Most of the minor surgery carried out here involves the removal of lumps and bumps.

Once the lump has been removed the skin will be closed using a few stitches, these will have to be removed by the NURSE at a time specified by the our Minor Surgery lead Advanced Paramedic Sian Wood (usually 1 week).

All specimens removed are sent to the laboratory for examination.

The local anaesthetic lasts approximately 2 hours.

The wound may therefore start to become painful after this period of time.

Arrangements are made on an individual basis, you may to book a single FACE TO FACE appointment with the our Minor Surgery lead Sian Woods to discuss your problem first or you may booked directly to the next minor operation slot available with our Advanced Paramedic Sian and Nurse Jo.

BEFORE THE APPOINTMENT WITH APP Sian FOR YOUR SURGERY PLEASE READ THE INFORMATION LEAFLETS BELOW AND SIGN THE CONSENT FORM BELOW (YOU CAN ALSO ASK FOR A PAPERCOPY FROM RECEPTION)

Once you send your consent we will let you know if you need to be seen by the Dr first OR if you can be booked directly to the next available minor surgery slot

Please read the information leaflet below regarding Joint injections

Patient-Information-Leaflet Minor Surgery

Joint Injections

• Hydrocortisone injections for joint pain work by releasing the medicine slowly into the joint. This reduces pain and swelling.
• After an injection, your joint may feel better for several months –sometimes as long as a year.
• Some people get increased pain and swelling in their joint immediately after having the injection. This pain tends to go away after a few days.
• Depending on which joint is being treated, you may be able to have injections in the same place up to 4 times a year.
• Hydrocortisone injections can affect your immune system, so you’re more likely to get infections. Tell your doctor if you come into contact with chickenpox, shingles or measles as these infections could make you very ill.
• If you have been having long-term hydrocortisone injections for a long time, you may need to carry a steroid emergency card. Ask your pharmacist or doctor if you do not have one.

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

BEFORE THE APPOINTMENT WITH DR PERKS, DR BEANLAND or DR WOOD, PLEASE READ THE INFORMATION LEAFLETS BELOW AND SIGN THE CONSENT FORM BELOW (YOU CAN ALSO ASK FOR A PAPERCOPY FROM RECEPTION)

Please read the information leaflet below regarding Joint injections

Please sign this consent form for a joint injection

All patients with a long-term medical condition are asked to have an annual check with a nurse once a year. To help make it easy for you to remember when your check-up is due, the Practice aims see you during the month of your birthday. Medication reviews are available everyday morning and afternoon, every Monday and Wednesday evening and one Saturday a month (ask surgery for details)

Medication Reviews are a telephone first service

The reception team will book any bloods tests you need aswell as an initial telephone call with a nurse.

Overdue Medication Reviews

You will be asked to see a nurse or a doctor at regular intervals for a check-up usually around your birthday month, so sometimes we will remind you that your review is overdue. If its your birthday month or you get a reminder note from us please come in for your medication review as soon as possible, this may include annual blood tests. We may refuse to issue medications if your review is very overdue.

Your Annual Medication Review – What do you need to do?

Due to your medication conditions and any medication you are taking, it is important that you have a check-up each year with a NURSE.

To help make it easy for you to remember when your check-up is due, the Practice aims see you during the month of your birthday. There are 1 or 2 steps to your annual review depending on your conditions/medications.

The first step is to have an appointment with a Healthcare Assistant for any blood tests, blood pressure checks or pulmonary function tests that may be needed.

The second step is an appointment with a Practice Nurse to discuss your test results and your medication.

Frequently Asked Questions:

Why do I need to wait a week to see the Practice Nurse?
It can take a few days for blood tests to be processed by the hospital and the results to be sent to the GP Surgery.
I have more than one condition which needs a yearly check-up.

Can I have a single check-up for everything?
Yes. You may need to book a longer appointment with the Practice Nurse.

Your nurse will indicate what length appointment is needed for your combination of conditions. Ask the receptionist and they will usually know how long your appointment needs to be for.

How do I know when to book an apt?
You will NOT be contacted to remind you that your check-up is due.
Near your birthday, please call Portcullis GP Surgery (01584 872939) after 10am and make 1 or 2 appointments:
If you are unsure what appointments you need or how long your appointment needs to be PLEASE DO NOT BOOK YOUR APPOINTMENT ONLINE, CALL THE PRACTICE and the receptionist will be able to guide you on what you need to do.

What can I do if I am a patient who is housebound or a relative of a patient who is HOUSEBOUND?
If you are unable ever to leave your home due to poor mobility and cannot come to the practice please call the practice and ask for a TELEPHONE apt with a nurse, who will be able to organise any tests to reviews you may need over the phone or with the District Nurses.

New patients and Medication Reviews

If you are a new patient you will be offered a telephone appointment with one of the partners to welcome you to the practice. If you have any of the following conditions below you may be offered an appointment for a bloods and a review with a nurse as soon as possible and not wait as usual for your birthday month:

• Asthma
• Atrial Fibrillation
• Chronic Obstructive Pulmonary Disease (COPD)
• Dementia
• Diabetes
• Epilepsy
• Heart Failure
• Mental Health
• Osteoarthritis
• Chronic Pain
• Parkinson’s Disease
• Rheumatoid Arthritis
• Stroke or Transient Ischaemic Attack
• Underactive Thyroid (Hypothyroidism)

Wedneday and Thursday afternoons

Smear 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

We recommend ALL women from the age of 25 have a cervical smear every 5 years, as problems detected this way can usually be cured. Appointments can be made with your Doctor during normal Surgery, provided you request a ‘Smear’ appointment. Our Nurses are also fully trained to perform smears and can do so during any Nurse Surgery. We request you make an appointment for this to be done.

HPV Immunisation

We vaccinate from the age of 14 against cervical cancer as per the National Programme. Please ask at the Reception or one of our Practice Nurses for more information.