Clinics & Services

Minor Surgery Unit

We operate a minor surgical unit where some procedures are undertaken by the doctors, by prior arrangement.
These clinics take place in the afternoon on alternate Mondays, but it is necessary for you to see your doctor in a routine appointment for assessment first.
Several of the Doctors in the surgery perform minor operations clinics.
We offer a range of services such as
• Removal of skin lesions
• Skin Biopsies
• Joint injections
You will need to make an appointment to see your GP for assessment before having a minor operation.

Well Woman Smear Clinic

Clinician: Jane Martin
All women are encouraged to have regular smear tests to detect pre-cancerous changes at the neck of the womb. You will be invited to attend routinely at which point you will make your own appointment at a time that suits you either online or via reception.
What is a smear test?
It is not a ‘cancer test’. It is a test to pick up very early changes in the cervix which could develop into cancer in the future, 90% of smears are normal.
Results- What They Mean
Negative
Your smear test is normal which means you are at very low risk, however, should you experience abnormal bleeding at any time you should see your doctor without delay.

Inadequate/ Unsatisfactory

Between 5-10% of smears are unsuitable for testing and therefore have to be repeated.
Abnormal Smears
Only 5-7% of smears are abnormal. This means that there are changes which, if left untreated, may become cancer in the future, however, most of these changes return to normal without any treatment being required. For this reason, you will be asked either to return for a repeat smear test in 3-6 months or go to the local hospital for further investigations.
Results
You will receive your results by post to your home address in approximately 2 weeks following your smear test. If you would like to discuss your results further, please make an appointment to see the well woman nurse or doctor.

For More information on Smears including a video explanation please clicking here

Click here to download a patient information leaflet

Flu Clinics

These take place every year between October and December. Sessions are for patients over 65 years of age or for those who suffer from heart trouble, diabetes, asthma, kidney disease, cerebral palsy or if you are taking immunosuppressant medication. Please note that if you are a carer you are also eligible to have a ‘flu vaccination. Pregnant ladies are also recommended to have a ‘flu vaccination.
If you are eligible for a ‘flu vaccination you will be sent a letter giving details of where and when the vaccinations will take place.
No appointment is necessary

Childhood Immunisations

Clinicians: Practice Nurses
All routine immunisations for preschool children.
Clinics are run on Monday afternoons. They are a drop in clinics between 1.30-3.00 pm.
You will be contacted by health agency to tell you when your child’s immunisations are due.
Advice/information given for all relevant vaccines.
Childhood Immunisations

Impaired Glucose Tolerance

Clinicians: Sr Liz Johnson
IGT is used to describe the stage between not having diabetes and developing diabetes, otherwise known as pre-diabetes.
In IGT the levels of blood glucose are between normal & diabetic.
People with IGT do not have diabetes but could develop it in the future.
Diabetes has many complications and will shorten life expectancy. Impaired Glucose tolerance is REVERSIBLE. Weight loss , exercise and dietary modification may help,
At the clinic, we will monitor your blood sugars, blood pressure & weight once a year , and give you support and advice.
Our aim is to stop you getting diabetes.
Impaired Glucose Tolerance

Chronic Kidney Disease

Clinicians: SR Johnson
Chronic Kidney Disease (CKD ) means your kidneys are not working as well as they once were. This may be because they are diseased or damaged in some way, or are ageing.
We use a blood test eGFR to identify & monitor this condition.
Treating and monitoring CKD is important as it increases your chance of having other problems such as heart attacks and strokes.
If you have CKD we will routinely request that once a year, your eGFR along with some other blood tests & a urine test are done.
To reduce your risk of complications we will review your
blood pressure and Cholesterol, and may suggest treatment for these.
It is also more important to have a healthy lifestyle. Things that you can do to reduce your risks of complications include.
Stop smoking (if you are a smoker)
Eat a healthy diet, low salt intake.
Keep your weight controlled (especially if you carry weight around your tummy/waist)
Take regular physical exercise
Kidney

Coronary Heart Disease

Clinicians: Sister Johnson
It is very important that people who have had a heart attack, or have other forms of ischaemic heart disease, are being assessed regularly and are on the right medication. We are keen to provide an excellent service in this area.
To this end, we run cardiac clinics where all patients who have had a heart attack or have angina (in addition to normal appointments that they may attend) are invited to see Sister Sadler. In this clinic patients are given all the relevant tests they need and can discuss what they can do to reduce their risk of having a further event. A full medication review is done at that time.
Simple advice on reducing your risks
Stop smoking
Lifetime smoking can double your risk of developing heart disease & a significant risk factor for stroke & other diseases

Exercise More

The risk of developing heart disease is a third less in people who exercise, it is suggested that people should exercise at least 20 minutes 3 times a week.

Health Checks

Clinicians: Sister Johnson
Your experience of the check
The NHS Health Check program is for adults in England aged between 40 and 74. If you’re invited for an NHS Health Check you’ll be asked a set of standard questions and offered a series of routine tests that will help identify your risk of developing heart disease, stroke, kidney disease, type 2 diabetes and certain types of dementia.
Why do I need an NHS Health Check?
The NHS Health Check appointment will help you and your GP or health professional to identify your risk of certain diseases such as; heart disease, stroke, kidney disease, type 2 diabetes or a certain type of dementia.
You will then be given advice on what action you can take to lower your risk and improve your chances of a healthier life. This could include suggestions on small changes to your diet or how much exercise you take if your risk is low or moderate. If you are at higher risk, you might be offered things like medicines to control your blood pressure, along with help to take action like losing weight or stopping smoking.
How do I get an NHS Health Check?
If you’re aged between 40 and 74 and haven’t already been diagnosed with a vascular disease or treated for certain risk factors such as high blood pressure or cholesterol, you will be invited for your check every five years. From April 2013, responsibility for the NHS Health Check program moved to your local authority, which will invite everyone who is eligible over a five-year rolling cycle.
If you’re concerned about your health, don’t wait until your NHS Health Check to do something about it. Go to your GP as you would normally.
Adults who have already been diagnosed with any of the conditions mentioned won’t be invited for the check, and their condition will continue to be managed as usual. All of the standard tests in the NHS Health Check will already be covered as part of the management of that condition
What happens at my NHS Health Check?
You will be asked some standard questions about your family medical history and your lifestyle along with a few straightforward health tests, followed by a discussion of your results. Learn more about What happens at NHS Health Check?
What happens after my check?
Following your first check, you’ll be invited for another check every five years until you’re over 74. If you’re diagnosed with heart disease, diabetes, kidney disease or have a stroke after your first or any subsequent NHS Health Check, your condition will be managed as usual and there will be no need for further checks. If you are also diagnosed with conditions such as high blood pressure and high cholesterol, these will also be managed by your GP and therefore you won’t be required to attend the NHS Health Check program.
If your GP offers you any medical treatments after your NHS Health Check, such as medicines to lower your blood pressure, your progress on those medicines will be monitored by your GP.
NHS UK
Patient UK – Preventing Cardiovascular Diseases

BFH Heart Health Conditions
Bupa UK – Coronary Heart Disease
Patient UK – Health Risk Assessment

Osteoporosis

Clinicians: Jane Martin
Osteoporosis is the thinning/weakening of your bones, having thin/weak bones increases your chances of having broken bones.
Assessment of bone strength often involves blood tests, a bone densimetry scan (DEXA) and a health risk assessment.
At the surgery, we are constantly looking for people who may be at risk of weak bones. If you are identified as being at risk you will be offered an appointment to attend this clinic.
Sr Martin will assess your personal risk and advice on lifestyle advice and ongoing monitoring and any necessary treatment.
National Osteoporosis Society

Well Woman Contraceptive

Clinicians: Jane Martin
This clinic offers an assessment of individual choices and suitability for contraception methods.
We offer advice and provision of all methods of contraception,
including the contraceptive implant and the intrauterine devices.
Implants and intrauterine devices will require further appointments arranging to for the fitting procedure.
The practice is involved in the National Chlamydia Screening Programme for 15 – 24yr olds, screening them for chlamydia infection which is transmitted through sexual contact.
Information leaflets about different forms of contraception are available on the websites listed below.
You may also contact the sexual health clinic at Macclesfield hospital who offer a drop in service. The patient information leaflet is available below.
Family Planning Association
Sexual Health
Chlamydia Screening

Local Family Planning & Sexual Health Clinics

Sexual Health Care – Patient Leaflet
Sexual Health Information Leaflet

Well Woman Menopause

Clinicians: Jane Martin
In this clinic, we will perform a health check and provide advice on management for women experiencing issues around menopause; with possible treatment and monitoring.
Ongoing monitoring and management of women taking hormone replacement therapy will also take place in this clinic.
Further information about the menopause and its management can be found on the below links.
Menopause Matters
Patient UK Menopause Matters

Diabetes

Clinicians: Sister Miles
Diabetes is a common health condition and affects 1.4 million people in the U.K.
Our Diabetic clinic is run by Sister Sharon Miles and is for all diabetics treated with diet only, diet and medication or Insulin. We aim to see every diabetic at least once a year. Newly diagnosed diabetics receive education and information and we aim to provide up to date care and support on all aspects of living with diabetes
Symptoms of diabetes are:
– Increased thirst
– Going to the toilet all the time – especially at night
– Extreme tiredness
– Weight loss
– Genital itching or regular episodes of thrush
– Blurred vision
Please check our guides on specific areas of diabetes care:

Sisters Treatment Room

Clinicians: SR Johnson, SR Miles, SR Sadler, SR Martin, Nursing Assistant Maria Bailey and Ann Wicks.
Procedures which are carried out in the Treatment room are as follows:-
• Dressings
• Travel Advice and vaccines
• Various injections
• Ear syringing
• Blood Pressure checking
• 24-hour blood pressure monitoring (referred by the doctor)
• Echocardiograms carried out (referred by the doctor)
• Cryotherapy
The appointments for the Treatment room should be booked through reception .

Rheumatology

Clinicians: Sister Miles
The Surgery provides a Rheumatology service with a visiting Consultant and Rheumatologist Specialist Nurse from the Heywood Hospital. We also support the Rheumatology team from Macclesfield District General.
Sister Miles works with the Rheumatology specialist nurses to ensure patients can have their drug monitoring blood tests done locally.
They rheumatology nurse specialist provide:
• Patients with information about their condition and its management
• An accessible point of contact for the patients between appointments
• Drug treatment management and monitoring (supported by Sr Miles)
• Assessment and access for early intervention for disease relapse eg joint injections/ pain management.
Should you be suffering from a worsening of your symptoms or problems with your medication you can contact the nurses to ask for advice and support.
Contact Details
For patients of the Heywood Hospital (seen by consultant in the practice) : 01782 673687
For patients from Macclesfield Hospital: 01625 661978
About Rheumatoid Arthritis
Rheumatoid Arthritis is an autoimmune condition. It caused the body’s immune system to attack itself. Your Immune system makes antibodies that attack bacteria and viruses helping you protect your body from infection.In RA your immune system sends antibodies to the lining of your joints where instead of attacking harmful bacteria, they attack the tissue surrounding the joint.
Symptoms
Pain usually throbbing/aching often worse in the morning.
Stiffness in joints especially in the morning
Warmth and tenderness of joints
Lining of the affected joints becomes inflamed, causing the joints to swell and become hot and tender to touch and painful
National Rheumatoid Arthritis Society(NRAS0)
Arthritis Research the UK

Respiratory Clinics

Clinicians: Di Clements
Our respiratory clinics cover common conditions, such as asthma and Pulmonary disease. There are over 3 million in the UK diagnosed with this.
The lead nurse is Di Clements who carries out clinics on two days accommodating late appointments for working people.
It is essential to have a respiratory appointment at least once a year, even though you may feel well, to inform you of new treatments and advice.

Hypertension Clinic

Clinicians: SR Johnson
Our Hypertension ( blood Pressure) clinic run by Sr Johnson and Nurse Assistant Maria Bailey.
High blood pressure is the biggest known cause of disability & premature death in the UK
Therefore it is important to ensure your blood pressure remains within the normal target range of 140/90 or lower.
We know that your blood pressure changes during the day and that sometimes your blood pressure increases when you attend the surgery (White Coat Hypertension).
To get an accurate measure of your we may ask you to:
1) Record your own Blood pressure at home. ( we will provide you with a form to put your readings on and a leaflet explaining how to do this and what type of machine to use).
Or
2) We may need to monitor your blood pressure over 24 hrs. You will wear the monitor on a belt for 24 hours and we can see your blood pressure over this time.
BPASSOC
BHS BP Monitors
Blood Pressure
Blood Pressure Monitor 7 Day Chart
Blood Pressure Monitoring Advice – How To

The Cottage Hospital

Congleton War Memorial Hospital,
Canal Street,
Congleton.
The following services are available:

  • X-rays (by arrangement with your doctor and an appointment)
  • Blood tests – 8.30-11.15am weekdays
  • Outpatient appointments with consultant specialists from Macclesfield District General Hospital
  • Minor injuries department (staffed by a nurse)
  • Inpatient beds for suitable cases, under the care of the Congleton GPs

Useful information or Websites

For information for carers, useful information can be found at carers.org
Click here for www.carers.org

Triage Service

Clinicians: Di Clements and other Practice Nurses
We are the only surgery in Congleton to offer a comprehensive triage service.
Times:- 08:00 to 6:30 pm Mon-Fri.
Our Nurses work closely with all the Drs in the practice. They also liaise with the
nurses, district nurses, community matron, health visitors, out of hours and social services.
The experienced Nurse Advisors will phone you back to discuss the urgent problem further.
They are able to:
1. Arrange emergency appointments
3. Direct you to the most appropriate service
4. Arrange a Home Visit by the doctor.
Other problems  advice and guidance can be dealt with by booking a Telephone appointment with one of our Practice Sisters.

Other Services

•The practice will be having the following organisations within the practice:-
• Scrivens Hearing Services –
• Providing NHS hearing services
• Versova
• Providing Ultrasound services

Military Veterans Mental Health Services Cheshire and Merseyside

Click Here to view.

National Diabetes Audit

National Diabetes Audit Poster