Vaccinations

Important – Students at College or University

If you’re starting college or university you should make sure you’ve already had:

  • the MenACWY vaccine – which protects against serious infections like meningitis. You can still ask your GP for this vaccine until your 25th birthday, if you missed having it at school or before coming to the UK to study
  • 2 doses of the MMR vaccine – as there are outbreaks of mumps and measles at universities. If you have not previously had 2 doses of MMR you can still ask your GP for the vaccine
  • Roundwood Park Medical Centre offers these vaccinations to eligible patients free of charge

Useful links

The Pneumococcal Vaccine

  • The PPV vaccine is available on the NHS for children and adults aged from 2 to 64 years old who are at a higher risk of developing a pneumococcal infection than the general population.This is generally the same people who are eligible for annual flu vaccination.
  • If you’re 65 or over, you will also be offered the pneumococcal (PPV) vaccine. This one-off vaccination is very effective at protecting you against serious forms of pneumococcal infection.

Useful links

The Shingles Vaccine

A vaccine to prevent shingles, a common, painful skin disease is available on the NHS to people in their 70s.

The shingles vaccine is given as a single injection into the upper arm. Unlike the flu jab, you’ll only need to have the vaccination once and you can have it at any time of the year.

Useful links

Flu Immunisation

Seasonal flu is a highly infectious illness caused by a flu virus.

The virus infects your lungs and upper airways, causing a sudden high temperature and general aches and pains.

You could also lose your appetite, feel nauseous and have a dry cough. Symptoms can last for up to a week.

We offer ‘at risk’ groups the flu vaccine at a certain time each year to protect you against the flu virus.

You may be invited for a flu jab if you are:

  • over 65 years of age
  • pregnant

or have:

  • a serious heart or chest complaint, including asthma
  • serious kidney disease
  • diabetes
  • lowered immunity due to disease or treatment such as steroid medication or cancer treatment
  • if you have ever had a stroke
  • If you have any queries please contact the surgery.

For more information please visit the websites below:

Useful links

Travel Vaccines

We administer NHS travel vaccinations and advice

For current vaccination recommendations and comprehensive travel advice, check the free NHS site Fit for Travel.

It is recommended you make an appointment to see the Practice Nurse at least 6 weeks before travelling. This gives a chance to have all the vaccines you need. If you are travelling at short notice, we can administer an accelerated programme though this is not so satisfactory. When booking your appointment, tell the receptionist you are coming for travel jabs.

People working abroad, especially aid workers, may require extra immunisations.

If you originally come from the country you are visiting, it is likely your immunity will have worn off so it is important to be vaccinated.

  • Diphtheria/Tetanus, Polio, Typhoid, and Hepatitis vaccinations are all available free of charge.
  • Meningitis A&C or ACWY, Hepatitis B, Rabies and yellow fever vaccinations are not available on the NHS and should be obtained from a private travel clinic.
  • The Japanese B Encephalitis vaccine is only available privately from Masta.
  • Dip/Tet and Polio may require a booster every 10 years for travellers to certain areas
  • Heptatitis A requires a booster vaccine 6-12 months after the first with boosters every 10 years.
  • Hepatitis B requires a booster 5 years after the initial course of 3 injections. Typhoid lasts 3 years.

Don’t forget to take malaria tablets – these are not available on the NHS and need to be bought from a pharmacy. Some require a private prescription, some not. Our nurse will tell you which combination you’ll need – there may be seasonal changes. Though vitally important, the tablets do not offer complete protection so also take mosquito protection measures (mosquito netting, repellents, long sleeves, sprays and vaporiser, all of which help to some extent). All children will require protection; reduced dose vaccines and malaria prevention are available.

Surgery Clinics

If you would like to book one of these clinics, please book your appointment, or contact us on 0208 176 8992.

Clinics
Health Promotion & Screening (All Patients) – We encourage all patients to have, at least 3 yearly, and those 75 years and over, at least annual, routine health screens
Antenatal / Postnatal Care 
Child Health Screening & Immunisations – Please bring your red book or shared care record
Phlebotomy – Monday to Friday mornings by appointment only
Disease Management – Including Asthma / Diabetes / Heart Disease / Hypertension Care
Minor Surgery 
Sexual Health / Family Planning 
Smoking Cessation 
ECG & 24 Hour Blood Pressure Monitoring 
Drug & Alcohol Clinic 
Travel Advice & Immunisations – Please contact the surgery 6 weeks before travel for an appointment with the practice nurse.

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

  • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc)
  • Insurance claim forms
  • Passport signing
  • Prescriptions for taking medication abroad
  • Private sick notes
  • Vaccination certificates

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.

Travel Vaccinations

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.

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 not a stock vaccine.

Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work. Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.

Private Services List and Fees

We offer a number of Non-NHS services to our patients or in other words there are a number of services that are run from these premises that are offered on a Private basis. They are not part of the NHS, so fees are usually payable.

Our Fees are as recommended by the British Medical Association (BMA. 

For more information, see the British Medical Association (BMA) – Why Do GP’s Sometimes Charge Fees?  

CERTIFICATES AND FORMS FEE
Private Letter / TWIMC£30 – £63
Private Sick Certificate£30 – £63
Private Prescription for Travel £15.00
Accident or sickness insurance certificate – short certificate of incapacity without examination for patient to claim under accident or sickness insurance £30 – £63
 Validation of private medical insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form £30 – £63
Cancellation Holiday Form / Letter£30 – £63
Fitness to Exercise Certificate£30 – £63
Overseas Pension Form£20.00
Power of Attorney Form £150.00
Power of Attorney Form (Home Visit)POA
Letter for taking Medications on Plane£20.00
MEDICAL EXAMINATIONS AND REPORTS FEE
HGV £90.00
All Taxi Medicals and Bus Medicals £90.00
Pre-employment Medical
(Including elderly driver fitness to drive)
 £90.00
TRAVEL VACCINATIONS POA
Hepatitis B
Polio Certificate
Rabies (three injections)
Japanese Encephalitis (Adult – Two Injections)
Japanese Encephalitis (Child – Two Injections)
Tickbourne Encephalitis (Adult – Two Injections, 1 year cover)
Tickbourne Encephalitis (Child – Three Injections, 1 Year Cover)
Meningitis
MMR (Over 16s)

Planning a Family

Antenatal care

Antenatal care is the care and help you receive from health professionals during the course of your pregnancy. It is important you take good care of your own health and that of your unborn baby during pregnancy.

As soon as you find out you are pregnant, you should get in touch with us to find out more information on the services and support that are available to you.

Useful links

Family Planning

Our family planning clinics offer free, confidential advice and information about contraception and sexual health.

We provide a range of services including:

  • Confidential advice about contraception
  • The combined oral contraceptive pill
  • The Progestogen-only pill
  • Progestogen injections
  • Limited supplies of free condoms
  • Free emergency contraception
  • Confidential advice about STIs
  • Cervical screening
  • Unplanned pregnancy advice
  • Free pregnancy tests
  • Pre-conception advice and fertility awareness information
  • Fitting and checking of caps, diaphragms, and coils (intrauterine devices, or IUDs)

Please book an appointment (through reception or via our online services) with your GP to discuss any of the above in more detail.

For more information please visit the websites below:

Useful links

Emergency Contraception

If you’ve forgotten to take your pill, your condom split or you’ve had unprotected sex in the last 72 hours then you may need emergency contraception, and the sooner you take it the better.

Emergency contraception is available free from Contraception and Sexual Health Services, some GPs (family doctors) and most pharmacies (chemists), even if you’re under 16.

If you’ve had unprotected sex or your condom failed, it is also really important to consider your risk for sexually transmitted infections and to think about your long-term contraception needs. Please phone the surgery to book an emergency appointment.

If you miss the 72 hours it is still possible to have an emergency coil fitted up to 5 days after unprotected sex. You can have an emergency coil fitted for free at your local sexual health clinic.

Neo-natal Checks

Some newborn babies are released from hospital without a detailed examination. If this is the case, our GPs are happy to perform the relevant checks, either in the surgery, or in comfort of your own home, depending on which is easier for you.

In most cases, the Practice will contact new mums to arrange for this to happen, on rare occasions where we are unaware of the birth, please feel free to give us a call and arrange an appointment or visit.

Postnatal Care

Postnatal care extends for between 6-8 weeks after the birth of your baby. During this period, routine checks are carried out by the health visitor and you and your baby’s recovery is monitored.

During your postnatal care you will find out about feeding, potty training, illnesses, safety and more. You will be able to ask your health visitor questions and request advice.

Useful links

Preconception Advice

If you are planning to have a baby or you need to know more information about how to look after yourself and your unborn baby, please book an appointment with your GP.

We can provide you with all the information you need to know to have a happy and healthy pregnancy.

Useful links

NHS Health Checks

Working together to improve your health

Everyone is at risk of developing heart disease, stroke, diabetes, kidney disease and some forms of dementia. The good news is that these conditions can often be prevented – even if you have a history of them in your family. Have your free NHS Health Check and you will be better prepared for the future and be able to take steps to maintain or improve your health.

Visit NHS Choices – Health Checks for further information.

Why do I need an NHS Health Check?

We know that your risk of developing heart disease, stroke, type 2 diabetes, kidney disease and dementia increases with age. There are also certain things that will put you at even greater risk. These are:

  • being overweight
  • being physically inactive
  • not eating healthily
  • smoking
  • drinking too much alcohol
  • high blood pressure
  • high cholesterol

Both men and women can develop these conditions, and having once could increase your risk of developing another in the future.

  • In the brain a blocked artery or a bleed can cause a stroke.
  • In the heart a blocked artery can cause a heart attack or angina.
  • The kidneys can be damaged by high blood pressure or diabetes, causing chronic kidney disease and increasing your risk of having a heart attack.
  • Being overweight and physically inactive can lead to type 2 diabetes.
  • If unrecognised or unmanaged, type 2 diabetes could increase your risk of further health problems, including heart disease, kidney disease and stroke.

What happens at the check?

  • This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease, and stroke.
  • The check will take about 20–30 minutes.
  • You’ll be asked some simple questions. For example, about your family history and choices which may put your health at risk
  • We’ll record your height, weight, age, sex, and ethnicity.
  • We’ll take your blood pressure.
  • We’ll do a simple blood test to check your cholesterol level.

What happens after the check?

  • We will discuss how you can reduce your risk and stay healthy
  • You’ll be taken through your results and told what they mean. Some people may be asked to return at a later date for their results.
  • You’ll be given personalised advice on how to lower your risk and maintain a healthy lifestyle.
  • Some people with raised blood pressure will have their kidneys checked through a blood test.
  • Some people may need to have another blood test to check for type 2 diabetes. Your health professional will be able to tell you more.
  • Treatment or medication may be prescribed to help you maintain your health.

Questions you may have

Why do I need this check? I feel fine!

The NHS Health Check helps to identify potential risks early. By having this check and following the advice of your health professional, you improve your chances of living a healthier life.

But don’t these conditions run in the family?

If you have a history of heart disease, stroke, type 2 diabetes, or kidney disease in your family then you may be more at risk. Taking action now can help you to prevent the onset of these conditions.

I know what I’m doing wrong. How can the doctor help me?

If you would like help, we will work with you to find ways to eat healthily, reach your healthy weight, be more active, cut down your drinking, or stop smoking.

If I am assessed as being at ‘low risk’, does this mean I won’t develop these conditions?

It is impossible to say that someone will or won’t go on to develop one of these conditions. But taking action now can help you lower your potential risk.

Will everyone has this check?

This check is part of a national scheme to help prevent the onset of these health problems. Everyone between the ages of 40 and 74 who has not been diagnosed with the conditions mentioned will be invited for a check once every five years. If you are outside the age range and concerned about your health, you should contact your GP.

Minor Surgery

Certain small surgical operations can be performed at the surgery. With minor surgery the recovery time is usually short and you will be back to your usual activities fairly quickly (depending on your procedure).

Before attending for minor surgery you will need to see a doctor for the diagnosis and then you will be given an appointment to attend for your procedure.

Please note we do not offer minor surgery for cosmetic purposes.

Cancer Screening

Bowel Cancer

Bowel cancer is a term used to describe cancer in the colon, rectum or the small bowel.

The symptoms of bowel cancer can include:

  • Bleeding from the back passage (rectum) or blood in your stools
  • A change in normal bowel habits to diarrhoea or looser stools, lasting longer than 4 to 6 weeks
  • A lump that your doctor can feel in your back passage or abdomen (more commonly on the right side)
  • A feeling of needing to strain in your back passage (as if you needed to pass a bowel motion)
  • Losing weight
  • Pain in your abdomen or back passage
  • A lower than normal level of red blood cells (anaemia)

Because bowel tumours can bleed, cancer of the bowel often causes a shortage of red blood cells. This is called anaemia and may cause tiredness and sometimes breathlessness.

Bowel cancer screening

How do I get a screening kit?

If you are aged 60-69 years, you will be sent your screening invitation automatically through the post. All you need to do is make sure that your GP has your correct address.

‘People aged 70 years and over or under the age of 60, who wish to be screened, should request a kit. Simply telephone the free helpline on 0800 707 60 60.’

Macmillan cancer support

Have questions about cancer? Visit the website, or call 0808 808 000 free (Monday to Friday 9am – 8pm).

Breast Screening

The National Breast Screening Programme was introduced in 1988 as an early detection service for breast cancer. It states that all women who are aged between 50 – 70 years of age will be routinely invited for free breast screening every three years. The programme is very successful and currently saves around 1,400 lives per year.

Breast screening aims to find breast cancer at an early stage, often before there are any symptoms. To do this, an x-ray is taken of each breast (mammogram). Early detection may often mean simpler and more successful treatment. When women are invited for their mammogram depends on which GP they are registered with, not when their birthday is.

The screening office runs a rolling programme which invites women by area. The requirement is that all women will receive their first invitation before their 53rd birthday, but ideally when they are 50.  If you are under 50 and concerned about any aspect of breast care, please contact the surgery to make an appointment with your GP.

Cervical screening test

Cervical screening, or smear test, is a method of detecting abnormal (pre-cancerous) cells in the cervix in order to prevent cervical cancer. The cervix is the entrance to the womb from the vagina. Cervical screening is recommended every three years for women aged 25 to 49 and every five years for women aged 50 to 64 or more frequently if smear results indicates abnormal changes.

Cervical screening is not a test for cancer; it is a test to check the health of the cells of the cervix. Most women’s test results show that everything is normal, but for 1 in 20 women the test will show some abnormal changes in the cells of the cervix.

Most of these changes will not lead to cervical cancer and the cells may go back to normal on their own. However, in some cases, the abnormal cells need to be treated to prevent them becoming cancerous.

Our nurses are qualified to carry out cervical screening and tests in the form of cervical smears. In order to have a cervical smear the patient must have received a letter requesting that they have a cervical smear and the appointment must please be made for when the patient is not menstruating.

These appointments typically take around 10 minutes. For any further information or to book an appointment, please call the surgery.

Useful links

NHS Choices – Cervical Screening

Extended Access GP and Nurse Hub Appointments

As part of Harness South Primary Care Network, patients at Roundwood Park Medical Centre also have access  several GP & Nurse Hubs that provide care for our patients including evening and weekend appointments.

  • GP services: Available (both face to face appointments and telephone consultations). All Acute GP services, long term conditions, Chronic reviews, Medication Reviews
  • Nursing Service: Asthma Review, Child Immunisations, Smears, Spirometry, Pneumovax, shingles
  • Health Care Assistant: NHS Health Check, Bloods, Diabetic Review, ECG, blood pressure monitoring, Immunisations, SMI
  • Clinical Pharmacist: Medication Review, Asthma and Diabetic Reviews

Appointments are available in the evening and at weekends – please call the practice to be directed or email harness.enhancedaccess@nhs.net to book an out of hours’ appointment with one of our local linked practices. Alternatively, please visit 111 online or call 111 to be directed to the help you need.

If it’s not urgent you can also use the online consultation form on the practice website, which will be responded to during normal practice opening hours.

The evening and weekend appointments may take place by phone, video, or face-to-face depending on clinical need.

Wembley Hub

Wembley Centre for Health and Care
Ground Floor
116 Chaplin Road
Wembley
HA0 4UZ

Central Middlesex Hub

Park Royal Medical Practice
Acton Lane,
London,
NW10 7NS

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