Clinics & Services

Medical examinations for insurance policies, HGV or PSV drivers, elderly drivers, sub-aqua purposes etc, can be arranged by appointment. As these invariably do not come under your doctor’s terms of NHS service, a fee will be charged.

Every patient registering with Crystal Peak Medical Centre will have the opportunity of a new patient consultation. The appointment gives you a chance to meet us, have your health checked and bring to light any ongoing medical problems or important past medical history, including continuing your medication. Your appointment may be with your doctor, a practice nurse or the Health Care Assistant.

All women aged 25 – 65, who have ever been sexually active need a regular cervical smear test detect any early changes that might lead to cancer later on. The CCG invites patients on a routine basis for a cervical smear, blood pressure check, urine test and teaching on breast self-awareness. The routine appointments are offered as follows:

• Women aged 25 – 49 years – once every 3 years
• Women aged 50 – 65 years – once every 5 years

Health Visitors
Health Visitors are available to monitor the growth and well being of children and to give support and advice to parents on issues such as feeding, development, sleeping and behavioural problems. They are a knowledgeable point of contact and can direct you to other services and agencies if appropriate.

Infants and children up to 5yo are seen by appointment in the Health Visitor clinics which are held weekly at the local Shortbrook Family Hub.

Teenagers
We would generally prefer a parent or guardian to attend with a child or teenager. However there are circumstances when a teenager may wish to be seen alone, for confidentiality reasons. Hence we will see those 13 and over unaccompanied, but depending on the problem, they may be asked to re-consult with a parent or guardian

We are committed to helping those who wish to obtain help with smoking cessation.

Our practice policy is based on both the local Yorkshire SmokeFree and NICE (National Institute for Clinical Excellence) Guidelines and is updated annually

There are several ways you can get help:

• Direct self-referral to Yorkshire Smokefree by telephoning: 01145536296/ 07833048200 or text ‘YSF’ to 80800
• Yan can visit Yorkshire SmokeFree website for further information: NHS Stop Smoking Service – Yorkshire Smokefree
• Make an appointment to see either a Practice Nurse or GP at the practice. We will generally encourage you to obtain behavioural support, as this improves your chances of quitting. However this is NOT an absolute pre-requisite for obtaining smoking cessation aids on prescription, and this depends on personal circumstances
• Approach your local Pharmacist

Self care is about looking after yourself in a healthy way. It can be anything from brushing your teeth, doing some exercise, managing common conditions (like headaches, colds and flu) or living with a long-term health problem, such as asthma or diabetes.

As a Self Care Aware practice we are here to help you feel able to look after your own health when it is right for you. So, when you come in for a consultation, the doctors, nurses and healthcare assistants in this practice will talk to you about what you can do to help maintain and improve your health.

If you would like further information of any of the below conditions, please follow the link at the bottom of the page to retrieve guidance on self care:

• Low Back Pain
• Eczema
• Heartburn and indigestion
• Fever in children
• Constipation
• Headache and migraine
• Coughs
• Acne
• Sprains and strains
• Sore throats
• Otitis media
• Common cold
• Sinusitis
• Urinary symptoms in men

http://www.selfcareforum.org/fact-sheets/

If you are travelling abroad over the coming months and think you may need some travel vaccinations, please complete the form below and return to the surgery. Once handed in to reception, please contact the surgery after 1 week to find out if you need any vaccinations and book an appointment if necessary.

Travel Vaccination Form

We offer NHS Health Checks to patients aged 40-74 years that have not previously been diagnosed with a long term condition. Please follow the link below for further information and to find out if you will be eligible.

NHS Health Checks – Primary Care Sheffield

We think it is important to see our diabetic patients at regular intervals in a structured clinic involving both nurse and doctor.

Why?
You understand your diabetes better and therefore manage it more successfully.
You get the opportunity to ask questions and discuss your worries.
Regular monitoring of your diabetes enables us to get the best control of your blood sugar. Regular monitoring of your diabetes ensures that complications are picked up early.

What happens at the clinic?

• Dietary advice
• Advice on home monitoring of your blood sugar
• Examination to check blood pressure etc
• Blood and urine tests
• Review of your blood sugar control and your medication

National Diabetes Audit

Crystal Peaks Medical Centre are taking part in an important national project about diabetes care and treatment in the NHS. The project is called the National Diabetes Audit (NDA). We will share information about your care and treatment with the NDA but it is controlled by law and enforced by strict rules of confidentiality and security. The NDA will only receive your NHS Number, DOB and postcode.

If you do not want your information to be used, please contact reception.

We will check your blood pressure as often as necessary either during a surgery attendance or when you see the Practice Nurse/ Health Care Assistant. If hypertension (high blood pressure) is diagnosed then we might prescribe some routine blood pressure treatment. Before starting on treatment which may be lifelong, we take great care that treatment is indicated. It is very sensible when attending for a blood pressure measurement to sit quietly in the waiting room for ten minutes or so to allow the pressure to settle. This might help in reducing “white coat” hypertension which we all suffer from in a greater or lesser degree

Lifestyle

We would always advise dietary means of reducing blood pressure along with regular exercise. Your doctor might give you a handout with suggestions to consider and follow. Needless to say, cessation of smoking, reduction of weight and a reduction in alcohol intake to the recommended limits are often all that is needed to reduce blood pressure successfully along with some regular exercise. Increasingly the role of salt in the diet is becoming a factor and pressure groups are encouraging supermarkets to add less salt to the processed food. All persons and especially hypertensives should be encouraged to stop all added salt with their food especially at the table. A salt substitute may be helpful in reducing the intake of salt although occasionally this has been known to be a cause of an excess of potassium in the blood.

Blood pressure monitors

To help with the diagnosis of hypertension, the practice has purchased several blood pressure monitors, which we will loan to patients for home monitoring- when suggested by one of the GPs or nurses (£20 deposit required-the Health Care Assistant will show you how to use it). We also have regular checks on the blood pressure machines that we use in the surgery.

More and more people wish to monitor their BP at home, and we are happy to support you in this, as long as we agree on some basic “rules”, so we know that this process is a fair representation of the situation.

Firstly, we do not recommend wrist-monitors, and we would ideally like you to use monitors validated by the British Hypertension Society. If not, we would like you to bring your monitor to surgery so we can test it alongside our readings.

Secondly, you must be able to fit the cuff appropriately, ensuring it is of the correct size for the arm, and to know that the cuff should be approximately level with the heart, with the arm supported and that you are seated with your legs uncrossed, having sat rested for at least 3 minutes.

Thirdly, we would like to see an average of 2 readings in the morning and 2 readings in the evening, over 7 days, with the 1st day’s readings discarded from the calculation. There should ideally be a gap of 3 minutes between readings. The target (unless you are also diabetic or have kidney disease) would be for the AVERAGE to be less than 135/85. This means that both the systolic (top figure) has to be less than 135, AND the diastolic (bottom figure) has to be less than 85. Once BP is controlled to this level, with titration of medication and lifestyle change, then this process really only needs to be repeated every 6 months.

The Practice Nurse/ Health Care Assistant will also monitor blood pressures during the normal surgeries. The frequency of these checks depends upon many factors but we would wish all patients on medication to have at least an annual check of their blood pressure. Certain drugs will need a regular blood test to monitor any side effects.

British Hypertensive Society – This site has useful information including approved monitors.

Ultrasound Scans

Your partner can be present for routine scans. A nuchal translucency scan is usually undertaken from 10 weeks pregnant (remember the convention is that the weeks are counted from the 1st day of your last period, not from the actual fertilisation date, which for most women will be sometime around day 14, day 1 being the 1st day of the period). A further dating scan may also be done at 12 weeks or more. If you require a more specialist scan, the radiologist may request your partner to wait outside in order to ensure optimum conditions for the procedure.

Screening for Down’s Syndrome, Spina Bifida and other anomalies. Maternal serum screening (MSS) in the form of a blood test is offered at 16 weeks. An anomaly scan is available at 20 weeks.

Folic Acid

It is recommended that folic acid in a dose of 400 mcgms be taken before conception and for 12 weeks after conception. This has been found to be beneficial to the normal development of the foetus. A prescription can be obtained from your doctor but as you will be required to pay a prescription charge for it at the chemist, it may be cheaper to purchase over the counter. The important information is to take folic acid before conception rather than when you get a positive pregnancy test. If you are on treatment for epilepsy, you will be advised to take a higher dose.

Our service

We offer shared antenatal care: shared between the midwife, doctor and hospital. The current system is that your “booking” (letting a health care professional know you are expecting and planning your pregnancy care and likely delivery date), is now done directly with the midwife via self referral.  Only patients with a Sheffield address or GP will be able to use this service. You need to complete the self referral form by visiting the Jessop Wing website: Jessop Wing. If this is an unwanted pregnancy you will need to see a Dr. Because nuchal translucency scans are now offered through NHS Sheffield, it is important that you “book” earlier than has been the case in the past; ideally by 8 weeks, so your nuchal translucency scan can be arranged within the next 2-4 weeks.

 

A note about weeks of pregnancy might be helpful.  If your menstrual cycle is a regular 28 days then the pregnancy is counted from the first day of your last menstrual period. Obviously you could not be pregnant then, (usually release of the egg takes place half way through the 28 days cycle) but a pregnancy “lasts” 280 days from the LMP, unless the cycle is longer than 28 days then the additional days are added to 280 to give the expected date of delivery. Ultrasound scanning is now so accurate and routine that this is usually used to confirm the duration of the pregnancy. Any gestation between 37 and 42 weeks is considered within the normal range.

Outlined below is the usual schedule for your antenatal care. This is for low risk pregnancies and may change depending upon circumstances.

Weeks
5-6	Pregnancy confirmed
8+	Home visit from midwife to include routine blood tests
12	Dating and or Nuchal Translucency scan at RVI
16	Antenatal clinic at surgery with blood results. Maternal serum screening if requested after counselling
20	Anomaly scan
25	Antenatal clinic for first pregnancy
28	Antenatal clinic including blood tests and infant feeding plan
31	Review care if first pregnancy and blood results
34	Antenatal clinic
36	Antenatal clinic
38	Antenatal clinic
40	Antenatal clinic
41	If you have not delivered, midwife will usually visit to discuss date for induction of labour and offer a membrane sweep

Please inform the surgery when you are discharged from hospital after the delivery of your baby.

After delivery the community midwife will visit regularly until she is satisfied that all is well. Our health visitor will contact you after this to discuss vaccinations and any other problems.

A postnatal check with your doctor is recommended between 6 and 8 weeks after delivery. This gives an opportunity to discuss any problems and future contraception.

Dr Davison undertakes Minor Surgery sessions. There are approximately one per month. You may see any Dr to discuss any medical condition, but if minor surgery is suggested and you wish to proceed, sometimes you may be asked to see Dr Davison, to discuss the matter in more detail, before proceeding.

Please note that funding for “cosmetic” surgery is extremely limited and generally only granted if their are special circumstances, following an appeal to the Individual Funding Requests Panel, of the CCG. Therefore, skin tags blemishes and moles, which are not causing functional impairment, or are not considered pathological, cannot be removed on the NHS.

Some of the typical operations that are undertaken are as follows:

-Ingrowing toenails
-Sebaceous cysts
-Incision and drainage of abscesses (tends to be done ad-hoc as they present, unless they are too large to manage under local anaesthetic)
-Lipomas, where causing functional impairment
-Punch biopsies to clarify diagnosis
-Shave excision of seborrheic warts, where causing functional problem
-Suspected dysplastic naevi (not suspected melanomas, which are referred to a Dermatologist)
-In severe cases, where medical treatment has failed and there are e.g. occupational implications, curettage of warts.

Additionally, cryotherapy to warts and seborrheic warts and skin tags may be offered in normal surgery appointments, in selected cases, if appropriate by Dr Davison.

You will require a referral from a GP in order to be referred to the Musculoskeletal Service (MSK Service). The service offer physiotherapy appointments, orthopaedic appointments and other specialist services.

Once the referral has been received, MSK Services will contact you via telephone to discuss with you which service is best for you and will ask where you would like to be seen and offer you an appointment. There are dozens of different sites across the city that you can choose to be treated.

One of the commonest reasons for referral to Physiotherapy is back problems. It is very worthwhile visiting the following website for tips and advice on back pain:

Back pain – Sheffield Aches and Pains – Patients

We offer a range of contraceptive services for our patients. Dr. Callow provides IUD/IUS fittings during dedicated clinics held approximately every six weeks. Both Dr. Callow and Dr. Davison are trained to fit and remove contraceptive implants.

If you are interested in accessing any of these services, please contact our reception team for more information or to arrange an appointment.

We often receive requests to prescribe over-the-counter medicines such as paracetamol, ibuprofen, antihistamines, or teething gels for children attending nurseries or schools. These are generally not appropriate for a GP prescription, as national guidance recommends that these items should be supplied and administered by parents or carers.

Why GPs Do Not Prescribe OTC Medicines for School Use

According to NHS and Department of Health guidance — supported by the British Medical Association (BMA) — GPs are not obliged to issue prescriptions for medications that are available to buy without a prescription, even if a school or nursery requests one.

Many OTC medicines are available for a low cost at pharmacies and supermarkets, and schools or early years settings should have policies in place to safely administer them if needed.

Here is the link to read further information on the BMA website: Prescribing over-the-counter medicines in nurseries and schools

What Parents Should Do

If your child needs OTC medication while at school or nursery:

• You can supply the medicine directly to the school or nursery, clearly labelled with your child’s name and dosage instructions.
• You should complete a parental consent form for the school or setting to give the medication as needed.
• This includes common items such as calpol, antihistamines, teething gels, and topical creams.

Schools and nurseries are advised to follow the Department for Education’s statutory guidance for supporting pupils with medical conditions.

When Might a Prescription Be Appropriate?

In general, GPs will not issue prescriptions for medications that are:

• Used for short-term relief (such as teething, fever, hay fever or cold symptoms).
• Available to buy over the counter.

However, prescriptions may be appropriate if your child:

• Has a long-term condition that requires regular medication (e.g., asthma, epilepsy).
• Needs a medicine not available over the counter or that requires special licensing or monitoring.
• Has a specific clinical need that has been assessed and discussed with their GP.

Schools and nurseries have a responsibility to ensure safe administering and storage of medicines.

Key Takeaways for Parents

• You can supply OTC medication to school/nursery yourself.
• A prescription is not needed for short-term use of common medicines.
• Complete the school’s permission form with clear instructions.
• GPs are not required to prescribe OTC medicines just because the school requests it.

If you are unsure about your child’s symptoms or which medicines are appropriate, you can contact your local pharmacy or speak with us for clinical advice.

As part of the Townships 1 PCN,  we offer a Listening Service that our reception team can directly book you into. This Listening Service runs at different practices within the network. The Listening Service is to enable you to offload and ‘get out’ what’s ‘held in’. It helps identify your feeling, help you clarify your thinking and help you see the situation differently. The Listening Service enables you to identify support you may need and/or action you want to take. These appointments can be face to face or over the telephone.

Sheffield Talking Therapies is another option for patient, Sheffield Talking Therapies is a self-referral service. You can self-refer using their online referral form. Or you can call them on 0114 226 4380 and speak to their friendly admin team.

You can also book an appointment with the GP at the surgery to discuss.

If you would like a chaperone to be present during your appointment, please let us know at the time of booking. If, during your appointment, you decide that you would like a chaperone, you may request one at any time. During certain examinations, your clinician may also offer you the presence of a chaperone.

All members of our staff team are DBS-checked and have up-to-date chaperone training.