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Thirsk Doctors SurgeryThe Health CentreChapel StreetThirskNorth Yorkshire, YO7 1LGTel: 01845 440462
As well as general doctors appointments we offer a range of other clinical services within the practice.
Our senior nurses are able to prescribe medication, and therefore are able to see patients with minor illnesses that would otherwise require a doctor. Conditions that can be dealt with by the prescribing nurse include the following:
Conditions that the Advanced Nurse Practitioners can Treat
Bites And Stings
Catheter Support and Management
Conjunctivitis / Red Eye
Contraceptive Pill Checks
Earache / Ear related Problems
Head Lice/ Scabies
Oral Contraception/ Delaying Periods
Rashes / Skin Complaints
Soft Tissue Injury/ Sprains
Thrush-Oral/ Vaginal/Nappy Rash/
Uncomplicated Urine Infections – Female
We would urge you to make use of the nurse prescriber appointments when available to free up the doctors time for more serious cases.
The doctors and nurses offer general advice and information on contraception and sexual health. We offer a range of services including oral contraceptive pill, contraceptive injections, as well as long lasting contraceptive implants and coil fitting.
Most of the doctors are trained to provide a minor surgery service eg removal of cysts, joint injections, toenail removal. This can be discussed at any consultation. Please note that we can only offer these procedures in specific clinics, when we have a doctor available and sufficient patients to fill a clinic. This means that you may be placed a waiting list.
Smears for women involve a simple quick test for changes which occur before cancer develops. In most cases these changes can be easily treated in an outpatient clinic and cancer prevented. It is recommended that all women from the age of 25 up to the age of 64 should have regular cervical screening unless advised otherwise by the doctor. All patients who are eligible for this are invited to attend by letter. Cervical Screening is very important so if you are worried about the test or would like to know more please ask - do not ignore the letter.
NHS Choices - Cervical Screening
Cervical Screening Leaflet
Michelle Keegan vlogs about her cervical cancer screening
If you think you are due to have a test and have not been called please let us know.
Increasing Smear Uptake
In collaboration with some local businesses we are now offering patients a 'Star Card' giving you a 10% discount off for attending cervical screening. Participating companies supporting us:
All asthma patients requiring medication will be invited for annual review in an asthma clinic appointment to ensure their condition is maintained at the optimal level. Children will be offered an additional 6 monthly review appointment.
We are now offering Smoking Cessation at the Surgery, book with Katie or Karen, available online.
Care for our Diabetic Patients 2020. One of HCA will carry out necessary monitoring, blood test, BP, height, weight and foot checks. Anne will contact you with the results.
Patients diagnosed with diabetes should attend a Group Consultation session every 6 months months, with or without hospital follow-up as well.https://www.diabetes.org.uk/diabetes-the-basics
National Diabetes Audit: how your information is used to help improve diabetes care
For patients over the age of 35 years, usually with a smoking history, history of breathing problems, or an existing diagnosis of COPD, this clinic offers routine lung function assessment (spirometry) and the appropriate treatments to maintain health.
Our nurses hold regular clinics for both pre-school and school age children for routine immunisations.
Our health care assistants take blood for testing, by appointment only and only at the request of the doctor. Urgent tests requested by the doctor will be taken on the same day.Your results with Clinicians' comments are now available online.
The health care assistants offer a warfarin monitoring service in the practice. Clinics are generally held in the afternoon as the testing is done in the practice rather than having to be sent to the labs.
Specimens to go to the lab for testing must be brought to the surgery before 11.00a.m.
Adults and MMR
Adults who missed out on the MMR vaccination as a baby and are therefore not immune can have the MMR vaccine on the NHS.
Some adults may not have received full protection because of changes in the MMR vaccine. Anyone born between 1980 and 1990 may not have received a mumps vaccine and anyone born between 1970 and 1979 may have only had a measles vaccine. If you fall into one of these groups, please make an appointment with the nurse for the MMR vaccination.
The practice operates a phone-in twice a day from 12:30 - 1:00pm and 5:30 - 6:00pm which is manned by one of the practice nurses or trained Health Care Assistants, to give general health advice and also to give out test results. Please note that in exceptional circumstances there may be occasions when we are unable to offer this service due to the nurse being required to deal with an emergency in the practice. In such cases it will be unavoidable and we offer our apologies and ask for your patience and understanding. The practice operates a strict policy whereby only qualified clinical staff are able to give out test results to patients. This is for the protection of both our patients and non-clinical staff. Please do not put the reception staff in an awkward position by asking them for your test results, as they will have to refuse. For reasons of patient confidentiality test results will only be given to the patient, or their parent/guardian for patients under 16. You may, if you wish, nominate someone else to obtain the results on your behalf. Please ask at reception for a form.
Please allow the following time for Investigations to come back:
The practice will not routinely contact you with results which require further investigation, prescription or tests. It is your responsibility to obtain the results and take the recommended advice for example, make an appointment with your doctor if you are advised to do so.
If you have recently found out you are pregnant or would like to speak to a midwife, please call the Maternity Department at the Friarage on 01609 763093
Maternity Leaflet CV19 Planning Your Birth.pdf
Maternity Leaflets CV19 Parent Information.pdf
The James Cook University Hospital and the Friarage Maternity Centre
Health Visitors are registered nurses who have trained for an extra year to become specialist community public health nurses (SCPHN), working to support families with young children.
We often visit a family at home, which helps to build relationships. We aim to help build parents’ confidence in their ability to give their child the best start in life and listen carefully when parents have concerns. We identify and build on what is going well, and provide information to help parents find their own solutions to problems where possible.
Some common areas of discussion are:
Thirsk Health Visiting Team
Tel: 01423 544271
Shona Kettlewell – Health Visitor
Marie Lofthouse – Health Visitor
Catherine Marsden – Health Visitor
Yvonne McNichol– Assistant Practitioner
Lynsey Williams – Assistant Practitioner
Virtual Health Visiting Drop in
Every Monday 13.00-1430 & Thursday 10.00-12.00
Just click on the link below or scan the QR code to have a private video consultation with the growing healthy health visiting team
We offer a Travel Service for patients travelling in 8 weeks or more.
Please note due to a shortage of some vaccines we are offering a limited travel vaccination service
Please take a look at the NaTHNac website - Travel Health Pro - Country Information for general information and recommended vaccines for your destination and read the below travel health advice leaflet.
Travel Health Advice Leaflet
If you would like further travel advice / vaccinations from the Practice and you are travelling in eight weeks or more; complete and return the travel questionnaire and make a telephone travel appointment. The Practice nurse will contact you at that time to discuss your vaccine requirements. She will inform you if we can offer you the recommended vaccines at the Surgery or advise you of alternative private service providers in the region who may be able to assist you. The Surgery charges for administrating and providing some vaccinations.
* You can email the questionnaire to firstname.lastname@example.org if you prefer, please do make an telephone appointment.
Dr Trzeciak and Partners Private Travel Vaccination Fees
From 17 May international travel will be permitted to a limited number of countries and in some cases proof of Covid-19 vaccination will be required. The mechanism for proving your vaccine status is through the NHS app. For those who cannot access the NHS app you can request written proof that you have received your Covid-19 vaccination by contacting the NHS on 119. Please do not contact your GP practice. You can find out more at:
Masta Travel Clinics
CityDoc Travel Clinics
(Please note that Dr Trzeciak and Partners does not endorse any of these alternative providers, these are simply here as a source of information and other providers may be available.)
There is further information about countries and vaccinations required on the links below:
Travelling in Europe
If you are travelling to Europe the EU has published useful information for travellers on the European website.
If you look after a partner, relative or friend who is disabled or ill due to physical or mental health, you are a carer, even if you don’t think of yourself as one.
The surgery is dedicated to support carers and the amazing work they do. We keep a register of patients who are carers and record this on an individual's medical records. If we know you are a carer and likely to be under pressure at times, we will find it easier to offer the advice and support you need.
We may be able to help by:
Offering an annual complimentary health check for you the carer. Carer's are eligible for a flu vaccination.
We may be able to support you with knowing more about the medical conditions of and treatments for the person you care for to help you feel more confident in your caring role.
We can inform you about services provided by the NHS such as continence services and patient transport to hospital appointment and other sources of support and advice including social services and local voluntary agencies.
Arranging appointments for both you and the person you care for at the same time to avoid having to visit the surgery twice.
Arranging for repeat prescriptions to be delivered to your local pharmacy to save you picking them up.
Providing supporting letters and information to enable you and the person you care for to access benefits or the blue badge scheme.
PLEASE LET ANY OF THE STAFF KNOW IF YOU ARE CURRENTLY A CARER. THANK YOU.
Thirsk Community Works
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
Below are a collection of Frequently Asked Questions (FAQs) regarding non-NHS work fees; you will also see a table showing the charges our GPs make for services that fall into this category.
The information provided can be verified on the BMA website and it is best to check with Thirsk Doctors Surgery to make sure that the prices given are current and correct.
Isn’t the NHS free?
The National Health Service provides most health care to most people free of charge, however, there are some exceptions. Sometimes the charge is made to cover some of the cost of treatment, for example, dental fees; in other cases, it is because the service is not covered by the NHS, for example producing medical reports for insurance companies.
Isn’t the Doctor being paid anyway?
It is important to understand that many GPs are not employed by the NHS. They are self-employed and they have to cover their costs - staff, buildings, heating, lighting in the same way as any small business would. The NHS covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.
What is covered by the NHS and what is not?
The Government's contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. In recent years, however, more and more organisations have been involving doctors in a whole range of non-medical work. Sometimes the only reason that GPs are asked is because they are in a position of trust in the community, or because an insurance company or employer wants to ensure that information provided to them is true and accurate. Examples of non-NHS services for which GPs can charge their own NHS patients are:
Examples of non-NHS services for which GPs can charge other institutions are:
Do GPs have to do non-NHS work for their patients?
With certain exceptions, for example, a GP confirming that one of their patients is not fit for jury service, GPs do not have to carry out non-NHS work on behalf of their patients. Whilst GPs will always attempt to assist their patients with the completion of forms, for example for insurance purposes, they are not required to do such non-NHS work.
Is it true that the BMA sets fees for non-NHS work?
The BMA suggests fees that GPs may charge their patients for non-NHS work (i.e. work not covered under their contract with the NHS) in order to help GPs set their own professional fees. However, the fees suggested by the BMA are intended for guidance only; they are not recommendations and a doctor is not obliged to charge the rates they suggest.
Why does it sometimes take my GP a long time to complete my form?
Time spent completing forms and preparing reports takes the GP away from the medical care of his or her patients. Most GPs have a very heavy workload and paperwork takes up an increasing amount of their time, so many GPs find they have to take some paperwork home at night and weekends.
I only need the doctor’s signature – what is the problem?
When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. In order to complete even the simplest of forms, therefore, the doctor might have to check the patient's entire medical record. Carelessness or an inaccurate report can have serious consequences for the doctor with the General Medical Council (the doctors' regulatory body) or even the Police.
What will I be charged?
The BMA recommends that GPs tell patients in advance if they will be charged, and what the fee will be. It is up to individual doctors to decide how much they will charge, but the BMA produces lists of suggested fees which many doctors use.
What can I do to help?
Non NHS Fees
We have included details of the following websites for information. We are not responsible for the content of these websites and whether or not they are GDPR compliant.
British Red Cross - Mobility AidsMobilty Aid (including wheelchairs) hire at Northallerton.
Hambleton Citizens AdviceHelp and advice available at Northallerton
Hambleton, Richmondshire and Whitby CCGOur local Commissioning Group with details how to contact Patient Relations.
Hambleton StrollersGet active with strolls in the local area
Healthwatch North YorkshireRepresents the views and opinions of Health & Social Care Service users.
IAPT North YorkshireIAPT is a national NHS programme designed to increase the availability of talking therapy treatments recommended by the National Institute for Health and Clinical Excellence (NICE).
North Yorkshire HorizonsFree service to individuals and their families to those affected by drugs and/or alcohol in Northallerton.
Take That StepFREE Weight Loss Management and Lifestyle Programme.
Community Works (Thirsk Clock have merged with Thirsk Community Care)Services for young people and adults across North Yorkshire.
Safeguarding at Thirsk Doctors Surgery
What is safeguarding?
Safeguarding simply means keeping people safe from harm. It is about protecting children and adults from abuse or neglect. There are many different types of abuse.
Types of abuse that children can suffer include:
For more information on these types of abuse and how you can spot them, you can visit:
Types of abuse that adults can suffer include:
For more information on these types of abuse, you can visit:
Who is responsible for safeguarding?
Safeguarding is everyone’s responsibility. Here at Thirsk Doctors Surgery, all staff members play a role in safeguarding. Safeguarding is not just something we choose to do, it is also something we are required by law to do.
At Thirsk Doctors Surgery, the Safeguarding Lead is Dr Louise Allen and the Deputy Safeguarding Lead is Dr Laura Longstaff.
How does Thirsk Doctors Surgery safeguard children and adults who are, or who might be, experiencing abuse or neglect?
Keeping children and adults safe from abuse and neglect cannot be done by one person or one agency. At the heart of any safeguarding process is the child or adult who may be suffering abuse. We work in partnership with our patients who are, or who are at risk of, experiencing abuse as well as their families and advocates as appropriate.
We work closely with our health colleagues such as health visitors, the school nursing team, midwives, paediatricians, mental health teams and other hospital colleagues. We also work with our partner agencies locally such as child and adult social care, education and the police to ensure any child or adult suffering abuse can be supported and protected and any concerns about abuse can be properly investigated.
To find out more about how agencies work together in North Yorkshire to keep children and adults safe visit:
All staff at Thirsk Doctors Surgery have the appropriate levels of safeguarding training for their job role. Safeguarding training standards are set nationally for all healthcare professionals and we follow this national guidance. Safeguarding training is essential to ensure all staff are able to spot signs of abuse or neglect and take action. We work hard to make safeguarding a key priority for our practice and our patients.
What will happen if a GP or any member of staff at the practice is worried that a child or adult is being abused or neglected?
All staff in the practice have a duty and responsibility to speak up and say something if they are worried a child or adult might be being abused or neglected. If any staff member has concerns they will discuss this with the practice Safeguarding Lead or with one of the other GPs who will decide what needs to happen next.
If a doctor is concerned that a child or young person is at risk of abuse or neglect, they must take steps to make sure the child or young person is protected. It can be very upsetting and stressful for families when this happens and parents often have questions about what their doctor may or may not do.
This leaflet from the General Medical Council (GMC) helps to answer those questions:
If a doctor is concerned that an adult is at risk of abuse or neglect, they will
To do this the doctor will:
When making decisions about what action is necessary to safeguard an adult, healthcare professionals have to consider whether the person has capacity to understand their situation and make decisions about what should happen to them.
What is capacity?
For more information on capacity visit:
All professionals have to follow The Mental Capacity Act which empowers and protects people who are not able to make their own decisions. This covers decisions about property and financial affairs, health, welfare and where they live.
For more information on The Mental Capacity Act visit:
Sharing information with other relevant professionals is an important part of safeguarding. Sadly, reviews of cases where a child or adult has been killed or seriously harmed due to abuse or neglect, have often found that professionals have not shared the right information with the right person at the right time to keep the child or adult safe.
All staff at the practice must comply with the law and national guidance when making decisions about information sharing. The General Medical Council (GMC) provide guidance for doctors making decisions about information sharing. The practice also follows the Caldicott Principles:
As a general rule we will ask for the person’s (or relevant parent/guardian, advocate, Power of Attorney) permission before sharing information for safeguarding purposes.
However, there are circumstances where we will need to share information even without the person’s permission (consent). Examples of these circumstances include:
Again as a general rule, we will inform the person that we will need to share information about them in order to keep them or others safe from serious harm, as long as this does not increase risk of harm to the person or others.
Where can you get help if you are worried you or someone else is suffering abuse or neglect?
Worried about a child?
Where there are significant immediate concerns about the safety of a child, you should contact the police on 999.
if you are worried about any child and think they may be a victim of neglect or abuse, you can make a referral (depending on which county you live in) to:
You can also contact the NSPCC helpline on 0808 800 5000, email them or submit an online form. Further details are on the NSPCC website here.
Worried about an adult?
If you or the person you are concerned about is in danger and immediate action is required, you should ring the emergency services on 999.
If you or the person you are concerned about is not in immediate danger, you should ring (depending on which county the person lives in):
You can also speak in confidence to any member of Thirsk Doctors Surgery.
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