Crook Log Surgery19 Crook LogBexleyheathKent, DA6 8DZTel: 0208 304 6972
Increasing numbers of people of all ages are suffering from asthma. Your doctor will make the initial diagnosis and explain your treatment.
Our specially trained practice nurses and health care clinician will the ensure that the treatment is effective by checking inhaler techniques and measuring lung function regularly, referring to your doctor if necessary.
Patients with cancer care for in association with the hospital specialists, the Outreach Team and the Greenwich and Bexley Community Hospice.
Cervical smears for women involve a simple quick test to check for changes which occur before cancer develops. We recommend that all women should have regular smear tests every three years or more often if required for medical reasons.
All patients who are eligible for the test are sent for by letter. If you think that you are due a test and have not heard from us, please contact us and let us know.
Our Practice Nurse carries out the test in the surgery.
Patients with COPD are advised to have a checkup at least annually to make sure they get the best treatment or their breathing problems.
Patients with a history of heart disease need to be monitored on at least an annual basis to ensure their risk factors are minimised and treatment optimal.
The diabetic review is done by our practice nurse and health care clinician for the care of all diabetics. Patients are reviewed on a recall system and are invited to attend annually. Dr Roy oversees the care management of all our Diabetic patients.
We monitor blood and urine testing, diet, weight, blood pressure, medication, foot care and education. We also monitor kidney function and cholesterol levels regularly.
Patients with epilepsy should have a check up in the surgery and/or in hospital outpatients to ensure the control of their condition is optimal.
Patients with high blood pressure ought to have their blood pressure checked 6 monthly and blood tests done annually.
Patients with underactive thyroid should have blood tests annually.
Patients with mental health problems are advised to be reviews at least annually to ensure their mental and physical health problems are taken care of.
This is for the taking of blood. If doctor requests you to have a blood test, please book an appointment at Reception.
Children under the age of 16 years should attend the hospital.
Sexual health screening is done at GUM clinics, and patients can self-refer at:
The Trafalgar Clinic
Bexley Contraceptive and Sexual Health (CASH) Clinics (For under 25’s)
Greenwich Contraception and Sexual Health (CASH) Clinics
For help and advice on stopping smoking, please visit Smokefree Bexley.
Patients with a history of strokes or mini-strokes should be monitored at least annually to reduce risk factors for further recurrence.
Vaccination against the flu is advisable for patients with chronic heart disease, lung diseases, diabetes, stroke history and patients over 65 years of age.
The pneumonia vaccine is indicated for over 65 and for younger patients with chronic heart and lung diseases, the immunocompromised and patients without a spleen.
Please also check your tetanus and polio vaccinations are up to date.
The practice nurses provide a service for these and other travel vaccinations. Please allow adequate time for travel vaccinations and many need to be administered some weeks ahead of the date of travel in order to be effective.
Vaccinations and baby checks are undertaken at the surgery by nurses and a doctor respectively. Unfortunately, due to a lack of adequate space, the Health Visitors hold a separate session weekly on a Wednesday morning at Danson Youth Centre, where they offer health advice for you and your child, and weight measurement.
Please remember to bring your child’s red book with you to any appointment.
Vaccinations cannot be given without it.
Click here for more information about the vaccination schedule
The surgery runs flexible NHS Health Checks.
Please book these with Debi Dolby, Healthcare Clinician through Reception.
Checks include blood pressure monitoring, weight/height/BMI measurement, smoking cessation/alcohol advice, and arrangement of blood tests for cholesterol, glucose and other relevant tests including PSA for men if appropriate. You will also receive a cardiovascular disease risk assessment.
Kathy Taylor, Practice Nurse carries out cervical smear tests by appointment and gives advice on breast self-examination.
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
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.
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.
Travel Health Questionnaire
To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
GPs are contracted to provide a service for all people within a National Service Framework. Unfortunately, more and more of the workload consist of reports for solicitors, employers, the DSS, the police, insurance companies etc. Much of this cannot be done in normal working hours, and therefore, GPs are entitled to expect a fee for these duties. Sometimes the patient will be responsible for the fee. Details are available from reception.
Please note that this includes insurance claim forms and “To who it may concern” letters. We do not countersign passport applications. Charges may also be made for the following:
Access to records Accident and sickness insurance medicals and reports Certificates (e.g. driving fitness) Fitness to attend school examination Sports Medicals etc.
Many patients have private health insurance. Others do not, but may prefer to see a consultant privately on occasion.
Your doctor will be happy to arrange a referral for you, but it is important that he/she is consulted first. It is hard for us to do an accurate letter when you may not have seen the doctor in a long time.
Also, please check with your insurance company whether or not you problem is covered, because it will be very costly to you if your insurers refuse to pay. This can happen if you see a specialist about a recurrent problem.
Your GP may have to fill in a claim form at some stage (for which a fee is payable, as claim forms are not part of our GP’s service requirement and have to be filled in on personal time); the claim form usually asks if the problem has occurred in the past.
Please be aware that the surgery cannot be responsible for any costs incurred during the course of private treatment.
Please try and allow five working days for referrals to be prepared.
You can phone to request test results at any time during opening hours, but we do ask that you try and ring between 13:00 and 15:00 to avoid the busiest times of day, mainly first thing in the morning, when the phone lines are very busy with people trying to book appointments. If you phone at these times, the receptionist may be obliged to ask you to call back later.
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