Bedford Hill Family Practice

120 Bedford Hill
Balham
SW12 9HS
Tel: 020 8673 1720

Clinics and Services

Cervical Smears

All women between the ages of 25 and 64 who have ever been sexually active should have a smear done. These are usually carried out every 3 years or more frequently if previous smears suggested this would be more appropriate.

Cervical smears assess the general health of the cervix and can pick up cervical abnormalities which may otherwise progress into cervical cancer.

The best time to have your smear done is around 2 weeks into your menstrual cycle i.e. approximately midway between the date of your last period and the date of your next expected period.

Cervical smears are undertaken by our practice nurses and the procedure takes about 20 minutes. St George's Hospital will notify you of your smear result about 4 weeks after the test was carried out.
 

Baby Clinic
Baby clinics are held on the following days:
Wednesday 9:30am-11:30am Health Visitors (Drop In Clinic) - No Immunisations
Thursday 9:00am-12:00pm Practice Nurse (Appt Only)

Thursday mornings are also designated for children’s immunisations. However, if you cannot make this clinic, the practice nurses are usually able to see you in one of their other clinics.

If you have any queries about childhood immunisations or are worried that your child’s immunisations may not be up to date, please make an appointment with a practice nurse.

When you book your baby for their 8 week check  the receptionist will book them with a GP (partner) as a double appointment followed by a double appointment with one of our practice nurses for their 1st set of immunisations on the same day as close to the GP appointment as possible.

 


REMEMBER TO BRING YOUR CHILD’S RED BOOK TO ALL APPOINTMENTS

 

When to immunise Disease protected against Vaccine given Site
Two months

Diphtheria, tetanus, pertussis,  polio and Haemophilus influenza type B (Hib) & hepatitis B (6-in-one injection)

DTaP/IPV(polio)/Hib/HepB Thigh
Pneumococcal infection PCV (Prevenar) Thigh
  Rotavirus Rotarix Oral
  Meningitis B Bexsero Thigh
Three months

Diphtheria, tetanus, pertussis,  polio and Haemophilus influenza type B (Hib) & hepatitis B (6-in-one injection)

DTaP/IPV(polio)/Hib/HepB Thigh
Rotavirus Rotarix Oral
Four months

Diphtheria, tetanus, pertussis,  polio and Haemophilus influenza type B (Hib) & hepatitis B (6-in-one injection)

DTaP/IPV(polio)/Hib/HepB Thigh
Pneumococcal infection PCV (Prevenar) Thigh
Meningitis B Bexsero Thigh
12 months Hib/Men C Hib/Men C (Menitorix) Arm or Thigh
12 months Measles, mumps and rubella  MMR (Priorix or MMR II) Arm or Thigh
Pneumococcal infection PCV (Prevenar) Arm or Thigh
3 months after MMR1 Measles, mumps and rubella (Booster) MMR (Priorix or MMR II) Arm or Thigh
Three years four months to five years Diphtheria, tetanus, pertussis and polio (dTaP/IPV or DTaP/IPV) DtaP/IPV (Repevax) Arm or Thigh

 

Phlebotomy / Blood Tests

Blood tests are undertaken by our Phlebotomists on week-day and Saturday mornings in order that the sample can be transported to the laboratory on the same day.

It is the patient's responsibility to contact the doctor for the result. To make it easier for patients, we have a results system so that you do not need to make an appointment with the doctor just to get your test results - the doctor will leave sufficient instructions with the receptionists to enable patients to make sense of the results without the inconvenience of attending the surgery.

Walk-In Service

You do not need an appointment to attend the phlebotomy clinic. It is a walk-in service for patients over the age of 16 and runs Monday - Friday 8.30am to 12.00pm and Saturday 9:00am - 12:00pm. You will need to bring your blood test request form from your doctor. 

When you arrive for your blood test, please take a number from the ticket dispenser situated at the main reception desk and take a seat until your number is called. Due to high demand we may need to stop the clinic earlier than advertised.

Waiting Times

Waiting times vary depending on the time of day, the number of samples taken and other complications as a result of the blood collection. Every effort is made to see patients as quickly as possible and it normally takes about 7-8 minutes per patient and sometimes longer depending on possible complications.

Our busiest times are between 8.30am and 10.30am and on Tuesdays when we have many of our antenatal patients coming in for bloods. During the busy times you can expect to wait for up to an hour and sometimes longer.

Procedure

The Phlebotomist will call you into the room and ask you to sit in a chair and uncover your arm. After confirming your identity, a tourniquet is placed around your arm just above the elbow, the area is cleaned and then a small needle is inserted into a vein on the inner arm. Blood is taken and put into a special blood bottle. Sometimes more than one blood bottle is required depending on the type of blood test requested by your doctor, however, usually only one venepuncture is needed to collect sufficient blood for the tests. Your blood samples will then be sent to the pathology laboratory for testing.

Risks

Phlebotomy is safe when done by a health professional. You may develop a small bruise at the puncture site. The most common causes of bruising after a blood test are the lack of pressure on the site of the jab or damage to the vein when the needle is inserted. Although bruises can be painful, they are usually harmless, but if you frequently get bruises from blood tests you should tell your GP. During or after a blood test you may feel faint. Tell the Phlebotomist if you feel weak or dizzy so that they can help you feel more comfortable.

Results

It is important that you follow up and find out the results of your blood tests.  You may have been asked to make a follow-up appointment to discuss your blood tests. If you are phoning for results please allow about 1 week before calling the surgery (your GP will inform you if the test may take longer to come back)

Normal results: The receptionist may be able to tell you over the phone if all the tests were normal.

Abnormal results: The GPs review all the results and will contact you if there is anything that needs to be discussed urgently. If not, they may contact you by phone / letter or wait for you to phone in. Ideally you should speak with the GP who requested the results.

Travel Clinic

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
Caribbean 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. Travel vaccinations are mostly free, but you will have to pay for some.

Travel Vaccinations (costs are per dose)
Meningitis A&C or ACWY (for the Hajj & Umrah) £50.00
Hepatitis B (course of 3 injections needed - cost per injection ) £30.00
Rabies (course of 3 doses needed - cost per dose) £50.00
Malaria (prescription) £15.00
Yellow Fever £60.00

 

Health Questionnaire

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

Download the TRAVEL FORM

Stop Smoking

We have a Smoking Cessation Counsellor who helps people quit smoking. She can advise and support you in all aspects of smoking cessation, including medication and nicotine replacement therapy.

Your doctor may advise you to make an appointment, or you can self refer to the service by booking at reception. Please tell reception the reason for the appointment as the initial appointment needs to be for 30 minutes.

If you need help to stop smoking don’t go it alone, call the Wandsworth NHS Stop Smoking Service today on freephone 0800 389 7921 and get details of the best clinic for you.


You can also visit www.wandsworth.gov.uk/stopsmoking or Healthy Wandsworth

Cryotherapy / Joint Injections

Dr Lechi carries out procedures such as joint injections and cryotherapy for warts and verrucas. You will need to see one of the doctors first before making an appointment with Dr Lechi.

Family Planning

All doctors are able to offer family planning advice during their normal surgery. Oral contraceptives: Please make an appointment with a practice nurse (or a GP).

  • Coils: Fitted at the Sexual Health Clinic, please call 0333 300 2100.
  • Contraceptive implants: Fitted at the Sexual Health Clinic, please call 0333 300 2100.
  • Contraceptive injections: Are administered by the practice nurses.
  • Emergency Contraception: Please contact a practice nurse (or a GP) as soon as possible.

 

Health Checks

When you first join the practice you will be asked to have a "new patient health check" with the Practice Nurse.

We recommend that all patients have a health check at least every 5 years, more often for certain conditions and for the over 75's.

Patients aged 40-75 are entitled to the new NHS Health Check to assess for cardiac risk factors - please book an appointment for a fasting blood test then after the results are back (usually one week), please book a further appointment with the Practice Nurse for the full health check.
 

Chronic Disease Management

Diabetic Clinic

Two Practice Nurses hold a diabetic clinic on Thursday mornings. All patients with diabetes are automatically invited to the clinic periodically. Patients who are experiencing difficulties with their diabetic control and management will be seen more frequently but all diabetic patients at the practice will be invited to the clinic at least once a year. Patients must have their bloods taken 1 week prior to their Diabetic appointment.

Respiratory Care

Patients with Asthma or Chronic Obstructive Pulmonary Disease (COPD) are reviewed by nurses and may be asked to attend from time to time to have an up-to-date assessment of their breathing function and to make sure that we are treating them as effectively as possible. Patients will be sent a yearly invitation asking them to attend a review of their symptoms and medication.

Heart Disease & Stroke

All patients with heart disease and all patients who have had a stroke are automatically invited to the surgery periodically. Patients will be sent a letter of invitation and are asked to book a review appointment with a GP.

Hypertension

Blood pressure measurements can be undertaken by our Practice Nurses. The doctors may need to see some patients to start or modify their medication.

Substance Misuse Service

The Primary Care Liaison Nurse for Substance Misuse currently runs a clinic at the surgery on Wednesdays.

He deals with patients who have problems with:

  • Alcohol dependency
  • Illicit drug dependency
  • Cannabis use
  • Prescription dependency (for example, to pain killers or sleeping tablets)

He will also see patients who are at risk of relapse from any of the above problems.

The GP may suggest a referral or patients can self-refer by booking an appointment at reception.

Attached Services

District Nurses

District nurses are available 24 hours a day year-round to provide clinical support, including palliative care, to adult patients who are housebound.

Although the District nurses are based Tooting Health Clinic and are they are employed by Central London Community Healthcare (CLCH), they are very much part of our team.


Health Visitors

Health visitors will provide support and advice in the weeks following birth and up until your child is 5 years old. You will be contacted by the health visitor and visited at home soon after birth. You will be invited by letter to the clinic for an 8 month and a 2 year developmental check.

Our Health Visitors are based at Tooting Health Clinic but run clinics on a Monday (1.30pm-3.30pm), Wednesday (9:30am-11:30am) and Thursday (1:30pm-4.00pm) and they can be contacted on 020 8812 6200


Physiotherapy

A physiotherapy service is provided at the practice by a physiotherapist from St George's Hospital on a Monday and Friday. If you feel you may benefit from physiotherapy, please make an appointment to discuss your symptoms with your doctor. They can then advise you on how to access the service. You will either be seen at the surgery or at St George’s Hospital if there is a significant waiting list at the surgery.


Psychology

There are several options for psychology therapies including one-to-one therapy, group therapy and guided self-help.

Please make an appointment with a GP to discuss your symptoms and they will advise on how to access the "Psychological Therapies in Primary Care" service.

We have 2 Psychologists based at the practice who are linked to this service.

 

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