Services

Child Health

Immunisation

We strongly encourage immunisation but recognise some parents choose not to

Infant checks

6 weeks and 3 months

Parenting advice

Management of asthma, eczema and other long term conditions

All consultations are free for children registered with the practice and aged 12 or under

Adolescent health

Healthy eating advice

Alcohol and drug issues

Contraception advice *

Sexual health advice *

Pregnancy tests*

Pregnancy advice

Free

Mental health

Assessment, treatment and referral for counselling

Acne assessment and management

 

* Free for those aged 18 and under

Consultations for those aged 16 and over are strictly confidential

 

Women's Health

Lifestyle

Help with smoking cessation, diet, exercise and alcohol

Contraceptive advice*

Including IUCD fitting and Jadelle insertion*

Cervical smears

Usually every 3 years aged 20-70

Sexual health*

Pre-Pregnancy planning

Pregnancy testing

Maternity care

Initial tests, support in choosing midwife or specialist care and referral, free care in the first trimester until you have chosen a midwife or specialist

Infertility

Initial investigation and referral

Menopause care

Prolapse treatment

Including fitting ring pessaries

Pipelle biopsy

Sampling of the lining of the uterus for cancer

Mammography and breast examination

Usually every 2 years, aged 45-70

Cardiovascular risk assessment

(Risk of heart attack or stroke)

From age 55, or from 45 for those at higher risk

Osteoporosis investigation and treatment

Including zoledronate (Aclasta) infusions

Skin cancer check

Including photography and dermoscopy (photography under high magnification)

Screening for colon cancer

* Free for those aged 18 and under

 

Men's Health

Lifestyle

Help with smoking cessation, diet, exercise and alcohol

Cardiovascular risk assessment

(Risk of heart attack or stroke)

Usually from age 45, or 40 for those at higher risk

including screening blood tests for diabetes, cholesterol, liver & kidney function

Sexual health*

Erectile dysfunction

Prostate check

Skin cancer check

Including photography and dermoscopy (photography under high magnification)

Screening for colon cancer

* Free for those aged 18 and under

 

Elderly Care

Management of long term conditions

Systematic ongoing care of hypertension, ischaemic heart disease, diabetes, arthritis, respiratory disease, osteoporosis, and many other conditions

Generally 3 monthly review with a thorough annual assessment

Assessment of care and welfare

Home help, meals, personal care, respite care, mobility aids,
continence, impaired hearing, medical alarm, transport, financial assistance

Dementia assessment and care

Including Addenbrooke’s Cognitive Assessment

Driving medicals

Recall for annual flu immunisation

Palliative care

Patients with cancer and other terminal conditions

Home visiting

 

The practice is responsible for over 100 patients in Rest Home and Hospital Level care

 

Screening

Cardiovascular risk assessment

(Risk of heart attack or stroke)

Usually from age 45 in men, 55 in women, or 5 years earlier for those at higher risk

Diabetes

Skin cancer

Including photography and dermoscopy (photography under high magnification)

Cervical smears

Usually every 3 years aged 20-70

Mammography and breast examination

Usually every 2 years, aged 45-70

Prostate cancer

Colon cancer

 

Long Term Conditions

We have well-developed protocols for managing many long term conditions in young and older patients

Asthma

Eczema and other skin conditions

Hypertension

Diabetes

Heart disease

COPD (Chronic obstructive airways disease)

Mental health

Stroke

Dementia

Cancer

Arthritis

In general patients are seen 3 to 6-monthly depending on their condition, with a more thorough review annually

 
 
 

Lifestyle Advice

Diet

Exercise

Smoking cessation support

with or without medication

Weight management

Alcohol and drug issues

Palliative Care

Home visiting in the terminal stages of illness.

 

With the high proportion of elderly patients in Kapiti, the practice has extensive involvement in palliative care, in close co-operation with Mary Potter Hospice.  The practice is responsible for palliative care beds at a local hospital.

Urgent Care

Life threatening conditions

If you have severe chest pain or symptoms of a stroke or other life threatening condition, dial 111.

Immediate problems

If you need to be seen immediately, e.g for a fracture or laceration, just come to the surgery – if possible phone to let us know you are coming.

Same day problems

If you feel you need to be seen that day we will always fit you in, though we may only have time to deal with your immediate problem.  The nurse will make an initial assessment and you will then normally be seen by your usual doctor.

If you are acutely unwell please ring the surgery and ask to speak to the nurse who will make arrangements for you to be ushered to a room as soon as you arrive.

Home visits

Can be arranged if you are too unwell to attend the surgery. Please phone and speak to a nurse as early in the day as possible.

We undertake:

IV antibiotic therapy for infection, such as pneumonia or cellulitis

Urinary catheterisation

Instituting anticoagulation for DVT

Instituting anticoagulation for atrial fibrillation

 
 

Accidents and Wound Care

Minor fractures, lacerations and sprains

We are available promptly.  If you need to be seen immediately, for example with a laceration, just come to the surgery – if possible phone to let us know you are coming.

Post-surgery care on discharge from hospital

Wound management

With the high proportion of elderly patients in Kapiti, our nurses are especially skilled in wound care management, including compression bandaging of leg wounds and ulcers.  We can assess circulation in the legs with Doppler ultrasound.

Compression stockings

When leg wounds are healed we can assess suitability for and fit compression stockings.

Nursing Services

Procedures

Ear syringing

Cryotherapy (Liquid Nitrogen to warts and sun damaged skin)

Punch biopsy (sampling of possible skin cancers and rashes for analysis)

ECGs

Spirometry (lung function test)

Urinalysis

Spirometry

Audiometry

Tympanometry (middle ear function test)

Pregnancy tests

Immunisation

Child immunisation

Travel immunisation & advice

Flu immunisation  (free for 65 and over and for those with diabetes, heart or chest conditions and certain other groups)

Pregnancy immunisations for flu and whooping cough (free)

Other adult immunisations (including shingles and pneumococcus)

All Nurses are certified vaccinators

Wound care

Wound management & dressings

Post surgery checks and removal of sutures

Compression bandaging of leg ulcers

Fitting compression stockings

Lifestyle advice

Diet

Exercise

Smoking cessation support (with or without medication)

Cardiovascular risk assessment

Weight management

Alcohol and drug issues

Assessment of care and welfare for elderly and infirm

Home help, meals, personal care, respite care, mobility aids,
continence, impaired hearing, medical alarm, transport, financial assistance

Advice on managing long term conditions

Asthma

Eczema

Diabetes

High cholesterol

Heart failure

 

Skin Cancer and other Lesions

The practice has a special interest in skin cancer surgery (over 3500 cases)

 

Skin cancer checks

Skin photography

including dermoscopy (photography under high magnification)

Cryotherapy

(freezing of warts and sun damaged skin)

Electrosurgery

(removal of benign skin lesions with diathermy)

Punch biopsy

(sampling of possible skin cancers for analysis)

In-growing toenail surgery

Sebaceous cysts

Warts

 

Travel Health

Detailed travel risk assessment

depending on destination

Oral and written advice

tailored to your destination

A travel medication “kit”

Immunisation and malaria prophylaxis

(Please note we don’t offer Yellow Fever vaccination)

If you are planning to travel overseas, try to give us at least one month’s notice (some immunisations take time to work).  Phone the surgery for a Travel Health Consultation with the nurse.

We will get you to fill in a questionnaire about your travel plans and immunisation history; it would be helpful if you could download the questionnaire now and bring the completed form with you.

Also, before you come to your consultation, go to www.fitfortravel.nhs.uk and for each country you will be visiting, check the Malaria Map.  Note whether you will be visiting any High Risk or Low Risk areas.

If you need any other information about travel health we recommend www.fitfortravel.nhs.uk.

 
 

Medicals

Driver’s medicals

Occupational

Elderly

Insurance medicals

Pre-employment medicals

Practical procedures and equipment

Treatment

Skin surgery

over 3500 cases

Joint and other steroid injections

Shoulder

Tennis elbow

Carpal tunnel

Wrist and hand

Trigger finger

Trochanteric bursitis

Knee

Plantar fasciitis

Electrosurgery

Removal of benign skin lesions with diathermy

Wedge resection of in-growing toenails

Diagnosis

ECG

Home BP monitoring

Event monitor

Portable ECG to capture and analyse episodes of palpitations

Spirometry

Lung function testing

Oximetry

Checking blood oxygen in respiratory illness

Audiology

Tympanometry

Checking for glue ear and Eustachian dysfunction

Ultraviolet examination of cornea

Checking for ulcers and foreign bodies

Dermoscopy

Photography of skin lesions under high magnification

Pipelle biopsy

Sampling tissue from the uterus

Punch biopsy

Sampling suspicious skin lesions

Sigmoidoscopy

Examination of the lower bowel

Ultrasound measurement of circulation in the legs

Assessment of leg ulcers