End of life care

We work closely with other services to help support people and their families at this very difficult time.

The local service

Together as a team we work with individuals and their families to address physical, emotional, social, spiritual and financial issues.

The core team includes a GP, District Nurse and MacMillan Nurse.

Please book with your GP if you or someone you care for needs help now.

Advice

The Sue Ryder website has some excellent articles called Practical & Emotional Advice, we recommend them highly. Don’t forget to click on the ‘load more’ button on the bottom of the first page, its easy to miss.

Other useful sites

NHS choices page on end of life care.

Also Leeds Palliative Care has a wealth of information on local services.

Wheatfields hospice

St Gemma’s hospice

Private Services

Some things are not covered by the NHS – find out more Contents

Private Medical Services

You may have to pay a fee for certain services that are not covered by the NHS. These fees reflect the time it takes for the doctor to look at your medical records and some admin time.

Services include things like private health certificates, insurance claim forms, HGV/taxi medicals and some travel vaccinations.

This is our current list of Non-NHS fees:

C
Childminder	Health forms	£ 87.50
Copies of Records	Copy of notes held on computer	£ 15.00
	Copy of Manual notes/Computer	£ 50.00
D
Driving Licensing	Full medical & Report	£187.00
	HGV/PSV/Taxi	£100.00
	Report	£ 89.50
E
Employment	Full medical & Report	£187.00
	Report (No Exam)	£133.00
	Report (Proforma)	£ 89.50
	Army Medicals	£ 65.00
F
Fitness	Fly/Sport etc Simple Certificate	£ 30.00
	Dependent on length & complexity	£ 63.00
H
Holiday	Letter or Simple Certificate	£ 50.00
I
Infection	Freedom from Infection	£ 30.00
P
Private	Sick note	£ 30.00
	Prescription	£ 17.00

Power of Attorney	POA or Assessment of Capacity	£150.00
Private Health Claim	BUPA ETC	£30-£63
S
STUDENT	Camp America –exam	£ 60.00
	Fit for Sport	£ 30.00
	Fit for Sport –exam	£60.00
	Min fee for Letter/Simple report	£18.00
T
Travel	Fitness to Travel –full exam & report	£187.00
	Report –no exam	£133.00
	Report –no examination	£133.00
	Report – on proforma	£ 89.50
	Extract from records	£ 67.00

More information about why we charge can be found on the BMA website.

Private Medical Reports

There are also times when we are asked for information about a patient’s health, such as when you are applying for a mortgage or life insurance. We only do this with your permission and you have the right to see the report before it is sent. To avoid any delays, please make sure you sign the consent form that the company gives you. You do not need to contact us in order to chase a medical report, as the secretary will deal with the company directly.

Frequently asked questions

Why can it take a long time to complete a form?

Time spent completing forms and preparing reports takes the GP away from the medical care of his or her patients. Most GPs have a very heavy NHS workload and this paperwork is done in around the patient care.

When a doctor signs a certificate or completes a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true.

In order to complete even the simplest of forms, therefore, the doctor might have to check the patient’s entire medical record. Carelessness, or an inaccurate report, can have serious consequences for the doctor.

How do I request a non-NHS service?

We must receive requests in writing. There is a form on the reception desk which you should fill in, stating what type of service you require, your details, and obtaining your signature to show you understand that there is a charge for the service being provided.

If you require a letter from your GP, you may discuss your request with them in a face-to-face appointment. They will advise you if they are happy to complete your request.

If you have any queries about a service that you might require, you can contact the surgery through the usual routes and we will be happy to provide you with the relevant information/

Do I have to pay to get a copy of my medical records?

Under the new GDPR regulations introduced in 2018, you are entitled to access to your medical records for free.

Please note that, using the GP online services, you can access a lot of your medical record on your computer or mobile device if you have an account.

If you require a partial or full copy of your medical records, you should put your request in writing stating what information you require. The turnaround time to complete the request can be up to 30 days, as per regulations.

Bereavement

Online

For general advice about bereavement, you might find the NHS website on bereavement useful.

If you are looking for advice about dealing with the practical aspects (such as legal issues) of someone dying, then try the Bereavement Advice Centre.

The Leeds Bereavement Forum collates allot of information on the services available in Leeds.

In person

There are also several organisations and charities that provide specialist advice and support to those that have been bereaved:

Cruse (bereavement care in Leeds area)
Home – The Good Grief Trust
Sands (stillbirth and neonatal death charity)
The Compassionate Friends
Leeds Suicide Bereavement Service
Child Bereavement UK
Winston’s Wish (for bereaved children)

Advocacy Services

Advocacy means helping another person to communicate their views and wishes.

GPs often act as advocates for patients when dealing with issues in the hospital or by making sure that their patients’ and/or families’ voices are heard when a decision is needed about their care.

Advocacy involves looking at choices together and helping patients to make decisions. It may be writing a letter of support or communicating on behalf of the patient.

When advocates who are not part of social services or the NHS are needed, they can be found in Leeds at:

Advonet

Advonet is a free, independent advocacy service for anyone in Leeds who wants help to make their voice heard and rights respected.

They can help with Independent Mental Health Advocacy, Care Act Advocacy, Community Advocacy and Health Complaints Advocacy.

Telephone: 0113 244 0606

Email: office@advonet.org.uk

Text: 07719 859 694 (Please include your name)

Website: https://advonet.org.uk/

Leeds Children’s Rights (Barnardo’s)

Leeds Children’s Rights Service is an independent advocacy service for care experienced young people and children looked after by Leeds Social Care. They support all looked after children, including disabled children, unaccompanied asylum seekers, those in secure accommodation, and those placed outside Leeds. They ensure children and young people know their rights and are involved in decisions affecting them. Advocates can attend reviews, provide advice, help solve problems, or make complaints

Telephone: 07808 736330

Email: leedschildrensrightsservice@barnardos.org.uk

Webpage: Leeds Children’s Rights (Advocacy Looked After) | Barnardo’s

Travel Vaccinations

We offer NHS travel vaccination services at the surgery.

Please contact us 6 to 8 weeks prior to your travel date.

How do I get my travel vaccines?

Prior to booking in for your vaccines, you’ll need to complete a Pre-Travel Questionnaire, which can be sent to you via text or email.

You can request the questionnaire in the following ways:

Online: Submit a request under the “Admin” section.
Phone: Call the practice at 0113 274 4777.
In Person: Visit the practice and speak to reception.

If you are unable to complete a digital questionnaire, you can print the form below or pop into reception for a paper copy. Please return this for the attention of Nurse Julie.

Pre-Travel Questionnaire Download

What happens next?

Your questionnaire and health records will be reviewed by a nurse.

You will be contacted within 1 to 2 weeks, with the following:

Recommended vaccinations (NHS and/or private)
Instructions to book an appointment with a nurse (if NHS vaccines are needed).

At your vaccination appointment, the nurse will complete your vaccinations and provide you with any further health advice regarding your travel.

What if I need private vaccinations?

If the nurse has advised that you need private vaccinations, there are travel clinics in the local area that you can book into.

Superdrug Headingley

SF Vaccination services – Woodhouse

Which vaccines are free?

The following travel vaccines are available free on the NHS:

Hepatitis A
Polio (given as a combined diphtheria/tetanus/polio jab)
Typhoid

Which vaccines will I have to pay for?

You’ll have to pay for travel vaccinations against:

Travel Abroad Poster Download

Maternity Services

The support we offer during pregnancy Contents

Midwife

Abi Pritchard is our midwife.

She is available at the practice on Tuesday and Wednesday. You can book an appointment with her via the reception desk.

The role of the midwife

A midwife is a qualified nurse who has undertaken further training to provide and promote normal midwifery.

They help you to prepare for motherhood and promote good health for yourself and your baby by advising on the effects of drinking, smoking and good diet whilst you are pregnant.

The midwife guides you through your pregnancy and endeavours to detect any problems and make relevant referrals if necessary.

First appointment with the midwife

If you are pregnant you do not need to see the Dr in order to have your first appointment with the midwife.

To start your journey with our midwife you would first need to register your pregnancy at: My Pregnancy Notes

The Midwifery team will contact you once you have registered your pregnancy to discuss your pregnancy, arrange all appropriate appointments and/or referrals, provide you with dietary advice and discuss your options for delivery.

There is also a Due date calculator facility available to use.

At your first appointment with our midwife she will take blood tests and will subsequently discuss the results with you. Whilst you are pregnant and until your baby is one year old you are entitled to free prescriptions and dental treatment. The Midwife will organise for an exemption certificate to be signed and sent off.

During The Pregnancy

Your maternity book lists when you will be seen by the Midwife, Doctor and hospital through your pregnancy. Should you have any concerns at any other time you can contact your midwife or, if she is not available, make an appointment to see a Doctor during normal surgery hours.

During your third trimester, the Health Visitor will send you a information letter and give you your ‘red book’ (my personal child health record).

After Your Birth

After delivery, your Midwife will visit you at home to help you and your baby. Following the birth, she will visit you on your first day at home. When your baby is five days old she will carry out the Guthrie test (which is a special screening test that the Midwife will give you information about) and at ten days old she will discharge you and your baby from her care. Extra visits may be arranged according to need.

Your Health Visitor will visit you at home when your baby is between 10 and 14 days old and can advise on feeding, weaning and any family issues you may have.

About 6 weeks after your birth you should make an appointment to see your doctor to discuss contraception and any concerns you have about your own health.

Breastfeeding

It takes time for you and your baby to learn how to breastfeed.

The NHS Choices page on breast feeding might be useful.

Your midwife can also offer support and advice.

There are also a number of national services offering local support groups, which can be accessed via their websites: