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Gstt Stockwell Group Practice

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Last Updated: 02 July 2021

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General | Latest Info

Finance through local CCGs and some transformation funding, it was decided to pilot RADC at Guys Hospital. The aim was to speed up cancer diagnosis, as well as find more cancers at grade one and two, in patients presenting with vague symptoms. Initially piloted with two CCGs, Lambeth and Southwark, its success saw it roll out across all six CCGs in south London in April 2018. Gstt RADC provides diagnostic service to patients who have presented to their GP or at the Accident and Emergency Department with vague but worrying red flag symptoms. It follows the model of fast patient triage; coordinated Access to Diagnostic tests; second follow - up appointment or telephone consultation resulting in Rapid specialist referral or patient discharge. Within seven days of referral being make, patient will attend an initial 45 minute appointment with Dr Luigi DeMichele, Clinic consultant and Geraint Jones, advance nurse practitioner. Detailed medical history will be take, appropriate investigations completed and patients will be screened for any unmet fraility, mental health and social needs. If further investigations such as CT scan or endoscopy are needed, patient will be given a slot on day or date and time to return within seven days. At their second appointment with Dr DeMichele and Geraint, patients will be involved in discussion about the results of their investigations. At this point, there are three potential pathways: 2 week wait for cancer referral, referral for benign but serious condition or discharge to primary care with appropriate advice and signposting to any relevant teams / agencies. Patients in which serious condition have been diagnosed or is suspect, will be rapidly referred to another specialist for appropriate care and treatment. In the case of patient with suspicion of cancer, internal pathways in place between RADC team and specialities ensure that the patient is seen by appropriate specialists within fourteen days. It is too early to say that RADC has definitely improved patient outcomes, but early findings are promising: 570 patients completed their RADC journey during its first 16 months of operation. 300 patients diagnosed with serious benign conditions including cirrhosis of liver, multiple sclerosis, tuberculosis, heart failure, emphysema and Crohns disease. 44 were diagnosed with cancer; 11 of these 44 cancers were diagnosed at grade 1 or 2. 93% of patients rat their care as Very good. When Yvonne Allen suddenly started experiencing pain in her lower back and side, she booked an appointment with her GP. The 61-year-old had vague symptoms and painkillers were not helping, so doctor referred her to the Rapid Access Diagnostic Clinic at Guys Hospital. Yvonne, from Southwark, say: clinic was fantastic and, over the next few weeks, I had a range of tests including MRI scan, endoscopy and blood tests. Scans revealed that Yvonne had lump in her lower intestine so she was referred to the gastrointestinal unit and was diagnosed with bowel cancer.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Household health

Table

Europe RussiaNorth America
Central AmericaSouth America
CaribbeanAfrica
Middle EastCentral Asia
East AsiaAustralasia and Pacific

If you require any vaccinations relating to foreign travel, you need to make an appointment with a 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 require. There is further information about countries and vaccinations required in links below. It is important to make this initial appointment as early as possible-at least 6 weeks before you travel-as second appointment may be required with a practice nurse. Full details regarding malaria protection can be found by clicking here and Travel Vaccinations by clicking here. Some travel vaccines are ordered on private prescription and these incur charges over and above normal prescription charges as well having to pay for drug as well at pharmacy. This is because not all travel vaccinations are included in services provided by the NHS. Current charges are listed below-if you are travelling to Europe, a very useful booklet has been published with advice and guidance to help you get the most out of your holiday. To visit please click:-http: / ec. Europa. Eu / publications / booklets / eu_glance / 86 / en.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

Table2

Yellow Fever Certificate65.00
Rabies Vaccination (3x doses)150.00
Hepatitis A B Adult (Twinrix) (3x doses)165.00
Hepatitis A B Child (Twinrix) (3x doses)105.00
Hepatitis B ( 3x doses)135.00
Private Prescription ( Anti-Malarial - The pharmacy will charge you for the drug as well)20.00
Meningitis ACWY Vaccination (Mecca)60.00
International Certificate of Vaccination20.00

Table3

Yellow Fever Certificate65.00
Rabies Vaccination (3x doses)150.00
Hepatitis A B Adult (Twinrix) (3x doses)165.00
Hepatitis A B Child (Twinrix) (3x doses)105.00
Hepatitis B ( 3x doses)135.00
Private Prescription ( Anti-Malarial )20.00
Meningitis ACWY Vaccination (Mecca)60.00
International Certificate of Vaccination20.00
Holiday Cancellation Insurance Certificate30.00
Fitness to Travel Certificate30.00
Confirmation of GP Registration with Dates15.00
Straightforward Certificate of Fact15.00
Private Prescription/Certificate20.00
Examination of Medical Records Certificate26.00 upwards
Driving Licence Application26.00
Private Treatment Claim Form26.00
School Fees Insurance Claim26.00
Health Club - Patient Fit to Exercise26.00
Accident/Illness Insurance Claim Form26.00
Private Consultation25.00
DNA Testing45.00
Taxi Medical65.00
* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

What now?

Table

Europe RussiaNorth America
Central AmericaSouth America
CaribbeanAfrica
Middle EastCentral Asia
East AsiaAustralasia and Pacific

You can refer yourself to Podiatry, antenatal and Talking Therapies. Please see following forms / links below-Flu Vaccination will be available on the NHS around mid September for eligible groups. In addition to the groups below, government has now included those aged between 50-64 who do not have any pre - existing conditions. Please note that people in the 50-64-year old age group will not be vaccinated until November and December, providing there is sufficient vaccine, and no appointments will be offered for this age group until then. This is to ensure that those who are most at risk are vaccinated first. If you are 50-64 and you are in one of other groups which is eligible for Flu Vaccination, for example, you have health condition which put you at risk from Flu, you will be invited earlier. Are 65 years of age or over, are pregnant, have certain medical conditions and long term conditions, are very overweight, are living in a long-stay residential care home or other long-stay care facility receiving carer's allowance, or you are the main carer for elderly or disabled people whose welfare may be at risk if you fall ill

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

Table2

Yellow Fever Certificate65.00
Rabies Vaccination (3x doses)150.00
Hepatitis A B Adult (Twinrix) (3x doses)165.00
Hepatitis A B Child (Twinrix) (3x doses)105.00
Hepatitis B ( 3x doses)135.00
Private Prescription ( Anti-Malarial - The pharmacy will charge you for the drug as well)20.00
Meningitis ACWY Vaccination (Mecca)60.00
International Certificate of Vaccination20.00

Table3

Yellow Fever Certificate65.00
Rabies Vaccination (3x doses)150.00
Hepatitis A B Adult (Twinrix) (3x doses)165.00
Hepatitis A B Child (Twinrix) (3x doses)105.00
Hepatitis B ( 3x doses)135.00
Private Prescription ( Anti-Malarial )20.00
Meningitis ACWY Vaccination (Mecca)60.00
International Certificate of Vaccination20.00
Holiday Cancellation Insurance Certificate30.00
Fitness to Travel Certificate30.00
Confirmation of GP Registration with Dates15.00
Straightforward Certificate of Fact15.00
Private Prescription/Certificate20.00
Examination of Medical Records Certificate26.00 upwards
Driving Licence Application26.00
Private Treatment Claim Form26.00
School Fees Insurance Claim26.00
Health Club - Patient Fit to Exercise26.00
Accident/Illness Insurance Claim Form26.00
Private Consultation25.00
DNA Testing45.00
Taxi Medical65.00
* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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