The clinics and other services offered by our practice

Castle Place Practice
Kennedy Way
Tiverton
EX16 6NP
Tel: 01884 252333

News:

Announcements

Find out about all of the free NHS services available to support you as you go try to give up smoking.

Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more

01 Jul - 01 Oct
Change for Life

Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.

Yahoo Health

Cholera kills 41 in Central African nation of Chad (AP)

AP - Health officials in Chad say an outbreak of cholera in the Central African nation has killed at least 41 people.

Can home cooking be hazardous to your health? (AP)

AP - Could your kitchen at home pass a restaurant inspection?

Botox maker to pay $600M to resolve investigation (AP)

Food and Drug Administration (FDA) Commissioner Margaret Hamburg speaks to reporters during a news conference at the Justice Department in Washington, Wednesday, Sep. 1, 2010, regarding a major settlement with a pharmaceutical company for False Claims Act and off-label marketing violations. Allergan Inc., the maker of wrinkle-smoothing Botox, has agreed to pay $600 million to settle a years long federal investigation into its marketing of the top-selling, botulin-based drug. (AP Photo/Manuel Balce Ceneta)

AP - Allergan Inc., the maker of wrinkle-smoothing Botox, has agreed to pay $600 million to settle a yearslong federal investigation into its marketing of the top-selling, botulin-based drug.

New test seen as big advance in diagnosing TB (AP)

This undated photo released by Cepheid, shows a Cepheid Xpert MTB/RIF cartridge. The cartridge is part of a test that is a major advance in diagnosing tuberculosis and can reveal in less than two hours, with very high accuracy, whether someone has the disease and if it's resistant to the main drug for treating it. (AP Photo/Cepheid) NO SALES

AP - Scientists are reporting a major advance in diagnosing tuberculosis: A new test can reveal in less than two hours, with very high accuracy, whether someone has the disease and if it's resistant to the main drug for treating it.

Journal editors question sale of diet pill Meridia (AP)

AP - Editors of a top medical journal call Meridia "another flawed diet pill" and question whether it should stay on the market as a study shows it raises the risk of heart attack and stroke in people with heart problems.

Benefits seen for high-risk women in ovary removal (AP)

AP - Surgery to remove healthy ovaries gives a triple benefit to high-risk women: It lowers their threat of breast and ovarian cancer, and boosts their chances of living longer, new research suggests.

Study: Diet Drug Meridia May Boost Heart Risks (Time.com)

Time.com - A new study finds that some users of the weight-loss pill Meridia may have an increased risk of heart attack or stroke

For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)

LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.

Clinical Trials Update: Sept. 3, 2010 (HealthDay)

HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:

Parents Can Take Steps to Boost Kids' Health, Well-Being (HealthDay)

HealthDay - SATURDAY, Sept. 4 (HealthDay News) -- As children head back to school, parents can help make sure their little ones stay healthy and happy all year, an expert suggests.

MedPage Today

Washington Week: Insurance, State Actions Top News

WASHINGTON (MedPage Today) -- Several studies highlighting insurance issues were released this week, including one on federal programs for kids and two others focused on employer-provided medical coverage.

FDA Approves New Eye Pressure Drop Formulation

WASHINGTON (MedPage Today) -- The FDA approved a new formulation of the drug bimatoprost (Lumigan) in a 0.01% solution as a first-line treatment to reduce elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Kids on HAART Would Benefit from Revaccinations (CME/CE)

(MedPage Today) -- Children with HIV who received standard childhood immunizations before starting on highly active antiretroviral therapy (HAART) could benefit from revaccination, a review suggests.

New Guidelines Out for Pneumococcal Vaccine (CME/CE)

(MedPage Today) -- Adults with asthma and those who smoke should receive the 23-valent polysaccharide vaccine to prevent pneumococcal disease, according to new recommendations from the CDC.

OSHA Should Dictate Residents' Hours, Group Says

WASHINGTON (MedPage Today) -- The consumer group Public Citizen is urging the Occupational Safety and Health Administration (OSHA) to regulate the work hours of resident physicians.

Four Factors Increase Risk of Opioid Dependence (CME/CE)

(MedPage Today) -- A combination of four factors appears to significantly increase the risk of opioid dependence among patients taking prescription painkillers, researchers have found.

Low IgG Poses Infection Risk With Rituximab (CME/CE)

(MedPage Today) -- Certain subgroups of patients with rheumatoid arthritis, particularly those who have low levels of IgG, are at risk for severe infections when treated with rituximab, French investigators found.

ESC: Stockholm Take Home Message -- Watch the 'Not' Warfarins

STOCKHOLM (MedPage Today) -- An investigational antiplatelet -- ticagrelor (Brilinta) -- emerged as a big winner from the five-day long European Society of Cardiology congress, but the buzz here focused instead on a trio of investigational oral anticoagulants -- dabigatran, rivaroxaban, and apixaban.

Admitting Clinical Errors Not Always Best Policy

(MedPage Today) -- Wide-scale disclosure of clinical errors seems intuitively to be the ethical choice for hospitals and physicians, but researchers from the University of Washington suggest that disclosure should be decided on a case-by-case basis rather than a one-size-fits-all solution

PTSD May Be Risk Factor for Dementia (CME/CE)

(MedPage Today) -- Older veterans with a history of post-traumatic stress disorder (PTSD) are at increased risk for developing dementia, even if they had not been wounded in battle, researchers found.

WHO Swine Flu

Influenza - update 115

Worldwide, H1N1 2009 virus transmission remains most intense in parts of India and in parts of the temperate southern hemisphere, particularly New Zealand and more recently in Australia.

Influenza - update 114

The situation in New Zealand and India remains largely unchanged since the last update. Influenza H1N1 (2009) virus transmission remains locally intense in parts of India and New Zealand.

Influenza - update 113

Influenza H1N1 (2009) virus transmission remains locally intense in parts of India and New Zealand.

Director-General statement following the ninth meeting of the Emergency Committee

The Emergency Committee held its ninth meeting by teleconference on 10 August 2010.

WHO recommendations for the post-pandemic period

The world is now in the post-pandemic period. Based on knowledge about past pandemics, the H1N1 (2009) virus is expected to continue to circulate as a seasonal virus for some years to come. While the level of concern is now greatly diminished, vigilance on the part of national health authorities remains important. Such vigilance is especially critical in the immediate post-pandemic period, when the behaviour of the H1N1 (2009) virus as a seasonal virus cannot be reliably predicted.

Pandemic (H1N1) 2009 - update 112

As of 1 August 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18449 deaths.

Pandemic (H1N1) 2009 - update 111

As of 25 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18398 deaths.

Pandemic (H1N1) 2009 - update 110

As of 18 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18366 deaths.

Monitoring patterns and levels of worldwide activity

As part of regular monitoring of H1N1 pandemic influenza, the WHO is in close dialogue with public health experts in countries worldwide, specifically to determine whether H1N1 activity has returned to levels and patterns normally seen for seasonal flu.

Pandemic (H1N1) 2009 - update 109

As of 12 July, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18337deaths.

Clinics & Services

Travel Vaccinations

Private Services

Other NHS Services

Clinics & Services

Child Health Surveillance and Childhood Immunisations
Diabetic Screening and Management
Healthy Heart Clinic
Hypertension Screening and Management
Minor Surgical Procedures
Practice Based Counselling
Respiratory Screening and Management
Smoking Cessation Advice and Monitoring
Travel Health Advice and Immunisations
Well Woman Clinic and Cervical Screening

Maternity Services

Ideally your GP would like to see you within the first 12 weeks of your pregnancy. The GP will examine you and arrange a 12 week ultrasound scan.

pregnant Thereafter your ante-natal care will be provided jointly by the Community Midwives at Tiverton & District Hospital and your GP.

Post-natally, the Midwives will undertake daily home visits for up to 14 days and will then transfer your care over to the Health Visitors.

The Health Visitors will also undertake a home visit and will arrange follow up visits as appropriate.

All new mothers are advised to attend for a six week post-natal check, with their GP. Your GP will examine you and your baby, review any ongoing medical problems as well as discussing contraception requirements.

Psychological Treatment Service

NHS Devon commissions the provision of a practice based psychological treatment service which is accessible to patients, on referral from their GP. The service offers assessment and access to a range of treatment options including; self management, stress control courses and individual treatment.

Travel Vaccinations

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

Europe & Russia	North America
Central America	South America
Caribbean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

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.

Most travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

Travel Questionnaire

Private Services

Some examinations and certificates (eg for sports, HGV, PSV licences and travel immunisations) are not covered by the NHS and you will need to pay for these. This also includes private certificates/prescriptions, holiday cancellation forms and insurance claim forms.

Our fees are based on the British Medical Association’s recommended scale and are displayed in reception. Medical examinations may take up to 30 minutes and we would appreciate some advance notice, so that we may make you an appropriate appointment.

Other NHS Services

Accident & Emergency Department, Royal Devon & Exeter Hospital (Wonford), Barrack Road, Exeter - 01392 411611
Contraception Clinics are held at Tiverton & District Hospital each Wednesday evening between 6.00-8.30pm. Appointments must be made in advance by calling 01392-284982 or 01392 284983.
Emergency Dental Services are available at the Royal Devon & Exeter Hospital (Heavitree), Gladstone Road, Exeter – 01392 405700 (Open Monday to Friday)
Minor Injuries Unit, Tiverton & District Hospital – 01884 235400 - 24 hour facility for the treatment of minor injuries and illness (e.g. cuts/grazes and lacerations, sprains and strains, broken bones, bites and stings, infected wounds, minor head injuries, minor eye infections, foreign bodies and scratches)
NHS Direct - 0845 4647 or www.nhsdirect.nhs.uk is a 24 hour confidential advice service. Call if you are feeling unwell or are unsure what to do, or for health information on particular conditions. NHS Direct can also tell you where to find your nearest doctor, pharmacist, dentist or support group.
NHS Walk-in Centres are located at Royal Devon & Exeter Hospital (Wonford), Barrack Road, Exeter and 31 Sidwell Street, Exeter
Patient Advice and Liaison Service – Freephone 0800 0730 792

Further Information

For quick medical advice online or on the telephone contact NHS Direct