SERVICES OFFERED

Walnut Tree Practice offers a full range of general medical services. Child Health
Child health and immunisation clinics are held several mornings a week.  The Health Visitors offer a child health clinic on Tuesday mornings between 9.30 – 11.30 am. 

Minor Surgery
General Practitioners with the Practice Nurses are able to offer simple minor surgery and some joint injections. 

Young Persons Clinic
We offer a young persons drop-in clinic every Monday between 3.00 – 4.00pm where a nurse/doctor is available to discuss young persons’ issues.

Chlamydia Testing

We offer self testing for chlamydia to patients under 25 years old. Chlamydia testing packs can be collected from reception and no appointment is necessary. This is a totally confidential service with results being texted to your mobile 'phone. Further information on this service can be obtained by attending our Young Person's Clinic or from reception.

Smear Tests
All women aged between 25 to 49 years will be offered a smear test every 3 years and women aged between 50 to 64 years will be offered a smear test every 5 years. 

Breast Screening
This is offered to all women over the age of 50 every 2 years.  Breast Screening Unit will send you an appointment automatically. 

Ante-Natal Care
Pregnancy care is available from your own doctor and the community midwife.  Ante-Natal clinics with the midwife are held Mondays, Tuesdays and Wednesday mornings.  We liaise closely with the obstetricians at Milton Keynes Hospital. 

Contraception
We offer a wide range of contraceptive options, including oral contraception, injections, implants and fitting of intrauterine devices.  Please specify if you are particularly interested in this service and an appropriate appointment will be offered by the Reception staff.

Travel Vaccination
For advice on vaccination requirements prior to travelling abroad, please make an appointment with one of the practice nurses at least 6 – 8 weeks prior to departure.  Some travel vaccinations are available on the NHS, some are not.  The nurse will advise which vaccinations you need and how much, if anything, they will cost. 

Stop Smoking
We offer a stop smoking service witin the practice please ask at Reception for when the clinics are running. 

Private Fees
The practice is happy to carry out other medical services not covered by the NHS.  This includes completion of private health insurance forms (BUPA etc.), certification for fitness to work/attend school, HGV medicals etc., but it must be recognised that our NHS commitments take priority.  Fees are charged for this work at the minimum BMA recommended rate; a full list of fees is displayed in Reception, or a receptionist can advise you.
 

Travel Information

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements.  This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.  There is further information about countries and vaccinations required on the links below

Europe & Russia	North America
Central America	South America
Carribean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

It is important to make this initial appointment as early as possible  - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations.  These vaccines have to be ordered as they are not a stock vaccine.  Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Most travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

Travel Questionnaire

Vaccination Schedule

At two months old:

• Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
• Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At three months old:

• Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
• Meningitis C (meningococcal group C) (MenC) - one injection

At four months old:

• Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
• Meningitis C (meningococcal group C) (MenC) - one injection
• Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At around 12 months old:

• Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) - booster dose in one injection

At around 13 months old:

• Measles, mumps and rubella (German measles) (MMR) - one injection
• Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

Three years four months to five years old (pre-school):

• Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) - one injection
• Measles, mumps and rubella (German measles) (MMR) - one injection

13 to 18 years old:

• Diphtheria, tetanus and polio (Td/IPV) - one injection

We are now able to offer a healthy eating and life style advice clinic run by our Health Care Assistant, Kim Chapman.

Kim offers a structured programme with access to referrals for exercise and specialist weight loss programmes. Tailored to suit individual needs, initial appointments are for 20 minutes with follow up appointments arranged depending on the support levels required.

The service is available to those aged 4 years and over and you do not need to see a GP to access this service.

If you are interested or want more details, please call the Health Centre on 01908 691123 and book an appointment to see Kim.

www.miltonkeynes.gov.uk offers exercise and fitness advise for people based in the Milton Keynes area. For those of school age, log on and follow the links to 'healthy schools'. There you will find information on healthy eating, physical activity, Sport England and The Sports Deveolpment Team. For those individuals no longer at school, access information via the MKActive link.

Did you know that if you are aged 16 and under or over 60, you can go swimming at all the local public pools for free? Log on to www.miltonkeynes.gov.uk for details on how to join the scheme and get swimming!

www.theparkstrust.com offers a wide and varied education programme based in parks in and around the Milton Keynes area. They offer fun activities from bluebell and buggy walks to bat talks! Why not log on today and see what events can help you, your friends and family get fit together.