Camillus Health Care LtdTel: 0118 935 2121
9 Eldon SquareTel: 0118 957 4891
A range of services are provided to help you maintain your health. When you first register with us, we may invite you to a New Patient Medical, which is a ten minute check up carried out by our nurses/HCAs. To monitor your health our Well Woman and Well Man appointments (referred to as our MOT appointments) provide patients between 16 and 75 with a screening service aimed at reducing the risk of heart disease and strokes and other lifestyle related conditions.
The over 75s can make arrangements for a health check either at home if unwell or too frail, or at the surgery if well enough to attend. For those traveling abroad do remember Travel Vaccinations and advice are available from our practice nurses. Do ensure you leave enough time to complete a vaccination course prior to commencing your journey for maximum benefit and protection.
For patients with long term conditions such as hypertension, diabetes and asthma, regular checks with the doctor, nurse or HCA are advised. We believe that such patients should be active in their own care so we offer information, monitoring and provide, where appropriate, access to specialist services.
Those combating depression or anxiety can be referred for counselling once assessed by the G.P. or can self refer for consideration of psychological intervention by calling IAPTS on 0118 - 976 - 9129.
We have specialised equipment aimed at making timely and accurate diagnoses of certain problems. Dr Gerard D’Cruz can offer patients an examination using ultrasound at the Eldon Square site to help aid diagnosis in some conditions & monitor antenatal progress.
Details about Child Health Clinics can be obtained from the Health Visitors on 0118 9374457. Clinicians at Pembroke Surgery have additional child health surveillance qualifications, and they oversee any Child Development Appointments. An initial first examination will be routinely carried out at eight weeks of age. Invitations to attend further routine checks with our health visitor or doctor will be sent to you when your child reaches the appropriate age. HVs manage infants with feeding problems.
We provide a full range of immunisations for all key stages in your child’s life. These start at eight weeks of age and continue up to their eighteenth year. Any concerns about immunisations should be discussed with the health visitor or practice nurse. A list for routine immunisations and age by which they should be given, can be obtained from reception.
The surgery provides routine cervical screening and advice on the full range of contraceptive options is available from any of our doctors or nurses. Long acting contraceptive implants can be fitted and removed on site and we also have access to local surgery based coil fitting services.
Maternity care is provided by all our doctors and we have a practice based midwife at our Alexandra Road site. Referrals to a consultant obstetrician are made if required and most deliveries take place at the Royal Berkshire Hospital. Home deliveries can be supported by the community midwives where medically safe to consider doing so. Please contact the health visitors, based at Hamilton Road Children’s Centre on 01189374457, for details on postnatal group for new mums.
Prevention is far better than cure. Many serious conditions can be prevented by a healthy lifestyle reducing the need for drugs. For this reason, we strongly support the emphasis and trend towards health education and self-reliance.
Often each individual can take more responsibility for his or her own state of health. Our doctors and in particular our practice nurses are always ready to offer help and encouragement. Our Health Care Assistants also have completed smoking cessation courses to try and help patients quit smoking.
The surgery offers influenza, pneumococcal, hepatitis and other vaccinations to those at risk. Other individuals seeking immunization may need to first discuss this with a clinician.
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 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
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 Practice Nurse or print the Pembroke printable version and bring this to the appointment.
Travel Questionnaire Printable Pembroke Travel Assessment Form
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)
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. The surgery has a template letter we provide to our patients that can be given to your employer should they request a sickness certificate for a period of sickness of less then seven days duration.
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.
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 (where this information was sourced)
The NHS provides most healthcare to most people free of charge, but there are exceptions: prescription charges have exsisted since 1951 and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees; in other cases, it is because the service is not covered by the NHS, for example, providing copies of health records or producing medical reports for insurance companies.
It is important to understand that many 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 covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs. Also the GP's work in their own time (evenings/weekends) to complete these reports.
For further information on what constitutes Non NHS work and details on the costs and process of requesting copies of medical records please read the attached patient information leaflet:
Patient information on non NHS requests
Please see links to NHS Choices website relating to Non NHS Work and the associated fees charged by GP Practices.
NHS Choices Information for Patients Non NHS work
Non NHS work Fees guidance for patients
Please note that filling in the registration paperwork at another practice anywhere within the United Kingdom will automatically start the de-registration process once you have been added to their computer system. Our systems links will then automatically request we return your medical records to the Thames Valley Primary Care Agency for forwarding to your new practice. Please note this process can take up to 8 weeks.
For a small administrative cost (and following data protection guidelines) the surgery is able to provide patients with a computer printoff from your clinical records and copies of any relevant medical letters should you be undergoing specific treatments at the time of leaving.
Please inform us of this so we can update our records accordingly and please note that we can provide a computer printoff from your records/and letter copies as detailed above.
Whooping cough is a serious disease that can lead to pneumonia and permanent brain damage. Many babies with whooping cough will be admitted to hospital and they are at risk of dying from the disease. Deaths from whooping cough are rare in the UK but more babies have already died this year than in recent years.
Young babies are particularly at risk of serious disease and they remain vulnerable until they can be vaccinated against whooping cough from two months of age. You can help protect your unborn baby from getting whooping cough in its first weeks after birth by having the whooping cough vaccination while you are pregnant. You should have the vaccination even if you’ve been vaccinated before or have had whooping cough yourself.
The best time to get vaccinated to protect your baby is from week 28 to week 38 of your pregnancy – ideally between 28 and 32 weeks.
Talk to your midwife or GP and make an appointment to get vaccinated.
Your baby will still need to be vaccinated as normal when he or she reaches two months of age.
What are Patient On-line Services?
Patient Online services will give you the option to:
• Make appointments online
• Order repeat prescriptions online
• View your own medical record online
You will be able to complete these actions using a computer, tablet or smartphone rather than having to phone or visit your practice.
What are the benefits of online services?
Online services will allow you to book and cancel appointments or request repeat prescriptions at a time that is convenient to you – day or night. It can also mean not having to travel to the surgery and can free up phone lines for people without access to a computer.
Having access to records means, that you could be more in control of your health and well-being. This is particularly helpful for people who live with a long-term condition such as Diabetes that needs regular monitoring and frequent prescriptions.
Why is the NHS expanding Patient On line services?
The NHS has consulted with individual patients and patient groups over the last four years. Many patients have said that they want to see their records, want to be more involved in their own care and wish to be involved in deciding on the best way they are treated and cared for. Patient Online is part of making this happen. Online services are an additional way of accessing services for those patients who want it.
How can I get access to my GP Record?
The service becomes live after 1st April 2015. You will need to fill in the attached short registration form and bring it in person, with proof of your identity into your GP surgery. The surgery will then process your request and contact you via e-mail advising you on next steps to access your record.
(Photo ID required ideally a passport or Photo Driving licence)
Registration Form for online access to medical records
How can I be certain that no one else can get access to information from my GP record?
Only you will be given access to your record. When you sign-up to on-line access, you will be given a secure login and a password. These details are unique to you and, along with your personal information, will not be shared with anybody else unless you choose to let them see it. This is not different to how you would access other online services, for example banking.
Where is my information stored?
Patient information is stored within the IT system your general practice uses and within the practice paper records.
Will my carer be able to see my record?
If you want your carer to see your record this can usually be set up for you. Pleasecontact your practice to talk about what you need to do.
How will you avoid patients being forced or misled into providing access to their information?
GPs will look at each request for access to a record and do everything they can tomake sure they are genuine and not being made under pressure. Sometimes it is in the patient’s best interests for a relative or carer to have access and this is also something that will be looked at on a case by case basis at practice level.
GPs are able to refuse or withdraw access to a record if they have concerns.
If I don’t have a computer, tablet or smart phone what will it mean for me?
Online services are an extra option for those who wish to use them and will not replace other ways of contacting your practice such as by phone or in person. By freeing up phone lines and reducing the need for people to visit in person, it is hoped that patients who don’t have a computer will find it easier to contact their Practice.
Is there any help in getting started on the internet?
There are a number of different services for people who want to get onto the internet. Many are provide by local authorities, colleges and charities. The best place to start would be your local library. NHS England is also working with the Tinder Foundation on supporting people who want to make better use of the health information that is available on the internet. You can find out more on: www.tinderfoundation.org/what-we-do/uk-online-centres
For further information about Patient Online go to: www.england.nhs.uk/patientonline/
We have listened to your comments and questions recently about the developing roles of our new Prescribing Pharmacists, who are covering regular clinical sessions for us and some other local Reading Practices. For the full story see link below.
Meet the Pharmacists
patient quotation passed to the Practice Manager on 3rd May 2017. "Mr Rafiq and Mr Rashid have been excellent. The Appointments with both Mr Rashid and Mr Rafiq are changing my life for the better!"
Dr Gerard D'Cruz would like to extend his sincere thanks to all our patients who have been willing to allow GP Physician and Clinical Pharmacist Trainees to sit in on our surgery sessions with GPs and Prescribing Pharmacists and Nurse Practitioners. The practice is leading in Central Reading for providing student placements (working with Reading University) within a Primary Care setting which is proving to be an invaluable experience for the students(as commented by them) and is only possible due to the co-operation of our patients.
The Department of Health's Competence and Curriculum Framework for physician associates defines the physician associate as:
"...a new health professional who, while not a doctor, works to the medical model, with the attitudes, skills and knowledge base to deliver holistic care and treatment with the general practice team under defined levels of supervision."
Physician associates can supplement and complement GPs and nursing staff. Under supervision of a doctor, they can see a range of patients whose cases vary in complexity. As with any practitioner, the amount of supervision they need depends on their level of knowledge, skills and experience.
Studies from General Practice in both England and Scotland have shown physician associates to be safe, effective and liked by patients.
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