Surrey Physio

Surrey physio provide an AQP Physio service (via a referral by our GPs) and a directly bookable First Contact Practitioner service.

What is AQP?

Any Qualified Provider’s (AQP) are a number of companies that operate across Wandsworth providing spinal physiotherapy treatment. Surrey Physio is one of these providers and work directly out of Balham Park Surgery (as well at Mitcham and Putney), therefore if you are referred for physiotherapy by a GP or FCP you can request for this to be directly at Balham Park Surgery, you are usually given 5 sessions of physiotherapy before a further referral is needed. With AQP and FCP both being from Surrey Physio and out of Balham Park Surgery it means there is a very central and combined approach to your care.

First Contact Practitioner – Muscular/Joint Pain

This service is for patients who are suffering from joint or muscle pain. If you have a problem that affects your neck, back, joints or muscles you are able to directly see a First Contact Practitioner (FPC) instead of a GP!

What is a First Contact Practitioner (FPC)?

First Contact Practitioner’s (FCP) are specialised Band 6/7/8 Physiotherapists, who have had a number of years’ experience working in an MSK (musculoskeletal) setting. The idea of the FCP service is to offload the MSK caseload from the GP’s. This means that patients get to speak to a highly experienced physiotherapist within days of contacting their GP practice about any MSK conditions.

The FCP will then assess and diagnose the patient before providing self-management advice, therefore cutting onward referrals and wait times at major MSK providers such as SGH or they can refer onto the most relevant service such as Physio, Orthopaedics or Scanning. By having this early input from a physiotherapist it gives the patient the best possible change of recovery and a smooth journey through the NHS MSK pathway.

Why see an FPC instead of a GP?

Around one in five people book to see their doctor with a neck, back, joint or muscle problem, and often have to wait for a GP referral to get access to physiotherapy advice for their conditions. Seeing an FPC gives you the opportunity to see the right person at the right time. The expertise of the FPC means that you will have quicker access to the treatment you need.

To book an appointment with a First Contact Practitioner, please speak to reception on 020 8772 8772 -option 2 OR go online and book in directly.

How Can You See Us?

If you call your surgery with any MSK problem the administration team can book you straight in with a FCP, a GP can also do this if you speak to them about your MSK problem.

Minor Surgery

This service has now restarted and is provided by Dr. Morag Lenman and Dr. Sophie Weiss.

Our minor surgery schedule is subject to changes according to staff availability. The health authority limits the type of lesions we can remove but troublesome skin lesions is one example. A doctor needs to refer you to this clinic after reviewing the skin lesion. So you need to book a routine appointment with a GP before you can access the waiting list for this service.

Maternity Services And Care Around Birth And Soon Afterwards

Antenatal Care

You can self refer to your hospital of choice for Antenatal Care. Please visit their website for further information.

If you need to speak to a GP please call us to book an appointment.

The Hospitals that our patients can access are: St. Georges, Chelsea and Westminster, St. Thomas, and Kingston Hospitals. Their websites are very informative, and have virtual walk throughs to help you decide where to book your antenatal care.

Throughout pregnancy, most care is shared between the midwives in hospital, Community Midwives and GPs. You will receive an antenatal book which tells you when you need checks and with whom.

Face to Face Post-natal Mum & Baby 6 Week Checks (Immunisations start at 8 weeks)

After birth, midwives remain responsible for providing care for at least the first 10 days until they hand over care to Health Visitors.

Please register your baby with the practice as soon as you have the papers from the hospital.

Please book your 6 week checks for both the Mother (to check Blood Pressure, Mental Health, and general recovery.) and the Baby (for a top to toe examination, and head circumference / weight check – Height/Length check is no longer recommended)

Immunisations

This practice follows the national policy for childhood immunisation. Further information can be found on the NHS Immunisation Schedule website.

Childhood Immunisation:

When is the immunisation due?Which immunisationsInformation
At two months5-in-1 (DTaP/IPV/Hib) vaccineThis single jab contains vaccines to protect against five separate diseases: diphtheria, tetanus, whooping cough (pertussis), polio and Haemophilus influenzae type b (known as Hib – a bacterial infection that can cause severe pneumonia or meningitis in young children)
Rotavirus vaccineThe vaccine is given as a liquid from a dropper straight into the baby’s mouth for them to swallow
Men B vaccine (from September 1 2015)One Injection
PneumococcalOne injection
At three months5-in-1 (DTaP/IPV/Hib) vaccine (Second Dose)One injection
Rotavirus vaccine (Second Dose)The vaccine is given as a liquid from a dropper straight into the baby’s mouth for them to swallow
Meningitis COne injection
At four months5-in-1 (DTaP/IPV/Hib) vaccine (Third Dose)One injection
Pneumococcal (Second Dose)One injection
Men B vaccine (Second Dose) (from September 1 2015)One injection
At 12-13 monthsHib/Meningitis C boosterGiven as a single jab containing meningitis C (second dose) and Hib (fourth dose)
Measles, mumps and rubella (MMR) vaccineOne injection
Men B vaccine (Third Dose) (from September 1 2015)One Injection
Pneumococcal (Third Dose)One injection
18 MonthsChildren’s flu vaccine (Annual)One injection
From 3 years and 4 months (up to starting school)Measles, mumps and rubella (MMR) vaccine (Second Dose)One injection
4-in-1 (DTaP/IPV) pre-school boosterGiven as a single jab containing vaccines against diphtheria, tetanus, whooping cough (pertussis) and polio
Girls 12 to13 yearsHPV vaccineProtects against cervical cancer – two injections given between six months and two years apart
13 to 18 years3-in-1 (Td/IPV) teenage boosterGiven as a single jab and contains vaccines against diphtheria, tetanus and polio
19-25 years (first-time students only)Men ACWY vaccineOne Injection
65 and overFlu (every year)One Injection
Pneumococcal (PPV) vaccineOne Injection
70 years (and 78 and 79 year-olds as a catch-up)Shingles vaccineOne Injection

Influenza Immunisation

From October to January every year we offer a free flu immunisation to all of our patients over the age of 65 and to those in clinical ‘At-Risk’ groups (i.e. asthmatics, diabetics, patients suffering from heart or renal disease).

If you are eligible, our administrative team will contact you each year by text message, phone or letter to offer you an appointment. We hold special Saturday Flu clinics as well as other clinics throughout the day to ensure that all our eligible patients can attend at a time that works for them. Appointments are bookable via patient online services and by calling through to reception.

We are unable to provide flu immunisations privately so if you do not fall into one of the NHS eligible groups, we will be unable to provide you with your flu jab. Local pharmacies provide a private flu immunisation programme.

This year the government have announced that ages 55-65 will also be eligible for a flu vaccine. Please note that people in the 50-64 year old age group will not be vaccinated until November and December.

No appointments will be offered for this age group until then, at that point it will be subject to vaccine supply. This is nationally directed – not the decision of the practice – and is to ensure that those who are most at risk are vaccinated first.

If you are 50-64 and you are in one of the other groups eligible for the flu vaccination – for example you have a health condition which puts you at risk from the flu – you will be invited earlier.

Hospital Referrals

E-Referrals

E-Referrals is the centralised appointment booking system to which nearly all hospitals in the UK are now linked. The basic idea behind E-Referrals is that control of your referrals and hospital appointments is transferred to you, the patient:

After deciding to proceed with a referral, you and your GP should pick a shortlist of up to five hospitals or clinics that you would like to attend. An appointment request is then made by Patient Services Team.

Our Admin Patient Services Team will then email you (or Post) a letter with your booking reference number, NHS number, password, the list of hospitals and instructions on how to turn the appointment request into a confirmed booking – either by phone or online. You should receive this within 2 weeks, otherwise please contact the admin team. Email: swlicb.adminbalhamparksurgery@nhs.net

The real advantages of the system lie in this booking stage – particularly if you use the online booking system. After logging into E-Referrals with the details provided on the form you will see a selection of available appointments from all of your short listed hospitals – you can then pick the exact time and date that suits you best. You can log in and change your appointment as often as you like, regularly check for any earlier cancellations and cancel your own appointment if needs be – all without a minute spent on hold at a busy hospital switchboard!

We recommend browsing the E-Referrals website as it contains much more detailed information about how to use the system.

Please note that once you have been referred you need to chase your own appointment with the hospital

Other NHS Referrals

Whilst E-Referrals is now the main way of referring patients on the NHS, there are still some services that are not available on that system.

Two Week Rule (Suspected Cancer Referrals)
A highly successful national programme, the Two Week Rule referral system sees all patients who are referred with suspected cancer are given an initial appointment with a hospital consultant who has a special interest in their type of suspected cancer within two weeks, without fail.

We send these referrals directly to the Two Week Rule department at the relevant hospital. The hospital should contact you within 4-5 days of receipt of the referral.

However, if the hospital has not contacted you within 10 working days of your referral, please contact the practice.

Rapid Access Clinics
St George’s Hospital in Tooting is our nearest and most commonly referred to hospital. They run Rapid Access Chest Pain, Fracture, Emergency Eye, Acute Gynaecology, Early Pregnancy Unit, Paediatric and Neurosurgical Clinics all of which require a referral from a GP to attend and which fast-track clinically urgent patients. We send these referrals directly to the clinics at St George’s.

St John’s Therapy Centre
Almost all referrals to St John’s are sent directly to the clinic. Once your referral has been processed, you will be sent a letter from the Therapy Centre giving you a number to ring to book your appointment. Please look out for this letter.

Private Referrals

Our clinicians have excellent relationships with specialists throughout London. We are very happy to refer our NHS patients to private healthcare providers, if requested, and do so on a regular basis.

You will usually need to consult with one of our GPs before a private referral can be written.

For minor problems, or a recurrence of a problem for which you have previously seen your GP, a referral might be possible via a telephone consultation. For Musculoskeletal conditions, please make an appointment with a First Contact Physiotherapist. They can assess you, and refer you for further onward NHS or Private Care. For more serious or newly arising problems, for which we have no previous record, we suggest making an appointment to see a GP for review, before proceeding with the referral.

Referral Letters

A private referral letter will be available for collection at the surgery up to 5 working days following your consultation with the GP or Physiotherapist. Following a referral, we would simply ask you to book your appointment with the private specialist then call in at the surgery after the five days have passed, to collect your letter.

Please note that once you have been referred you need to chase your own appointment with the hospital

Private Health Insurance Claim Form

If you make a claim on your health insurance, your provider may require a private claim form to be completed by your referring GP.

Some providers will need the form to be completed before they will agree to fund your private treatment, others will accept forms after treatment has taken place – please check your cover with the insurers before seeing your specialist to avoid any confusion.

Your provider will usually issue you with the claim form directly. It should then be forwarded, with a covering letter, to Maria Nimer in our Non-NHS Services team. email: swlicb.bps-insurances@nhs.net

Completion of these forms can be time consuming, usually involves reading your entire medical record and carries a considerable responsibility. Like most practices, we therefore charge a variable administrative fee for this non-NHS work, payable as the forms are dropped off. This fee may or may not be covered by your provider.

Vaccination Information

For advice on travel vaccinations / medications needed, please look at: NaTHNaC – Country List (travelhealthpro.org.uk) or Fit for Travel

To find out what Vaccinations you have had as an adult, please use the NHS app to look at your medical record. For children, our admin team will be able to give you a print out of the vaccination history.

We have regular slots for Travel for Adults and Children. Please book appointments well in advance as we have limited capacity due to persisting difficulties in finding staff.

If you need vaccinations sooner, please contact one of the 3 nearest pharmacies that provide a Travel Service. They are:

Northcote Pharmacy – 130 Northcote Road, London SW11 6QZ – 020 7924 5600

Pearl Chemist – 136-138 Mitcham Road, London SW17 9NH https://www.pearlchemistgroup.co.uk/travel-clinic

Westbury Chemist https://westburychemist.net/

Travel Advice and Travel Vaccination (including yellow fever)

Holidays need careful planning and, depending on the type of holiday, length of stay and the destination, most will need some sort of vaccination programme or an update of routine immunisations as necessary.

Gap years and sabbaticals usually require more detailed immunisation programmes.

We would recommend you consult a practice nurse at least 6 weeks before your trip.

The surgery is an authorised yellow fever centre and provides a full range of travel requirements. Any charges that apply for immunisations compare favourably with other private travel clinics.

Cryotherapy

As from 1st January 2017, the practice is no longer offering cryotherapy to patients due to cuts in NHS funding and no new appointments for this service will be made.

Anyone who needs cryotherapy for the removal of a wart can book to see a GP for onward referral to Community Dermatology.

Anyone with a verucca requiring treatment should see a local Chiropodist.

Please note that veruccas and children under 7 are not usually treated by cryotherapy.

Contraception

At Balham Park Surgery we offer all the methods of contraception that are available on the NHS.

Please make an appointment with one of the Practice Nurses if:

  • You would like to start the ORAL CONTRACEPTION PILL or request a repeat prescription for the pill. We will ask to see you on an regular basis for a pill review.
  • You would like to start or continue on the CONTRACEPTIVE INJECTION – Depo Provera
  • You would like to be fitted with the DIAPHRAGM – Please make an appointment with Sara Moloney – Lead Practice Nurse
  • You require the EMERGENCY CONTRACEPTIVE PILL ‘Morning After Pill’ – please contact a Practice Nurse, on 020 8772 8772, as soon as possible; as this can be done via a telephone consultation
  • You are considering being fitted for a copper IUD or IUS – Mirena (COILS). Please look at the podcast below. If it is something you would like to consider, please call Reception and ask to book a pre-coil telephone consultation to discuss this option further.

Dr Marietta Swanne and Dr Jennifer Paris have allocated appointments to fit both types of coil. At your appointment you will be asked to make a 6 week post fitting ‘coil check’ with one of the Practice Nurses. If you wish for your coil to be removed, make an appointment with the Nurses.

N.B Please note that unless your intention is to get pregnant after the removal of the coil, you must not have had any unprotected sexual intercourse for 7 days prior to the removal of your coil.

  • If you are considering the CONTRACEPTIVE IMPLANT – Nexplanon, please contact Kate Taylor (Practice Nurse) to discuss this option or you would like to book an appointment for a fitting or removal of the implant.

For further information please look at the NHS Choices website  Contraception Choices  Or the  Family Planning Association  website.

Cervical Smears

All women are invited for Cervical Screening at the age of 25, and are then invited every 3 years until the age of 50.

From 50 – 65 they are invited every 5 years

These times are based on routine recall invites and it may be clinically necessary for some women to have a smear more regularly.

All of our Practice Nurses are very experienced in performing Cervical Smears

You can book an appointment using Patient Online Services or by speaking to our Care Navigators on 020 8772 8772 – option 2

For more information on Cervical Smears you can visit www.jostrust.org.uk

Travel Health


Travel Vaccines

Vaccines ideally need to be given at least 6 – 8 weeks before departure if possible. Vaccines need time to take effect and some may require a course over several weeks.


Travel FAQ’s

Question: 

“How can I find out what vaccines I have had previously?”  

Answer: 

You can locate your vaccine record through your NHS App OR you can request for Balham Park Surgery staff to send you a copy of the vaccines we have recorded on our system.  

Question: 

“Can I find out what vaccines I need prior to my appointment?” 

Answer: 

The nurse will review this during your travel consult appointment as it depends on the type of travel you will be doing. Your appointment will include both a consult to decide what vaccines are needed and the administration of any vaccines. You can consult the Travel Health Pro website prior to your appointment to get an idea of what you might need. https://travelhealthpro.org.uk/ 

Question: 

“What vaccines are covered by the NHS?” 

Answer: 

Typhoid, Hepatitis A, and Tetanus vaccines are covered by the NHS 

Yellow Fever, Hepatitis B, and Meningitis vaccines are offered at Balham Park Surgery but not provided free.   

We do not currently offer vaccination against Rabies or Japanese Encephalitis. 

Question: 

“How much will vaccines cost at Balham Park Surgery” 

Answer: 

Tetanus, diphtheria, polio: No charge 

Hep A: No charge 

Hep A/B combined: No charge 

Typhoid: No charge 

Yellow fever: £65/dose 

Meningitis ACWY: £65 

Hep B: £35/dose or £105 for 3 doses 

Malaria Tablets: Private prescription charge of £20 

Question: 

“Do I need a prescription for malaria tablets?” 

Answer: 

Most adults will find it easier and cheaper to buy malaria tablets directly from the pharmacy. Many pharmacies, including Boots, will do a consultation and sell the tablets needed. You should call your pharmacy in advance to make sure they offer this service. For children, you will need to obtain a private prescription. Please book a travel appointment with a nurse to obtain this prescription.  

Question: 

“Are my previous vaccines still valid?” 

Answer: 

Below is a basic guide and recommendations may vary based on individual patient circumstances. Please book in with a nurse for a travel consultation if you have any questions about your specific case.  

You will need a booster dose for: 

Yellow Fever – 1 dose only required for life 

Typhoid – Every 3 years 

Tetanus – Every 10 years 

Hep A – 1 dose will provide protection for 1 year, a 2nd dose will provide 25-year protection 

Hep B – At least 3 doses required  

Rabies – At least 3 doses required  

Question: 

“Can I bring family members along to my travel appointment if we are all going on the same trip? 

Answer: 

No. Please book a separate travel consult appoint for each member of the family that is traveling. This will insure that the nurse has time to adequately review each person’s risk.  


Travel Vaccines

Vaccines ideally need to be given at least 6 – 8 weeks before departure if possible. Vaccines need time to take effect and some may require a course over several weeks.


Further Information

The following websites will give you additional travel advice.