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GOV.UK: coronavirus – guidance and support
Government information and advice.
Linden Medical Centre9a Linden AvenueMaidenheadBerkshire, SL6 6JJTel: 01628 776900
Face covering exemptions - please go to https://www.gov.uk/government/publications/face-coverings-when-to-wear-one-and-how-to-make-your-own for information on face covering exemptions. You may still be asked to wear one in the practice to reduce the risk to our staff and other patients.
Linden Medical Centre is experimenting with a foray into social media and now has an Instagram account @lindenmedical where we will be posting public health messages and information and updates about the practice. Please feel free to follow and recommend to your friends.
Important information for patients about GP appointments.
To protect our patients, staff and local community we are changing the way patients access our services. Patients with internet access please use the eConsult function below and we will be in contact with you by 6pm the following working day. For more urgent queries please call the practice. You may have to wait a long time on the telephone. If you have an emergency you should still call 999.
Prescriptions. We are not taking prescription requests at the practice. You can use your local pharmacy, or online access to make requests for current repeat prescriptions. Medications which have not been ordered routinely for some time will not be issued via your pharmacy and should be requested via eConsult so that they can be properly reviewed. Just-in-case medications will only be issued in exceptional circumstances.
Disputes with employers. We cannot give opinions on whether or not is safe for employees to return to work - this is a matter for you and your employer. The NHS do not provide occupational health services for employers.
For the NHS 111 Coronavirus digital triage follow this link: https://111.nhs.uk/service/covid-19
Immunisation is recommended for all pre-school children. You should call the practice to arrange an appointment for your child to be immunised.
Women from the age of 25 to 64 should have a cervical smear at least every five years. You will receive a letter from the central screening service to invite you to make an appointment.
Full pregnancy and antenatal care is offered by the community midwife who works at St Mark's Hospital just down the road.
If you become pregnant, you should complete this form on the Frimley Healthcare website.
The surgery recommends that patients who smoke should try to stop. Help can be obtained from the NHS Stop Smoking Service - details are available from our nurses, doctors or reception or the Smokefree Berkshire Helpline 0800 622 6360, or text QUIT to 66777.
We have limited numbers of appointments available at this time owing to staff shortages - you may need to book your vaccines privately if we cannot find an appointment for you.
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.
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment may be required with the practice nurse to actually receive the vaccinations. These vaccines may have to be ordered as they are not always stock vaccines.
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.
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.
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Before a coil can be fitted it is important that there is no chance you are pregnant.Continue regular, effective contraception up until your coil fitting.The ideal time to fit a coil is in the first 7 days of your cycle (day 1 is the day your period starts). The insertion procedure may be easier at this time in your cycle, however it can be fitted at other times in your menstrual cycle.If you are using condoms, it may be best to try to abstain, as if you have a burst condom and take emergency contraception in the 7 days before fitting, we may not be able to fit the coil.If you don’t have periods at present (eg during breastfeeding or whilst using other methods of contraception), a coil fit can be arranged at any time providing there is no chance of pregnancy. In some circumstances a negative pregnancy test may be needed before a coil can be fitted. To rely on a negative result, effective contraception or abstinence from sex is required for the 3 weeks before the pregnancy test.After having a baby it is advisable to wait 4 weeks before a coil is fitted. There are other appropriate forms of contraception available to use before this time (see http://www.patient.co.uk/health/contraception-after-having-a-baby , www.fpa.org or discuss with a nurse/GP).
If you already have a coil in place, please either abstain from sexual intercourse or use a condom carefully in the 7 days before you attend. Sperm can live in the pelvis for 7 days, so there is a theoretical chance of pregnancy if this advice is not followed, as, on rare occasions it may not be possible to fit the replacement coil successfully.
If you are attending for a replacement coil and your coil change is overdue, you are advised to use an alternative form of contraception eg condoms. In some cases a negative pregnancy test, after at least 3 weeks of contraception/abstinence may be required before the coil can be changed.
Please take some painkillers an hour before the procedure (either ibuprofen 400mg (with or after food) or paracetamol 1g- or both-as long as you are not allergic to these) as some ladies experience discomfort, like period cramps, during coil insertions.
Some ladies can feel a little faint during and after the fitting. It is therefore advisable to have someone with you or someone you can contact by telephone in case you feel unwell.
It is usual practice to offer a chlamydia test before fitting an IUD/IUS to all our patients.
Please wear loose, comfortable clothes and footwear for your appointment.
Remember, you can change your mind about having a coil fitted at any time
Please allow an hour for the appointment
The doctor will ask questions to check the coil is suitable for you. You will have the opportunity to ask any questions, before giving your consent to proceed with the fitting. If at any stage you change your mind about the fitting, the procedure can be stopped.
The process of fitting a coil is similar to what happens with a smear test. A vaginal examination will be undertaken and then the coil fitted. You may feel some discomfort, but this varies from person to person. The doctor and nurse will do their best to reassure you and make the procedure as pleasant as it can be.
You will be given advice after fitting about what to expect and when to come back.
Please ensure you have no major commitments afterwards as you may need to take it easy and relax for the rest of the day
Use condoms for 7 days and consider using additional contraception until your coil check.
You may experience bleeding or cramping. Continue with regular painkillers if required. If the pain is more uncomfortable than a period, talk to a doctor.
Avoid tampons for the first week, but thereafter it is ok to use them.
If you have any concerns after your coil fitting please do not hesitate to contact the surgery for advice.
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