attached to the surgery for your everyday essentials and offers a wide selection of over the counter medicines.

Choose and Book

The surgery operates the Choose and Book system for NHS hospital referrals.

Patients are issued with appointment information giving a choice of hospitals with available appointments; booking is done directly online or by telephone. This important new development in hospital referring is proving very useful to patients as it enables them to be seen at a hospital and time that is convenient for them.

The practice is also part of the Orpington cluster for Practice-based Commissioning.

SICKNESS CERTIFICATES

According to statutory regulations, for illness lasting up to three working days employers require verbal notification. Up to five working days employers require written notification or a self-certification form which is available from your employer, DSS or the surgery. If you require a doctor's certificate for the period normally covered by self-certification you will be charged a fee as recommended by the British Medical Association for a private certificate. For any illness lasting longer than five working days you will probably need to see your doctor if you need a certificate.

VISITORS FROM ABROAD

We are happy to see visitors from abroad by appointment. Patients should be aware that a charge will be made for visitors attending for non-emergency health care.