Practice Clinics and Services

Your Doctor will try and find the best way of making you better. This may not involve giving you medicine or tablets, as there are other ways to treat you, so please do not expect a prescription on every visit. You may require advice on how to prevent illnesses in the future.

The surgery provides minor surgery, but if you need specialist advice or treatment, you will be referred to the hospital.


Carers

It is helpful to know if you have a Carer (someone who takes on an unpaid caring role) or if you are a Carer for someone else. We have a page dedicated to Carers where you can also register with us as a carer so we can provide you with additional support.

Our Essential (core) and Additional services to you as our patient

The NHS contracts us to provide essential services to our registered patients, between the hours of 8am - 6.30pm on weekdays, that cover the:

  1. Management of patients who are ill or believe themselves to be ill, with conditions from which recovery is generally expected, for the duration of that condition, including relevant health promotion advice and referral as appropriate, reflecting patient choice wherever practicable.
  2. General management of patients who are terminally ill
  3. Management of chronic disease (long-term conditions) in the manner determined by the practice, in discussion with our patients.

We currently run specific special clinics (detailed below) covering the following long-term conditions; asthma, chronic obstructive airways disease (COPD), ischaemic heart disease and diabetes.

Like most practices we also provide additional services covering:

  1. Cervical screening
  2. Contraceptive services
  3. Vaccinations and immunisations
  4. Child health surveillance
  5. Antenatal and postnatal maternity services - excluding birthing care ( actual delivery of a child is provided by the midwifery service at home or at the hospital)
  6. Minor surgery procedures of curettage, cautery and cryocautery
  7. NHS Health Check - for people between the ages of 40 and 74 who do not have a Long Term Condition

Our Enhanced Services

Enhanced services are extra services that we have chosen to undertake for the benefit of our patients under contracted specifications agreed with the NHS locally or nationally. We currently provide the following enhanced services:

  • Enhanced invasive minor surgery
  • Childhood vaccinations
  • Influenza and pneumonia vaccinations for those over 65yo and others at risk
  • Continuity of care - providing aftercare from hospital services that would otherwise require another trip to hospital e.g. stitch removal etc.
  • Intra-uterine contraception (coil) fitting and removal
  • Implanon fitting and removal - contraception implants
  • Smoking cessation services at the practice
  • Medicines management - quality control and auditing of the use of our drugs budget to provide best care
  • Practice based commissioning of local services for our patients
  • IM&T - meeting quality standards in our use of computers for patient care
  • Access to appointments - providing speedy access to appointments as well as prebooking of appointments.
  • Use of the Choose & Book computer system to book hospital outpatient appointments
  • Anticoagulation monitoring at the practice for patients taking warfarin
  • Blood testing for patients on some rheumatology drugs preventing the need to visit hospital for blood checks

Clinical Prescribing Pharmacist

What is a Clinical Prescribing Pharmacist?

A clinically trained professional with expertise in prescribing as well as a variety of Primary Care services.  Our Practice-based Pharmacist can offer you specialist medication advice and will be proactively reviewing your medications for enhanced safety and effective treatment of ongoing conditions.

For further information please download this information leaflet.

Advanced Nurse Practitioners

An Advanced Nurse Practitioner (ANP) is a Registered Nurse who has undertaken additional university training at degree or masters level.

The Role provides an alternative and complimentary source of primary healthcare alongside services traditionally provided by a General Practitioner.

To find out more about our ANP services, please download this information leaflet.

Practice Nursing Services

We have four practice nurses based at the Mansion House Surgery, who perform tasks under the directions of the doctors. The practice nurses are available by appointment from 8.00am to 11.30am and 3.00pm to 5.45pm. They provide the following services:

  • Family Planning Advice
  • Cervical Smear Tests
  • HRT
  • Ear Syringing
  • Removal of Sutures
  • Injections
  • Travel Immunisations

Special Clinics

Appointments are required for all clinics, which are only held at Stone Surgery. The following clinics are available - please ask the receptionists for details.

Antenatal

If you think you are pregnant, please make an appointment to see the doctor. Your doctor will then arrange for you to see a midwife who will manage your further antenatal care. Clinics are held by appointment with the community midwife on Tuesday afternoons.

Information on preparing for pregnancy.

For information on the roles of your GP, Community Midwife, Health Visitor and Hospital Clinics in the provision of your ante-natal and post-natal care, please view our Pregnancy Care page.

Asthma

Appointments for patients with asthma requiring routine assessment and management of asthma can be made with one of the practice nurses during normal surgery times. Patients with asthma should make an appointment for an annual review.

Cervical Smears

These are carried out by the practice nurses and an appointment can be made during normal surgery times. Patients will be invited by letter when their smear tests are due and they will also be informed in writing of the results of their smear tests.

Child Health

Parents will receive an invitation to see the doctor and health visitor for baby's 8 week check to ensure that your baby is growing and developing normally. This clinic is held on Thursday mornings. Your health visitor will arrange all other developmental checks.

The practice nurses carry out childhood immunisations and appointments can be made during normal surgery hours. You will receive a reminder from the health authority to tell you that your child's immunisations are due.

Coronary Heart Disease

All patients who have a history of heart disease will be invited to attend an annual assessment with our practice nurse. Patients receive a basic examination, some tests and the opportunity to discuss diet, exercise and other lifestyle issues.

Diabetes

There is a twice weekly clinic run by our practice nurse and Dr Chakraborty. Patients diagnosed with diabetes receive advice and general health checks.

Family Planning

All of our doctors and practice nurses are able to advise you on all aspects of family planning. Dr Eames fits coils by arrangement.

Emergency contraception (the Morning After Pill) can be prescribed when appropriate. You need to seek advice within 72 hours for this to be effective.

Patient confidentiality is respected at all times.

HRT

Our practice nurse is available to discuss all aspects of HRT and the menopause.

Minor Surgery

Some minor operations can be performed at the surgery. If the doctor recommends this treatment, a special appointment will be made for you at the surgery.

Going Abroad ? :: Travel Health Clinic

The practice nurses offer advice for travel abroad and carry out holiday immunisations for patients registered with the practice. For further information please see our Travel Health and Immunisations page.

Well Person

This is a nurse run clinic where the nurse will discuss your life style and family history with you and carry out a basic health check.

Private non-NHS Work

Certain certificates and examinations are not covered by the NHS and a fee will be charged for these services.

These services include examinations for employers, sports, HGV, PSV and elderly driver licences. Mansion House Surgery are no longer able to offer these examinations.  These services can be offered through a private GP or alternatively there are agencies who specialise in these medicals, these can be obtained online.  A charge is usually made for completing holiday cancellation forms, fitness to travel, insurance certificates and private sick notes.

Additional Services

Charges are made for services outside of NHS contracts Please see attached list of the services Mansion House Surgery offers for a fee.  We ask that these services are paid for upon collection or for Private medicals for adoption/fostering and insurances the fee will be requested upon completion of the form and sent upon receipt of the payment.

Some frequently asked questions about other services charged for by the practice.

Why do GPs sometimes charge fees?

It is important to understand that many 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 covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.

What is covered by the NHS and what is not?

The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. However, more and more organisations have been involving doctors in a whole range of non-medical work. Sometimes the only reason that GPs are asked is because they are in a position of trust in the community, or because an insurance company or employer wants to ensure that information provided to them is true and accurate.

Why does it sometimes take the 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 or her patients. Most GPs have a very heavy workload and paperwork takes up an increasing amount of their time, so many GPs find they have to take some paperwork home at night and weekends.

Do GPs have to do non-NHS work for their patients?

With certain limited exceptions, for example a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients.

Whilst GPs will always attempt to assist their patients with the completion of forms, for example for insurance purposes, they are not required to do such non-NHS work.

Examples of non-NHS services for which GPs can charge other institutions:

  • life assurance and income protection reports for insurance companies
  • reports for the Department for Work and Pensions (DWP) in connection with disability living allowance and attendance allowance
  • medical reports for local authorities in connection with adoption and fostering
  • DVLA reports

Examples of non-NHS services for which GPs can charge their own NHS patients:

  • accident or sickness certificates for insurance purposes
  • school fee and holiday insurance certificates
  • reports for health clubs to certify that patients are fit to exercise

Mansion House Surgery prides itself on accommodating as many of the services for our patients as possible, but from time to time may not be able to assist due to the demands of NHS contract work and resources available to us.  However, we will endeavour to assist in offering alternatives arrangements as required.