Clinics Available

Minor Surgery - This clinic is devoted to skin problems that respond to treatment with liquid nitrogen (cryotherapy). These include viral and other types of warts, skin tags and actinic keratoses (a specific condition caused by sun exposure). The clinic runs on a weekly basis. We would request that you do NOT make an appointment for this clinic until you have been assessed by one of the doctors in the practice.

Baby Clinic - these are held on a Tuesday afternoon. All babies should have an 8 week developmental assessment, which is carried out by a doctor. Immunisations are given by the Practice Nurse. The Health Visitor is also available for checks, weighing and advice for your baby.

Phlebotomy: Blood tests are carried out on Tuesday and Friday mornings. You will need to be referred by your GP for this.

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Services Available

New Patient Checks: All newly registered patients who have certain chronic diseases are given a full check up by the Healthcare Assistant. 

Maternity Services - Please see a GP for your first ante-natal appointment. You will then be referred for your hospital booking. You can also discuss pre-conception care. A post-natal check will be carried out 6 weeks after delivery.

Well Woman/Family Planning: Breast examination education, cervical smear tests and a full range of contraceptive care and advice (except contraceptive implants).

Influenza Vaccinations -  We usually offer appointments from September each year.  The vaccination is available for patients over 65 years and those with any of these chronic conditions: asthma, cancer, chronic lung disease, diabetes, chronic kidney disease, immuno-surpressed, liver disease, stroke, living in a nursing home or are a carer for any of the above, or you are pregnant. If you do not fall into any of these categories and would like to vaccinated against 'flu, there is a charge of £20.

Dietician - Your GP can refer you to the dietician who gives advice on disease related diets and weight loss. Weight checks also take place as a follow up to weight reduction diets as advised by the dietician.

Diabetes: All patients with non-insulin diabetes not seen regularly at hospital have a full check-up and assessment in surgery annually. Patients are usually called up during their birthday month.

Asthma Check: All asthmatics should attend at least annually, even if well, to ensure they are using their devices correctly and that their symptoms have not changed since their last review.

Smoking Cessation: Patients who want to give up smoking can make an appointment with our Healthcare Assistant, who can give help and support through this process.

Health Promotion: Advice is available on avoidance and management of coronary heart disease, stroke, high blood pressure. We can also provide advice on lowering cholesterol and healthy eating.

 

Travelling Abroad

Consultations for travel advice and vaccinations are by appointment only. Our nurses will advise you on the relevant precautions for your destination, administer any necessary vaccinations for the country you are going to and organise your anti-malarial prescription, if appropriate.

We provide a wide range of vaccinations, some of which are at no cost. However, some vaccines such as Yellow Fever, Rabies, Meningitis ACWY and Hepatitis B do carry a charge and may require more than one vaccination.

In order for the vaccine to be effective, we advise that you start your travel consultations at least 6 weeks before departure.

Yellow Fever

Lane End Medical Group is a registered Yellow Fever Centre authorised to administer Yellow Fever vaccination to anyone who requires it, whether they are a patient registered with the practice or not.

Please complete the questionnaire below (accessed from the link) and bring it with you to the surgery.

Travel Questionnaire

Important Tips:

• Start vaccination 6-8 weeks before travel.
• You need to know the name of all the places you are going to, duration in each place and the names and dates of vaccines you have received in the past.
• You may need to attend more than one appointment e.g Hepatitis B and Rabies are both courses of 3 vaccines given over 28 days.
• If you are on warfarin you may need to make sure your clotting time is stable before travelling.
• Be prepared - some vaccines carry a cost  - see our price list.  We accept cash and cheques only for members of the practice.  For people not registered with us, cash only.
• If you are pregnant, avoid travelling. You may not be able to have some of the vaccines and will not be able to have some of the anti-malarial medication recommended.
• If you are on anti-epileptic medication such as Phenytoin you may not be able to take Chloroquine for malaria and an alternative may need to be discussed with the nurse.

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 - 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. 

For patients wishing to go on Hajj, please click on the following link: Saudi Arabia

Some vaccinations are not available on the NHS. These have been listed below along with their costs:

 

Yellow Fever .......................................................................  £55.00

Hepatitis B (course of 3 or 4 vaccinations) .....EACH VACCINE £45.00

Rabies (course of 3 vaccinations) ................. EACH VACCINE £52.00

Meningitis ACWY ................................................................ £70.00

 

Private Prescription for Malaria medication ............................  £15.00

 

23 February 2011

Rabies in Bali, Indonesia

This report updates the NaTHNaC Clinical Update of 6 July 2010

As of January 2011, an estimated 151 human cases of rabies have been reported on the island of Bali in an outbreak that has been ongoing since September 2008 [1].

During 2010, the Indonesian Ministry of Health reported a total of 74,858 animal bites countrywide, 195 of which resulted in human rabies and death [2]. Although vaccination and culling programmes are in place to control canine rabies throughout the country, it remains a difficult challenge. In Bali, as of October 2010, it is estimated that less than half of the dog population of approximately 500,000 animals has been vaccinated [3].  

Advice for travellers

The occurrence of rabies in Indonesia, including Bali, is a reminder of the importance of rabies prevention for travellers in many regions of the world. Rabies is transmitted following contact with the saliva from an infected wild or domestic animal (including bats in some countries) often via a bite, or a lick to an open wound. Human rabies is nearly always fatal.

The risk of exposure is increased by type of activity (e.g. running, cycling), occupation (e.g. veterinarians) and long duration of stay. Children are at increased risk, as they are more likely to have animal contact and may not report a bite, scratch or lick.

All travellers to rabies risk areas should avoid contact with any wild and domestic animals, including pets. Pre-exposure vaccination should be given to adults and children at increased risk of rabies or who are travelling to remote areas where medical care and post-exposure prophylaxis with rabies vaccine and rabies immunoglobulin (RIG) may not be available.

Following an animal bite, wounds must be thoroughly washed and an urgent medical assessment sought, even if the wound appears trivial. Prompt post-exposure treatment is necessary, even if pre-exposure vaccine has been received. Suitable vaccines and immunoglobulin are in short supply or unavailable in many areas of the world, including Bali. In some locations, a flight back to the UK or to a medical centre in a nearby country may be necessary in order to obtain vaccine.

Travellers should ensure that they have comprehensive travel insurance and that it will cover them should they require medical evacuation.

Health care providers can contact the Health Protection Agency Virus Reference Division through the duty doctor system at Colindale for guidance in managing potential rabies exposures in returned travellers on 020 8200 4400.

References 

1. PROMED mail. Rabies – Human: Indonesia (Bali). 21 February 2011. [Accessed 22 February 2011]. Available at: http://apex.oracle.com/pls/otn/f?p=2400:1001:813966184771939::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,87195

939::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_

MAIL_ID:1010,87195

2. Ministry of Health of Indonesia, Bali, Nias Dan Maluku Tenggara Barat Terjadi KLB Rabies (In Indonesian). 5 February 2011. [Accessed 22 February 2011]. Available at: http://www.depkes.go.id/index.php/berita/press-release/1401-bali-nias-dan-maluku-tenggara-barat-terjadi-klb-rabies.html

3.The Bali International Medical Centre (BIMC), Bali – Rabies Update, 5 October 2010. [Accessed 22 February 2011]. Available at: http://www.bimcbali.com/news-update/bali-rabies-update.html

 

Links

• NaTHNaC Health Information Sheet on rabies

• NaTHNaC Indonesia Country Information Page

• Health Protection Agency: Rabies page

• World Health Organization: Rabies factsheet

 

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