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OUR SERVICES

Adult and Child Medical Care

Our GPs are highly trained medical practitioners who have vocational registration with the NZ Medical Council. This requires further training and assessments administered by the Royal NZ College of GPs. With our broad knowledge, we are able to offer our service to children and adults of all ages with a wide range of health problems. We offer booked appointments but can accommodate same day appointments and walk-in patients. Our GPs also have an intimate knowledge of the health system, the support services and specialist services available in our local community and beyond. Please visit Royal NZ College of GP website for further information: www.rnzcgp.org.nz

Accidents

Accidents are unfortunately part of everyday life. Our GP clinic is equipped to deal with a range of minor injuries including cuts, bruises and simple sprains. X-ray services are conveniently located nearby to our clinic. More significant injuries may need to be referred on to the appropriate services.

Skin Cancer Checks

Skin cancers including Melanoma, Squamous Cell Carcinomas and Basal Cell Carcinomas are common in NZ. This is in part due to our harsh UV radiation from our sun rays. If left untreated, skin cancers can potentially be life threatening. We are able to assess any suspicious skin lesion. Sometimes a biopsy of the skin lesion may be helpful in providing an accurate diagnosis. Depending on the type of skin cancer, a range of treatments may be appropriate including liquid nitrogen, surgical removal and topical creams licenced for use for some skin cancers. Prevention is always better than cure. So make sure you cover up, use plenty of sunblock, avoid getting sunburnt and if unsure about a skin lesion, make sure to get it checked out. Regular self-assessments and an annual skin check may also be worth considering. For further information on skin cancers: www.dermnetnz.org

Minor Surgery

Minor surgery for a variety of skin conditions can be provided by our GP clinic. This includes the removal of skin cancers. We can also remove benign skin lesions for cosmetic reasons including sebaceous cysts, benign moles and skin tags. For patients with bothersome, recurrent ingrown toenails, we can also perform a minor surgical procedure called a wedge resection. These conditions do not always need to be referred to a hospital or specialist, saving you a long appointment waiting time.

Liquid Nitrogen

Liquid nitrogen is an effective method used to treat a variety of benign skin conditions by essentially freezing the skin lesions for a few seconds. It is a useful treatment for viral warts, sun damaged skin, skin tags and many benign cosmetic lesions. Sometimes more than one treatment is required. Each treatment can be repeated after 2-3 weeks.

Immunisations

Immunisation is a cost effective and proven way to protect yourself and your family against many potentially serious vaccine-preventable illnesses. This is one of the core services we provide to our patients across all age groups. The introduction of the immunisation programme in New Zealand has led to significant reductions of many infectious diseases, most recently against Meningococcal B meningitis. The current outbreaks of whooping cough and measles are reminders that we cannot be complacent and need to be proactive when it comes to immunisation. The number of vaccines available has increased vastly since 1926, when the Diphtheria vaccine was the only vaccine available to the public at the time.The Ministry of Health recommends that all children be routinely immunised and is free as part of the childhood immunisation programme. The scheduled vaccines protect against tetanus, polio, whooping cough, diphtheria, rotavirus, hepatitis B and haemophilus influenza type B, measles, mumps, rubella and pneumococcal infections. Human papillomavirus (HPV) vaccine is free for girls and young women up to their 20th birthday. For certain eligible groups, immunisation against influenza and tuberculosis (TB) is provided for free.Additional vaccines against chicken pox, hepatitis A and meningococcal A, C, Y, W135 vaccines may incur a fee as some may not carry a government subsidy.For our adult patients, the annual influenza vaccine is available for free if you are over 65 years of age or if you suffer from certain chronic health problems. Although it may incur a small fee if you are not in the eligible group, it is still worthwhile considering having it, especially if you live in the same household as people who are at risk, such as pregnant women, young children or elderly family members with health issues. Other vaccines that may be worthwhile discussing with your GP include shingles and travel vaccines.Vaccines are usually given through an injection and are normally administered by our credentialed and qualified nurses. Vaccines are safe and the risk of any serious adverse reactions is low. As a precaution, it is our routine practice to observe you for 20 minutes after the vaccination has been given to monitor for any possible side effects.A record of your immunisation is kept in your medical records. In the case of children under the age of 5, this will also be documented in their Well Child Book. The immunisation record will need to be shown, for example, when starting school or early childhood education. Our staff will also record the immunisation details on the New Zealand's National Immunisation Register. This information system holds details of all immunisations given to children in this country. We also have an efficient recall system to remind you when the next immunisation is due.For more information click on the following link www.health.govt.nz/our-work/preventative-health-wellness/immunisation

Cervical smears

Our clinic encourages all eligible women to take part in the National Cervical Cancer Screening Programme. Cervical cancer is one of the most preventable types of cancer. Regular smear test every three years is recommended for all women if they have ever been sexually active and are between the ages of 20 and 70 years old. This reduces the risk of developing cervical cancer by 90%. Please inform our reception staff if you need a cervical smear as this usually takes additional time. We can also provide the HPV vaccine, called Gardasil, to women who are not eligible for the free HPV vaccine programme. This is a highly effective vaccine that can protect against most genital warts and cervical cancers in women. If you are interested in Gardasil, or to see if it is appropriate for you, please discuss this with your GP.For more information about cervical smear tests click on the link to the National Screening Unit website https://www.nsu.govt.nz/national-cervical-screening-programme

ECG/ Spirometry

An ECG is a recording of your heart's electrical activity. Electrode patches are attached to your skin to measure the electrical impulses given off by your heart. The result is a trace that can be read by a doctor. It can provide information on previous/recent heart attacks or problems with the heart rhythm. Spirometry testing is a helpful tool to assess how well your lungs are functioning. It is also used to diagnose lung conditions such as asthma and COPD.

Travel Advice / Vaccinations

Before you head off overseas for holidays or work, you may want to consider seeking travel advice from our GPs and updated recommendations on vaccinations against common infectious diseases found in foreign countries such as malaria, typhoid and Hepatitis A. You may find it helpful to take a medical kit with you, just in case you are faced with simple medical problems overseas, where access to medical service is limited. An appointment for travel advice and vaccination should be made 2-3 months prior to your travel if possible, as some vaccines may need to be ordered in advance.

Well Child/Tamariki Ora Health Checks

Making sure that all children are healthy, growing and developing normally is important to give them a good start in life. Although most of the free health checks are carried out by Plunket, or other Well Child providers, our GPs will also routinely perform a 6-week baby check, and well child checks. These checks are important as they provide further opportunities to discuss any concerns you may have, before your child's routine scheduled immunisations. Our nurses are also trained to perform a final B4 School Check, which is usually carried out between 4-5 years of age. More information about Well Child services is available on the Ministry of Health website.

Well Person Checks

Our GPs have a strong focus on health prevention and keeping our patients healthy. All too often, our health is not given the priority it perhaps should be. A Well Person check is similar to a Warrant of Fitness that we routinely have to get for our vehicles every year. During a Well Person check, your GP will assess your current state of health and your risks of various important health problems, such as diabetes, cardiovascular disease, bowel cancers and so forth, based on your lifestyle, personal and family history. You will also have a full medical examination and lab tests as part of the Well Person check. A follow up visit maybe necessary to discuss your test results, especially if they are abnormal. Generally speaking, 2 Well Person checks in your 30s and 40s, then annually over the age of 50 years is recommended. For more information, please visit: www.menshealthweek.co.nz

Women's Health

In addition to having regular cervical smears, regular breast checks and mammograms as part of the NZ Breast Cancer Screening Programme are highly recommended between the ages of 45 and 69 years old. Breast cancer is the most common cancer in women and causes approximately 600 deaths per year. In addition, our GPs are also able to offer up-to-date advice on contraception, and management of common gynaecological issues, such as menstrual problems, and screening for ovarian cancer.For more information on breast screening and ovarian cancer follow this link below: http://www.nsu.govt.nz/current-nsu-programmes/breastscreen-aotearoa.aspx http://www.cancernz.org.nz/assets/files/_ISOvarianCancerJan11.pdf

Antenatal Care

We offer free 1st trimester maternity care for our pregnant patients up to 13 weeks. This usually involves an assessment with your GP and referral for a pregnancy scan and routine antenatal blood tests. Your GP will advise you on healthy lifestyle during pregnancy. It is recommended for women to take folic acid while they are trying to conceive and during the first 12 weeks of pregnancy to reduce the risk of spina bifida, and iodine during pregnancy and breastfeeding to reduce the risk of iodine deficiency for mother and baby. We can also manage problems in early pregnancy and if necessary, facilitate referrals to specialist services. Beyond 13 weeks, our GP can recommend a lead maternity carer (LMC) to look after you for the rest of your pregnancy. This is usually a midwife or obstetrician.

Home Visits

Our GPs are able to offer home visits for any urgent medical problems when it may be difficult for you to attend our clinic. Unfortunately, we are not able to extend this service for routine problems and checks.

Driving licence medicals

For some drivers, an assessment with your GP to determine your medical fitness to drive is necessary. This may include driving licences for patients over the age of 75 years old, or heavy vehicle licences. Please inform our reception staff if you need a driving licence assessment as this usually takes additional time.

Sexual health

Our clinic can offer testing and treatments for common sexually transmitted infections or for routine checks. As for all our other services, these visits are completely private and confidential.

Aclasta infusion for osteoporosis

Osteoporosis is a condition where bones become brittle and are more likely to break in the event of an injury. This is common in women after menopause, but can also occur in men with advancing age or in patients on long-term oral steroid treatment e.g. prednisone. An estimated 56% of women and 29% of men will suffer a fracture after the age of 60 because of osteoporosis. Nearly 20% of people with hip fractures die from fracture-related complications within a year. A bone density scan is usually used to diagnose osteoporosis. Traditionally, osteoporosis has been treated with a group of oral medications called bisphosphonates e.g. Fosamax. More recently an alternative intravenous bisphosphonate called zoledronic acid (Aclasta) has become available for those struggling with the weekly oral bisphosphonates. We offer this medication through our GP clinic. This involves receiving a 15-minute infusion through your vein and is administered once a year.
Patient information: www.medsafe.govt.nz/consumers/cmi/a/aclasta.pdf
Osteoporosis NZ: bones.org.nz
Drug data sheet: www.medsafe.govt.nz/profs/datasheet/a/Aclastainf.pdf
Aclasta infusion protocol (WDHB): www.saferx.co.nz/full/zoledronicacid.pdf