Crook Log Surgery

19 Crook Log, Bexleyheath, Kent DA6 8DZ
Tel: 0208 304 6972 Fax: 0208 301 7800 Email: letters.crooklog@nhs.net

Services

Asthma Care

Increasing numbers of people of all ages are suffering from asthma. Your doctor will make the initial diagnosis and explain your treatment.

Our specially trained practice nurses and health care clinician will the ensure that the treatment is effective by checking inhaler techniques and measuring lung function regularly, referring to your doctor if necessary.

Cancer Patients

Patients with cancer care for in association with the hospital specialists, the Outreach Team and the Greenwich and Bexley Community Hospice.

Cervical Smears

Cervical smears for women involve a simple quick test to check for changes which occur before cancer develops. We recommend that all women should have regular smear tests every three years or more often if required for medical reasons.

All patients who are eligible for the test are sent for by letter. If you think that you are due a test and have not heard from us, please contact us and let us know.

Our Practice Nurse carries out the test in the surgery.

Chronic Obstructive Pulmonary Disease (COPD)

Patients with COPD are advised to have a checkup at least annually to make sure they get the best treatment or their breathing problems.

Coronary Heart Disease

Patients with a history of heart disease need to be monitored on at least an annual basis to ensure their risk factors are minimised and treatment optimal.

Diabetic Care

The diabetic review is done by our practice nurse and health care clinician for the care of all diabetics. Patients are reviewed on a recall system and are invited to attend annually. Dr Roy oversees the care management of all our Diabetic patients.

We monitor blood and urine testing, diet, weight, blood pressure, medication, foot care and education. We also monitor kidney function and cholesterol levels regularly.

Epilepsy

Patients with epilepsy should have a check up in the surgery and/or in hospital outpatients to ensure the control of their condition is optimal.

Hypertension

Patients with high blood pressure ought to have their blood pressure checked 6 monthly and blood tests done annually.

Hypothyroidism

Patients with underactive thyroid should have blood tests annually.

Mental Health

Patients with mental health problems are advised to be reviews at least annually to ensure their mental and physical health problems are taken care of.

Non-NHS Services

GPs are contracted to provide a service for all people within a National Service Framework. Unfortunately, more and more of the workload consist of reports for solicitors, employers, the DSS, the police, insurance companies etc. Much of this cannot be done in normal working hours, and therefore, GPs are entitled to expect a fee for these duties. Sometimes the patient will be responsible for the fee. Details are available from reception.

Please note that this includes insurance claim forms and “To who it may concern” letters. We do not countersign passport applications.
Charges may also be made for the following:

Access to records Accident and sickness insurance medicals and reports Certificates (e.g. driving fitness) Fitness to attend school examination Sports Medicals etc.

Phlebotomy Clinic

This is for the taking of blood. If doctor requests you to have a blood test, please book an appointment at Reception.

Children under the age of 16 years should attend the hospital.

Private Referrals

Many patients have private health insurance. Others do not, but may prefer to see a consultant privately on occasion.

Your doctor will be happy to arrange a referral for you, but it is important that he/she is consulted first. It is hard for us to do an accurate letter when you may not have seen the doctor in a long time.

Also, please check with your insurance company whether or not you problem is covered, because it will be very costly to you if your insurers refuse to pay. This can happen if you see a specialist about a recurrent problem.

Your GP may have to fill in a claim form at some stage (for which a fee is payable, as claim forms are not part of our GP’s service requirement and have to be filled in on personal time); the claim form usually asks if the problem has occurred in the past.

Please be aware that the surgery cannot be responsible for any costs incurred during the course of private treatment.

Please try and allow five working days for referrals to be prepared.

Sexual Health Clinics

Sexual health screening is done at GUM clinics, and patients can self-refer at:

Smoking Cessation

Please ask our reception team to arrange an appointment with Debi Dolby or Kathy Taylor at the surgery.

If you would like help sooner, please contact NHS Quit Line on 0800 022 4332.

Strokes/Mini Strokes

Patients with a history of strokes or mini-strokes should be monitored at least annually to reduce risk factors for further recurrence.

Vaccinations

Vaccination against the flu is advisable for patients with chronic heart disease, lung diseases, diabetes, stroke history and patients over 65 years of age.

The pneumonia vaccine is indicated for over 65 and for younger patients with chronic heart and lung diseases, the immunocompromised and patients without a spleen.

Please also check your tetanus and polio vaccinations are up to date.

The practice nurses provide a service for these and other travel vaccinations. Please allow adequate time for travel vaccinations and many need to be administered some weeks ahead of the date of travel in order to be effective.

Shingle Vaccinations

  • Routine Cohort (2015/16)
    Adults aged 70 years on 1st September 2015
  • Catch-up cohort (2015/16)
    Patients aged 78 years old on 1st September 2015 who have not previously had a dose of shingles vaccine.

Patients who were previously eligible for shingles vaccine under this programme, who have not been immunised with shingles vaccine, until their 80th birthday (ie patients aged 71, 72 and 79 years on 1st September 2015).

Rotavirus

  • First Dose
    Infants aged 6 weeks to 14 weeks and 6 days of age presenting for first dose primary immunisation against rotavirus.
    The minimum age for the first dose of Rotarix® is 6 weeks 0 days.
    The maximum age for the first dose is 14 weeks and 6 days
  • Second Dose
    Infants aged up to 23 weeks and 6 days who have received their first dose of Rotarix ® vaccine a minimum of 4 weeks previously.
    The maximum age for the second dose of Rotarix® is 23 weeks and 6 days.
    Vaccination of preterm infants using Rotarix ® is indicated (without correction for prematurity) if the infant is clinically stable. As the benefit of vaccination is high in premature and very premature infants, vaccination should not be withheld or delayed.

MenACWY

  • Routine Immunisation
    A whole birth cohort in school year 9 and/or 10 (see table below) as per national recommendations and local delivery of concurrent adolescent immunisations including Td/IPV.
    Note: The MenC adolescent vaccination programme will be replaced with MenACWY conjugate vaccine from September 2015.
  • Catch-Up Cohorts
    Adolescents aged 14-18 years:
    whole birth cohorts in school years 10-13, who were born on or after 1 Sep 1996, in accordance with national recommendations set out below.
    – 2014/2015 whole birth cohort in school year 13 (leavers)
    – 2015/2016 whole birth cohort in school year 11 and school year 13
    – 2016/2017 whole birth cohort in school year 11* and school year 13 (*if this cohort is previously unvaccinated with MenACWY ie received MenC in year 9).
    N.B. Whole birth cohorts for school years is not restricted to those in school or full-time education but refers to those eligible for the vaccine using school years to define the cohort (see table below).
Birth Cohort Class year in 2014/15 Class year in 2015/16 Class year in 2016/17
1 Sep 2002 to 31 Aug 2003 ———– ———– Year 9
1 Sep 2001 to 31 Aug 2002 ———– Year 9 Year 10
1 Sep 2000 to 31 Aug 2001 Year 9 Year 10 Year 11
1 Sep 1999 to 31 Aug 2000 Year 10 Year 11 Year 12
1 Sep 1998 to 31 Aug 1999 Year 11 Year 12 Year 13
1 Sep 1997 to 31 Aug 1998 Year 12 Year 13 ———–
1 Sep 1996 to 31 Aug 1997 Year 13 ———– ———–

Well-Baby Clinic

Vaccinations and baby checks are undertaken at the surgery by nurses and a doctor respectively. Unfortunately, due to a lack of adequate space, the Health Visitors hold a separate session weekly on a Wednesday morning at Danson Youth Centre, where they offer health advice for you and your child, and weight measurement.

Please remember to bring your child’s red book with you to any appointment.

Vaccinations cannot be given without it.

NHS Health Checks

The surgery runs flexible NHS Health Checks.

Please book these with Debi Dolby, Healthcare Clinician through Reception.

Checks include blood pressure monitoring, weight/height/BMI measurement, smoking cessation/alcohol advice, and arrangement of blood tests for cholesterol, glucose and other relevant tests including PSA for men if appropriate. You will also receive a cardiovascular disease risk assessment.

Kathy Taylor, Practice Nurse carries out cervical smear tests by appointment and gives advice on breast self-examination.

Under 20’s

Find out information on Contraception, Drugs and Alcohol advice and more here…