Amersham Health Centre

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Family Planning
The health centre offers a full range of contraceptive services during normal surgery hours. Ask at reception. We have a family planning nurse who can be contacted by telephone, if necessary, for advice. The practice offers contraceptive implants, coil fitting and annual coil checks (a national enhanced service).

Maternity Care
The midwife’s clinic is held on Tuesdays from 10.00am - 12.20pm and on Thursdays from 1.30 - 3.50pm. Your doctor will see you in ordinary surgery for antenatal checks. If you are planning to start a family we recommend that you mention this to your doctor who can advise you about nutrition and medication, ideally before you conceive. It is currently recommended that you should take folic acid supplements, available from the chemist, before you conceive, to reduce the risk of spina bifida. It is advisable to be re-checked for immunity to German measles before getting pregnant.
Antenatal classes can be booked by contacting 01494 425172 Monday to Friday, 10.00am - 12 noon.

Well Child Health Clinics
Clinics are held every Tuesday from 2.00 - 3.30pm. The health visitors are available for advice and support. Child immunisation sessions are held every Tuesday from 2.00 - 3.30pm.

Asthma Clinic
Our asthma clinic is run by a doctor with an interest in asthma and a nurse trained in asthma and allergies. Asthma treatment is constantly advancing. We aim to keep you up to date, improve your understanding and minimise the effect your asthma has on you. We strongly recommend all patients with asthma should attend at least annually.

Diabetic Clinic
Long-term complications of diabetes are minimised or avoided by good diabetic care and control. We have a doctor with a special interest in the condition and our nurses have undergone special training. We like all our diabetic patients to register with this clinic in the interests of their long-term health and to attend for regular review appointments.

Healthy Heart Clinic
Patients with a history of heart problems are sent invitations to attend this new clinic. The clinic is run by a doctor and a nurse with an interest in
heart disease. Patients will be advised how they can maintain a healthy lifestyle and an invitation will be sent annually.

Hypertension Clinic
Patients with high blood pressure should attend the hypertension clinic for an annual review, to be offered advice and treatment to promote long-term health. The clinic is run by a doctor and nurse with an interest in hypertension.

Phlebotomy Clinic
Appointments are available for blood tests with a phlebotomist from 8.00am on a Monday morning and from 8.30am on Tuesday to Friday mornings. Tel 01494 434344.

Minor Surgery - Cryotherapy
Cryotherapy, ie freezing with liquid nitrogen, is carried out by a practice nurse or a doctor. Speak to your doctor.

Practice Nurse Clinic
Our practice nurses offer a wide range of nursing services by appointment through reception. These include dressings, removal of sutures, treatment of leg ulcers, injections, ear syringing, cardiographs etc.

Tel: 01494 434344

Health Promotion
In addition, our nurses are experienced in offering advice and supervision in the following:

• Well Woman Including cervical smear, family planning and menopause advice
• Well Man Assess your health risks and take action to keep healthy
• Stop Smoking We strongly advise all smokers to STOP SMOKING. Seek advice from the smoking cessation clinic. Tel: 01494 434344 for an appointment.
• Diet Advice Constructive dietary advice for all ages. Slimming advice
• Travel Advice See below
• Blood Pressure Routine checks and follow-up of patients with high blood pressure

Cervical Smears
Women between the ages of 25 and 50 are strongly recommended to have a routine smear test every three years; after this it is every five years if previous smears have been negative. This is normally done by the practice nurses and regular checks offer you over 90% protection against developing cancer of the cervix (neck of the womb).
Appointments: Telephone 01494 434344

We are committed to preventative medicine. Several dangerous infections can be avoided by keeping immunity up to date. This is achieved by vaccinations, which take a few seconds but give protection for many years. We strongly advise all patients to make sure that they and their children all have their immunisations up to date, according to the following schedule and that they keep their own records.

The children’s immunisation clinic is run jointly by health visitors, doctors and the nurses by appointment. Please let us know in advance if you cannot attend an immunisation appointment on 01494 434344.

The established immunisations as detailed below will be given at the times shown.
Two months old
Diphtheria, Tetanus, Whooping Cough, Polio, Hib and Pneumococcal Infection and Rotavirus
Three months old
Diphtheria, Tetanus, Whooping Cough, Polio, Hib and Meningitis C and Rotavirus
Four months old
Diphtheria, Tetanus, Whooping Cough, Polio, Hib and Pneumococcal Infection
Around 12 to 13 months
Hib, Meningitis C, Measles, Mumps and Rubella and Pneumococcal Infection
Three years four months to five years old
Pre-school Booster - Diphtheria, Tetanus, Whooping Cough and Polio Measles, Mumps and Rubella
Girls 12 to 13 years
Cervical Cancer caused by Human Papillomavirus HPV (Gardasil)
13 to 18 years
tetanus, Diphtheria, Polio and Meningitis C

Diphtheria and Tetanus Booster
Required every 10 years, to a maximum of five doses. If you have never had a full course of tetanus immunisation please make an appointment now with the practice nurse.
Polio Booster
A polio booster is required every 10 years for travel and will be given with combined diphtheria and tetanus.

Pneumovax Immunisation
Anyone who suffers from chronic heart, lung, kidney, liver problems, diabetes, has had their spleen removed or is over 65 years of age should be vaccinated. This is a single vaccination against one form of pneumonia and lasts for at least 10 years.

Flu Vaccinations (Adults)
These are held every October / November, so we advise patients to book up in September. We recommend flu vaccination for:

• Anyone over 65 years old and all patients with:

- Chronic respiratory disease
- Heart disease
- A history of stroke
- Diabetes
- Liver or kidney disease
- Most chronic debilitating illnesses, as well as for those living in residential homes or taking drugs to supress the immune system or have had their spleen removed.

- Pregnant women

• Main carers of elderly or disabled people whose welfare may be at risk if the carer falls ill.

Flu Vaccination for Children

A programme started in September 2013 to offer Fluenz® nasal flu vaccine to children starting with children aged 2 to 3 years on 1 September 2013. The programme will be extended to all pre-school and primary school children in 2014 and in 2015 all children aged between 2 and 16 years will be offered the nasal flu vaccine. One dose of vaccine will be given.

Fluenz® nasal flu vaccine will also be offered to children aged 2 up to 17 years in clinical risk groups (e.g. children using steroid inhalers for asthma, children with diabetes), as it has been shown to provide a higher level of protection for children than the injected inactivated influenza vaccine. One dose of Fluenz® vaccine annually will be given to children in this group who have previously been given influenza vaccination. Children in a clinical risk group who have never had a flu vaccination will be given two doses of Fluenz® at least four weeks apart and after that will have one dose annually.

Fluenz® cannot be given to children with an egg allergy or severe asthma (by this we mean that their asthma is persistently poorly controlled even though they are using regular steroid inhalers).

As Fluenz® is a live vaccine it also cannot be given to children who are immune-suppressed or those with an immuno-compromised family member.

Foreign Travel and Special Risk Groups
The practice nurses offer foreign travel advice (see below) and immunisations. Please make an appointment with the practice nurse approximately eight to ten weeks before departure. Please give details of your travel destination to the receptionist when making your appointment. The practice nurses will give you information leaflets relevant to your destination when you attend the clinic.

Payment will be required for some travel vaccinations.

Advice For Travellers
Nobody wants to think about getting sick on holiday, but by packing a few essential items and taking some precautions, you can reduce the possibility of illness and minimise the inconvenience if minor problems do arise.

Before You Go
Please make an appointment with the practice nurse at least eight weeks before departure giving details of your travel arrangements. The practice nurse will give advice about recommended immunisations, how soon they need to be given and if any further appointments are needed. Payment will be required for some travel vaccinations.

If you are taking regular medication, discuss with your doctor or practice nurse any special arrangements or precautions. If you have a condition such as asthma, which may occasionally require medication, be sure to take an emergency supply with you, and carry it in your hand luggage. Always make sure you have enough of any prescription medicines.

Pack a small first aid and holiday health kit containing:

• Travel sickness tablets
• Paracetamol, including paracetamol and/or ibuprofen syrups for children
• Sunscreen - SPF 15 or higher (SPF 16 or higher for small children)
• Sunburn treatment, eg calamine
• Plasters and antiseptic wipes
• Oral rehydration solution; anti-diarrhoea
• Indigestion remedy, eg antacid
• Insect repellent
• Water purification tablets
• Condoms/other contraceptives
• Antihistamine tablets
• In some developing countries or where medical supplies may not be reliable, it may be wise to include sterile needles and syringes, dressings and suture materials
All these items should be available from your chemist.

When Abroad
Check on the quality of drinking water. Where there is a risk of food or water-borne disease, it is wise to eat food that is freshly cooked, or fruit that can be peeled. Avoid drinking the local water supply or raw food washed in it. Remember, this includes ice in drinks and cleaning your teeth. Bottled water is usually available in tourist areas; choose carbonated where possible as this cannot easily be filled from a tap! Water purification tablets can be used if you are ‘roughing it’.

Diarrhoea and vomiting can ruin a holiday. Apart from eating and drinking wisely, be prepared - take antidiarrhoeals with you. However, these are not suitable for children or if the diarrhoea contains any blood. Antidiarrhoeals will alleviate the symptoms and electrolyte solutions will replace essential salts. If you are afflicted, try to replace fluid loss with bottled water and remember, as children dehydrate more quickly than adults, it may be wise to call for help.

It is advisable to use effective insect repellents wherever there are mosquitoes. Apart from the irritating bites they can inflict, mosquitoes may also carry diseases - including malaria and yellow fever - in countries where contact with these diseases is a risk.

Beware of the sun! Use a high factor sun screen particularly in the first few days of exposure. Small children burn very easily and need adequate protection from a total sun block applied frequently. Keep children in the shade as much as possible and provide plenty of water.

In hot climates drink plenty of non-alcoholic drinks. If you are not passing water regularly, you are not drinking enough.

On Your Return
If you are ill and need to see your doctor, don’t forget to mention that you have recently travelled abroad.
If you receive medical treatment abroad, tell your own doctor on your return.


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