CLINICS AND SERVICES
All the doctors provide family planning services in normal surgeries. The practice nurses are trained to give family planning advice and information is also available to take away in the form of leaflets. IUDs (Mirena) and IUCDs (coils) need to be discussed with your doctor before making an appointment. Special longer appointments are reserved for those with the doctors who fit them. Dr Mah also fits Implanons and an appointment needs to be made with him for this. FOR URGENT ADVICE FOR THE MORNING
AFTER PILL PLEASE ASK TO SPEAK TO A DOCTOR OR NURSE. This should be obtained
on the next working day. The practice nurses hold a "drop-in"
emergency contraception clinic every weekday between 4.00 - 4.30pm which
can be attended without appointment whether the patient is registered at Balmoral
or elsewhere. The Family Planning
Clinic in Dover Health Centre is open:
||2nd and 4th week in the month 6.00 - 8.30pm
||weekly between 9.00 - 11.00am
||Weekly between 6.00 - 8.30pm
Appointments to be made during clinic hours.
Choices 4 Young People
Monday 4.00 - 5.30pm at Deal Community Clinic.
If you are planning a pregnancy it is important to be healthy and to eat well.
Include foods containing folic acid (mainly green vegetables) and take folic
acid supplements available without prescription at pharmacies, health food shops
and supermarkets. A prescription is not needed as this can be bought over the
counter at the chemist from before conception until the twelfth week of pregnancy.
The doctors are happy to see you for further pre-pregnancy advice before you
|In the surgery:-
at Tides Leisure Centre
Smoking cessation at local pharmacies
We offer flu vaccinations from September every year. These are for people
aged 65 years and over and anyone suffering from heart or kidney disease, diabetes,
asthma, COPD, immunosuppression and those in residential care.
Appointments can be made at reception from the beginning of September.
We are not dentists! If you have a problem with your teeth eg toothache or
an abscess then it is your dentist you need to see. If you are registered with
a dentist, check how to obtain emergency treatment. There is now an emergency
dental clinic at Kent and Canterbury Hospital (01227 766877) and QEQM, Margate
We do not become dentists at night! If you have difficulty in
finding a dentist go to the NHS Choices website.
Sexually Transmitted Diseases Clinics
There are four STD clinics in this vicinity:
- Folkestone (The Health Centre) 01303 228848
- Dover (The Health Centre) 01304 202525
- Canterbury (KHC) 01227 766877
- Ashford (William Harvey Hospital) 01233 633331
NHS HEALTH CHECK
The Government has introduced an NHS Healthcheck for all patients aged between
40 and 74. Patients registered with Balmoral Surgery will receive an invitation
to attend at the practice on a rolling programme within the next five years in
the year that their age ends in a 0 or a 5 or they are 74. Patients who are already
receiving care for a vascular related problem or who have already had tests done
that would be performed at this healthcheck will not be invited.
Any patient registered at Balmoral who has not had a consultation with a clinician here for three years, is welcome to ask for an appointment to see a healthcare professional for a routine check up.
The practice runs its own child health clinics and immunisation service. Eight week health checks are conducted at the surgery and appointments are sent automatically. Subsequent checks are arranged via the health visitors who can be contacted on 01304 865460. Immunisations are given by the practice nurses at the surgery. The current schedule for immunisation is set out below. It is very important that you have your child immunised for their own safety. Serious reactions to vaccines are very rare and far less common than serious reactions to the diseases they help prevent.
|| Diphtheria, tetanus, pertussis, polio, rotavirus, Hib, pneumonia and meningitis B
||Diphtheria, tetanus, pertussis, polio, rotavirus, Hib and meningitis C
|| Diphtheria, tetanus, pertussis, polio, Hib, pneumonia and meningitis B
|12 - 13 months
||Hib, meningitis C, pneumonia and MMR (measles, mumps and rubella), Hib, meningitis C and meningitis B
|3.4 - 4.5 years (Pre-school)
|| Diphtheria, tetanus, pertussis, polio, MMR and Hib
(this may vary depending upon recommendations)
|12 - 13 years (girls only)
||HPV (thrice within a six-month period)
|Before leaving school
||Diphtheria, tetanus and polio, Men ACWY vaccination
THE SICK CHILD
It is often difficult to know when to seek help about a poorly child, especially your first. Here is some general advice we hope is helpful. There are no hard and fast rules and if in doubt speak to your doctor or health visitor or NHS Direct.
In general, a child who is drinking, happily playing or watching television is unlikely to have anything seriously wrong. Your child will not be made worse by being brought to the surgery.
Children whose parents smoke have more coughs, chest and ear infections than those whose parents don’t. Babies should not be placed on their stomachs in the cot and if unwell should be kept in the parents' room at night. A child with a temperature should have clothing reduced until cool and (if over three months) given paracetamol syrup (Calpol or Disprol).
Important symptoms are a refusal to drink, a faster rate of breathing, persistent stomach pains or vomiting, neck pain or stiffness, unusual drowsiness. It is important to note that in small babies an illness can develop quickly without the above and persistent crying or refusal of food, if the child appears unwell, should lead you to contact the doctor.
Earache will usually settle with paracetamol or ibuprofen (Nurofen for children) but if associated with a fever or persisting for several days this should lead you to come to the surgery. Earache is not an emergency though it is distressing with no magic answer.
Meningitis is a rare but serious disease caused by a variety of different
Bacterial meningitis can come on very quickly. The symptoms are a very ill looking
child (or adult) with a severe headache, neck pain or stiffness which is made
worse by bending forwards, light hurting the eyes, vomiting, drowsiness, confusion
or a rash like a little blood blister or bruise which does not fade on pressing.
If you suspect meningitis contact the doctor straight away. A child with a headache
without the above symptoms should initially be treated with paracetamol. Close
contacts of proven bacterial meningitis will often be contacted by the public
health department. Contacts of contacts who are not ill are not at increased
Immunisation can prevent some forms of this disease.
The practice takes the risks of cross-infection very seriously. If you feel that you may have an infectious condition please let the staff know so they can make arrangements to limit the risks of spreading. Most cross-infection including flu and respiratory conditions are dramatically reduced by simple hand-washing with soap and water.
All the doctors are registered for this and usually carry out minor operations at the Surgery.
Vaccines for occupational health purposes, such as Hepatitis B, are normally
provided by the employer’s occupational health service.
REFERRAL TO HOSPITAL
If your doctor feels you need to be seen in a hospital, you will be offered a choice of where you are seen. This will be the various local hospitals and further afield and also includes the NHS-funded private sector services. Access to choice may be made when you discuss the referral with your doctor, or via Choose & Book, telephone or computer systems.
We are fortunate in Deal
in that we have most services available at our local hospital where
many outpatient clinics are held in most disease areas, as well as x-ray,
physiotherapy, minor surgery, day-case surgery and inpatient beds.
The practice is unable to arrange hospital transport to outpatient appointments. If you think you are eligible and require this transport you should contact the South Kent Coast CCG on 0300 042 4700. The criteria for patient transport are very strict and determined purely on medical need. There is also a volunteer-run hospital car service for which a charge is made.