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Advice for people at higher risk from COVID-19, including people with health conditions and pregnant women.
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Nunwell Surgery10 Pump StreetBromyardHerefordshire, HR7 4BZTel: 01885 483412
PLEASE SEE THE HOME PAGE FOR APPOINTMENT INFORMATION DURING THE COVID-19 PANDEMIC - We are continuing to see patients for routine nursing appointments to monitor health conditions and provide nursing care and many of the services below - it is particularly important that patients continue to attend for vaccination and immunisation and screening services - all appointments will be carried out with strict infection control procedures in place.
We are currently only offering travel vaccinations available on the NHS where we have capacity
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will initially be a telephone consultation - please tell the receptionist what your appointment is for so that you can be directed to an appropriate person. You will need to tell the nurse which countries and areas within countries that you are visiting to determine what vaccinations are required.
There is further information about countries and vaccinations required on the links below:
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
Services that may require a fee include:
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website.
Evidence that you are sick
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
Statement of Fitness for Work - ’Fit Note'
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see the DirectGov website
If you are requesting a fitness for work certificate for an ongoing condition, you must request this in a timely manner as your usual GP will usually need to complete this. You are responsible for making sure you have this in good time as we do not treat these requests as an urgent matter for our doctors to deal with.
Cervical screening, or the “smear test”, is a routine health check that identifies potentially harmful cells and changes on the cervix. Cervical screening is not a test for cancer but catching any changes early can reduce your risk of developing cervical cancer. Cervical cancer kills two women every day. Regular screenings can help reduce that number, which is why it’s so important you attend your screening when invited.
If you are a woman, or someone with a cervix, you will be invited for cervical screening at regular intervals:
It is advisable you have regular cervical screenings, but ultimately, it is your choice whether you attend.
Your screening will only take a minute or two, the whole appointment usually takes around ten minutes. During your screening a nurse will give you a private space in which to undress from the waist down. They will also give you a paper sheet to cover yourself and will ask you to lie on the bed. They’ll then place a speculum (a hollow cylinder with a rounded edge) in your vagina. This helps them see your cervix. Then, using a small brush, they’ll gently gather some cells from your cervix. They’ll remove the speculum, put your sample in a pot and send it off for testing. You’ll get your results around two weeks later.
Your nurse is there to answer any questions or concerns you may have before your appointment, so please talk to them if you’re feeling nervous. There are also a range of things you can do to put yourself at ease during your screening:
If you’re due to have a cervical screening, you’ll receive a letter in the post. Don’t ignore it, book your cervical screening today.
If you missed your previous screening, please contact us and we will book you an appointment.
If you are due a cervical screening you can book an appointment with our reception on 01885 483412 or you can book online with Patient Access or on the NHS app by choosing the appointment type ‘Cervical Smear’.
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