Clinics and Services

We provide a full range of services including:

Antenatal

Pregnancy care in Gloucestershire is midwife-led and we are pleased that our midwife is Rachel Midwinter-Marland. When you have confirmed that you are pregnant, please collect a ‘pregnancy pack’ and then contact Rachel. The pack includes your shared care folder and information on how to contact our Community Midwife. Your GP will see you at six weeks after delivery.

  • We have a midwife clinic at the surgery on Fridays from 12:00 – 15:00.

Well Baby Clinics and Childhood Surveillance

Our Health Visitors are not based at the Underwood Surgery. They do meet however with the clinical team once a month.

Family Planning & Cervical Smears

All doctors provide routine contraception during Surgery. Dr Kate Philpot is qualified to fit intra-uterine contraceptive devices (coils). If you have been told you can have a coil inserted or changed then please read this leaflet before attending.

Dr Philpot and Sister Sue Foster also fit and remove subcutaneous implants (Nexplanon). If you are considering this method of contraception then please make a face to face or telephone appointment with your usual GP or Dr Philpot for detailed discussion.

Women between the age of 25 and 65 years should have a cervical smear test. Women aged between 25 and 49 are invited for testing every three years and women older than this are invited every five years. The Surgery is not primarily responsible for these invites but we do have a back up system for reminding non-attenders which is coordinated by one of our staff. You can make a routine appointment with the practice nurse for a smear. Please note that the appointment should be booked when you are in the middle of your menstrual cycle.

Breast Screening

All women aged 50 to 70 are invited for breast screening every 3 years. However in Gloucestershire this is done every 3 years in rotation by Surgery so that we can check that it is appropriate for an invite to be made.

If you are over 70, you are still at risk of breast cancer. Although you will no longer automatically get screening invitations after you are 70, you can still have breast screening every three years. You will need to contact Gloucestershire Breast Screening Service, Thirlstaine Breast Centre, Thirlstaine Road 0300 422 3786 for an appointment.

Bowel Cancer Screening

NHS bowel cancer screening is only offered to people aged 55 or over, as this is when you’re more likely to get bowel cancer:

  • If you’re 55, you’ll automatically be invited for a one-off bowel scope screening test.
  • If you’re 60 to 74, you’ll automatically be invited to do a home testing kit every 2 years.
  • If you’re 75 or over, you can ask for a home testing kit every 2 years by calling the free bowel cancer screening helpline on 0800 707 60 60.
  • If you’re too young for screening but are worried about a family history of bowel cancer, speak to your GP for advice.

Aneurysm Screening

Men aged 65 and over are eligible for AAA screening. The NHS invites men for AAA screening during the year they turn 65. Men over 65 who have not been screened previously can arrange a screening appointment by contacting their local programme directly on 0300 422 4285. Screening takes place every year in our Surgery and involves an ultrasound scan that takes around 10 minutes. The NHS AAA Screening Programme aims to reduce deaths from ruptured AAA amongst men aged 65 and over by up to 50%.

NHS Health Checks for 40yrs – 75yrs

The NHS Health Check programme aims to help prevent heart disease, stroke, diabetes and kidney disease. Everyone between the ages of 40 and 74, who has not already been diagnosed with one of these conditions or hypertension, will be invited (once every five years) to have a check to assess their risk of heart disease, stroke, kidney disease and diabetes and will be given support and advice to help them reduce or manage that risk. You may receive a postal invite for blood tests and then a follow- up appointment with one of the practice nurses.

Asthma Clinic

If you have Asthma you will occasionally be invited for an Asthma review with one of our respiratory nurses Sue Foster or Sharon Lamden.

COPD Clinic

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung condition encompassing diseases such as bronchitis and emphysema. Patients suffering from this condition are usually over 40 years of age, get breathless on exertion, may have a chronic cough and usually (but not always) have a history of smoking.

All patients who have COPD are invited to the COPD Clinic yearly in their birth month. Sue Foster and Sharon Lamden are our lead nurses for COPD. They run a specialised service to help patients with COPD. Please try and avoid using your inhalers on the day of your attendance.

Vascular Clinic

All patients who have had angina, a heart attack, a stroke, peripheral vascular disease, heart failure. kidney failure or who have hypertension alone are invited to the Vascular Clinic yearly in their birth month.

  • Wednesday – 14:00 – 15:30 with any nurse

Diabetic Clinic

Dr Justin Forbes and Sister Liz Bennett run the Diabetic Clinic.

All diabetics are invited to the Diabetic Clinic yearly in their birth month. Patients are encouraged to have a blood test a week before the clinic. In addition non-insulin diabetics who are not under hospital care are invited six months later to see any practice nurse for a second review. Diabetics need to remember to bring an early morning specimen of urine to their annual review.

Smoking Clinic

To access this service you will need to make an appointment with a practice nurse. She may suggest the use of patches or medication such as Champix to aid success in quitting.

Anti-Coagulation Therapy

Clinics are held daily for patients on anti-coagulation therapy. We test your INR by a finger prick test which gives an immediate result. We encourage you to attend on Thursdays or Fridays when we have dedicated times set up for testing.

Vaccinations

Flu Vaccinations – We normally run a vaccination clinic on the first two Saturdays of October so please watch out for posters. Please contact our reception staff if you have missed an appointment.

Pneumonia Vaccinations – A one off vaccination is offered to the above risk groups to prevent a type of pneumonia caused by “pneumococcus”. Some patients e.g. those who have had a splenectomy are offered a vaccine every 5 years.

Shingles Vaccinations – 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.

Minor Surgery

Dr Alexis Wain undertakes minor operations at the surgery. An appointment can be made after the condition has been discussed with a doctor.

  • Friday – 14:00 – 15:30 with Dr Alexis Wain

Blood Taking and Results

Please ensure that you have had a blood test authorised by your GP before booking in for a phlebotomy appointment. We would prefer it if a form given to you by a hospital consultant was taken for blood testing to the West Block at Cheltenham General Hospital before 16:00.

We will always contact you after a blood test if there is any follow-up required. You do not need to contact us. However, if you need to find out your results at the Main Surgery then please phone 01242 580644 and book a telephone appointment with the doctor who requested the investigation. The doctor will then phone you back or will text you the result (if you have agreed to this) at the booked time. Most blood tests and urine tests will be ready after 2 days.

Please note:

  • Some tests such as thyroid tests will not be ready for about a week.
  • Some hormone tests and clotting studies may not be ready for a month.
  • Most x-ray and ultrasound results are available 10 working days after the test is performed.