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St Andrew's SurgerySouthover RoadLewesEast Sussex, BN7 1USTel: 01273 476216
NEWS FLASH!!! (11.05.2020) - Update following the announcement regarding the closure of St Andrew's Surgery during the current pandemic. We are now looking to offer a small number of pre-booked Nurse appointments. These will mainly be offered to vulnerable patients, but will include some routine procedures moving forward.
For staff and patient safety the site will still remain closed to walk in enquiries. Please contact the surgery by phone in the usual way (01273 476216) or online. For more details see below.
The practice nurses provide essential additional services to the healthcare we offer by carrying out the following:
The surgery also provides ECGs, spirometry, anti coagulation monitoring, ear syringing and all contraceptive services.
Appointments to see the nurses or health care assistant may be booked at reception.
As well as assisting the practice nurses, the healthcare assistant is responsible for:
All our doctors are on the East Sussex Brighton and Hove Health Authority’s approved list for Maternity Services. Care is shared with the hospital consultant and our attached midwife.
Most of your ante and post-natal care will be carried out either in the surgery by your doctor or at The Children's Centre in Malling Community Centre, Malling by the midwife.
You will see the consultant and have any necessary scans at Victoria Hospital. Most babies in this area are delivered at Royal Sussex County Hospital in Brighton, but some from this Practice are born at home.
These are provided at regular intervals by the doctors, health visitors and the practice nurse. The screening checks monitor growth, development and the wellbeing of children.
It is very important for children to be immunised against childhood ilnesses. If you have any questions about immunisations, please discuss them with your doctor.
You will receive an appointment when your child’s immunisations are due.
Available to all women and performed by the doctor or practice nurse. These are normally performed every three years but more frequently in certain cases.
These include clinics for asthma, hypertension, diabetes and coronary heart disease.
An asthma nurse specialist holds a weekly clinic for asthma sufferers. Patients are either referred by one of the doctors or invited to attend as part of a routine review of medication.
Patients with diabetes are monitored by the doctor and practice nurse at regular intervals in order to prevent long term complications of the illness. A diabetic nurse specialist holds a monthly clinic at the surgery.
Flu vaccinations are usually given annually in the autumn to those groups of patients who may be at risk, such as the elderly or those suffering from heart or chest conditions. If you feel that you need a flu vaccination, please discuss it with your doctor.
Certain procedures can be undertaken at the surgery and are arranged after an initial assessment by your doctor.
The National Health Service provides most health care to most people free of charge, but there are exceptions:
Prescription charges still exist in England and there is a number of other services for which fees are charged.
Sometimes the charge is made because the service is not covered by the NHS, e.g. medical reports for insurance companies, claim forms for referral for private care, letters and forms which require the doctor to review the patient's medical records, etc.
If you are booking a medical please tell the receptionist when booking so that a longer appointment can be allocated. Some medicals will need to be carried out by a GP other than your own. A charge may apply for certain medicals which can only be booked privately, such as employment and insurance medicals as well as for other items such as certain travel vaccinations.
Your Questions answered:
Surely the doctor is being paid anyway?
It is important to understand that GPs are not employed by the NHS. They are self-employed, and they have to cover their costs - staff, buildings, heating, lighting etc - in the same way as any small business. The NHS pays the doctor for specific NHS work, but for non-NHS work the fee has to cover the doctor's costs.
What is covered by the NHS and what is not?
The government's contract with GPs covers medical services to NHS patients. In recent years, more and more organisations have been involving doctors in a whole range of non-medical work. Examples of non-NHS services for which GPs at St Andrew’s charge their NHS patients are:
Certain travel vaccinationsPrivate medical insurance reportsHoliday cancellation claim formsReferral for private care forms
To whom it may concern / ad hoc letters
Examples of non-NHS services for which GPs at St Andrew’s charge other institutions are:
Medical reports for an insurance companySome reports for the DSS/Benefits AgencyExaminations of local authority employees
Why does it sometimes take my GP a long time to complete my form?
Time spent completing forms and preparing reports takes the GP away from the medical care of his/her patients. GPs have a very heavy workload and paperwork takes up an increasing amount of their time.
Do not expect your GP to process forms overnight. Urgent requests may mean that a doctor has to make special arrangements to process the form quickly and this will cost more.
I only need the doctor's signature!
When doctors sign a certificate or complete a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. Therefore, in order to complete even the simplest of forms, the doctor needs to check the patient's medical record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police. The charge reflects either the time required to check information and/or the degree of responsibility in signing the document. If a form is required urgently (e.g. within 48 hours) then this will increase the charge.
What will I be charged?
The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up to the individual practice to decide how much to charge, but the BMA produces lists of suggested fees for the doctors to use as a guideline.
Charges at St Andrew’s Surgery
At St Andrew’s we have a list of fees displayed at reception.In the past we have completed reports and forms before payment has been made, but have sadly found there to be many occasions when the doctor has given up the time to do the work, but the fee has not been forthcoming. Therefore the fee must be paid in advance at the time the request for the letter or form to be completed is made or when the appointment for a medical is booked.
WE CANNOT MAKE EXCEPTIONS.
What can be done to avoid charges?
Not all documents need to be signed by a doctor. For example, you could ask another person in a position of trust, who may be willing to sign a passport application free of charge. Possibly a teacher, an accountant, etc. including those who are retired.
For a full price list of Non-NHS fees please click on the link below.
Non NHS Fees
If you are thinking about having a coil fitted there are a few things that you will need to do before you can have this procedure done:
If you do not adhere to the guidance above, the GP may not be able to proceed with the fitting on the day.
Pre coil information
After your coil fitting information leaflet
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