Appletree Clinics

ANTENATAL CLINIC
This clinic is run by the midwife.  When you become pregnant you will be given an appointment at which she will ask you a few questions and carry out some general health checks.  You will be seen regularly throughout your pregnancy by the midwife.
ANTICOAGULATION CLINIC
Patients who are on Warfarin, a drug used in the prevention of the formation of blood clots in the blood vessels, require regular blood tests. The nurses are trained in anticoagulation monitoring and in the dosing of warfarin.
CHILD HEALTH
All babies are invited for a 6 week post-natal medical check with a GP.  Immunisations start at 8 weeks; Immunisation information can be found on www.nhs.uk.
CONTRACEPTION AND FAMILY PLANNING
There are various forms of contraception.  Information can be found at Your Sexual Health Matters website. Both the progestogen only pill and the combined pill can be ordered direct from this website. If you are considering a coil, please click here for information
COUNSELLOR
We have a counsellor and a cognitive behaviour therapist. You can self-refer into these services.
Please ask for a leaflet at Reception or go to www.derbyshirehealthcareft.nhs.uk or click on the Self Refer button.
DIABETIC CLINIC
This is run by our nursing team offering advice and general health checks to patients diagnosed with diabetes.
EAR SYRINGING
GUIDELINES ON EAR SYRINGING
Small amounts of ear wax are made all the time and form a protective coating to the skin in the ear canal.  A plug of wax is not a serious problem and only needs removing if it is causing symptoms such as dulled hearing.
Removing plugs of ear wax:
Ear drops will often clear a plug of wax.
Ear syringing may be required ONLY if ear drops do not work. 
However, ear syringing IS A LAST RESORT.
Ear drops
Ear drops to soften wax are available from pharmacies, (e.g. sodium bicarbonate, almond oil or olive oil ear drops). A few drops of the oil, warmed on a warm spoon and inserted into the ear canal will soften the wax and help to break it up.  You will need to tilt your head or lie on one side for at least 10 minutes after inserting the drops.  The drops MUST be inserted 2-3 times a day for at least TEN DAYS.  If you cannot get help to instil the drops, it might be easier to use a dropper (available from a pharmacy).
What NOT to do
Do not try to clean the canal with cotton buds etc. This has the effect of pushing the wax deeper inside. 
Do not use cotton wool in the ears after you have applied the drops as this stimulates the ears to produce more wax.
Preventing the build up of wax
Some people are prone to developing wax plugs. This may be prevented by putting some wax softening drops in each ear once or twice a week.
Ear syringing
If you have a build-up of wax and have used oil regularly for a minimum of ten days and it has not improved your dulled hearing, please make an appointment with the nurse for ear syringing.  Syringing is usually painless. Lukewarm water is squirted into the ear canal to dislodge the wax.  Some people feel dizzy after ear syringing but this quickly settles. Occasionally you may develop an inflammation in the canal following syringing, causing itching and discomfort. This can be treated with ear drops available on prescription.
Ear syringing may not be advised if you have certain ear problems, in particular recurring infections or perforation.  This will be assessed by the nurse at your appointment.
The appointment with the nurse will just be for ear syringing.  If you need other tests carried out (e.g. blood pressure or blood tests), you will need to advise the receptionist at the time of booking the appointment so that extra time can be allowed.
FIRST CONTACT PHYSIOTHERAPIST

Physiotherapist can help patients with musculoskeletal issues such as back, neck and joint pain by:

· assessing and diagnosing issues

· giving expert advice on how best to manage their conditions

· referring them onto specialist services if necessary.

MINOR INJURIES
Please find a list below of the minor injuries our practice nurses can deal with:
  • Minor lacerations
  • Superficial Injury to eyes
  • Foreign bodies
  • Minor Burns and Scalds

Alternatively, please visit one of the following Minor Injuries Units
Other Local Minor Injury Units: www.dchs.nhs.uk/find_services_by_topic/id/45255

NHS HEALTH CHECKS
The surgery runs a Health Check clinic for patients aged between 40 and 74.  This is to help them to better understand their risk of developing heart disease, stroke, diabetes or kidney failure, and the adjustments required to their lifestyle to dramatically reduce such risk and ensure longer healthier lives.
This health check is for patients without pre-existing heart disease, stroke, diabetes or kidney disease.  Patients are invited as part of a rolling programme.
More information can be found at: www.nhs.uk/conditions/nhs-health-check/what-is-an-nhs-health-check-new/
ORTHOPAEDIC CLINIC
An Orthopaedic Surgeon from the Royal Derby Hospital Trust, holds a monthly clinic at Appletree. Patients can be referred for hip, knee and ankle problems, again often avoiding the need for consultations at hospital.
PHLEBOTOMY CLINIC
Appletree Medical Practice
We have a limited number of appointments for blood tests at Appletree. However the following hospitals hold clinics:
Further phlebotomy clinics can be found at: www.uhdb.nhs.uk/service-phlebotomy-blood-tests/
RESPIRATORY CLINIC
Asthma and Chronic Obstructive Pulmonary Disease (COPD)
Run by the nursing team, this clinic offers advice and monitors your respiratory medication, ensuring you are on the best treatment possible.  Some patients will be required to perform a breathing test called Spirometry.
REMINDER—it is helpful if patients attending for asthma appointments remember to bring their inhalers.
STEROID INJECTIONS
We are able to offer joint injections for pain relief for any of the following:
-Trigger thumbs
-Trigger fingers
-Knuckles/toes
-Carpal Tunnel Syndrome
-Knees
-Elbows
-Shoulders
-Plantar Fascilitis (foot)
-Trochanteric Bursitis (Hip) – outer hip, not directly in the joint
Please contact the surgery for an appointment.
TRAVEL CLINIC
You don’t always need vaccinations if you are travelling abroad. It will depend on where and when you are travelling and what activities you plantto do.

We are not a travel clinic so we are unable to give you any advice on what vaccines you may require; we recommend that you seek advice from either a Travel Clinic or one of the following websites:

We are able to offer the following vaccines free of charge through the NHS:

  • Typhoid
  • Diphtheria/Tetanus/Polio (DTP)
  • Hepatitis A
  • Cholera (only given if visiting a ‘high risk’ area; an additional appointment may be required.)

If it is recommended that you need one of these vaccines, please complete the Travel Vaccination Form and once we have received this an appointment can be made with the Practice Nurse.  Please feel free to email the form to: [email protected] or drop in at reception.

COVID-19 VACCINATION PROGRAMME

We are currently prioritising our workload to deliver the Covid-19 vaccination programme.  Consequently, there may be a longer wait than usual for non-essential services during this time.

If you have a non-urgent query or problem, please consider using the pharmacy, 111 or Minor Injury units for advice where possible and appropriate.

2nd Dose Covid-19 Vaccine

You will receive your invitation for your 2nd Covid-19 vaccination at approximately 10 weeks after your first injection.   Please wait for the booking team to contact you BUT if it is almost 12 weeks since your 1st dose and you have not yet received an invitation, please contact the surgery.  

All patients aged 50+

Patients aged 50+ can now book an appointment for their covid-19 vaccination at Babington Hospital.  If you have not received a text message, please contact the surgery to book.

Click here for more information on how the vaccination will be rolled out Covid-19 Vaccine information page.