THE GENERAL PRACTITIONERS

The Practice Nurses

These two trained nurses may be seen by appointment.

They are assisted by our healthcare assistant Deborah Gadd and phlebotomists Lesley Chapple and Lucia Muschallik.

Services include:

Blood pressure checks		Diabetes management*
Blood tests		Asthma management*
Removal of sutures		Cervical smears*
Dietary advice		Routine health checks*
Advice on giving up smoking		Foreign travel vaccinations and advice including Yellow Fever*
Cardiographs
Dressings		COPD management
Ear syringing		Routine immunisations
plus other traditional nursing procedures

Those services marked with an * are normally carried out in special clinics at specific times.

If you wish to speak personally to a practice nurse, please try and telephone between 12 noon and 1.00pm. If this is not possible, please leave a telephone number with the reception staff and a nurse will try and contact you.

The District Nurses

Our district nursing team is based in Marlow and can be contacted via the Integrated Care Team on 01628 482292. This is a combination of district nursing services.

District nursing cover is provided by Intermediate Care (from 8.00am until 4.00pm) and the Twilight District Nursing Service (from 7.30 until 11.30pm) every day of the week.

Our district nurses visit patients in their own homes if they are housebound and unable to see the practice nurses for treatment. They also provide nursing care and support for terminally ill patients and their families. The district nurse is able to offer confidential advice on incontinence and assist with information about nursing equipment and aids to daily living.

Remember: if you wish to contact the district nurse, please telephone 01628 482292.

The Health Visitors

The two health visitors attached to the practice are supported by a nursery nurse. Their work involves children under five years of age and their families. A weekly well infant clinics is held at the surgery on Thursday mornings between 10.30am and 12 noon, and there are are several other clinics held on Mondays, Tuesdays and Thursdays at other locations in the area (Wooburn Green and Loudwater) that Hawthornden patients are welcome to attend. Details of these clinics can be obtained from the reception staff in the practice. Health promotion is the other main facet of their work. The health visitors' base is at the Orchard Surgery building in Bourne End and they can be contacted on 01628 482788. Alternatively, a message may be left for them at the Hawthornden Surgery.

The School Nurses

The school nurses are based in the Hawthornden Surgery and can be contacted on 01628 850908. They work in all the infant and junior schools in our area and also at the Wye Valley School, Great Marlow School and Sir William Borlase Grammar School. They are available to assist you with any physical or emotional health concerns that you may have regarding your children of school age. In the schools, they can work with children on a 'one to one' basis and take part in the Personal, Social and Health Education (PSHE) programmes. The enuretic (bedwetting) clinic is run by the school nurses at Wycombe Hospital.

Midwife

Antenatal clinics are held weekly at the surgery, currently on a Monday afternoon. While Sarah Smith is on maternity leave your named midwife is Sandra Carey, Bluebell Team, and you can contact her direct on 07796 512 485 or at the community midwives' office on 01494 425172/3.

The midwife and GP will care for you together during your pregnancy and occasionally hospital appointments may be required. For your first antenatal appointment, the midwife will visit you at home to discuss the various stages of your pregnancy with you.

The Practice Manager

Dominique Pearson-Smith looks after the day-to-day running of the practice and will be pleased to assist with any queries you may have.

The Patient/Staff Relationship

Please treat our staff with the same courtesy and respect that you would expect to receive from them. We do have the right to have a patient removed from our list, but will only do so in the case of patients who repeatedly ignore their responsibilities to us or who are violent or seriously abusive towards our staff and/or other patients.