New contraception and sexual health advice drop in service

New contraception and sexual health advice drop in service at the surgery. For all patients under 30 ONLY. Just turn up and tell the receptionist you are here for the ‘drop in’ nurse clinic.

Every Wednesday 2-4pm and Thursday 4-6pm

Run by our practice nurse Jo.

Appointments with our Counsellors

You can book a telephone appointment with our counsellors Siri or our Student Counsellors Nadiya, Pete and Rachael with our reception staff.

There is no need to see a doctor or clinician beforehand.

Simply call reception and ask for an appointment with a counsellor.

They can offer you telephone counselling with Siri or ask Siri to contact you to put you on the waiting list for Face to Face Counselling with our Student Counsellors Nadiya, Pete and Rachael.

Travel Clinics and Foreign Travel

Do you need vaccinations for travel?

Our Practice Nurse Jo can provide comprehensive advice about overseas travel and vaccinations.

We are proud to announce that we are now a registered Yellow fever centre and can cater for both Portcullis patients as well as private patients registered with other practices providing a comprehensive travel clinic service.

Simply fill in the form online on our website below and we will contact you to make an appointment.

BEFORE YOU MAKE AN APPOINTMENT FOR A TRAVEL CLINIC

  • We recommend you make an appointment with our nurses at least 8 weeks before you’re due to travel.
  • Before you make this appointment YOU MUST fill in the form below and send it to our practice OR print the form out and hand it in to reception so we can then make you an appointment for travel advice and immunisations with our practice nurses Jo and Amanda.

Alternatively, download the form and hand it in:

  • Once you fill in the form, an appt will be booked with Nurse Joanne (or Nurse Amanda) for a travel clinic. Jo works on Tuesdays, Wednesdays, Thursdays and Fridays and also does evening clinics on Tuesdays, Amanda works on Wednesdays, Thursdays and Fridays and does evening clinics on Thursdays.

In the UK, the NHS routine immunisation (vaccination) schedule protects you against a number of diseases, but does not cover all of the infectious diseases found overseas.

Some vaccines need to be given well in advance to allow your body to develop immunity and some vaccines involve a number of doses spread over several weeks or months.

You may be more at risk of some diseases, for example, if you’re:

  • travelling in rural areas
  • backpacking
  • staying in hostels or camping
  • on a long trip rather than a package holiday

If you have a pre-existing health problem, this may make you more at risk of infection or complications from a travel-related illness.

TRAVEL VACCINATION COSTS

Not all travel vaccinations are available free on the NHS, even if they’re recommended for travel to a certain area. Some non-NHS travel vaccines incur a charge and we will let you know what this is during your consultation.

Current prices for private vaccinations are as follows (updated February 2024)

Portcullis Registered PatientPrivate patient (not registered with Portcullis Surgery)
Travel risk assessmentFree£15
Hep BPer dose £40. Course of 3 £120Per dose £45. Course of 3 £135
RabiesPer dose £85. Course of 3 £280 (when stock available)Per dose £90. Course of 3 £290 (when stock available)
Yellow feverPer dose £80 Course of 1Per dose £100 Course of 1
Yellow Fever Replacement certificate£15 £20

Travel vaccinations – NHS (www.nhs.uk)

Fit for Travel information

Sexual Health and Family Planning

Family Planning including insertion of Coils, Implants and Pessaries (All nurses for general advice)

Most nurses can give general family planning advice and carry out repeat depo-progesterone injections aswell.

Our practice nurse Jo runs a drop in clinic for under 30s on Wednesdays from 2-4pm and Thursdays from 4-6pm

Some doctors and nurses can also carry out

***ring pessary changes and fittings,

***mirena and copper coil insertions and

***nexplanon insertions.

Arrangements are made on an individual basis and you need to book a single appointment with the Doctor below to discuss first.

  • Dr C Beanland and Dr Sally Wood
    • Family Planning and Gynaecology:
      • Mirena and Copper Coil insertions
      • Nexplanon insertions
      • Vaginally Pessary fitting and changes
  • Dr J Hartley
    • Family Planning and Gynaecology:
      • Nexplanon insertions only
  • Nurse Amanda Robinson and Nurse Joy Godding
    • Vaginal Pessary changes only

Additional Sexual Health Clinics

Sexual H. Services which includes Psychosexual Counselling at Shrewsbury Severn Fields Clinic

Walk In and Wait Clinics on:-

  • Monday:  13:00 to 20:00
  • Wednesday:  13:00 to 16:45
  • Saturday:  08:30 to 11:45

We also offer Booked Appointment Clinics on:-

  • Monday:  08:30 to 11:45
  • Wednesday:  16:45 to 20:00
  • Friday:  08:30 to 11:45

To book an appointment please use our online booking system on the Homepage or phone us on 0300 123 0994

Sexually Transmitted Diseases (STI)

The nearest Genito-Urinary Clinic for testing for STIs in Hereford.

  • Open-access service – Walk-in clinic or call 01432 266908 for appointments.
  • Monday – Walk-in Clinic 8.30 – 11.00 am. Appointments only pm
  • Tuesday – Appointments only am. Walk-in Clinic 2.00 – 4.00pm
  • Wednesday – Appointments only am. Young person only Walk-in (18 and under) – 2.00 – 4.30pm
  • Thursday- Walk-in clinic 8.30-11.00 am. appointments only pm

Non-NHS Services (Private GP Services)

Private practice is significantly restricted in terms of NHS registered patients for GMS (general medical services).

New contractual regulations introduced in October 2019, restrict GP practices from offering or advertising – during NHS working time and on NHS funded property – private services to anyone (whether a registered patient or not), if those services fall within the scope of primary medical services.

Some services however are not within the scope of primary care services and therefore are not covered by the NHS and a charge will be made in line with the BMA scale of fees.

These include medical examinations e.g.:

  • HGV licence
  • Employment medicals
  • Driving insurance etc
  • Assessment of capacity for Power of Attorney

as well as certain certificates e.g.:

  • Private insurance claims
  • Private sick notes Holiday cancellations etc.

Services outside the scope of the NHS will be charged according to a list of recommended fees. The list can be downloaded by clicking on the link below, it can also be found in the waiting room.

Private Fees

Non NHS services include:

  • HGV and PSV medicals
  • Insurance company reports and medicals
  • Private certificates
  • Holiday cancellation
  • Medical insurance reports/forms
  • Pre-employment medicals
  • Vaccination certificates, etc.

The above list is not exhaustive.

Please inquire at reception if you are not sure of the cost when handing in your form for completion.

Power of Attorney

A Power of Attorney is a legal document that allows someone to act for you or make decisions on your behalf if you are no longer able to do so yourself. There are two types of Lasting Power of Attorney; one for Personal Welfare and one for Property and Affairs. In order to be valid the lasting Power of Attorney must be registered with the Office of the Public Guardian.

Anyone who is aged 18 or older and has the mental ability to make decisions for him/herself can choose to give Power of Attorney to relatives or people that they trust.

The following websites have more detailed information about what a Power of Attorney is, how to set one up and what are the costs of doing so.

NHS Choices

Office of the Public Guardian

Age UK

Applying for a Power of Attorney

You can apply for a Power of Attorney online

The forms need to be signed before sending them off to the Office of the Public Guardian.

Portcullis GPs provide non-NHS services in relation to Power of Attorney applications. Because these services do not fall under those provided by the NHS, there are fees associated with this.

As at February 2018 the fees charged are as follows:

  • Countersignature of a Power of Attorney application, no medical examination required £105
  • Countersignature of a Power of Attorney application, with medical assessment for capacity or home visit £155

N.B. Other professionals, such as solicitors, also provide services in relation to Power of Attorney applications.

Healthcare Assistant Clinics

Healthcare Assistant Clinics (blood tests and other tests such as ECGs)-Angie and Megan (HCA) or Joanne and Heidi (Practice Nurses)

Daily clinic 8.30am-12.30

Blood test appointments can be booked directly by the receptionist and there is no need for a telephone appointment first. Please remember to cancel and rebook your appointment if you develop symptoms of possible Covid-19 and to wear a facemask as you come in to the practice

Wound and Dressings

Wound and Dressing clinics (Angie and Karen)

Monday and Thursday afternoons

Review Dressing appointments can be booked directly by the receptionist and there is no need for a telephone appointment first. Please remember to cancel and rebook your appointment if you develop symptoms of possible Covid-19 and to wear a facemask as you come in to the practice

New wounds or dressings

Please call the practice its urgent, to make an initial telephone call with a nurse in order to discuss your need for a dressing and the nurse will book you in to the next available appointment. If its not urgent you can also book a telephone appointment online or via email:

Patients who are housebound need to contact the District Nurses for their dressings to be done at home on 01588 676323.

Microsuction Ear cleaning and Ear Irrigation

Portcullis Surgery is committed to providing best practice, high-quality medical care. Most ear wax build up will improve with olive oil treatment alone.

Your pharmacist can help with earwax build-up. They can give advice and suggest the treatment.

Our MICROSUCTION EAR CLEANING AND EAR IRRIGATION  CLINICS:

  • all patients will need to book a face to face appointment with our nurses Heidi or Jo first so we can discuss your need for microsuction or ear irrigation with you and discuss possible alternative treatments.
  • They will look inside your ears to check if they are blocked and might carry out some simple hearing tests before booking you in for an appointment to have your ears irrigated or microsuctioned with Angie our HCA.
  • Prior to the appointment with Angie: PLEASE READ THE INFORMATION LEAFLET BELOW AND SIGN THE CONSENT FORM BELOW

Microsuction: Usually micro suction does not need pre-treatment with drops but two days of Earol (clinically treated olive oil) is the best preparation.

Ear Irrigation: You will be asked to use olive oil or use and ear wax bulb syringe for 1-2 weeks if you have not done so already

Waiting times for Microsuction and ear irrigation:

Please remember that in most other areas and practices this is a private service and the NHS does not fund Microsuction for any patients at all and ear irrigation is normally restricted to patients who have an audiology appointment ONLY.

  • We will always prioritise all patients who have been referred for an audiology appointment for hearing loss and will usually ask for a copy of your letter with an audiology appointment.
  • Therefore if you do not have an audiology appointment you may have to wait some weeks for the next available microsuction or ear irrigation appointment or you may have to seek private treatment if our waiting times are too long for you

Microsuction:

We give priority to patients who need ear syringing or microsuction prior to an audiology appointment or who have contraindications to microsuction. We do not repeat microsuction more frequently than every 3 months for any patient who does not have proof of an audiology appointment.

Ear syringing:

We give priority to patients who need ear syringing prior to an audiology appointment. We do not repeat ear irrigation more frequently than every 6 months for any patient who does not have proof of an audiology appointment.

Housebound patients:

We are sorry but we do not have the capacity to carry out housebound visits for ear irrigation or ear microsuction. Also we would be concerned about our equipment getting damaged during visits and do not have insurance for a home visiting service.

If you cannot possibly come in to the practice for this service then you will need to look in the internet for a private provider. 

BEFORE THE APPOINTMENT WITH ANGIE PLEASE READ THE INFORMATION LEAFLET BELOW AND SIGN THE CONSENT FORM BELOW (YOU CAN ALSO ASK FOR A PAPERCOPY FROM RECEPTION OR THE NURSE)

Patient Information Leaflet

Download the consent form, print and hand in to reception or fill in online below

Information and Consent for Ear Irrigation or Microsuction

Cryotherapy for skin lesions

Cryotherapy

The cryotherapy device destroys the tissue by freezing the fluid inbetween the cells, forming ice shards and crystals which rupture the membrane, thereby destroying the cell. That means there will be no collateral damage to healthy tissue. It’s so incredibly accurate and practical.

Please note: Cryotherapy is a cosmetic procedure which is no longer funded by the NHS. Our partners have decided to continue offering cryotherapy as a free service in the practice however, we are asking all patients who have this procedure done in the practice to make a donation towards the patient donation fund on a voluntary basis in order to fund the costs of the nitric acid canisters.

Cryotherapy offers the ideal treatment for

  • Skin Tags
  • Sun Damage
  • Age Spots
  • Warts
  • Cherry Spots
  • Verrucae
  • Milia

BEFORE THE APPOINTMENT FOR CRYOTHERAPY YOU WILL NEED TO FILL IN THE CONSENT FORM BELOW AND READ THE INFORMATION LEAFLETS (YOU CAN ALSO ASK FOR A PAPERCOPY FROM RECEPTION) BELOW:

YOU CAN THEN BE BOOKED WITH OUR NURSE JO GRAY OR OUR HCA ANGIE RUNICLES FOR CRYOTHERAPY 

Cryotherapy Patient information leaflet

INFORMATION ABOUT PATIENT DONATIONS

For more information about the Patient donation Fund follow the link

Epley Manouvre

What is benign paroxysmal positional vertigo (BPPV)?

BPPV is a common cause of dizziness. It occurs in people of all ages but is more common
in middle-aged and elderly people. It causes short bursts of intense dizziness when the body
or head is placed in certain positions such as lying on one side in bed or looking upwards.

People can feel sick and are sometimes unsteady for a few hours after the dizziness has
gone away.

  • Benign – this means the cause of dizziness is not a threat to your health.
  • Paroxysmal – the dizziness comes in short bursts.
  • Positional – the dizziness is provoked by certain body or head positions.
  • Vertigo – the medical name for the spinning sensation.

Home Epley manoeuvre

BPPV can usually be cured using the home Epley manoeuvre. Dr Beanland is happy to explain how to do this in an appointment. Arrangements are made on an individual basis and you need to book a single FACE TO FACE appointment with the Dr Beanland.

This is a simple treatment that involves you turning your head in a series of movements. The movements are specifically designed to use gravity to dislodge the crystals from the semi-circular canals and return them to where they belong, treating the symptoms of vertigo. You can perform the series of movements in your own home.

BEFORE THE APPOINTMENT WITH DR BEANLAND PLEASE READ THE INFORMATION LEAFLETS BELOW  (YOU CAN ALSO ASK FOR A PAPERCOPY FROM RECEPTION) AND FILL IN THE CONSENT FORM BELOW

Please read the information leaflet below prepared by the University of Southampton Hospital

Home-Epley-manoeuvre-to-treat-BPPV-left-ear-2782-PIL#

Information and Consent for an Epley Manouvre