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Tottenham Hale Medical Practice

Clinics & self-referrals

You have access to a range of clinics and self-referral services for specific health requirements.

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Alcohol dependence

Cutting down on alcohol can have its rewards. Not only will it mean a reduced risk to your health, but you could lose weight, feel better and have more time and cash to spend on doing other things. For advice and support to cut down on alcohol call Haringey Advisory Group On Alcohol (HAGA) on 020 8800 6999.

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The practice nurses will see patients with asthma at any time during their surgery hours. Every year we offer asthmatics an asthma review. This usually involves a discussion about how well symptoms are controlled, as well as checking peak flow and inhaler technique. If it is difficult for you to attend for a review, the asthma questionnaire can be downloaded below and once completed hand in at reception.

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Blood tests

You can have a blood test at the Laurels Healthy Living Centre, opposite St Ann’s Hospital main entrance. Blood tests at the Laurels Healthy Living Centre are just off the reception area, opposite the centre's cafeteria. You need to take a ticket and wait to be called.

You can also have a blood test at The North Middlesex Hospital and book an appointment online. Booking online saves time and reduces your waiting time considerably as you can book an appointment at a time of your choice and you only need turn up five minutes before to check in. Walk-in patients may have to queue for up to two hours at busy times of day. The blood test itself usually takes around five minutes.

Alternatively, if you are unable to book online, please call 020 8887 2366 (Mon–Fri, 9am–5pm).

We can arrange for blood tests to be carried out at home for those who are housebound, frail and elderly. Please call us for more details.

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Breast screening

Routine breast screening is available to all women aged 50-70. Women are routinely called every three years and the screening programme calls all women registered with the Lawrence House Group at the same time. Women are sent an appointment with the option to telephone and re-arrange the time if necessary. Women over 70 can be screened but only if they telephone to arrange an appointment.

The Breast Screening website allows you to access more information about screening, changing appointments and checking when your GP practice is due next to be screened.

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Certificates & disability benefits forms

To apply for some permits and benefits, your doctor needs to fill in and sign the forms as for those claiming incapacity and disability. For Freedom pass permits for the disabled, forms will only be filled by the doctor if it is requested by the local authority.

Changes to a form already filled in by one of our doctors should be made by the same doctor, but renewals can be made by any other doctor at our practice, who is familiar with you.

We do not complete naturalisation forms for patients applying to become British Citizens or countersign passport application forms.

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Chaperone policy

If you need to have a chaperone present for any consultation, please make this request when you book your appointment. A chaperone may be a family member, a friend or a member of our staff.

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Your local pharmacist can give you friendly, expert advice about over-the-counter medicines that can help with lots of common conditions, and there is no need for an appointment.

As well as dispensing prescriptions, pharmacists provide a range of services related to specific health issues and can advise on minor ailments such as colds, skin conditions and allergies. Other services include emergency contraception and incontinence supplies.

Additional information on pharmacies.

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Childhood immunisations

Childhood immunisations are administered in the nurses' clinics. Currently they are given to babies at 2, 3, 4, 12, and 13 months and to preschool children between the ages of 3 and 5. However, some immunisations may be given at the hospital soon after birth or at school. Please check the UK immunisation schedule for more information on immunisations. Your child may be eligible for the flu vaccine, so please ask any of our clinicians.

Please remember to respond to our reminder letters when a vaccination is due. If you have any worries or concerns about the immunisations, please speak to your doctor or nurse who will be happy to discuss this with you.

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Diabetic clinic

The diabetic clinics are run by our nurse practitioners. For information on all aspects of diabetic care, please visit Diabetes UK and this site includes a useful guide to Type 2 diabetes.

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Disabled patients

A ramp, handrails and wide doors allow easy access to the surgery and all clinical rooms and therefore wheelchair friendly. There is one toilet for the disabled but parking is strictly by pay and display.

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Dressings and ulcer management

Our nurses do change dressings for wounds and ulcers, but for long term management of these, you will be referred to the hospital. Additional dressings will be prescribed to those who are able to self-manage or have district nurses reviewing them.

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Family planning and contraception

All our doctors and nurses give advice on family planning and contraception issues. We also insert coils at Lawrence House Surgery.

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Flu & pneumococcal vaccines

Flu and pneumococcal vaccines are administered by all our clinicians. They are offered to those who are over 65 and to those with chronic diseases such as diabetes, asthma, heart disease, kidney or liver disease or cancer.

Flu vaccines for the year tend to become available in the late autumn and are only effective for that season. So, every year we run special flu clinics to vaccinate all those who need it during this season. Your doctor might also give you this during your routine appointment.

Pneumococcal vaccinations are available all year round and are again offered to patients who are over 65 with chronic diseases.

To find out if you are eligible for any other vaccines please contact us.

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As soon as you’re pregnant, tell a midwife or your GP.

The earlier you do this, the better, so that you can be booked in for your first scan. You don’t have to tell your friends and family at this stage if you don’t want to, but you should tell a midwife or your GP. You can self-refer directly to a midwife by ringing your local antenatal clinic or by visiting the hospital’s website (use links below) and filling in the self-referral form:

You can get a full pregnancy guide on NHS Choices and Emma's Diary and they cover all aspects of getting pregnant, pregnancy, labour and birth, your newborn, babies and toddlers.

You can also search for other local hospitals for maternity care.

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Mental health

You can now refer yourself directly to a psychologist at Let's talk - Haringey and do not need to go through your doctor. Alternatively, you can get a referral form from the surgery and once completed hand it over at reception. There are also other useful online mental health services.

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Minor surgery

Minor surgery for removing moles and sebaceous cysts are available. Please speak to the receptionists if you would like to be assessed.

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Non-NHS fees & medical examinations

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

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

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Pain management clinic

All our clinicians prescribe pain relief for chronic pain. Our pain management clinic is for patients who have poorly controlled and complex pain. We also give injections in the joints.

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Removal of stitches

Please book to see a nurse for the removal of stitches. Generally stitches should be removed after 5-7 days on the face, 10-14 days for skin over a joint and 7-10 days for all other skin. These times may vary according to the advice given by the clinicians and absorbable stitches do not need to be removed.

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Sexual health screening

Free sexual health screening is performed at a number of clinics across Haringey.

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Sick notes or medical certificates

You do not need to see the doctor or have a sick note for any illness lasting less than 7 days.

If you are in hospital as a patient then please ask the doctors there to give you a medical certificate. For more information on sick notes and related certificates, gives a good overview.

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Smear tests & swabs

To pick up early signs of cervical cancer, we carry out routine smear tests once every 3 years on our female patients aged between 25 and 49 years. For those between 50 and 65 years smears will be done once every 5 years. However, tests will be performed more frequently if the results call for this. Vaginal swabs and tests for Chlamydia are not routinely carried out during cervical screening, but you can ask for separate appointments to have this done.

Please read Cervical screening for more information. Women who have read all the facts and wish to withdraw from the screening programme, can download and complete the form below. Please ensure you have read the "cervical screening - the facts" leaflet prior to completing the withdrawal form. Please post the completed form to the practice for our records.

Cervical screening withdrawal form.

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Smoking cessation advice

Smoking has a major impact on health and can significantly reduce your life expectancy. One you Haringey offers free support to help you stop.

We have a nurse led 'stop smoking clinic' and all our clinicians will also offer you advice. We also prescribe nicotine replacement therapies and combined with regular counselling will most likely help you stop smoking.

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Substance misuse

Treatment support for the management of opiate drug misuse is offered at two of our surgeries - Lawrence House Surgery and Broadwater Farm Medical Practice. To register with the substance misuse service please contact - The Grove drug treatment service.

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Teenage services

Our doctors and nurses are happy to discuss contraception, sexual health and other issues relevant to teenagers. Anything you tell them will be confidential just as they would for an adult. There are counselling services available within the borough for parents and teenagers.

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Travel advice

We offer a comprehensive service to help you plan your travel requirements including vaccinations. Please consult our nurse at least 6 weeks before travelling, as some destinations require a complicated schedule of vaccination. Before you come to see us you can access the Fit for Travel website where you can print out your personal requirements.

We charge for the Hepatitis B vaccine. Please ask at reception for our charges.

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Women's health

Our doctors and nurses give advice on any issues affecting women and this includes contraception, the menopause, prenatal counselling or any other problems. You can request to see a female doctor if you prefer this.

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Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. It can help with back pain, sudden injury and long-term medical conditions as well as childbirth and sporting injuries.

You can self-refer yourself directly by filling in this form, and do not need to go through your doctor.

For more information please visit the MSK physiotherapy website.

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Podiatry and foot

A podiatrist can assess a patient’s foot problem and provide them with treatment and self-care advice as appropriate to their individual needs. The service strives to support patients to self-manage their foot problems in order to improve and increase control over their foot health and you can self-refer for this service by downloading and filling in the form.

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