General Services

Online Access

The practice offers an internet service called Patient Access, which allows you to access a range of services via your own computer or smartphone. Once you have signed up, you will be able to:

• book or cancel appointments
• order repeat prescriptions
• view limited access to medical records including information about medication, allergies, vaccinations, test results.

The service is completely voluntary. If you do not want to use it, your treatment will not be affected in any way.

What are the advantages?

• It’s convenient; you can use it even when the practice is closed
• It saves you time making telephone calls
• It’s fast and direct as the information goes straight to the practice’s computer system
• Its secure and there is an audit trail of all activity
• You can easily check information about your current appointments and medication
• It will free up the telephone system for other patients

How do I get started?

• To be able to use the system you must have a computer or smart phone with internet access.
• Ask at reception for an application form for online access.
• You must provide two forms of identification. One document must include a photo proof of identification with date of birth and full name (passport or driving licence). Second proof of identification must include your name and current address such as utility bill or any other appropriate documentation.
• When you have completed the form this will give us the necessary contact details and email address to enable us to process your registration.

• The receptionist will either give you details of how to log on to the service including a PIN and password or post these to your home address. You must keep these login details safe.

• You need to use these credentials to register on the Patient Access website. Once you've registered on to the Patient Access website you can start using the service straight away.

ALTERNATIVELY Go to the Patient Access website at www.patientaccess.com and register using the online instructions. This will give you access and allow you to book one GP appointment, but after that you will be asked to come into the Surgery with your ID to complete your registration and allow you full access.

Who can apply?

• Patients must be aged 16 years or over to register for an online account.

• Parents may apply for an account on behalf of their children where both parent and child are registered at the practice, and the child is aged under 11.

• Carers may apply on behalf of patients they care for where both are registered at the practice and the carer has legal Power of Attorney for the patient or has been given explicit patient consent.

www.patientaccess.com

Further Information about Patient Access can be found HERE

Antenatal Care

All women should have confirmation of pregnancy with a positive pregnancy test and should make a booking appointment with the Midwife before 10 weeks gestation. Patients should get their NHS Number from Reception and log on to: www.royalsurrey.nhs.uk/maternity and click on the Maternity link to register their pregnancy in advance of their appointment with the Midwife. MIDWIFE – Clare Edney – clare.edney@nhs.net or Heli at the Community Midwives office – 01483 571122 Ext 2715 - Mon – Friday 9.00 to 3.00 for overflow clinics. First appointments at 8-10 weeks = 1 hour 20 minutes (4 appointments) + Whooping Cough vac offered at 20 weeks – All follow up appointments are 20 minutes.

Test Results

Results of tests can generally be obtained after one week. Please ring the Surgery AFTER 11.00am to request your results unless otherwise instructed by your clinician.

Minor Surgery

By appointment with Dr Cavannagh and a Practice Nurse, in designated clinics on a Wednesday. There is usually a waiting list. Please contact the Treatment Room Clerk for more details.

Treatment Room

Childhood Immunisations

By appointment with the Practice Nurse. Please contact the Treatment Room Clerk for more details.

Age due	Diseases protected against	Vaccine given and trade name		Usual site
Eight weeks old	Diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus influenzae type b (Hib) and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa	Thigh
	Meningococcal group B (MenB)	MenB	Bexsero	Left thigh
	Rotavirus gastroenteritis	Rotavirus	Rotarix	By mouth
Twelve weeks old	Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa	Thigh
	Pneumococcal (13 serotypes)	Pneumococcal conjugate vaccine (PCV)	Prevenar 13	Thigh
	Rotavirus	Rotavirus	Rotarix	By mouth
Sixteen weeks old	Diphtheria, tetanus, pertussis, polio, Hib and hepatitis B	DTaP/IPV/Hib/HepB	Infanrix hexa	Thigh
Sixteen weeks old	MenB	MenB	Bexsero	Left thigh
One year old (on or after the child’s first birthday)	Hib and MenC	Hib/MenC	Menitorix	Upper arm/thigh
	Pneumococcal	PCV booster	Prevenar 13	Upper arm/thigh
	Measles, mumps and rubella (German measles)	MMR	MMR VaxPRO2 or Priorix	Upper arm/thigh
	MenB	MenB booster	Bexsero	Left thigh
Eligible paediatric age groups1	Influenza (each year from September)	Live attenuated influenza vaccine LAIV2, 3	Fluenz Tetra2, 3	Both nostrils
Three years four months old or soon after	Diphtheria, tetanus, pertussis and polio	dTaP/IPV	Repevax or Boostrix-IPV	Upper arm
Three years four months old or soon after	Measles, mumps and rubella	MMR (check first dose given)	MMR VaxPRO2 or Priorix	Upper arm
Boys and girls aged twelve to thirteen years	Cancers caused by human papillomavirus (HPV) types 16 and 18 (and genital warts caused by types 6 and 11)	HPV (two doses 6-24 months apart)	Gardasil	Upper arm
Fourteen years old (school year 9)	Tetanus, diphtheria and polio	Td/IPV (check MMR status)	Revaxis	Upper arm
Fourteen years old (school year 9)	Meningococcal groups A, C, W and Y disease	MenACWY	Nimenrix or Menveo	Upper arm
65 years old	Pneumococcal (23 serotypes)	Pneumococcal Polysaccharide Vaccine (PPV)	Pneumococcal Polysaccharide Vaccine	Upper arm
65 years of age and older	Influenza (each year from September)	Inactivated influenza vaccine	Multiple	Upper arm
70 years old	Shingles	Shingles	Zostavax2	Upper arm

The above information may change from time to time. Please contact the surgery for up-to-date advice or visit: www.immunisation.nhs.uk and www.mmrthefacts.nhs.uk.

Special Clinics for Asthma, Diabetes, Hypertension & Coronary Heart Disease

Asthma Clinic

Weekly Clinics run by Appointment only with Senior Practice Nurse Helen Jones or Nurse Heather Sparks

Diabetes Clinic

Weekly Clinics run by Appointment only with Senior Practice Nurse Helen Jones

COPD

Weekly Clinics run by Appointment only held by Nurse Nicki Fellows

BP Checks/Home BP Monitoring

By Appointment only with our HCA Kim Wingham

Routine Screening Checks (eg Cervical Smears)

CERVICAL SMEAR – 20 minute appointment with a Practice Nurse

All women who are registered with a GP are invited for cervical screening:

aged 25 to 49 – every three years
aged 50 to 64 – every five years
over 65 – only women who haven't been screened since age 50 or those who have recently had abnormal tests

BREAST SCREENING

All women between 47 and 73 years who are registered with a GP will be invited for screening every 3 years. The invitation is sent out automatically. Currently all women will receive their first invitation for a mammogram sometime between their 49th and 53rd birthdays. The risk of getting breast cancer increases as women get older and we encourage women over 70 to continue with three yearly screening. All women over the age of 70 need to contact the Jarvis Centre to arrange an appointment.

Jarvis Breast Centre Stoughton Road Guildford GU1 1LJ Tel: 01483 783211 ( 9.00am - 5.00pmpm Monday – Friday ) Fax: 01483 579314

Private Medical Examinations

By appointment with your Doctor.

Treatment Room

By appointment with the Practice Nurse and includes treatment of minor injuries, dressings, blood tests, regular injections and routine screening checks, ie cervical smears.

Lab Services

Phlebotomy

Most blood tests requested by your clinician will be taken by our resident Phlebotomist Kim Wingham or one of our Practice Nurses.

Adult’s blood can be taken here at the surgery by Appointment only. Haslemere Hospital also runs a daily walk in clinic for Adults and children over 10.

Children under 10 bloods can be taken by their GP or via the Royal Surrey County Hospital based in Guildford.

Other Tests

Your GP can perform Urine, Stool and swab tests and some bloods; they can also arrange referrals for X-Rays, Ultrasounds and Physiotherapy.

Vaccinations

Seasonal clinics run between October and December – Qualifying patients will be invited to attend via Text Message or a note on their repeat prescription. General information can also be found in our patient waiting room.

Chemists

Grayshott Pharmacy - Telephone 01428 604505 Beacon Hill Chemist - Telephone 01428 605011 Haslemere and Liphook Chemists - There are several. Search on-line or consult Yellow Pages

INR

Are you taking warfarin?

At Grayshott Surgery we run regular clinics, it offers you same day results, support and guidance with taking warfarin.

How does it work?

We use a Coagucheck machine which works by measuring how long the blood takes to clot. We take a small sample of blood from the finger by using a punch Lancet. The sample is placed on a strip that goes into the machine and within minutes we have the result. Fast, simple, accurate. This machine works alongside the software called inr star which enables the anticoagulant nurse to advise you of your warfarin dose, any changes to be made and your follow-up appointment. With every inr check you will be given a print out of instructions and your next appointment will be booked. Your GP also gets a copy of this print out so should there be any concerns it is immediately dealt with.

What does INR mean?

INR means International Normalised Ratio.

Wound Care

By Appointment only with our Practice Nurses

Family Planning

Family Planning

By Appointment only we can offer IUD fitting, Contraceptive Implant, Depo Injections and Emergency Contraception.

Travel Clinic

Travel Clinic

Most of your travel vaccination requirements can be met. Please check these well in advance as you may need to allow six to eight weeks to complete a course of immunisations. The Practice Nurse will also advise regarding malaria tablets which you may need a prescription from the doctor for, depending on destination.

Our Travel Risk Assessment Form, together with current vaccination prices, can be downloaded HERE:

Please complete this form and return to the surgery in advance of your first appointment with the Practice Nurse to discuss which immunisations you may or may not need.

For general information about travelling abroad from the UK, you may find the following websites useful:

www.fitfortravel.nhs.uk/home.aspx

www.malariahotspots.co.uk