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Healthcare and clinics

Alcohol Reduction
The doctors can provide support to patients with alcohol dependency and their families, as well as referral to appropriate specialist units where needed.

Asthma and COPD
The practice nurses offer routine checks for all patients with asthma and chronic obstructive pulmonary disease. It is important that you have a yearly review if you are using inhalers. Please ask for a 20 minute appointment with a nurse.

Blood Pressure - Hypertension
We provide a screening service for high blood pressure (hypertension). Patients with hypertension are reviewed every six months. Please ask for a 10 minute appointment with a nurse.

Blood Tests
We offer an appointment only service on a Tuesday morning at Madeley Surgery, and on a Wednesday morning at Baldwins Gate Surgery. Patients may also attend the Central Pathology Laboratory for blood tests. For patients taking Warfarin we perform INR checks at the INR clinic on a Friday morning at Madeley Surgery.

Breast Screening
There is a centralised recall system in place for women to attend the Breast Screening Unit. Women aged between 50-64 years of age are called at three yearly intervals. If you require more frequent screening please discuss this with your doctor. If you are over 65 you can opt to continue with screening mammography.

Cervical Smears
For women aged 25 and over please make a 10 minute appointment with the practice nurse for your smear. It is preferable to take the smear during the middle of your cycle. You will be recalled at “regular” intervals every three years if aged 25 to 49, and every five years if aged 50 to 64 unless you have had any previous problem.

Child Health Surveillance
Eight week development checks are carried out by your doctor in surgery. This will be done at the same time as your postnatal check. At 12 months children are invited for a full check. 18 month and pre-school checks are no longer routine, but if you are concerned about your child’s development please contact a health visitor to arrange a review.

The health visitor holds a weekly drop-in clinic at Madeley Surgery (no appointment needed) on a Thursday afternoon for routine growth checks and discussion of any queries or concerns.

Chiropody
Chiropody is available for patients aged 60 and over only. Referral is from a doctor.

Contraceptive Advice
For advice on contraception and six monthly pill checks please make a 10 minute appointment with a practice nurse. We offer a full range of contraceptive services including coil fitting, injections, diaphragms and implant and emergency contraception.

Counselling
The practice is able to offer a counselling service to patients. If you feel you need this please discuss it with your doctor who will arrange an appointment.

Diabetes Clinic
We run weekly clinics for patients with diabetes on Monday and Tuesday afternoons. Appointments are by written invitation only. It is important you have your blood tests carried out before you come. We expect to review every patient at least once per year. Retinal photographs are now carried out by accredited opticians as part of the Retinopathy Screening Service.

Dietician
A dietician holds a monthly clinic at the Surgery. Referrals are made by a doctor.

Ear syringing
You must see a doctor first to have your ears inspected.  The problem may or may not be wax. If it is ear wax then best practice nowadays is to try to avoid syringing which carries a risk of perforation to the ear drum. Where syringing is indicated the wax needs to be pre-softened with ear drops and a long 20 minute is booked.

Elderly Care
The doctors and practice nurses routinely visit all elderly housebound patients every six month, and carry out a comprehensive assessment of their medical, social and mental health and offer appropriate care and support.

Epilepsy
The doctors review all patients with epilepsy annually.

Health Checks
The practice nurses offer a routine health check to any patient. Ask for a 20 minute appointment. Complete a health questionnaire before your appointment available as a download on the right >

Heart Disease (CHD)
The practice nurses offer an annual routine check by written appointment. Blood tests are carried out before attending for the review.

Hormone Replacement Therapy Clinic
All doctors and nurses offer advice on HRT and dealing with the menopause.

Immunisations – Childhood
Children are offered routine vaccinations starting at eight weeks of age. Refer to 'Immunisations'.

Leg Ulcer and Dressings Clinic
The district nurses hold two clinics per week to treat leg ulcers.

Maternity Care
We offer antenatal care lead by our midwife. The clinic is held on a Monday morning at Madeley Surgery.

Medical Examinations
The doctors are able to perform private medical examinations for insurance purposes or for the DVLA. Please contact the Surgery and we will provide you with the current charges.

Minor Surgery
Minor surgical procedures are carried out by prior arrangement by doctors.

Minor Trauma
The Surgery is a minor trauma centre and provides treatment of minor injuries.

Multiple Sclerosis
The doctors provide an annual review by written invitation for all patients with multiple sclerosis.

Physiotherapy
Physiotherapy is available following referral from your doctor.

Rheumatology Clinic
Professor Hay holds a monthly clinic at Madeley Surgery supported by a nurse specialist and physiotherapist.
A drug monitoring clinic is held every two weeks.

Smoking Cessation
The practice nurses provide one-to-one support and prescribe nicotine replacement therapy, Zyban and Champix. Please ask for a 10 minute appointment with a nurse.

Strokes and TIAs
The practice nurses offer an annual routine check by written invitation. Blood tests are carried out before attending the review.

Travel Clinic
The practice provides a free travel clinic for registered patients offering all major vaccines currently recommended, including Yellow Fever. You may be charged for certain travel vaccines. We can provide the service to no-registerd patients, please ask for information on charges.
Download an e-form (go to Clinical services and click on Holiday travel) or collect a form from reception and complete it before making an appointment.

Warfarin Monitoring
For patients taking Warfarin we perform INR checks at the INR clinic on a Friday morning at Madeley Surgery.