It is recommended that every woman between the ages 25 years and 50 years should have a cervical smear every three years and every woman between the ages of 51 years and 64 years should have a cervical smear every five years. When you receive a letter from North Yorkshire and York NHS screening services inviting you to make an appointment please telephone your usual surgery and ask the receptionist for an appointment with the practice nurse. When you attend your appointment please bring a urine sample with you. The result of your smear will be sent to you directly from the screening services within six weeks. If you have not received your result within this time please contact the surgery.
Pregnancy is a normal state and not an illness. Despite this, problems can sometimes arise, some of which might have been preventable. For this reason the Doctors are happy for patients to discuss a future pregnancy before it arises. This is a particularly useful time to check rubella status, dietary issues, and any other problems that you might wish to discuss. Our family planning trained nurses are also happy to provide pre-conceptual advice and education.
ANTE NATAL CARE
An integrated system of shared care is available in the Scarborough district with close co-operation between the Hospital, General Practitioners and Midwives. All our doctors provide maternity care, mainly during ordinary surgeries, although most of the antenatal care is now undertaken by the midwife. Please tell the receptionist if you require an antenatal or postnatal appointment because a longer consultation will be necessary. There is a Midwife attached to our practice and she usually sees patients at Danes Dyke Surgery on Wednesday and South Cliff surgery on Thursday afternoons.
MIDWIFE CARE/GP/ HOME DELIVERIES
As a midwife care delivery your baby will be delivered in the hospital by a community midwife. The early part of your labour will be monitored at home. This means that your stay in hospital will be for a relatively short time, usually between six and forty eight hours. This service is usually offered to women in their second or subsequent pregnancy.
The majority of women do not seem to want to have a home delivery, but this is an option open to you if you wish. You will be able to discuss the type of delivery you require when you attend for antenatal care with either your Doctor or the Midwife.
As part of the Child Health Surveillance programme for children under the age of five years, your child will be offered regular checks with either your Doctor or Health Visitor. These start with the six-week baby check which is carried out by the Doctor at the same time as the mother's post-natal check. The Health Visitor then continues to check your child’s early development at regular stages. At the age of three and a half years you will be invited to bring your child to the surgery for his/her pre-school check with the doctor followed by an appointment with the Practice Nurse for vaccination.
We see patients for emergency contraception or advice, please ask at reception to see the Practice Nurse. As with all our medical practice this is a completely confidential service. We offer a full service, including the fitting of intra-uterine devices (coils) and the fitting of subcutaneous contraception (Implanon). In addition our practice nurses will see patients for contraceptive advice or for annual checks.
MINOR SURGERY/ CRYOSURGERY
All our Doctors are able to carry out minor surgical procedures, typical operations being the removal of sebaceous cysts and small non-malignant skin lesions. We also have the facility to freeze treat troublesome warts, without the need for referral to hospital. A cryosurgery clinic is held monthly on a Wednesday afternoon, at Danes Dyke Surgery from 5.00 to 5.45 pm, for the treatment of these warts and other minor skin conditions.
HEALTH PROMOTION CLINICS
Our Practice Nurses see patients for health promotion at various times during the week. These clinics include well person checks, diabetic checks, asthma checks, hypertension checks, heart disease checks and travel advice.
Patients who wish to give up smoking may access the community services available locally. Please visit the website http://smokefree.nhs.uk/ for further information.
The surgery no longer provides an in-house smoking cessation service and does not prescribe smoking cessation medication.