Howdale SurgeryTel: 01366 383405
Marham SurgeryTel: 01760 337394
The practice offers the following services; all clinics are run weekly and offer support and advice to patients in these specific areas
All the doctors have a shared case system with the local hospital and midwives.
The doctors give full advice and treatment on all means of contraception.
Dr Prakash performs minor surgery in the practice.
There is a full cervical smear-screening programme which is run by our practice nurse team.
Sister Gosling offers comprehensive smoking cessation advice and help.
Child Health Surveillance
Dr Heighton & Dr Hart carry out the routine 6-week development check.
Childhood, tetanus and travel immunisations are carried out by the practice nurse team.
Chronic Disease Management Clinic
Our nurses offer comprehensive chronic disease management. Sister Gosling deals mainly with diabetes and chronic heart disease. Sister Pepperill deals mainly with COPD and asthma. Both work closely together on all other aspects of care.
Any nurse can deal with suture and clip removals and change of dressings at the surgery.
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:
All travellers are to complete both pages of the travel health risk assessment form and to return it to the surgery at least 8 weeks before you travel, ideally sooner. Delay in returning the forms could result in us not being able to complete the risk assessment and all required vaccinations before your departure date.
If you are unable to complete and return the forms in this time scale, we suggest for your own health, wellbeing and safety during your trip, that you access your immunisations at one of the following travel health centres:
The Globe Travel Health Centre, 26 Cattle Market Street, Norwich, Norfolk, NR1 3DY
01603 667323 http://www.globetravelhealthcentre.com
The Travel Clinic Ltd. 41 Hills Road, Cambridge, CB2 1NT
0330 1004127 http://travelclinic.ltd.uk
Please note we are not a registered yellow fever vaccination centre and are unable to give this vaccination. Your nearest centre is:
Bridge Street Surgery, 30 Bridge Street, Downham Market, PE38 9DH. 01366388888
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.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travelling in Europe
If you are travelling to Europe a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:- http://ec.europa.eu/publications/booklets/eu_glance/86/en.pdf (this is a large document and may take a minute or two to view)
Other useful travel health websites:
The National Travel Health Network and Centre
Fit For Travel
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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