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Please note: The surgery will be closed for staff training purposes between 12:30 and 1:30pm on Monday 27/11/17

Click for what to do when the surgery is closed

Flu Vaccinations at Siam Surgery

Can you help us to help you?

Our local population is growing fast and there is a huge demand for appointments, both with the doctors and the nurses. We have been looking at ways to improve appointment availability and have found many appointments are wasted each week because the patient is not booked in with an appropriate clinician. For example:

  • Not all doctors undertake joint injections
  • Not all doctors undertake minor surgery
  • Not all doctors undertake coil fitting
  • Some doctors have more specialised knowledge in particular areas
  • Not all nurses undertake travel vaccinations
  • Not all nurses undertake cervical screening
  • Some nurses have more specialised knowledge in particular areas

If you are booked with a doctor or nurse who is unable to deal with the problem for which you are attending, it is not only a wasted appointment for the doctor or nurse, but also a wasted visit for you as you may be asked to re book.

There are some procedures which cannot be undertaken if there is not a second nurse or a doctor on the premises, for example immunisations.

It helps us to know the reason for routine appointments where equipment needs to be prepared, for example, a particular injection may need to be collected in advance from a central storage area or may even be out of stock and need to be ordered.

We are aware some patients object to being asked the reason for their appointment, our receptionists have received comments such as ‘What has it got to do with you?’ ‘Why do you want to know are you a doctor?’

Please be assured, if your visit is for a medical problem which you do not wish to discuss with the receptionist, we quite understand and are more than happy for you to tell us you would rather not give the reason.

Please

Wherever possible provide the receptionist with a little information regarding the reason for your appointment

Help us to help you.

 

Non-NHS Services

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

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

 

The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability. 
 

Why do we charge fees?

It is important to understand that our GP’s are not employed by the NHS. They are self-employed and have to cover their costs – staff, buildings, heating, lighting, paper, postage etc. in the same way as any small business. The NHS only covers costs for NHS work, not for non-NHS work and the fees charged by GP’s for private work contribute towards their expenses.

The government’s contract with GP’s covers medical services and ongoing medical treatment to NHS patients. However, things like signing forms and certificates, completing insurance reports, reports for the Department of Work and Pensions or local authorities are not included.

With certain limited exceptions, for example a GP confirming that a patient is not fit for jury service, GP’s do not have to carry out non-NHS work on behalf of their patients. Whilst our GP’s will always attempt to assist our patients with the completion of forms, for example for insurance purposes they are not required to do so.

Time spent completing forms and preparing reports takes the GP away from the medical care of patients. Our GP’s have a very heavy workload and paperwork takes up an increasing amount of their time, meaning they often have to compete this at night and weekends.

Many people believe that if they are only asking for a signature, it can be done in seconds. However, when a doctor signs a certificate or completes a report, it is a condition of their remaining on the Medical Register, that they only sign what they know to be true. In order to complete the simplest of forms, therefore, the doctor may need to check the patient’s entire medical record.

How much will I be charged?

It is up to the individual doctor how much he will charge and this will depend on the complexity of the form or report he is asked to complete and the length of time taken. However, the following is a guide to the fees you may expect to pay.

Item

Example

Charge

Certificates/Forms

Fitness to work

Seat belt exemption

Private sickness certificate

Holiday cancellation form

From £25.00

 

Counter Signature Only

No form to complete

£10.00

Letter

Detailing medication for travel abroad

Fitness to exercise etc.

From £10.00

Power of Attorney

Witnessing

From £40.00

Blood Test

Private test which is not funded by the NHS

£40.00 for taking blood plus the laboratory fee

Cervical Smear Test

One for which you do not qualify on the NHS

£40.00 for taking the sample plus the laboratory fee

Immunisation Record

Printed copy of record

£10.00

Medical Examination

HGV

Taxi

Adoption

£80.00

Up to

£110.00

Copy of Medical Records

Paper copy

£50.00

 

 

 
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