St Katherine's SurgeryMarket StreetLedburyHerefordshire, HR8 2AQTel: 01531 633271
The Herefordshire Clinical Commissioning Group have produced a guide for patients to help direct you to the most appropriate service for your need. This could be your General Practice, a local pharmacy, a walk in centre, a minor injuries unit or an accident and emergency department.
In order to services to run smoothly it is important that they are used appropriately.
Please click here to view the 'Getting the Right Treatment' leaflet
The surgery is now running nurse-led minor illness clinics. This service is known to be an efficient way of dealing with certain minor ailments that do not necessarily need to be seen by a doctor. It can reduce the time you are waiting to be seen and allow the GPs to see patients with more complex needs.
When you request an urgent on the day appointment the receptionist will ask you the nature of your problem. This is purely so they can direct you to the most appropriate healthcare professional to deal with your ailment.
The type of ailments our nurse can deal with are:
All children under 2 years old will be see by a doctor. You must be reassured that if you are directed to the nurse led clinic and she feels that a second opinion is needed she will ask a doctor to come in and review you.
Dr Wilkins holds minor surgery clinics at Ledbury Community Hospital once a month. She carries out procedures such as removal of in-growing toenails and skin tags.
Dr Carpenter has a specific interest and further qualification in dermatology, and will assess dermatological problems and advise on appropriate treatments
If you have seen Dr Carpenter for a dermatology problem you can download the questionnaire here to report back on your experiences of this service offered at St Katherines Surgery. After completing this form please either email it to firstname.lastname@example.org or alternatively post to the surgery address for the attention of Jessica Williams or hand the completed questionnaire in at reception. DERMATOLOGY SURVEY 2014.15 online completion.doc
Dr Reese has a specific interest and further qualification in paediatrics. He carries out a paediatric clinic on alternate weeks.
Dr Hunter has a specific interest in women’s health and carries out IUCD fittings and implants. For more information regarding womens health please click the 'Family Health' link to the right.
The Sexual Health Clinic in Hereford has moved to 29 - 30 Commercial Road, Hereford, HR1 2BG and can be contacted on 01432 266908. You can visit their website at www.knowyourstuff.nhs.uk.
The following specialist clinics are run by our practice nursing team.
For more information regarding long term health conditions click here!
The practice has a strict policy regarding confidentiality and data protection. We will only release test results to the person to whom they relate unless that person has given prior permission for the release of this data or they are not capable of understanding the results.
Blood tests—please ring after 2:00pm 7 days after your blood was taken. Some tests and investigations may take longer.
Results are received electronically and viewed by the doctor who will add a comment to your records. These comments can be relayed to you by a member of staff. If the doctor needs to discuss the results with you the receptionist will advise you of this.
We deal with hundreds of results every day and to ensure that you need no further treatment we request that you always contact the Reception Team for your results.
Please do not assume that your results require no further action if you have not been contacted.
The Practice Nurses at the surgery offer vaccinations for the following:
Many people choose to travel to exotic places, and the number of different adventure trips are also on the increase. Even if you are travelling to Europe it is advisable to check if you need vaccines and to seek advice that will help you to stay healthy on holiday. Ideally you should begin to organise your vaccinations at least 6 - 8 weeks before you leave the UK, particularly if you are travelling further afield. The last vaccination you receive should be at least 2 weeks before you travel.
Some travel vaccinations are provided free by the NHS:
If you need one of the vaccinations listed above please make an appointment with one of our Practice Nurses. Other travel vaccinations are not provided by the NHS and you will therefore need to find a private provider to give you these vaccinations. Regrettably, due to an increased demand on our services we are no longer able to provide a full travel vaccination service.
What you need to do
Click the link below to see more details of local Yellow Fever Vaccinations Centres.
Yellow Fever Vaccination Centres
Children are offered a variety of vaccinations by the NHS from the age of 2months. To see more information regarding the vaccination schedule click HERE and then select the tab for 'Vaccinations'.
The Practice Nurses run a clinic for the immunisation of children from 2pm every Wednesday afternoon. Please telephone the practice to book an appointment and check for availability.
Tetanus is an infection that can be fatal in the worst cases which is caused by a bacterium that lives in soil and dirt. The bacterium may enter your body if you have a cut or wound in the skin.
Children are routinely offered the tetanus vaccination as part of the immunisation schedule. For more details see the section above entitled 'Children's Vaccinations'. Immunisation against tetanus began in 1961, so there may be adults who have not had the full course of vaccinations so still remain at risk. Please see below for details of the adult immunisation timetable:
10 years after 4th dose
The Primary Course of injections offers good protection for a number of years. The 4th and 5th dose are boosters to maintain protection. After you have received the 5th dose immunity remains for life and you will not need any further tetanus vaccinations. Please note the course does not need to be restarted if you miss or delay an injection; a late injection, even years after it was due, is sufficient to catch up.
It is common to get a some redness and swelling around the site of injection, but this should go within a few days. You should not receive the vaccine if you are unwell with a fever.
If you have not received any immunisations for tetanus, or you are not up-to-date with your boosters and you receive a cut or bite it is advisable to have an injection for tetanus. If you are up to date with your immunisations a further vaccination is NOT required.
If you are up-to-date with your vaccinations you will not usually need a further injection of vaccine. However, if you are travelling to an area where there is little or no medical attention then it is always advisable to receive a further injection, particularly if it has been more than 10 years since your final booster.
If you match any of the criteria listed below you are eligible to receive a vaccination against Pneumonia at the Surgery free of charge:
If you are asplenic or suffer from splenic dysfunction or chronic kidney disease it is recommended that you receive this vaccination every 5 years to ensure immunity is retained.
Each year the seasonal flu vaccination is offered to those people that qualify under NHS guidelines. Click here for more information.
There have been several confirmed cases of Measles in Herefordshire, in paricular Ross-On-Wye, and the GPs are strongly recommending that all patients are fully immunised against measles, mumps and rubella, particularly children.
To be fully immunised against measles, mumps and rubella, you need to have 2 MMR vaccinations. These vaccinations are now part of children's immunisation schedule: the first at 12-13 months and the second at 3 years 4 months. If you are concerned that your child has not been fully immunised please contact the Surgery who will check the medical records and arrange any appointments with the Practice Nurses.
The vaccine is also being offered to any adults who may not be fully immunised. The immunisation schedules have changed several times historically and due to this, depending on the year of you birth, there is a likelihood that you are not fully immunised:
By ensuring that you have had 2 doses of MMR vaccine in your lifetime you are protecting yourself against all 3 diseases. If you would like to know your immunistation status, or would like to book in to have the vaccination, please contact Reception who will arrange any necessary appointments and liaise with our Practice Nurses.
As you may be aware there have been several localised outbreaks of Measles within the UK. Please click the link below to read a news release from Herefordshire Council:
MMR News Release
There is a new NHS vaccination programme which started in September 2013 to vaccinate people against Shingles. Shingles, also known as herpes zoster, is a condition that is caused by reactivation of the chickenpox virus. Shingles tends to occur more often in older people and usually causes a painful rash on one side of the body.
As older people are more likely to get shingles, the new national shingles immunisation programme for people aged 70 to 79 has been introduced by the Department of Health from September, to help protect those most at risk from shingles.
If, on the 1st of September 2015 you were either 70, 71, 72, 78 or 79 you are eligible to receive this vaccination.
The practice is able to offer several private services which include the completion of reports for insurance, HGV licenses and elderly drivers. However these services are not part of the NHS so therefore private fees are applied. For medical examinations a 50% deposit will be required at the time of booking, this is non-refundable if the appointment is missed. These charges are listed below:
Please contact the surgery if any more information is needed.
The nurses run specialists clinics for patients who have long term conditions such as:
If you have one of the above conditions you will be written to by the practice in order that an appointment be arranged to have your condition monitored.
You can also book to see the practice nurse for:
If you have any queries regarding the clinics or services offered by the nurses please contact the surgery who can advise accordingly.
Regrettably due to the increased demands on our service we are no longer able to offer an ear syringing service. We have continued to offer this service for as long as we could without receiving any funding to do so but unfortunately the Partners have had to come to the difficult decision to prioritise the services for which we are contracted by NHS England. This procedure is not included in our GMS contract. We apologise for any inconvenience this may cause but we are sure you will appreciate that we need appointments for things that are specified within the 'core contract of services that we have to provide'.
If you would like information about ear wax and products available over the counter please click read our Ear Care Guidance.
Alternatively Herefordshire Clinical Commissioning Group have provided this leaflet: HCCG Ear Wax Leaflet
Another option available to you is to find a private provider such as:
Disclaimer: St Katherines Surgery takes no responsibility for services given by other private providers.
If you feel you would like a Chaperone present at your Consultation please inform your Doctor/Nurse, who will be happy to arrange this for you.
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