Clinics and Services

Antenatal Care

Routine antenatal check-ups are provided by our qualified midwife in the surgery on two afternoons per week.

Asthma & COPD

We have specialist respiratory nurses who provide regular check ups and advice for patients with asthma and COPD (Chronic Obstructive Pulmonary Disease).  We advise patients with asthma or COPD to have an annual check up.  Please book an appointment for this.

Cervical Screening

Cervical smears are recommended at three yearly intervals between the ages of 25 and 49 and at five yearly intervals between the ages of 50 and 65.  They are performed by the practice nurses.

Children’s Immunisations

The practice will contact parents to invite babies/children to attend at the appropriate times for child health surveillance and immunisation.  Baby clinics are held on a Tuesday morning.

For comprehensive information on NHS immunisations given to children, please visit the www.nhs.net website:

www.nhs.uk/conditions/vaccinations/pages/vaccination-schedule-age-checklist.aspx

The website includes a useful NHS vaccination wall planner giving the schedule of vaccinations and due dates which you can personalise for your child.

Chlamydia screening

If you are aged between 15 and 24 years of age you are eligible for a chlamydia screening test.  Just ask at Reception for a chlamydia  testing kit.  You can take this away with you and post if off yourself.  For more information about chlamydia screening visit www.chlamydiascreening.nhs.uk

Coil Service

We provide contraceptive, coil and implant procedures.  Clinics take place on a Thursday afternoon.  If you would like to access these services, please speak to Reception.

Coronary Heart Disease

Patients with coronary heart disease are invited to specialist heart disease clinics held by the doctors and should be seen at least once a year for this.

Diabetes

Diabetic patients are invited to specialist diabetic clinics annually.

Time: Tuesday or Wednesday afternoon  and Friday mornings.

Family Planning

Advice on contraception.  To access this service, please book an appointment with the nurse.

Phlebotomy (blood taking)

The surgery provides a phlebotomy (blood taking) service which is by appointment only for patients aged 18 and over.  Please note that this is not for patients on warfarin.  Also, please note that our phlebotomists have the discretion to advise patients to attend the hospital phlebotomy service if they feel that this is in the patient’s best interests.

Times:  Tues, Weds, Thurs, Fri 8.30am-10.30am

Physiotherapy – Self Referral for Bromley patients

Since April 2018, if you are aged 18 years or older and have back, neck, joint or general muscle problems you can self-refer to physiotherapy without the need for a GP appointment.

You can still see your GP to be referred, but self-referral aims to give you rapid access direct (via PhysioDirect) to a physiotherapy telephone assessment.

The physiotherapist can assess you over the phone to understand your needs and expectations and assist in providing advice and guidance about your condition.  This will include agreeing on appropriate next step in your care. This may be self-management, an exercise class, face-to-face physiotherapy, or an onward referral to hospital.

If you feel you would benefit from this service, all you have to do is call 01689 88 77 10.  The phone lines are open Monday to Friday from 8am-4pm.  Outside of these times you will be able to leave a voicemail and they will return your call as soon as they can.  When you call, a member of the team will register you on their system.  it would be helpful if you could have your NHS number to hand.

For more information, visit the PhysioDirect website  www.cppg.co.uk

Smoking cessation service

It is never too late to stop smoking.  For advice to help you give up smoking, visit the NHS Smokefree Helpline (visit www.nhs.uk/smokefree or telephone 0300 123 1044).

Talk together Bromley

Talk Together Bromley : Improving Access to Psychological Therapies is a free NHS evidence-based talking therapy service for people aged 18 years and over, who are anxious, stressed, have low mood or suffer from depression.  They provide a range of treatment programmes including one-to-one therapy, counselling and group work.

At least one in four of us will experience mental health problems at some stage in our lives.  Problems such as anxiety, low mood, stress and worry can happen for many reasons.

If you would like support from Talk Together Bromley you can refer yourself either by calling 0300 003 3000 or completing the on-line self-referral form on their website www.talktogetherbromley.co.uk

Vaccinations

Routine vaccinations for all ages are available during surgery times by appointment with our nurses.

Flu Vaccination Clinics   

Last updated 2/11/2018

Free flu vaccinations are offered to all our registered patients aged 65 and over (this includes anyone who will have had their 65th birthday by 31st March 2019), patients with a chronic disease such as diabetes, chronic respiratory disease and asthma, chronic renal disease, coronary heart disease, immunosuppression and neurological disease such as stroke, carers and pregnant women.   Walk-in clinics and pre-booked appointment clinics for all our eligible adult patients in these categories are being held in September, October and November 2018 and include Saturday walk-in clinics on:

Saturday, 22nd September 2018  8.30am-12.45pm

Saturday, 29th September 2018   8.30am-12.45pm

*Saturday, 6th October 2018         8.45am-12.00pm  * Eligible patients aged under 65 (including children) only

Saturday, 13th October 2018         8.30am-12.45pm

If you would like to book an appointment in advance for your flu jab, we also are providing the following clinics:

Bookable adult flu clinics:

Monday, 17th September 2018    2.05pm-3.50pm

Thursday, 20th September 2018  2.05pm-4.00pm

Wednesday, 26th September 2018 2.05pm-4.00pm

Wednesday, 3rd October 2018      2.05pm-4.00pm

Tuesday, 16th October 2018           2.05pm-6.10pm

Tuesday, 23rd October 2018          9.30am-11.20am

Thursday, 1st November 2018       3.15pm-7.15pm

Wednesday, 7th November 2018   2.05pm-6.10pm

Wednesday, 14th November 2018  2.05pm-6.10pm

Friday, 16th November 2018            8.30am-12.45pm

Wednesday, 21st November 2018   2.05pm-6.10pm

Tuesday, 27th November 2018        2.05pm-6.10pm

Tuesday, 4th December 2018           5.05pm-6.10pm

Please do not come to these clinics without an appointment.

For information about flu vaccinations visit: www.nhs.uk/flujab

 

Children’s flu appointments

Flu vaccinations are also offered by the practice to all children who were two or three years of age on 31st August 2018 ie born between 1/9/14 and 31/8/16. They receive a nasal spray vaccine called Fluenz Tetra which is painless and easy to give and has been use safely in many countries for a number of years.  All children under the age of 18 who are in an “At Risk” group (ie with a chronic disease) are also given this vaccine.  Those children aged 11-17 within this group are offered the vaccination in general practice, while schools cover the other ages groups (as noted below)

For information about the children’s flu vaccination, visit www.nhs.uk/child-flu

Dedicated flu clinics are being held on the following dates:

Saturday, 6th October 2018       8.40am-12.30pm

Wednesday, 10th October 2018 8.30am-12.45pm

Saturday, 13th October 2018      8.40am-12.45pm

Wednesday, 17th October 2018    2.05pm-3.55pm

Saturday, 20th October 2018        8.40am-11.45am

Wednesday, 14th November 2018   2pm-6.15pm

Wednesday, 21st November 2018    3pm-6.15pm

Please book in advance an appointment for your child in one of these clinics.

Schools vaccination programme

There is also a programme of flu vaccinations for children in school years: Reception, 1, 2, 3, 4 and 5 (date of birth on or after 1 September 2008 and on or before 31 August 2014).  These vaccinations are offered and given at school rather than the surgery.  The schools programme includes children in those age groups who are “at risk” but their parents can still choose to have their vaccination at the practice if they miss the session at school , if the school session is late in the season, or if the parents prefer it.

Travel vaccinations

Last updated 1.2.18

If you are planning to travel abroad on holiday this year and need travel vaccinations, don’t forget to book a telephone appointment in good time to discuss this in advance with the nurse. It is advised that you attend the surgery to have vaccinations at least 8 weeks before departure.  You will be required to complete a form in advance indicating your travel plans in order to ensure we provide the correct vaccinations.  Please note there is a charge for travel vaccinations.  If you prefer, you are free to go to a private travel clinic for these vaccinations.

Please note, we are a registered yellow fever vaccination centre.

Click on the link below to download our travel vaccination form

Travel Vaccinations Form London Lane Clinic

 

Shingles

Last updated 11.9.18

Were you aged 70, 71, 72, 73, 74, 75, 78 or 79 on 1st September 2018?  If you were born between

2/9/1942 – 1/9/1948

or if you were born between

2/9/1939 – 1/9/1941

you are eligible for a  vaccination for shingles.

Also, if you turn 70 during the 12 months up to 31st August 2018 you will be eligible from your 70th birthday.

The Department of Health says this vaccination programme will prevent 38% of the 30,000 cases seen each year in people of these ages.   If you would like a shingles vaccination, please contact reception to book an appointment with a nurse.  You will be eligible to receive your shingles vaccination up until August 2019.

 

Infrequent attenders

If you are aged 16 – 75 and have not seen a doctor or nurse at the practice in the last 3 years, or are over 75 and have not been seen for the last 12 months, you are welcome to make an appointment with a nurse to have a physical health check.  It is useful to have up-to-date information on your medical records to provide baseline information in case you have health problems in the future.

Health visiting service

Last updated 29.9.2017

Health visitors are qualified nurses who have undertaken further specialist training in child and family health and child development.  If you require advice on any aspect of parenting such as sleep, breast feeding, nutrition or behaviour management and/or for details of the health visitor clinics please contact the health visitors via the Oxleas Foundation Trust Central Administration Team  on Tel 0208 836 8621.

Health visitors may also be contacted for advice and support for parental wellbeing such as post natal depression.

District Nurse service

The district nursing team attached to the practice is responsible for the nursing care of housebound patients in the community.  They can be contacted on 020 8464 8752.

Midwifery service

A midwife is available within the practice on two afternoons a week. Midwives are keen to see pregnant women early on in their pregnancy. If you think you are pregnant, make an appointment to see the GP or nurse for referral to the midwife. Following this initial booking appointment you will be referred to the hospital for “shared care”. This means you will usually be seen by a midwife according to the following schedule of appointments:-

Timetable of care provided by the midwifery service

1st baby Primagravida  2nd or subsequent baby   Multigravida    Location   of appointment
 Booking  appointment with midwife  Before 13 weeks  Before 13 weeks  Hospital
 Midwife appointment and receive blood results  Approx 16 weeks  Approx 16 weeks  Surgery
 Ultrasound Department only  18-22 weeks  18-22 weeks  Hospital
 Midwife appointment  25 weeks               –  Surgery
 Midwife appointment & blood test  28 weeks  28 weeks  Surgery
 Midwife appointment  31-32 weeks               –  Surgery
 Midwife appointment  34 weeks  34 weeks  Surgery
 Midwife appointment  36 weeks  36 weeks  Surgery
 Midwife appointment  38 weeks  38 weeks  Surgery
 Midwife appointment  40 weeks  40 weeks  Surgery
 Midwife appointment  41-42 weeks if required  41-42 weeks if required  Sweep at hospital

Patients are reminded that they should take folic acid (400mcg daily) until 12 weeks pregnant. This is available without prescription from any pharmacy. Ideally folic acid should be commenced 3 months prior to conception.

Patients are welcome to bring their partners to their midwifery appointments.