Marple Cottage Surgery 50 Church StreetMarpleStockportCheshire, SK6 6BWTel: 0161 426 0011
It is now time for your FLU VACCINATION Clinics are available for booking now. You can book your appointment online at www.patientaccess.com or by telephone 0161 426 0011. To find out more about our online booking system, please ask at reception or email STOCCG.MarpleCottageReception@nhs.net We are delighted to confirm that following our recent Care Quality Commission inspection in February 2018, we have been reaccredited as an Outstanding Practice. For further information click above to read the report.
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If you need urgent medical assistance between 6.30pm - 8:00am (when the practice is closed) you should call 111 (please call 0161 476 2299 between 12:30 -13:30 on Tuesdays and 18:00 - 18:30 on Fridays)
For more information about NHS111 please see link: http://www.nhs.uk/NHSEngland/AboutNHSservices/doctors/Pages/out-of-hours-services.aspx
Named GP: As from June 2015 we are obliged to inform patients that they have a “named GP”. This has no bearing at all on which GP you currently see and / or wish to see in the future.
We aim to provide a wide range of general medical services at the practice, including:
This involves fitting an ambulatory BP machine to you, which will take readings of your blood pressure over a 24 hour period. Then, on returning to the practice to have the machine removed, we will interpret the results to decide the best course of medical action, if required.
Cardiovascular disease is the medical term for heart attacks, strokes and other diseases of the circulation. These serious conditions are common causes of both death and severe disability, particularly in western society. In the UK the further north you live, the greater the risk you have of developing these serious problems.
Both men and women are affected (although women are largely protected from heart disease until after the menopause) and for so many people problems of the circulation tend to run in families. However, there are many risk factors that can be identified and treated, either by your doctor or yourself, or more commonly a combination of both.
At Marple Cottage Surgery we are keen to help you to prevent heart attacks and strokes from occurring and recurring. To do this, we test people (screen) for the presence of risk factors, eg smoking, high blood pressure and high blood fat levels (cholesterol), which can increase your risk of a heart attack or stroke. Once identified there is a lot that we and you can do to reduce them.
We operate a screening recall programme and will routinely send out appointments to our patients.
Menopause literally means the last menstrual period. It occurs when the function of the ovaries ceases. This does not happen instantaneously and so many women are aware of symptoms for many months or years before their last period. Sometimes these same symptoms can last for years after a woman’s periods have stopped. The average age in the UK is 51. However, many women experience symptoms years before this. Symptoms include hot flushes, mood changes, and problems with passing urine frequently, among many others. Information leaflets can be found on www.thebms.org.uk/factsheets.php
However, many women prefer to talk to a healthcare professional and our patients are able to come in and talk to any of our team.
This is commonly recognised as a part of traditional Chinese medicine involving the piercing of the skin with fine metal needles in order to relieve symptoms, cure disease and promote health. It dates back at least 3000 years.
Although it is not usually offered on the NHS due to questions relating to efficacy there is strong evidence to suggest that it can be particularly helpful and effective in managing musculoskeletal pain.
If you are ready to give up smoking there is help available:
You can access a website at: www.givingupsmoking.co.ukYou can ring the Stop Smoking Service at Stockport Primary Care Trust: 0161 426 5085You can ring the NHS Smoking Helpline: 0800 169 0 169The Costs of Smoking22% of all male deaths and 11% of all female deaths are due to smoking. Giving up smoking can reduce the risk of developing many smoking related illnesses. Within 10-15 years of giving up, an ex-smokers' risk of developing lung cancer is only slightly greater than someone who has never smoked.
The costs of smoking are high and we're not just talking money. Consider some of the less obvious costs below and the price a smoker may have to pay.
At today's rates, a 20-a-day smoker will spend £31,025 over the next 20 years. Holidays you could have enjoyed; savings you could have built up; a home, car or important possessions you could have owned; toys and experiences you could have brought for your children.
We offer you the choice of referral under the NHS and referral to a Trainee Counselor at the practice.
What is a Trainee Counselor? All trainee counselors are part-qualified counselors, currently working towards their Diploma in Counseling, and members of the BACP.
The counselor sessions are run by students who are currently undergoing a counselor qualification at Stockport College.
As part of their training they need to gain practical experience of counseling patients, as they would if they were fully qualified, before they can work in the private sector.
Although not employed by the practice they are bound by the same confidentiality rules as all the staff at the practice, and all sessions are kept completely confidential.
How am I referred to a counselor? If you are deemed to require a referral to a counselor a clinician will give you a choice of referral to the NHS counselors or to one of the trainee counselors at the practice. If you choose to see a Trainee Counselor you will be added to a short waiting list at the surgery and someone from the Reception team will be in contact as soon as a free appointment becomes available.
Our current busy lifestyles are making it difficult for people to keep their weight down and, as we age, our joints prevent us from being as active as we once were. More than half the adults in the UK are heavier than recommended. About 2 in 5 adults are overweight, and about a further 1 in 5 are obese.
You are at increased health risk if the extra fat you carry is mainly around your waist ('apple shaped'), rather than mainly on your hips and thighs ('pear shaped').
As a rule, a waist measurement of 40 inches or more for men and 34.5 inches or more for women increases the risk of developing coronary heart disease, diabetes and high blood pressure.
There are things you can do to lose weight. It's never too late to try new ways. Becoming more active; walking is a great form of exercise, and eating sensibly such as reducing meal portion sizes will help. Remember your body gets used to what you feed it and if you are used to overeating you will feel hungry when you cut down. A sensible eating plan can help you to lose weight without the hunger.
We have a wide range of information available and expertise. Please ask for further advice.
Marple Cottage Surgery has a wealth experience in dealing with all people of all ages, including our teenage patients. We also have access to other services that are available to young people, so if you have a problem that we are not able to deal with, we can put you in touch with someone that may be able to.
Confidentiality is treated in a highly professional manner so remember that anything you discuss with us remains confidential. You do not need to have an adult with you when you come to your appointment. If any matters do need to be discussed with anyone else or you need to be referred for specialist opinion this would be made very clear to you during your consultation.
We would like you to feel that you are welcome at the surgery and trust us to look after your health needs. If you would like some advice but do not want to book an appointment why don’t you email one of the clinicians.
Alternatively, below are links to other local services for specific problems:
Central Youth – Grand Central Square, Stockport.
Offers advice and regarding sexual health care.
0161 480 9600
Stockport Genito-Urinary Medicine Clinic (GUM).
Offers advice, support and treatment for sexual health issues, including HIV testing.
0161 419 5371 (females)
0161 419 5370 (males)
Stockport PCT Contraceptive and Sexual Heath Clinics (various locations)
Provides emergency contraception, contraceptive pills and injections, condoms, smear tests, pregnancy tests, some clinics fit contraceptive implants and coils fitting, some offer STI testing.
Ring 0161 426 5888 for advice about clinic locations and times
Website for under 18’s sexual health information.
0800 28 29 30
Central Youth – Grand Central Square, Stockport.
Offers and drug and alcohol advice.
Stockport Stop Smoking Service
0161 426 5085
Offers general advice, information, and counselling for young people
Manchester Rape Crisis and Sexual Abuse Counselling Service
Provides confidential support.
0161 273 4500
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.
There is further information about countries and vaccinations required on the links below
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf*(*This is a large document and may take a minute or two to view)
Non-NHS (private) Fees
Please note that there is usually a 10 working day turnaround from receiving a form to completion / collection.
Why do GPs charge fees? The National Health Service provides most health care to most people free of charge, but there are exceptions: prescription charges still exist in England and there are a number of other non-NHS services for which fees are charged eg medical reports for insurance companies, claim forms for referral for private care, letters and forms which require the doctor to review the patient's medical records, etc.
It is important to understand that 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 pays the doctor for specific NHS work, but for non-NHS work the fee has to cover the doctor's time and costs. What is covered by the NHS and what is not?
The government's contract with GPs covers medical services to NHS patients. In recent years, more and more organisations have been involving doctors in a whole range of non-medical work.
Examples include the following:
Why does it sometimes take my GP a long time to complete my form?
Non-NHS work (checking notes, completing forms and preparing reports) is time-consuming and takes the GP away from the medical care of his/her patients. As most non-NHS work is not urgent we aim to complete non-NHS work within 10 working days.
Often patients complain that they only require a signature from the doctor. What is rarely considered is that when a when doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true, which requires the doctor to check the patient's medical record. Naturally there is a charge for the time required to check information and/or the degree of responsibility in signing the document.
What can be done to avoid charges?
Not all documents need to be signed by a doctor. For example, a teacher, an accountant, etc may be willing to sign a passport application free of charge.
What will I be charged?
The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual practice to decide how much to charge, but the BMA produces lists of suggested fees for the doctors to use as a guideline.
Please see list of BMA recommended fees alongside the practice Non-NHS (private) Fees
Fees must be paid in advance at the time the request for the letter or form to be completed is made or when the appointment for a medical is booked.
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