Courtyard SurgeryLondon RoadHorshamWest Sussex, RH12 1ATTel: 01403 330320
Courtyard surgery has been approved as a Training practice for GP registrars from the Mid Sussex GP Training Scheme.
Following our announcement earlier this year regarding Riverside Surgery moving premises, a date has NOT been set for the move. Riverside patients should continue to attend their appointments at the Riverside Surgery. Further updates will be posted on our website.
Physiotherapy Self-Referral for PatientsDid you know you can now refer yourself to physiotherapy at Horsham Hospital for musculoskeletal conditions? Please refer yourself by clicking here or alternatively pick up a paper form from the surgery reception.
Horsham Hospital Blood ServicePlease click here to see change in opening times for the above blood test service from 01 June 2017. Click here for more information.
Dr Chopin, Dr Khan, Dr Brydie, Dr Greenwood and Dr Charkin carry out Post Natal checks in their routine surgeries.
Our Community Midwife Tania Pearce carries out Antenatal bookings on a Wednesday morning.
The Carer’s Support Worker understands the difficulties experienced by carers at home, and will be able to help you find appropriate help and support when needed. If you wish to speak to them please let our receptionists know or phone the Carers’ Support Service in Crawley on 01293 657040.
Cervical smears are recommended at three yearly intervals from the age of 25 to 49 and five yearly from 50 to 64. Please inform the receptionist if you are making an appointment for a smear test, as a longer appointment is required.
Dr Brydie provides the following services; Coil Fitting and Removal, Contraceptive Implants and Removal. All forms of family planning can be discussed with your doctor or any of our practice nurses.
We offer all patients advice on basic health matters, screening tests and examinations as follows: Well Man, Well women, Blood Pressure Screening, General Health Advice, Screening Tests, Weight and Diet Advice, Smoking and Alcohol Advice, Cholesterol and Heart Disease, Asthma and Diabetic Advice, and advice on the menopause and hormone replacement therapy. These appointments last from 10 to 30 minutes, depending on individual requirements.
Appointments will be sent to you as required. If you find difficulty in attending at the given times, then other arrangements can be made. We ask that all children be immunised at the surgery to ensure continuity of care and accurate record keeping. Furthermore any problems can be drawn to the attention of your doctor at the time.
For more information visit the NHS Immunisation Information website
If your doctor has asked you to have a blood test we now offer this service at the surgery. Please book with reception after your doctor has given you a blood test form. Alternatively this service is still available at Horsham Hospital.
We offer a comprehensive service for the traveller, including all injections and health advice. Please note: Please book your travel appointments at least one month in advance of your travel date.
Please download the travel questionnaire and complete and bring to the surgery so that we may make you a 20 minute travel appointment.
More information is available on the above tab.
For more information Click here
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.
Click here for a list of charges
Click here to download our Travel Questionnaire
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
Courtyard Surgery can offer the Shingles vaccination to any person over the age of 50 not registered at our surgery. These are now available for our patients who are not in the relevant age band of 70, 78 and 79 years on the 1st September 2016. The surgery cannot vaccinate its own registered patients against shingles if they are not in the relevant age band. The private vaccine cost £200.00 and will be given at Park Surgery, Horsham and we will see Park Surgery patients in return. If you are interested in receiving this vaccine privately please download the ‘shingles vaccination consent form’ and the ‘patient information leaflet’. Please complete and sign the consent form and take it with your payment to Park Surgery. On receipt of payment Park Surgery will make you an appointment for your vaccination. Park Surgery will advise us that you have booked for a vaccination and will request a copy of your summarised medical notes which will comprise your current medication, allergies, recent vaccinations and current major illnesses. For more information visit http://www.shinglesaware.co.uk/.
Courtyard Surgery fee per course of vaccination: £405 Courtyard Surgery is now able to offer the HPV Vaccination to private female patients i.e. any female member of the public who is not a patient of Courtyard Surgery. Courtyard Surgery patients may instead contact Park Surgery in Albion Way where we have a reciprocal arrangement, and where they will be offered the vaccination for the same fee. To book at Courtyard Surgery tel: 01403 330320 To book at Park Surgery email email@example.com or tel: 01403 330320 There is no doubt that the vaccine is effective and works with no or minimal side effects, (no more than any other vaccine) but it is expensive and some private clinics are currently charging £450 for the course of 3 injections.
Gardasil is a revolutionary new vaccine that has been specifically developed to prevent most types of cervical cancer, which is caused by the Human Papilloma Virus (HPV). Cervical cancer is the second most common cause of death from cancer (after breast cancer) among young women (15 to 44 years) in Europe. In susceptible individuals, infection can cause abnormalities in the cells of the lining of the cervix such that they begin to multiply out of control to form pre-cancerous warts, which can then develop into tumours. Gardasil provides effective protection against 70% of cervical cancers. HPV is extremely commonplace and whilst not everyone suffers adverse reactions, more than 50% of the UK population carry or have at some time been infected by an HPV. Sexual contact is the primary method of transmission. Other symptoms of HPV infection can include genital warts, which are usually benign, but on rare occasions can turn malignant, causing, vulval, vaginal, penile and anal cancer. Benign genital warts can cause discomfort and bleeding during intercourse, and treatment by laser can be difficult and painful. Gardasil protects against 90% of genital warts. For maximum protection, the optimum time to administer the vaccination is before commencement of sexual activity, although risk of infection persists for as long as a woman remains sexually active. Gardasil’s manufacturer, Sanofi Pasteur, has licensed it for use in 9 to 26 year old females.
How many injections do I need? The vaccination course is for three doses, the second and third injection being given at two and six months after the first injection. Does the vaccine stop all forms of cervical cancer? The Human Papilloma Virus has more than 100 different types. Gardasil protects against types 6, 11, 16 and 18. These are the four most common types, accounting for approximately 70% of cervical cancers (types 16 and 18) and 90% of genital warts cases (type 6 and 11). Will I still need to have cervical smears? Yes. Gardasil prevents around 70% of cervical cancers. However, about 30% of cervical cancers are caused by HPV types not covered by Gardasil, which reinforces the importance of regular smear tests for early detection and cure. If I have already been exposed to one of the four types of HPV covered by Gardasil, will I still benefit from vaccination? Yes. Immunity will develop against the other three HPV types. Will Gardasil help if I have developed cervical cancer already? No. Vaccination is designed to protect your cells against initial HPV infection which ultimately can lead to abnormal pre-malignant cells and cancer. Can I pass the virus to other people I come into contact with after I have been vaccinated? No. Gardasil is a non infectious recombinant vaccine. In other words, it does not contain any live virus, but consists of virus like particles which stimulate the same immune response as the live virus. What are the side effects? About 1 in 10 people suffer minor side effects, which can include discomfort, swelling and redness at the injection site, and a fever. Occasionally, there can be some itching. Rarely, allergic skin rashes and a wheezy chest have occurred. Are there any contra-indications to vaccination? Gardasil should not be administered to anyone with a weakened immune system, any bleeding disorder, any allergy to Gardasil’s ingredients or a previous allergic reaction after Gardasil injection. Gardasil should not be given to anyone with a high fever. Please note that a mild fever, cough or cold are not valid reasons to delay vaccination. It is inadvisable to administer Gardasil during pregnancy and we will decline to treat anyone who is known to be pregnant or trying to conceive. It can be given in breast feeding women.
Gardasil was licensed in the USA and Australia in June 2006 and received UK approval in September 2006. The licence is for use in 9 – 26 year olds as this is the age group in which clinical trials were performed. The trend in the USA and Australia has been for the government to introduce vaccination for all 11 and 12 year olds. As yet, the NHS has not made any announcements on whether it will offer the vaccine and to whom.
Courtyard Surgery is able to vaccinate anyone who is not registered at Courtyard Surgery, even if they live outside of Horsham or indeed abroad. Registered patients at Courtyard may contact Park Surgery in Albion Way where we have a reciprocal arrangement, and where they will be offered the vaccination for the same fee. To book at Park Surgery telephone 01403 330320. The cost for vaccination at Courtyard Surgery and Park Surgery is £405 for the course. The cost includes a reasonable amount for the running of the service, disposables, nurse’s time, and we think it is appropriate. The vaccination course is for three doses, the second and third injection being given at two and six months after the first injection. We would insist on full payment to be made before the first vaccination by cash or cheque since we have to order the 3 doses and store the vaccine on an individual patient basis. If you would like to make further enquiries, please contact us on 01403 330320. Links to: Park Surgery Website: www.parksurgery.com General information: www.tellher.com
Please click the links below to download consent forms
Gardasil: Parental Consent Form - For Persons under 16
Gardasil: Consent Form – For Persons 16 and Over
You might think you have lots of reasons to put off the moment when you have to stop smoking - It's a crutch, stress buster, a confidence booster. You might think it's hard to stop when everyone around you still seems to smoke. But every year thousands of people go smokefree. Going smokefree is the one single thing you can do to dramatically increase your chances of living a longer life. Once your body is smokefree, it will begin to heal within 20 minutes, repairing the damage done by all those years smoking. If you want to go smokefree the NHS offers plenty of support - and it works.
For further information on how to become smokefree call 0800 169 0 169 or click here to visit the NHS website or pick up a leaflet from the surgery.
Please telephone the surgery on Horsham 01403 330320 after 14:30. For information on what your laboratory test results mean please click on the link below: http://labtestsonline.org.uk/
Don’t Get Flu, Get Vaccinated
From September 2017, we are encouraging people at greater risk from the flu virus to get a free flu jab from their GP.
Flu is a highly contagious infection that anyone can catch, and it can be really serious for some. People at most risk include those aged 65 or over, pregnant women, and those with health conditions such as severe asthma, chest or heart complaints, and diabetes.
The flu vaccine changes every year to fight the latest strains of flu, so even if you had a jab last winter you need another one this year. The jab doesn’t contain the ‘live’ virus so it cannot give you the flu.
If you’re in any of the ’at risk’ groups, the flu jab is completely free, and is a safe way of protecting you and your family in a matter of minutes.
This is also the third year an annual nasal spray flu vaccine is available for all children aged 2 and 3 and 4 years. Not only is it needle-free (a big advantage for children), the nasal spray works even better than the injected flu vaccine in children.
It’s quick and painless – just one squirt up each nostril will mean your child is less likely to become ill if they come into contact with the flu virus. Flu can be very unpleasant for children. They have the same symptoms as adults – including fever, chills, aching muscles, headache, stuffy nose, dry cough and sore throat lasting up to a week. Some children develop a very high fever or complications of flu such as bronchitis, pneumonia and painful middle ear infection. They may even need hospital treatment.
Simply contact reception to arrange a convenient appointment and get vaccinated. It’s quick, safe and free for those most at risk from the flu virus.
For more information, speak to your GP or local pharmacist, or visit www.nhs.uk/flu.
Flu Jab Facts
Flu isn’t just a cold, it can be a really serious illness.
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