Clinics and services

The Surgery
Sprays Burbage
Marlborough
Wiltshire
SN8 3TA
Tel: 01672 810566

News:

Out of Hours
Out of hours cover is provided by Wiltshire Medical Services between 6.30pm and 8.00am and from 6.30pm Friday until 8.00am Monday. Patients will be offered appropriate advice or a consultation at Savernake hospital, if medically necessary a doctor will make a home visit.

Telephone Advice
The doctors and nurses are available for telephone advice. Please ring in the morning before 10.30am if possible, and the doctor or nurse will return your call

Cancelling your Appointment
If you are unable to attend an appointment with one of the doctors or nurses, please telephone or use the link at the bottom of this page to cancel your appointment. By giving us as much notice as you can you are helping us to make sure that someone else is given your slot.

Announcements

01 Sep - 01 Oct
NHS Smokefree

Find out about all of the free NHS services available to support you as you go try to give up smoking.

01 Aug - 01 Oct
NHS Summer Health

Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more

01 Jul - 01 Oct
Change for Life

Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.

BBC Health

UK radiotherapy 'lagging behind'

Too few UK cancer patients are receiving state-of-the-art radiotherapy care, experts from Cancer Research UK say.

Non-stick pan 'cholesterol link'

Scientists are concerned that exposure to chemicals used in non-stick frying pans could raise cholesterol levels in children after finding a link.

Bipolar 'not linked to violence'

People with a mental illness are no more likely to be violent unless they abuse drugs or alcohol, a study suggests.

Diabetes drug advice 'not heeded'

A type two diabetes drug is still being prescribed in the UK two months after it was recommended for withdrawal, BBC Panorama learns.

Junior medics 'leaving training'

Nearly one in four junior doctors drop out of their NHS training after two years, figures show.

Gum and heart link 'breakthrough'

Scientists say they have established one reason why gum disease may increase the risk of heart disease.

Reading Arabic 'hard for brain'

Israeli scientists believe they have identified why Arabic is particularly hard to learn to read.

'No evidence' implants are toxic

Tests on a type of breast implant filled with an unapproved gel have shown no evidence they are unsafe, UK experts say.

Research into age-related illness

Edinburgh scientists are attempting to find the trigger which leads older people to develop dementia.

Clue to egg flaws in older women

British scientists say they are closer to knowing why older women trying to fall pregnant are more likely to produce abnormal eggs.

Yahoo Health

FDA relents from midodrine withdrawal plan (AP)

AP - Federal regulators have backed off a plan to remove a Shire PLC low blood-pressure treatment from the market after warning in August that the drug has not been proven effective.

Picking right blood pressure medicine challenging (AP)

AP - It's hard to predict which pills will best lower which patient's high blood pressure, but researchers are hunting ways to better personalize therapy — perhaps even using a blood test.

Cholera outbreak in Cameroon 'worst in 20 years' (AP)

AP - UNICEF says more than 300 people have died in the West African nation of Cameroon from the country's worst cholera outbreak in 20 years.

WHO wants faster, more flu vaccine production (AP)

CVS employee Mambo Muntanga, left, receives a flu shot from nurse practitioner Susan Brown, Friday, Aug. 27, 2010, in Rockville, Md. It's flu-shot season again, and for the first time health authorities are urging nearly everyone to get vaccinated — and people 65 or older even can choose to try a new high-dose version. (AP Photo/Evan Vucci)

AP - The vaccine used to contain the recent swine flu pandemic was effective, but health authorities will need to ramp up the speed and volume of production during the next global outbreak, a World Health Organization official said Monday.

Expert warns of complacency after swine flu fizzle (AP)

Robert Webster, chairman of the Department of Virology and Molecular Biology at St. Jude Children's Research Hospital in Memphis, Tenn., attends the Options for the Control of Influenza conference in Hong Kong Sunday, Sept. 5, 2010 in Hong Kong. Webster urged health authorities around the world to stay vigilant even though the recent swine flu pandemic was less deadlier than expected, warning that bird flu could spark the next global outbreak. (AP Photo/Vincent Yu)

AP - A leading virus expert urged health authorities around the world Sunday to stay vigilant even though the recent swine flu pandemic was less deadly than expected, warning that bird flu could spark the next global outbreak.

Cholera kills 41 in Central African nation of Chad (AP)

AP - Health officials in Chad say an outbreak of cholera in the Central African nation has killed at least 41 people.

Lack of Sleep May Be Linked to Childhood Obesity (HealthDay)

HealthDay - MONDAY, Sept. 6 (HealthDay News) -- Infants and preschoolers who don't get enough sleep at night are at increased risk for later childhood obesity, a new study suggests.

For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)

LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.

Clinical Trials Update: Sept. 3, 2010 (HealthDay)

HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:

Non-stick cookware may boost cholesterol: study (AFP)

Exposure to chemicals used to make non-stick cookware and which are found in microwave popcorn may raise blood cholesterol levels in children, a study says.(AFP/DDP/File/Thomas Lohnes)

AFP - Exposure to chemicals used to make non-stick cookware and which are found in microwave popcorn may raise blood cholesterol levels in children, a study says.

MedPage Today

Sitting at Work Not Hazardous to Your Health (CME/CE)

(MedPage Today) -- Adverse health outcomes including cancer and cardiovascular disease can't be blamed on prolonged occupational sitting, at least not until additional clarifying research is done, a systematic review concluded.

Low-Carb Diet is Better When Rich in Veggies (CME/CE)

(MedPage Today) -- Eating a low-carbohydrate diet in which more fat and protein sources come from plants than animals may be protective against death, researchers say.

Parental Depression Common After Birth of Children (CME/CE)

(MedPage Today) -- More than a third of mothers and a fifth of fathers experienced at least one episode of depression in the 12 years after the birth of a child, British researchers found.

Childhood Obesity Woes Linked to Too Little Sleep (CME/CE)

(MedPage Today) -- Late bedtimes may exact a hefty price by contributing to childhood obesity, results of a prospective longitudinal study showed.

'Magic Mushrooms' Possible Tx in End-Stage Cancer (CME/CE)

(MedPage Today) -- The active ingredient in "magic mushrooms" -- psilocybin -- may be useful to treat the anxiety and stress associated with end-stage cancer, researchers suggest.

Nonstick Cookware May Raise Kids' Cholesterol (CME/CE)

(MedPage Today) -- Kids who eat food cooked in nonstick pots and pans may have higher levels of LDL cholesterol, a large cross-sectional study found.

Males at Greater Risk of Cognitive Impairment (CME/CE)

(MedPage Today) -- Mild cognitive impairment may be more common in men than in women, a new study shows.

Investigation Reveals More Woes for Rosiglitazone

On July 15 (MedPage Today) -- a day after the FDA completed two days of hearings on rosiglitazone (Avandia) -- a British advisory commission on drugs concluded that the product should be withdrawn from the market, according to an investigation conducted by BMJ.

Washington Week: Insurance, State Actions Top News

WASHINGTON (MedPage Today) -- Several studies highlighting insurance issues were released this week, including one on federal programs for kids and two others focused on employer-provided medical coverage.

FDA Approves New Eye Pressure Drop Formulation

WASHINGTON (MedPage Today) -- The FDA approved a new formulation of the drug bimatoprost (Lumigan) in a 0.01% solution as a first-line treatment to reduce elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Clinics

Vaccination Schedule

Travel Information

PRACTICE NURSE CLINICS

The Practice Nurses are actively involved in the management of travel immunisations. asthma, diabetes, HRT, contraception, cervical smears. They also can advise on general health promotion and offer basic examination (Weighing, blood pressure, urine and cholesterol testing) for patients wanting a ‘check up’.

Also appointments can be arranged in the surgery for those wishing to stop smoking.

ANTENATAL CLINICS

Tuesday 1.00 – 2.00pm (with Midwife)
Wednesday 9.00 – 10.00 am (with Doctor if the midwife is on holiday)

Midwife contact telephone number: 01793 604815 01793 604817
Ring between 9.00-9.30am Monday to Friday

CHILD HEALTH CLINIC

2nd and 4th Tuesday from 1.00-2.00pm

Health visitor present for development checks, weighing and general advice.(NB- there is no clinic if there is a fifth Tuesday in the month.)

Please call to make an appointment.
Health Visitor - Jackie Corp (Tel 01672 517325)

IMMUNISATIONS

Immunisations on Wednesday am and Tuesday 4.30pm

Vaccination Schedule

At two months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At three months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection

At four months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At around 12 months old:

Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) - booster dose in one injection

At around 13 months old:

Measles, mumps and rubella (German measles) (MMR) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

Three years four months to five years old (pre-school):

Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) - one injection
Measles, mumps and rubella (German measles) (MMR) - one injection

13 to 18 years old:

Diphtheria, tetanus and polio (Td/IPV) - one injection

Travel Information

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

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

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.

Most travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

clock2 Travel Questionnaire

Practice Information

For quick medical advice online or on the telephone contact NHS Direct