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For more information on the service please click here

Child hood Immunisations

Our child immunisation clinics are run by our practice nurses and take place on a Wednesday morning for full details of the immunisation schedule and for more information: Vaccination schedule . Your child will be sent a letter by Public Health advising you of this schedule and the actions you need to take.

Contraception

We offer a number of services regarding contraception including ‘pill checks’ with our nursing staff who can also offer advice on a variety of different contraceptive measures. Our nursing staff perform depo injections and contraceptive implant insertion can be arranged with our doctors.

For more detailed information on possible contraceptive measures visit: Patient information leaflets and booklets

Coils including mirena coils can be organised by our local sexual health clinic:Sexual health details

Wound Care 

Our Practice Nurses and Assistant Practitioner offer appointments for wound care after you have had a procedure. This ranges from simple removal of sutures to regular management of wound dressing and ulcer dressing management.  Please contact reception to book into these appointments. A call back may be required by one of the nursing team to establish your exact requirements.

Ear Syringing

Why might you require your ears syringing?

If there is a build-up of wax in your ear(s) please read the following self-help guide as you may not need an appointment.

What is ear wax?

Ear diagramEar wax is normal and is produced to form a protective coating over the skin in the ear canal. Ears are normally self-cleaning – the movement of your jaw whilst eating and talking helps to move the wax along the canal where it will usually fall out naturally without you noticing.

Why is my ear blocked with wax?

The amount of ear wax produced varies from person to person; some people produce excessive amounts which can lead to a blockage in the ear canal.
 
You are more likely to develop a blockage of wax in the canal if you:

  • use cotton ear buds to clean the ear as this pushes the wax deeper into the canal
  • wear a hearing aid, ear plugs or use in-ear speakers for i-pods or similar - as these can all interfere with the natural process of wax expulsion
  • have abnormally narrow ear canals
  • have a particularly hairy ear canal
  • are elderly – because the ear wax you produce is drier and harder
  • have a dry skin problem such as eczema or psoriasis

Advice to help you manage and prevent ear wax blockage

Ear wax only becomes a problem if it causes deafness, discomfort or if your Health professional requires a clear view or your ear drum.

If you experience any of the following, you should seek advice from your GP or Nurse Practitioner at Park Lane Surgery:

  • pain
  • discharge or bleeding from the ear
  • sudden deafness or buzzing
  • foreign bodies in the ear
  • dizziness

If you are not experiencing any of the above, we recommend that you manage the blockage as below:

Olive Oil Drops  
The following needs to be done 2 3 times daily for 14 days.

  • Lie on your side with the affected ear uppermost
  • Pull the outer ear gently backwards and upwards to straighten the ear canal
  • Put 2-3 drops of olive oil into the affected ear(s) and gently massage just in front of the ear
  • Stay laying on your side to allow the wax to soak in for around 10 mins
  • Afterwards, wipe away any excess oil but do not plug your ear with cotton wool as this simply absorbs the oil

Your hearing problem may initially worsen after first starting to use the olive oil drops; this is why we advise you to concentrate on treating one ear at a time if both ears are blocked with wax.

In most cases, after 14 days, the wax will have softened sufficiently to encourage the wax to come out without further intervention.  However, if you feel your hearing is still impaired, please make an appointment with the practice nurse for further advice and management.

Ear Syringing – is only usually considered if the above recommendations have proved to be unsuccessful. Ear wax needs to be softened as above for 5-7 days before attempting to syringe. Although the risks are low and our nurses are specially trained to perform this procedure, there is still a small chance (thought to be around 1 in 1000) of complications occurring - such as a perforated ear drum, middle ear infection, external canal infection or causing ringing in the ear (tinnitus).

If your ears are regularly becoming blocked with wax, after clearing the blockage we will usually suggest you use olive oil drops as above around once per week to keep the wax soft and encourage the natural process of wax expulsion.

In order to organise ear syringing you will need to make a routine appointment with our practice nurse. Prior to this appointment please use olive oil or eardrops to your ear to soften the wax for 10 days in order to make the procedure as pain free and successful as possible.

Travel Vaccinations

global air travel

If you think you may require vaccinations relating to foreign travel you need to make a travel appointment with the practice nurse to discuss your travel arrangements. This will include 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 

Europe Europe & RussiaNorth America North America
Central America Central AmericaSouth America South America
Caribbean CaribbeanAfrica Africa
Middle East Middle EastCentral Asia Central Asia
East Asia East AsiaAustralasia  Australasia and Pacific

It is important to make this initial appointment as early as possible - If possible book an appointment 4 weeks ahead of the date you wish to travel and complete the travel questionnaire below.

We will review questionnaire and ONLY contact you if you DON'T need the appointment as you may be sufficiently covered for all vaccinations that the country specifies.

If you are travelling sooner than 4 weeks still do all of the above however you may not have enough time to seek private vaccinations if required.

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 one of our nurses.

 Travel Questionnaire

Travelling in Europe

If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)

 
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