Our Services

Clinics & Services

Our aim is to provide healthcare for all our patients and give advice on a healthy lifestyle. The following clinics are held at Lansdowne Surgery. Please make an appointment with a healthcare clinician.

• Coil and Implant insertion and removal
• Travel Advice
• Smoking Cessation
• Blood Pressure
• Family Planning
• Cytology
• Menopause HRT
• Child Immunisation
• Diabetes
• Counselling Services
• Maternity Service – the midwives provide antenatal clinics on Thursday between 1.30-15.45pm by appointment. Midwives will visit patients in their home before and after delivery of their babies.
• New Patient Medicals
• Spirometry
• Asthma
• Coronary Heart Disease

Baby Clinic and Immunisation Clinic

A health visitor and practice nurse are all available for advice on Tuesday afternoons between 1.30pm and 3pm. Immunisations are performed during this clinic and routine child health examinations are carried out. If your baby is unwell, please bring them to regular surgery.

Minor Surgery

Minor surgery is conducted in our specially designed Minor Surgery room. Dr Lucy Downing is qualified to perform minor surgery such as removal of skin lumps, bumps and warts and injection of joints. Please telephone for a consultation with the doctors who will then schedule a session for surgery.

Travel Vaccinations

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements at least 8 weeks prior to travel. PLEASE BE AWARE YOU WILL NEED TO PAY FOR CERTAIN VACCINES. There is further information about countries and vaccinations required on the links below:

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

It is important to make this initial appointment as early as possible, at least 8 weeks before you travel as vaccines may need to be ordered, and a second appointment will be required with the practice nurse to actually receive the vaccinations. 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.

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Travel Health Questionnaire To help us offer the appropriate advice, please fill out the form below and drop into the surgery at least 8 weeks before you are due to depart, this will enable one of our nurses to complete as assessment and order the vaccines. For complex needs such as those with chronic conditions, children or extended travel please submit earlier.  Please be aware vaccines can take many months to become effective.  Travel Assessment Form for Download

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Travelling in Europe If you are travelling to Europe the EU has published useful information for travellers on the European website.

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

• Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
• Insurance claim forms
• Holiday cancellation
• Welsh Water discount
• Passport signing
• Prescriptions for taking medication abroad
• Private sick notes
• Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability. For full list of costs please click the link below Full list of Non-NHS fees These services may take up to 28 days to complete.

Physiotherapy Clinic

Private Physiotherapist David Bolwell BSc (Hons) CSP, AACP, OCPPP is holding clinics at the Practice. For further information and to book an appointment please contact him directly: Mobile number: 07985158808 Email: davidbolwell@physiofirst.org.uk Web: www.Dbphysiotherapy.com Comprehensive assessment and treatment of:

• Sports injuries and post surgery rehabilitation
• Back, Neck and sciatica pain
• Whiplash injuries
• All muscle and joint conditions
• Acupuncture treatment
• Sports massage

Discount for Village Hotel Members Recognised by all major insurance companies

Test Results

Please ring for test results between 11.00am  – 1.00pm Monday to Friday. Test results are normally received back from the laboratory within one week, however more complicated tests can take longer. The doctors’ secretaries or Practice Nurse can give the results of tests to you. Note that the practice has a strict policy regarding confidentiality and data protection and we will only give you the results of your own tests, unless the patient has given prior permission for the release of this data or they are not capable of understanding the results.

Blood Tests

A blood test is when a sample of blood is taken for testing in a laboratory. Blood tests have a wide range of uses and are one of the most common types of medical test. For example, a blood test can be used to:

• assess your general state of health
• confirm the presence of a bacterial or viral infection
• see how well certain organs, such as the liver and kidneys, are functioning

A blood test usually involves the phlebotomist taking a blood sample from a blood vessel in your arm. and the usual place for a sample is the inside of the elbow or wrist, where the veins are relatively close to the surface. Blood samples from children are most commonly taken from the back of the hand. The child’s hand will be anaesthetised (numbed) with a special cream before the sample is taken. You can find out more about blood tests, their purpose and the way they are performed on the NHS Choices website.

Contraception

Meddygfa Lansdowne Surgery offers the contraceptive injection and the contraceptive pill. Contraceptive Coils and Implants (Known as LARCs – Long Active Reversible Contraception). If you wish to have a contraceptive coil or implant fitted, make an appointment with the nurse or a doctor at Meddygfa Lansdowne Surgery they will then counsel you on the types of contraception available. You will then be booked in to one of the Coil/Implant Clinics with the doctor. Please ask reception if more information is required.

Sickness Certificates

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). Your employer can ask you to confirm that you’ve been ill. You can do this by filling in a form yourself when you return to work. This is called self-certification. If you’re sick and off work for more than seven days, your employer will probably ask for proof of your illness. Most employers ask for a fit note from your GP. However, this will also depend on your employer’s company policy on sick leave (or sickness absence). This policy should tell you how many days you can be off sick before you need to provide proof of illness or a fit note. 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.z