Specialist Clinics & Services

ADVANCE DIRECTIVES/LIVING WILL

Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make decisions for yourself. Advance directives guide choices for doctors and caregivers if you're terminally ill, seriously injured, in a coma, in the late stages of dementia or near the end of life.

For more information please click here.

ANTENATAL & MATERNITY SERVICES

If you are, or think you may be pregnant, please contact Trowbridge Maternity on 01225 711314. 

Please click here to read further information on your pregnancy.

To read about the RUH maternity services available click here.

AUDIOLOGY

The Audiology department at the RUH provide hearing aids and undertake hearing & balance tests. To be referred to this service please speak to your GP.

For further information click here.

ASTHMA 

Asthma is a common long-term condition that can cause coughing, wheezing, chest tightness and breathlessness.

Click here to be taken to the NHS website for further information.

Click here to be taken to Asthma UK website.

Speak to your GP if you think you or your child may have asthma.

We have a Respiratory Team available at the Practice to speak to if you have been diagnosed with Asthma and you are finding it difficult to control your symptoms - please do not hesitate to call us on 01225 866611 to book an appointment.

Patients will be invited to an annual review of their Asthma once a diagnosis has been made.

BEREAVEMENT

Click here to be taken to the NHS website for further information.

Click here to be taken to the Wiltshire Council website.

There are a number of charities that can support you, including:

• Cruse Bereavement
• Samaritans
• Child Bereavement UK

CERVICAL SCREENING CLINICS

Every day in the UK 8 women are diagnosed with cervical cancer and 3 women will lose their lives to the disease.

Smear test overdue? Book yours today!

To book your appointment at the Practice, please telephone the appointments team on 01225 866611 or book online by clicking here.

For further information please telephone Jo's Cervical Cancer Trust Helpline on 0808 802 8000 or visit their website by clicking here.

CHILD HEALTH CLINIC

This Child Health clinic is aimed at all parents and their babies aged 6-8weeks old to seek advice, information and to check their babies development so far. Children are weighed and/or measured at this clinic. You will receive an appointment letter from the Practice.

The NHS have provided a new digital advice service for parents-to-be and new parents. The service offers up to date material from NHS Choices, the Pregnancy Care Planner and the online Birth to Five guide, covering a wide range of issues including how a baby develops, birth and pain relief options, healthy lifestyle advice, breastfeeding, immunisations and much much more. To find our more information and to sign up, please click here.

CHILDHOOD IMMUNISATIONS AND ADVICE

A service primarily provided by our Practice Nurses.

The Department of Health have devised a National Immunisation Schedule for all children. This schedule can be found by clicking here.

This list of vaccinations have been worked out to give children the best chance of developing immunity against common diseases safely and effectively, and doing it early enough to minimise their risk of catching these diseases.

If you would like to speak to the Practice Child Immunisation Co-ordinator please call 01225 866611.

CORONARY HEART DISEASE (CHD)

CHD generally affects more men than women, although from the age of 50 the chances of developing the condition are similar for both sexes.

As well as angina (chest pain), the main symptoms of CHD are heart attacks and heart failure. However, not everyone has the same symptoms and some people may not have any before CHD is diagnosed.

CHD is sometimes called ischaemic heart disease.

For more information please click here

CHIROPODY

You may self refer – please ask at reception for further details

CLINICAL PSYCHOLOGY

On referral from your GP

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease.

People with COPD have difficulties breathing, primarily due to the narrowing of their airways, this is called airflow obstruction.

Typical symptoms of COPD include:

• increasing breathlessness when active
• a persistent cough with phlegm
• frequent chest infections

Patients may access this clinic by making an appointment through the receptionist or by discussion with their GP or practice nurse.

For more information please click here

 Domestic abuse

 https://www.splitz.org/

• Domestic abuse outreach / IDVA
• Sexual violence support
• Perpetrator programmes
• Mentoring & befriending service
• Building Bridges

DRUG AND ALCOHOL ADDICTION

On referral from your GP

FAMILY PLANNING

A free, confidential service

HEALTH CHECKS

These are offered when you register with the surgery if you have specific medical needs and are carried out by a Health Care Professional. 

FREE NHS Health Checks are offered to all patients aged 40-74 and will only take 20 minutes of your time. An invitation letter will be sent out to those aged 40, and thereafter every 5 years till the age of 74.

To check if you are eligible or to make an appointment for your FREE health check, please get in touch with Dawn Woolley at The Health Centre, who can make an appointment for you at any of the surgeries.  Tel: 01225 866611 and press option 5 for General Enquiries. 

The Health Check will be carried out by a Health Care Professional (not a doctor) to assess your risk of developing heart disease, stroke, type 2 diabetes and kidney disease, and provide you with simple, practical and realistic steps to help you reduce that risk and stay healthy. By taking early action and preventing the onset of these conditions you could improve your health in the long term. The check is based on straight forward questions and measurements such as age, family history, height, weight and blood pressure. There will also be a simple blood test to measure your cholesterol level.  

If you are outside the age range and concerned about your health you should contact your usual GP .

For more Health Check information:

• Visit NHS Choices by clicking here 
• click here to read the patient information leaflet
• To listen to an audio leaflet click here 
• To watch the video click below:

HEALTH TRAINER INITIATIVE

Are you over 18? Do you want to?

• Improve your general well being
• build your self confidence and motivation
• eat healthier food and be a healthy weight
• reduce or stop smoking
• be more active
• drink less alcohol

A dedicated health trainer can assist you every step of the way in achieving and maintaining your goals. They can also help you find other services and activities.

Contact: health.trainers@wiltshire.gov.uk 

Alternatively please click here to view self referral form

Or call: 0300 003 4566

Health visitors

Contact Number 0300 247 0090

Monday - Friday, 0900 - 1700

Email:  vcl.wiltshirespa@nhs.net

Website: www.wiltshirechildrenservices.co.uk

The Health visitors offer a service to parents and their children under 5 years old and can help with a arrange of concerning issues such as:

• Breastfeeding issues
• Conjunctivitis
• Constipation
• Developmental concerns or queries (i.e. Autism and ADHD)
• Domestic violence issues
• Feeding/diet issues
• General advice for parents
• Growth
• Nappy/Minor rashes
• Sleep problems
• Speech and Language problems
• Temper tantrums/behaviour problems
• Toileting problems and bed wetting
• Vulnerable family issues and advice (including single mums and teenage parents)

24.08.15

HYPERTENSION CLINIC

The hypertension clinic began at the end of 2005 specifically for people with Hypertension (raised blood pressure). Most of these people will already be on medication for their condition, which is hopefully helping them to attain the required target of 140/85 and below.

Attending this clinic will ensure that your blood pressure is checked twice a year, once by a nurse and once by your GP to keep it within the required target for good health. If your blood pressure is not in target, action may be taken, with your agreement, to improve the result. At this clinic you will have your weight and height measured and your lifestyle will be discussed with you, such as diet, exercise, smoking and alcohol habits plus discussion on your medication for your blood pressure.

You will be sent an invitation by The Health Centre to attend this clinic around your birth date, if you have been diagnosed with hypertension in the past

MENTAL HEALTH 

Stressed, anxious, depressed? 

The practice have a team of Mental Health Practitioners who are able to provide patients with support when going through a difficult period in their life.

For more information, please click here.

MINOR SURGERY

A number of minor surgical procedures can be undertaken by your GP or a specialist doctor that visits The Health Centre.

PHYSIOTHERAPY SERVICES

Book an appointment to speak to our specialist physio, Amy, today!

Parkinson's UK - Find Out

Parkinson's Local Adviser

If you or a member of your family has Parkinson's you may need information and support for :

• Up to date information on Parkinson's
• Emotional support for you and your family
• Information about links to local services

Contact Lucy Scott

Tel 0344 255 3696

Email: Adviser9.southwest@parkinsons.org.uk

 When and where to register a death

A death that has taken place in Wiltshire, but not in Swindon, must be registered by a registrar in Wiltshire.

You can register at any of the registration offices in Wiltshire.   All offices operate a full appointment system to prevent unnecessary waiting. Appointments usually take between 30 and 40 minutes.

You can make an appointment as soon as the medical certificate of cause of death has been issued to you by the doctor of the deceased, who may be either the GP or a hospital doctor. If the death has been referred to the Coroner, the Coroner’s officer will notify you when the death may be registered. Please telephone the following day to make your appointment, to allow time for the coroner’s paperwork to reach the registration service, as the registrar cannot proceed without it.

Please telephone 0300 003 4569 to make an appointment.

You can now register births and deaths at this hospital

Ground Floor

Bath and Wessex House

Department B21

Royal United Hospital 

Mondays and Thursdays 9:30 to 4:00pm

Commencing Monday 10 November 2014

For appointments telephone 01225 477234or speak to Patient Affairs at the RUH

SOCIAL WORKERS

The adult care team for this area can be contacted on 01225 713001.

SPEECH THERAPY

This service is available for children on referral from a health care professional.

Two Week Wait Appointment leaflet

As you will be aware, there is an increasing national focus on performance against national cancer targets.  Patients not making themselves available is the biggest single reason resulting in failure against the 14 day target. The primary reason for this is that patients do not fully appreciate why they have been referred, and the associated urgency.  This in turn delays diagnosis and treatment for those few who are found to have cancer. 

To view press letter please click here

click here to view leaflet

Your Care Your Support Wiltshire

Your Care Your Support Wiltshire is the new health and social care information website for local people and professionals.  Health Watch Wiltshire, the independent local champion for local people on health and care, has been working in partnership with Wiltshire Council and NHS Wiltshire Clinical Commissioning Group on this new resource.  

Please click here for more information

WARFARIN MONITORING CLINIC 

This nurse led clinic is for patients who take anticoagulant medication such as warfarin who need to have their blood monitored regularly. At this clinic a simple finger prick test is performed. An immediate result is given and the warfarin dose adjusted or continued as necessary, and a follow-up appointment is given.

Patients benefit from this clinic as it is important to maintain regular checks on the clotting rate of their blood while taking anticoagulants. This can done at the first attendance. Patients do not have to wait for their results to come back from the hospital laboratory and then be contacted again with dosage instructions.

Patients can access this clinic by making an appointment through reception staff or practice nurses at The Health Centre.

Your Test Results

Please ring 01225 866611 and press option 2

View Results Online!

To log into your SystmOnline account or to register click here.

Or view your results via the NHS App - please click on the image below

Dementia Service

 ***WE ARE SORRY THAT THE MONTHLY MEMORY CAFE IS SUSPENDED UNTIL FURTHER NOTICE DUE TO THE NATIONAL SITUATION REGARDING THE CORONAVIRUS***

Any Queries please call: 01225 860812

The Surgery is Dementia Friendly 

For more information on how you can get involved please visit the national website: 

www.dementiafriends.org.uk

 posted 18.08.15

Bradford on Avon Dementia Action Alliance.

The steering group of the Bradford on Avon Area Dementia Action Alliance has recently set three targets to be achieved before April 2017

• The steering group of the Bradford on Avon Area Dementia Action Alliance has recently set three targets to be achieved before April 2017:
• l Establish a network of local Dementia Friends Champions, ready to collaborate and deliver Dementia Friends Information Sessions
• l Set up a Directory of Community Assets (local dementia friendly facilities and services)
• l Organise a Dementia Friends Information Session in each of the 8 villages and a further 8 sessions in businesses and other community organisations

For more information please click here

There are lots of different ways to get involved – please contact Chris Maple

Dementia Adviser (Trowbridge & Bradford on Avon.)

Alzheimer's Support

Park House

1 Park Road

Trowbridge

Wiltshire

BA14 8AQ

01.08.16

Dementia Service

If you are worried about your memory you should arrange to speak to a doctor about this. It may be that your symptoms are not dementia but are caused by something else which you can get treatment for. It is natural for people’s memories to get a little worse as the body ages, however, if your memory problems are causing difficulties in your day to day life, you should speak to your doctor about it.

The doctor will want to know about your day to day life and how you are coping. They will run some physical tests, including blood tests, and a short memory test. They may refer you to a memory clinic if they suspect your symptoms are due to a less common type of dementia.

If you do get a diagnosis of dementia you will have lots of questions. There is a Dementia Adviser called Chris Maple. Anyone who receives a diagnosis of dementia should have an appointment with Chris and he will answer questions, help work out any benefits you are eligible for and tell you what services are available in your area.

If your symptoms change you should speak with your doctor. It may be that a different and treatable illness is making the dementia appear to be worse. If you find the short time allocated for a doctor’s appointment too stressful, please ask for a double appointment when booking your appointment. This will allow you more time to speak to the doctor.

While there is no cure for dementia, there is medication which can slow down the progression of the diseases. This is one reason why it is good to get a diagnosis as early as possible.

There are lots of services available for people with dementia, which Chris can tell you about. However, if you feel that you are coping well at this stage, Chris will arrange for a follow-up phone call every 6 months to check how you are getting on. As the disease progresses you may need more support, and in Wiltshire this is provided by a charity called Alzheimer’s Support.

Alzheimer’s Support’s range of flexible services support people living at home with mild to moderate dementia; helping them to maintain as much independence and control over their lives as possible.  It works alongside family carers, providing information and emotional support throughout the course of the illness.

Alzheimer’s Support is always happy to answer questions and provide support. You can call on 01225 776481, email office@alzheimerswiltshire.org.uk or drop in to our office at Park House, 1 Park Road, Trowbridge, BA14 8AQ. The office is open 9am to 4pm Monday to Friday. Information is also available at www.alzheimerswiltshire.org.uk

Travel Clinic

Travel Vaccinations

Our Practice Nurse Team can provide comprehensive travel health advice and arrange for appropriate immunisations for registered patients with the Practice.

Please allow at least 8 weeks before your departure date to arrange an appointment. Vaccines need time to take effect and some may require a course over several weeks. We are unable to accept requests for a travel appointment with less than 8 weeks’ notice and you will need to contact a private travel clinic (see below for details). If you require a copy of your vaccination record please contact the Surgery.

How do I book an appointment?

1. Complete the Travel Questionnaire by clicking here or collecting a form from reception.
2. Return your completed questionnaire to the Surgery.
3. A member of our Practice Nurse Team will review your questionnaire to check your requirements against your medical records and will call you to arrange an appointment.

Travel Vaccination Prices

Travel advice is covered by the NHS; however some vaccinations and prescriptions are only available privately. The Practice Nurse will advise you if you require a vaccination that is not covered by the NHS and you will need to contact your nearest private Travel Clinic.

Private Travel Clinics

There are a number of local and national Pharmacies that can provide private vaccines, including Boots & Lloyds. Currently the nearest one to Bradford on Avon is Lifestyle Pharmacy, Bath. Please visit www.CityDoc.org.uk or telephone 01225 465576.

We recommend that you have taken out adequate travel insurance and declared any pre-existing conditions.

Further Travel Advice

For information regarding travelling overseas please visit the Travel Health Pro or the Gov.uk website.

External Services

ACTIVE WILTSHIRE - click here to be taken to their website

AGE UK - click here to be taken to their website.

At the Surgery we have an Age UK 'Living Well' consultant called Ginnie who works alongside our Older Person's Team providing non-medical help and support to those who have been identified through the GP. To find out further information on our Older Person's Team click here.