Services provided at Clady Medical Centre

Accident and Emergency

If you have an injury and you are unsure whether you have a broken bone, you should attend your GP first who will assess whether you actually require an x-ray or not. We can then decide what option is best for you (private or public x-ray facilities), and give you a referral letter accordingly. You will not be charged in A&E subsequently, if you arrive with a letter from your GP.

Small cuts and wounds will be assessed by doctors at the surgery and advice will be given as to the best method of management. Some smaller wounds may be suitable for “gluing” together or sticking together with steri-strips. Some more serious cuts may need suturing which the doctor may be able to do here at the surgery.

However in some cases the doctor may decide the wound needs to be treated in a A&E department, because of the seriousness of the wound, or because it needs the attention of a plastic surgeon.

Acute illness diagnosis and management

Diagnosis and management of minor and serious illness.

Antenatal care

We provide Combined Mother & Infant, antenatal (before birth) and postnatal (after birth) care under the combined care scheme with the hospital. Combined care is offered in conjunction with our two practice nurses.

This service is available by completing a Mother & Infant application form with your Doctor and we submit it for approval (please note PPS number must be provided on this form in order to be covered for this service). This service is available to all mothers with a valid PPS number.

The service covers 6 antenatal care consultations and a postnatal consultation for Mum and Baby at two weeks and a six week developmental check for children registered with this practice.

Care for other illnesses which you may have at this time, but which are not related to your pregnancy, is not covered by the Scheme. Unrelated illnesses would include Chest infections or tonsilitis etc., and may incur a fee.

If you require a GTT (Glucose Tolerance Test), this is available free, at the CUMH but may incur a charge if you wish to have it carried out here at the surgery.

Blood Tests Phlebotomy (Blood Tests)

These are performed by the nurses with prior  arrangement and approval of doctor.

This daily service offered by appointment each morning (Mon-Fri). This services is run by our Nurses. Your Doctor will order whatever blood test you need. Please book your appointment at reception. The nurse will advise to ring to obtain your results or make an appointment.

24 Hour Blood Pressure Monitor & ECG: Electrocardiogram

Please book an appointment for these services. (Please note with certain insurance medicals, you may require an ECG and this may involve booking a separate appointment for this procedure). Please do not wear compression stockings when you attend for ECG. Please wear short sleeved top when attending for 24hr BP monitor.

Cervical cancer vaccination

The Cervical Cancer Vaccine is used to protect against diseases caused by Human Papillomavaris (HPV). These diseases include cervical cancer, pre-cancerous lesions of the female genitals (cervix and vulva), and genital warts. The vaccine cannot cause the diseases, it protects against it.

The vaccine can be provided and administered here at the surgery, but needs to be ordered, and paid for in advance.

The person to be vaccinated will receive three doses of the vaccine. The 1st injection on the first appointment date, the 2nd ideally 2 months after the first injection, and the 3rd, ideally 6 months after the first injection. The person to be vaccinated should complete the vaccination course, otherwise the person vaccinated may not be fully protected.

Cervical smear

Our practice is registered with the Cervical Check Programme. This Programme entitles women aged between 25 and 60 to free cervical smears. You will need to bring your PPS number with you to avail of this free service.

This test is to detect early pre-cancerous changes in the cervix. This is not a test for sexually transmitted infections, although these can be carried out at the same time if you arrange this in advance. This is an extra test and will incur a charge.

Cholesterol Screening

Please ensure adequate fasting before test. Please check with staff.

LongTerm Disease care

  • Heart Disease /hypertension
  • Asthma

The following services may be performed by your doctor:

  • Peak Expiratory flow rate measurements (PEFR); a simple breathing test which measures airflow from the lungs & can be used to both monitor & help to diagnose asthma.
  • Nebuliser treatment for acute asthma attacks. Medication can be delivered by inhaling the relieving drug in the droplet form created by a nebuliser.
  • Smoking Cessation: This is a difficult task and we advise you get as much help as possible.
  • Inhaler technique: how to use your inhaler correctly. As time passes, inhaler requirements may change and technique needs to be reviewed regularly
  • Referal to a Respiratory Physician in severe cases

Diabetes

Both Doctors and Nurses are dedicated to maximizing the health of our diabetic patients. We encourage regular review for diabetic patients for the purposes of health promotion, and screening for Diabetic complications. The following services are available:

  • Full diagnostic screening tests: are available ie. fasting glucose tests and Glucose tolerance tests, as well as monitoring blood tests e.g. HbA1C.
  • Management & Surveillence: Diabetics may be reviewed by either the doctor or the nurse for ongoing diabetic management, and surveillence for complications.
  • Advice: on diet, exercise, lifestyle,and bloodsugar monitoring will be given.
  • Further examinations: for example: footcare; healthy heart ( including E.C.G.Test); and kidney function monitoring will be offered.
  • Integrated Care: Where appropriate we will also liase with other relevant healthcare professionals, regarding comprehensive integrated diabetic care.

Cryotherapy

Cryotherapy involves the application of liquid nitrogen to skin lesions. This “freezing” destroys the lesion from deep under the skin and usually causes it to disappear. However in some cases more than one application is necessary.

This treatment is suitable for simple warts, verrucae, skin tags, seborrhoeic keratosis and certain other skin conditions.

The doctor may decide that a referral to hospital might be more appropriate in some, more complicated cases.

Dermatology/skin conditions

All doctors in the surgery manage skin conditions and have a particular interest in Dermatology. The following skin conditions can be assessed & managed in the surgery:

  • Acne
  • Eczema/Dermatitis
  • Psoriasis
  • Hair loss/Alopecia
  • Excessive Hair Growth
  • Scalp Problems
  • Nail problems
  • Skin Infections, including scabies and impetigo
  • Leg Ulcers
  • Excessive Sweating
  • Genital rashes
  • Skin cancers
  • Mole assessment/ removal
  • General Skin Assessment
  • Warts and Verrucae

Several doctors in the surgery are involved in both biopsying or removing skin lesions,

Diabetes

Diabetes Treatment

Type I Diabetes                     Quarterly

Annual

 

Type II Diabetes        Quarterly

Annual

Dressings

The practice nurse will assess & treat chronic or acute wounds & skin ulceration. She can check the progress of the wound and can call one of the doctors to assess the wound should she deem it necessary.

Driving Licence

We have the forms here at the surgery or you can download them and we would be happy to carry out this test for you.

For those over 70, those with a medical condition and those applying for a Type 2 licence, a full medical is also required. Again we have these forms at the surgery.

Unfortunately this service is not covered by Medical or Doctor’s Visit cards.

Ear syringe

Ear Syringing involves washing out a build-up of wax in the ear canal, which may be effecting your hearing.

It is usually recommended that you put drops in your ear to soften the wax (available form your chemist, or alternatively you can use warmed olive oil), for approximately 5 days prior to the procedure.

Family planning

Our doctors can discuss a wide range of contraceptive options which are available to women and men. These include contraceptive pills, injections, implants (see Implanon), intra-uterine devices (see Mirena coil),other devices (Evra Patch), and permanent procedures such as vasectomy and female sterilization).

  • Contaception Advice
  • Mirena Coil Insertion
  • Implanon Insertion
  • Emergency Contraception
  • Vaectomy advice and referral
  • Crisis Pregnancy Options
  • Fertility Care

Flu vaccination and pneumonia

Each year we administer the seasonal flu vaccine annually, usually beginning in October.

The Pneumovac vaccine which protects against pneumonia need only be administered once every 10 years, if you are over 65 years of age, and once every 5 years, if you are under 65 years of age. You should discuss whether you need this vaccine with your doctor.

Injections

Men’s Health

Prostate Health

Our doctors can give advice on prostate health, and perform relevant examinations. The nurse also can carry out a PSA (blood test on the prostate gland), and administer prostate injections if it is necessary.

Testicular Health

We can also give advice on testicular health, perform relevant examinations, and give instruction in self-examination

Erectile Dysfunction

Erectile dysfunction can be a taboo subject for many men. However ongoing problems do warrant discussion with your GP.

We now know there are many different causes of ED, of both physical and psychological origins and so management of the problem is dependent on the root cause. Physical problems however are known to predominate, and can be treated.

Minor Surgery

The doctors at the surgery carry out minor surgical procedures.

Procedures performed include the removal of sebaceous cysts and certain other skin lesions, insertion & removal of the Mirena Coil, and insertion and removal of Implanon. You should make a routine appointment to discuss these procedures and you will then be given an appointment for the minor surgery.

Phlebotomy service

Phlebotomy (Blood Tests)

Pre-Employment Medical

Sexual Health and sexually transmitted infection screening and treatment

STI Screening
We can carry out a full screening service for sexually transmitted infections. There are a large number of such infections which can be contracted by both men and women, symptoms can include pain, sores, discharge, and burning when passing urine. In some cases, however, you may not even know you are infected, as symptoms may not be present.

Of course tests of such a sensitive nature are treated with the upmost discretion and confidentiality. Following screening we will arrange treatment or referral to specialist where appropriate

Spirometry

Stitches Removal

Stress Management

Repeat prescriptions

Please allow 48 hours for all repeat prescriptions

Vaccinations

Our Nurse administers the children’s vaccinations. These include Hib, Diphteria, Tetanus, Whooping Cough, Polio, Hep B; and PCV . Measles, Mumps, Rubella and men C. Please make an appointment.

Travel vaccinations

All our doctors can advise you regarding travel vaccines. Requirements for any country can change according to various outbreaks, and we have access to the most up-to-date medical web-site with this information. For this reason it is best to come in and discuss what vaccines are obligatory, what vaccines are advisable and what vaccines are discretionary, for a particular destination.

Clady Medical Centre  is a designated Yellow Fever centre and can provide certification to persons who require it.

Vision/ Eye Testing

We provide eye tests & Medicals for domestic and commercial vehicle driving licence.
We can also assess for colour blindness using: “Ishihara’s Tests” to assess for colour blindness.

Eye examination is also useful for screening and monitoring chronic diseases such as Diabetes & Hypertension.

Venesection

This is a new service which we provide for patients with Haemochromatosis. It involves the removal of excess iron from the body. It is a 30 minute appointment with the nurse, usually carried out in the afternoon.

To avail of this service an intial appointment with one of the doctors is required, or a direct referral by a consultant.

Venesection is generally covered by private insurance, as long as all the usual criteria are met, (Please check with your individual insurance provider). If you have no private medical insurance there will be a fee (€70.00). This service is not covered by the GMS card, or doctor’s visit card. (there is a fee of €50).

Health Checks

Health Check will begin with a comprehensive review of your own, and your family medical history, to identify any increased risk factors.

Your doctor will do a physical examination, including BP, BMI and breast examination. The remainder of the consultation is tailored to whatever tests are relevant to you, but the following is included:

  • Contraception advice
  • Pre-pregnancy advice
  • Cervical Check smear*
  • Information on HPV
  • Urinalysis for diabetes, chlamydia (if warranted)
  • Bloods, if warranted (depending on medical history)
  • STI Screening – Screening for sexually-transmitted infections involves taking a series of samples that are analysed for chlamydia, gonorrhoea, Hepatitis B, Hepatitis C, HIV and syphilis. If blisters or sores are present, a sample will also be taken to check for herpes infections.
  • Information on osteoporosis
  • Information on menopause
  • Bloods, if warranted (depending on medical history)
  • Blood tests: cholesterol, anaemia, thyroid function, diabetes (others if warranted, and depending on medical history)

*Smear tests may be taken for patients who meet Cervical Check’s eligibility criteria.

Well Woman Check

Full health screening Consisting of 2 visits available by appointment:
Visit 1: Attend the Nurse:

  1. Health Questionnaire including:
    • Weight, Height & BMI.
    • Social & Family History.
    • Medical & Surgical History.
    • Medications & Allergies.
  2. Fasting Blood investigations including:
    • Liver/Kidney Function.
    • Diabetes Screen.
    • Thyroid Check.
    • Cholesterol Check.
  3. Physical Examinations:
    • ECG if indicated.
    • Blood Pressure Check.
    • Urinalysis.

Visit 2: Attend the Doctor: 2 weeks later

  1. Physical Examination including:
    • Head, Neck, & ENT.
    • Respiratory, cardiovascular & abdominal.
    • Cervical smear.**
    • Breast Examination & instruction on self examination.
  2. Blood Test results Discussed
  3. Health Promotion & Lifestyle Advice including:
    • Diet, exercise, stress management & smoking cessation.
  4. Menopause: screening advice and treatment including HRT.
  5. Osteoporosis:
    • Preventative care.
    • Treatment of osteoporosis.
    • Referral for Dexa scan.
  6. Referrals to consultants or referral for further tests if required.

Children’s HealthWeaning and Dietary Advice Childhood Illness

Immunisations  –  Childhood Immunisation Information Advice on:  Behaviour Management   i.e. Sleep patterns & temper tantrums

Items not covered by medical card:

There are certain consultations which are not part of the medical card scheme.
Including:
– INR warfarin blood checks
– Eyesight/driving license reports
– Sports club pre membership medicals
Please contact reception for a full list of items not covered and for the associated fee.