Antenatal Clinic

If you fall pregnant you should see one of the doctors at the earliest opportunity so that we can book you at the antenatal clinic. This is held at EHMC on a Friday. As soon as you find you are pregnant you should immediately start taking a folic acid supplement (400 micrograms daily ) to help prevent spina bifida. These can be obtained with or without vitamins from you chemist.

Counsellor 

Counsellors can be accessed via the "Improving Access to Psychological Therapies" service. You can self-refer by clicking here or you can come and see the doctor to arrange this and there is a  questionnaire that needs to be completed before you can access the service. It would be helpful if you could complete this before seeing us and the questionnaire can be downloaded here. Please bring it with you when you see the doctor.

Dietician

Appointments are made by the doctor or nurse for people who have medical needs for a dieticians help. Such conditions include diabetes and high cholesterol. We are not able to offer a “weight watchers” type service.

Blood tests

If you are asked to have a blood test by our doctors or nurses these can be arranged by asking for an appointment with our phlebotomist.

Anatomie Physio

Harrow CCG is in contract with HHL to provide physiotherapy services. They in turn use a number of providers one of which is Anatomie. The practice provides a room for them to offer such services in the community. Any patient from any practice in Harrow who is eligible for physiotherapy can be seen by Anatomie at EHMC. Appointments are made with HHL who ask patients where they would like to be seen, our own patients do not get preferential treatment in this process and patients cannot self refer. You have to be referred by a doctor.

Family Planning 

We do not offer a separate clinic for family planning but would be happy to advise on all aspects including the coil . If you are on the pill we must see you to check your blood pressure every 6 months. If you run out and are not able to see us immediately we will allow you one months additional supply after that you must find the time to come in. You may see the nurse for this.

Emergency Contraception

If you are at risk of pregnancy, perhaps a condom split or came off , you missed the pill or you were not using contraception at all ,then you need emergency contraception. Emergency contraception can be obtained in several ways and there are two types of emergency contraception. 

The first type is a form of the pill and is effective if taken up to 72 hours after unprotected intercourse. The second type is to insert an intrauterine device (coil) and this is effective for up to 5 days after unprotected sex. The pill can be obtained from 

1. The Practice. If you come within 72 hours then we will be able to prescribe it for you but you will need to see the doctor. All consultations are confidential Prescriptions from us are free.
2. From a Family Planning Clinic. The nearest one is at the Caryl Thomas Clinic in Headstone Drive 020 3893 8575. Prescriptions from them are free 
3. From your local pharmacy. The commonest Pill used, Levonelle can be bought over the counter. It costs about £24. In some areas but not in Harrow it can be given by a pharmacist on the NHS. 
4. The coil can be obtained from the family planning clinic as above. 

Its worth remembering that emergency contraception can fail and it does not stop pregnancies outside of the womb known as ectopic pregnancy. It is therefore vital that if you miss a period you must come back. 

Emergency contraception is no substitute for regular family planning and you should discuss this with us as well. 

CERVICAL SMEARS 

We recommend all women between the ages of 24 and 65 to have cervical smears . We try to do them at mid-cycle if possible.  Invitations for smears come from both the practice and the local health authority. We feel that this dual approach helps prevent people being overlooked ! The smears themselves are done by our nurse ,please ring for an appointment. Smear tests are always done in the surgery

Prior to having a smear we request that you read an information leaflet about them. You will also be asked to sign a consent form to have a smear.

Smear results take about 3 weeks to come back and if there is a problem we will write to you . Again the health authority may also write to you and again we hope this duplication of effort will help reduce any possible errors. The health authority will also tell you when the smear is normal. If the smear is normal we do not normally write to you. There are many reasons why a smear result may be abnormal. Do not jump to conclusions !

If you do not wish to have a cervical smear for medical legal reasons we will ask you to come in and see the doctor and nurse and sign a form to say you don’t want a smear. Even if you don’t want a smear we are obliged to continue you to invite you for a smear.

Travel Vaccinations 

In order to balance the demand in appointments, we are streamlining the way we manage our travel appointments.

Patients who are travelling will need to obtain their immunisation history (this is available online for those with online Patient Access) or can be requested via the reception desk. This information can be used in conjunction with the travel health information website to determine if vaccinations and an appointment is needed:

http://www.fitfortravel.nhs.uk or

http://travelhealthpro.org.uk

There is no longer a need to hand in the travel questionnaire in advance of booking an appointment, this form can be filled in and brought to your appointment on the day.

We have limited appointments in the system for travel vaccinations and you are advised to attend your appointment, well in advance of travelling (6 weeks or more) in order to ensure vaccinations are effective for the time of travelling.

Currently, due to staffing levels, patients are advised that there is limited appointment availability and that there may be a wait of 8-10 weeks for a travel appointment.

If there are no appointments available for travel vaccinations in the time frame you require, you have the option to book an appointment with a local private travel clinic.  Please click here to see the documents regarding travel.

Thank you for your co-operation. (Updated October 2019)

Malaria Prescriptions

We do not issue prescriptions for Malaria Tablets - as these can be purchased from a pharmacy 

Information about countries and vaccinations required can be found on the links below:

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

When travelling abroad we recommend that you take advice on the health risks and that you do this at least two months in advance of travelling. If you are embarking on a complex itinerary then we need information on all the destinations you intend to travel to , even if its a stop over.

You can also find out the recommended vaccinations for different countries by visiting  www.fitfortravel.nhs.uk

Please note that there is a charge for some vaccinations. Please contact the reception team or enquire at the front desk for up to date information on charges. 

Some minor surgery can be carried out in our well equipped treatment room by Dr Vaughan.

We do not remove things for cosmetic reasons only because they are causing physical irritation or discomfort. You will be asked to make an appointment to see her and she will decide if it is appropriate to remove it in the surgery. 

The surgery has the services of a chiropodist who see patients privately. Jemma is not employed by the practice and they are wholly private we cannot refer you to them under  the NHS.
 

Jemma Klein is a registered chiropodist  Private Appointments Tel: 020 8203 3078 

Please find information below regarding the NDPP and how you can self refer.

National Diabetes Prevention Programme

Please see our separate section for our Patients' Association

http://www.ehmc.co.uk/ppg.aspx?t=1 

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