Clinics and services

The Knoll Surgery
Tel: 0844 477 39 36

Kingsley Branch Surgery
Tel: 0844 477 39 36

News:

Out of Hours Service

When the surgery is closed please call 01244 343300 to be connected to the Out Of Hours Service.

Calling the surgery direct on 08444 773936 when we are closed will also connect you to the Out Of Hours GP service.

Please restrict these calls to genuine emergency problems

Announcements

01 Sep - 01 Oct
NHS Smokefree

Find out about all of the free NHS services available to support you as you go try to give up smoking.

01 Aug - 01 Oct
NHS Summer Health

Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more

01 Jul - 01 Oct
Change for Life

Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.

BBC Health

Diabetes drug advice 'not heeded'

A type two diabetes drug is still being prescribed in the UK two months after it was recommended for withdrawal, BBC Panorama learns.

Junior medics 'leaving training'

Nearly one in four junior doctors drop out of their NHS training after two years, figures show.

Gum and heart link 'breakthrough'

Scientists say they have established one reason why gum disease may increase the risk of heart disease.

Reading Arabic 'hard for brain'

Israeli scientists believe they have identified why Arabic is particularly hard to learn to read.

'No evidence' implants are toxic

Tests on a type of breast implant filled with an unapproved gel have shown no evidence they are unsafe, UK experts say.

Research into age-related illness

Edinburgh scientists are attempting to find the trigger which leads older people to develop dementia.

Clue to egg flaws in older women

British scientists say they are closer to knowing why older women trying to fall pregnant are more likely to produce abnormal eggs.

Bone drug linked to cancer risk

Long-term use of bone-strengthening drugs may boost the risk of oesophageal cancer, a study suggests.

'Big drop' in alcohol consumption

Alcohol consumption has fallen faster than ever, figures from the British Beer and Pub Association suggest.

Urine wanted to test odour device

Bristol researchers developing an odour detector to help incontinence sufferers offer volunteers vouchers in exchange for urine.

Yahoo Health

Picking right blood pressure medicine challenging (AP)

AP - It's hard to predict which pills will best lower which patient's high blood pressure, but researchers are hunting ways to better personalize therapy — perhaps even using a blood test.

Cholera outbreak in Cameroon 'worst in 20 years' (AP)

AP - UNICEF says more than 300 people have died in the West African nation of Cameroon from the country's worst cholera outbreak in 20 years.

WHO wants faster, more flu vaccine production (AP)

CVS employee Mambo Muntanga, left, receives a flu shot from nurse practitioner Susan Brown, Friday, Aug. 27, 2010, in Rockville, Md. It's flu-shot season again, and for the first time health authorities are urging nearly everyone to get vaccinated — and people 65 or older even can choose to try a new high-dose version. (AP Photo/Evan Vucci)

AP - The vaccine used to contain the recent swine flu pandemic was effective, but health authorities will need to ramp up the speed and volume of production during the next global outbreak, a World Health Organization official said Monday.

Expert warns of complacency after swine flu fizzle (AP)

Robert Webster, chairman of the Department of Virology and Molecular Biology at St. Jude Children's Research Hospital in Memphis, Tenn., attends the Options for the Control of Influenza conference in Hong Kong Sunday, Sept. 5, 2010 in Hong Kong. Webster urged health authorities around the world to stay vigilant even though the recent swine flu pandemic was less deadlier than expected, warning that bird flu could spark the next global outbreak. (AP Photo/Vincent Yu)

AP - A leading virus expert urged health authorities around the world Sunday to stay vigilant even though the recent swine flu pandemic was less deadly than expected, warning that bird flu could spark the next global outbreak.

Cholera kills 41 in Central African nation of Chad (AP)

AP - Health officials in Chad say an outbreak of cholera in the Central African nation has killed at least 41 people.

Can home cooking be hazardous to your health? (AP)

AP - Could your kitchen at home pass a restaurant inspection?

Study: Diet Drug Meridia May Boost Heart Risks (Time.com)

Time.com - A new study finds that some users of the weight-loss pill Meridia may have an increased risk of heart attack or stroke

For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)

LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.

Clinical Trials Update: Sept. 3, 2010 (HealthDay)

HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:

Keep Health in Mind When Planning School Day Menus (HealthDay)

HealthDay - MONDAY, Sept. 6 (HealthDay News) -- As parents prepare for their children's return to school, they need to remember that healthy meals and snacks are essential for learning.

MedPage Today

Investigation Reveals More Woes for Rosiglitazone

(MedPage Today) -- On July 15—a day after the FDA completed two days of hearings on rosiglitazone (Avandia)—a British advisory commission on drugs concluded that the product should be withdrawn from the market, according to an investigation conducted by BMJ.

Washington Week: Insurance, State Actions Top News

WASHINGTON (MedPage Today) -- Several studies highlighting insurance issues were released this week, including one on federal programs for kids and two others focused on employer-provided medical coverage.

FDA Approves New Eye Pressure Drop Formulation

WASHINGTON (MedPage Today) -- The FDA approved a new formulation of the drug bimatoprost (Lumigan) in a 0.01% solution as a first-line treatment to reduce elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Kids on HAART Would Benefit from Revaccinations (CME/CE)

(MedPage Today) -- Children with HIV who received standard childhood immunizations before starting on highly active antiretroviral therapy (HAART) could benefit from revaccination, a review suggests.

New Guidelines Out for Pneumococcal Vaccine (CME/CE)

(MedPage Today) -- Adults with asthma and those who smoke should receive the 23-valent polysaccharide vaccine to prevent pneumococcal disease, according to new recommendations from the CDC.

OSHA Should Dictate Residents' Hours, Group Says

WASHINGTON (MedPage Today) -- The consumer group Public Citizen is urging the Occupational Safety and Health Administration (OSHA) to regulate the work hours of resident physicians.

Four Factors Increase Risk of Opioid Dependence (CME/CE)

(MedPage Today) -- A combination of four factors appears to significantly increase the risk of opioid dependence among patients taking prescription painkillers, researchers have found.

Low IgG Poses Infection Risk With Rituximab (CME/CE)

(MedPage Today) -- Certain subgroups of patients with rheumatoid arthritis, particularly those who have low levels of IgG, are at risk for severe infections when treated with rituximab, French investigators found.

ESC: Stockholm Take Home Message -- Watch the 'Not' Warfarins

STOCKHOLM (MedPage Today) -- An investigational antiplatelet -- ticagrelor (Brilinta) -- emerged as a big winner from the five-day long European Society of Cardiology congress, but the buzz here focused instead on a trio of investigational oral anticoagulants -- dabigatran, rivaroxaban, and apixaban.

Admitting Clinical Errors Not Always Best Policy

(MedPage Today) -- Wide-scale disclosure of clinical errors seems intuitively to be the ethical choice for hospitals and physicians, but researchers from the University of Washington suggest that disclosure should be decided on a case-by-case basis rather than a one-size-fits-all solution

Services

Vaccination Schedule

Travel Information

Minor Surgery
The Practice is fully equipped to carry-out minor surgical procedures. These are normally performed in the Treatment Room on Monday afternoon. Your doctor will refer you for surgery following which an appointment will be sent by post. This will be approximately 2-3 weeks before the procedure is to be carried out.

Minor Injuries
The surgery also has facilities for the treatment of minor injuries such as lacerations, bruises, dislocations, burns or the removal of foreign bodies including those in the eyes. You should report to the Receptionist who will make the necessary arrangements for you to be seen by a doctor or a nurse.

Family Planning
All the doctors in the practice have postgraduate training in Family Planning and will provide advice on all forms of contraception and coil fittings where required. Appointments are available during normal surgery hours. Emergency Contraception is also available.

Pregnancy Care
Pregnancy testing and all antenatal and postnatal care is available through the surgery in association with the community Midwives and hospital Obstetrician. Pregnancy checks are provided by both doctor and midwife appointment.

Asthma Clinic
Our specialist Asthma Nurse holds regular clinics for the care of asthma patients. Advice about asthma is available from the Practice Nurse or at other times through Reception. Appointments are available by contacting The Knoll Reception.

Diabetic Clinic
This clinic allows us to offer full care to all our diabetic patients either solely in the surgery or by shared care with the local hospital specialists. Appointments are available by contacting our Diabetic Specialist Nurse or may be made at The Knoll Reception.

Child Development Clinics
These clinics are held by Dr S Pomfret and Dr H Hatt at The Knoll Surgery.

Heart Clinics
These are doctor and nurse led clinics at which we can review patients with a variety of heart conditions.

Immunisations
The baby and pre-school immunisation clinics are held at the surgery each week. Your doctor or one of the practice nurses can give immunisations to older children.

Travel Clinics
These clinics are for the administration of holiday or special vaccinations. As you may need more than one vaccination please allow enough time for the vaccination to take effect if you are travelling.

Phlebotomy
Your doctor may ask you to attend for a blood test, or you may require these regularly as part of your treatment. Appointments for these tests are made in advance through the Receptionists and are available at both The Knoll and Kingsley. Appointments with the Phlebotomists are always in the morning.

Physiotherapy
A Physiotherapist has a regular weekly clinic at Ellesmere Port Hospital. Referrals are all made via the doctor.

Counselling Service
There are regular clinics at the surgery and this can be arranged after consultation with your doctor.

At two months old:

Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At three months old:

Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection

At four months old:

Diphtheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At around 12 months old:

Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) - booster dose in one injection

At around 13 months old:

Measles, mumps and rubella (German measles) (MMR) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

Three years four months to five years old (pre-school):

Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) - one injection
Measles, mumps and rubella (German measles) (MMR) - one injection

13 to 18 years old:

Diphtheria, tetanus and polio (Td/IPV) - one injection

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

Europe & Russia	North America
Central America	South America
Carribean	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.

Most travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

clock2 Travel Questionnaire

Practice Information

For quick medical advice online or on the telephone contact NHS Direct