Enhanced Access Clinics

From the 1st October 2022 CGPN will be supporting General Practice by offering the new Enhanced Access Service

Evening and weekend appointments to see a GP, Nurse, Health Care Assistant or Phlebotomist are available to all patients in Cambridge and surrounding villages.

Extended GP Opening Hours in the evenings and at weekends

Non-urgent advice: How do I book?

Please contact reception 01223 365 555 or complete our online query form. These are for non-urgent, routine appointments only.

How do I change or cancel my appointment?

To change or cancel your evening or weekend appointment, please call 0330 0130 030

Services we can offer within the Enhanced Access

GP Consultations
Advanced Nurse Practitioner consultations
Nurse appointments offering dressings, asthma and diabetes reviews, contraception reviews, etc
Health Care Assistant appointments offering wound care, blood test, etc
Phlebotomy: Routine blood tests are available within our Enhanced Access Clinics
Cervical Screening

Please note that your consent for our clinician to view your medical record will be required in order for an appointment to be booked for you.

Last update October 2022

First Contact Practitioners (FCP)

An FCP is a Physiotherapist professionally qualified to assess, diagnose and manage patients presenting as a first point of contact in Primary Care with undifferentiated and undiagnosed musculoskeletal complaints.

How to book an appointment

Please complete our online query (medical query) form and the GP will triage your symptoms and direct to a FCP where appropriate.

What to expect from your FCP?

Your first contact practitioner will undertake an assessment via telephone or face to face consultation as appropriate. The FCP will provide you with a diagnosis of what is happening and expert advice on how best to manage your condition for example individualised exercises, education, activity modification and time scales for expected recovery. Depending on assessment and findings the FCP can refer to specialist services / investigations if necessary. Specialist services may include referrals into orthopaedics, physiotherapy, podiatry, rheumatology, and the pain clinic.

FCP appointment criteria – this is dependent on the scope of the FCP.

All soft tissue injuries, sprains, strains, or sports injuries
Arthritis – any joint
Possible problems with muscles, ligaments, tendons or bone, e.g., tennis elbow, carpal tunnel syndrome, ankle sprains
Spinal pain including lower back pain, mid-back pain and neck pain
Spinal-related pain in arms or legs, including nerve symptoms, e.g., pins and needles or numbness
Changes to walking
Post-orthopaedic surgery
Steroid injections (Scope of FCP in practise)

Exclusion criteria –

Patients that are acutely unwell
Children under 16
Medical management of rheumatological conditions
House-bound patients
Medication reviews for non-MSK conditions
Neurological and respiratory conditions
Headaches
Acute mental health crises

Benefits of FCPs

Reduced referrals to secondary care
Reduced requests for imaging
Improved conversion rates for surgery
Reduction in pain medication usage

Benefits for patients

Improvements in quality of life / ADLs
Timely appointment in local GP surgery
Long term condition management in chronic conditions
Wellbeing and general health advice
Prevention of other non MSK illnesses

Last update August 2022

Subject Access Request (SARs)

You will appreciate that health data relating to any individual is highly confidential and the Practice must ensure that it releases such data only to the person to whom it relates, or to a person authorised to act on his or her behalf. If you require to see any health data, please complete this online Request Form as fully and accurately as possible to enable us to locate the exact information you require.

You do not have to give a reason for applying for access to your General Practice records. If you do not need access to your entire records, it would be helpful if you would inform us of the periods and area of your health records that you require, along with details which you feel may have relevance (e.g. clinic type, location, dates).

Timescale

The Practice will deal with your request as quickly as possible. The information should be available to you from 14 to 28 days of receipt of your accurately completed form and confirmation of consent. Under certain circumstances, this period can be extended to 3 months but we will keep you informed of the progress of your request during this extended period.

Fees

We will not make a charge for the first request for access to your medical records. We may, however, charge for subsequent requests or if we deem that the volume of information requested is excessive. You have the right to simply view your records (i.e. not receive a copy in a permanent form); information on how to arrange this is detailed below.

Proof of identity

Two forms of identity must be provided (one of which must be photographic). This is to ensure information is not released to unauthorised individuals. The table below outlines the proof of identity we can accept.

TYPE OF APPLICATION	IDENTIFICATION REQUIRED
Patient applying for their own	One which must be photographic i.e. passport. One containing individuals name and address
Third Party Applying. Consent of Patient will be required BEFORE* the request will be* processed	One containing Third Party name and address One must be Photographic ID of Third Party
Applying on behalf of a child We will ALWAYS* obtain consent for release of* records from a child age 13+ to <16 if a third party is making request	One which must be Child’s birth certificate Photographic ID of person with parental rights

If you are completing this application on behalf of another person, the Practice will require their authorisation before we can release the data to you. The person whose information is being requested should sign the relevant section within the online form. If the patient is a child (i.e. under 16 years of age) the application may be made by someone with parental responsibilities – in most cases this means a parent or guardian. If the child is capable of understanding the nature of the application, his or her consent should be obtained or, alternatively, the child may submit an application on their own behalf. Children will, generally, be presumed to understand the nature of the application if aged between 13 and 16 however, all cases will be considered individually.

Cannot fill online form? Please download our paper forms: Request own medical record | Request on behalf

Carers Information

Are you a carer? Would you benefit from a bit of extra support, a listening ear or a break?

If your answers to these questions are yes, here are some links you may find useful:

Caring Together
Carers UK
Family Carers Prescription (Social prescribing)

For more information email reception.group@nhs.net (subject title: Carers information) or ask to speak to Lucy, our Carers champion.

Red House Surgery Carer’s Pack [PDF] or speak to a receptionist to request a hard copy

Carer’s Cafe

The NHS Bowel Screening Programme

The NHS Bowel Screening Programme offers a home test kit for screening to all adults aged 60 to 74 every 2 years. People over 75 or over can request screening every 2 years by phoning the helpline. Screening saves lives by discovering cancer earlier (before symptoms develop) when it is more easily treated.

For more information please visit https://www.nhs.uk/conditions/bowel-cancer-screening/ or contact the National Bowel Screening helpline on 0800 707 6060. We do encourage you to do this screening test when you receive one.

If you have hearing or speech difficulties you can use the Relay UK service to contact us. Dial 18001 then 0800 707 60 60 from your textphone or the Relay UK app.

Easy read guide

How the bowel works

The bowel is part of your digestive system. It takes nutrients and water from food and turns what is left into poo (also known as faeces, stools or bowel motions). As illustrated below, the colon and rectum make up the large bowel.

Bowel cancer

Bowel cancer is also known as colon, rectal or colorectal cancer. Sometimes the cells that make up the bowel grow too quickly and form a clump of cells known as a bowel polyp (some types of polyp are called an ‘adenoma’). Polyps are not bowel cancers but they can sometimes change into a cancer over a number of years.

Risks of developing bowel cancer

Everyone, whatever your sex, is at risk of developing bowel cancer. Things that can increase your risk include:

getting older (8 out of 10 people diagnosed with bowel cancer are over 60)
not being active enough
being overweight
a diet high in red and processed meat and low in fibre, vegetables and fruits
smoking
drinking too much alcohol
having type 2 diabetes
having inflammatory bowel disease (ulcerative colitis or Crohn’s disease)
a family history of bowel cancer

How bowel cancer screening works

We send you an invitation letter with information about bowel cancer screening. The information is to help you decide whether to take part. Then we send you a faecal immunochemical test, or ‘FIT kit’ for short. It detects blood in your poo (blood you would not notice by eye). We look for blood because polyps and bowel cancers sometimes bleed. Finding blood does not diagnose bowel cancer but it means you need further tests (usually a bowel examination).

Most people’s screening result shows they do not need any further tests.

Last Update Jan 2022

NHS Breast Cancer Screening Programme

The NHS Breast Cancer Screening Programme offers screening to all women aged 50-70, every three years. Women aged 71 or over can request screening. Screening saves lives by discovering breast cancer earlier (when it is too small to see or feel), when it is easier to treat.

Easy read guide

Breast cancer

Breast cancer starts when cells in the breast begin to grow in an uncontrolled way and build up to form a lump (also known as a tumour). As the cancer grows, cells can spread to other parts of the body and this can be life-threatening.

Breast cancer is the most common type of cancer in the UK. About 12,000 women in the UK die of breast cancer every year. Survival from the disease has been improving over time, and now about 3 out of 4 women diagnosed with breast cancer are alive 10 years later.

Your risk of getting breast cancer goes up as you get older. About 4 out of 5 breast cancers are found in women over 50 years old. Most women with breast cancer do not have a family history of the disease.

Breast screening

Breast screening uses an X-ray test called a mammogram to check the breast for signs of cancer. It can spot cancers that are too small to see or feel.

Breast screening results

You will receive a letter with your breast screening results within 2 weeks of your appointment. The results will also be sent to your GP.

Occasionally women will need another mammogram before they get their result. Sometimes technical problems mean that the mammogram is not clear enough to read. If this happens, you will be asked to have another mammogram to get a clearer picture of your breast.

Making a choice: the possible benefits and risks of breast screening

It is your choice whether or not you have breast screening. There are many different reasons why women decide whether or not to have screening. To help you decide, we have included information on the possible benefits and risks.

Screening saves lives from breast cancer.
Lives are saved because cancers are diagnosed and treated earlier than they would have been without screening.

Screening finds breast cancers that would never have caused a woman harm.
Some women will be diagnosed and treated for breast cancer that would never otherwise have been found and would not have become life-threatening. This is the main risk of screening.

Doctors cannot always tell whether a breast cancer that is diagnosed will go on to be life-threatening or not, so they offer treatment to all women with breast cancer. This means that some women will be offered treatment that they do not need.

For more information please visit https://www.nhs.uk/conditions/breast-cancer-screening/. We would encourage you to have screening when you are invited.

Last Update Jan 2022

NHS Health Checks

You may have received an invitation for an NHS Health Check and this invitation is likely to have been sent from a more central source (whether NHS or local council) rather than our practice itself.

The NHS Health Checks are being provided by GP Surgeries only.

NHS Health Check is designed to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia.

If you are aged between 40 and 74 and have not already been diagnosed with heart disease, type 2 diabetes, kidney disease or stroke, you will receive an invitation to have an NHS Health Check every 5 years.

It will give you a clearer picture of your health and will help you take action to reduce your risk of heart disease, stroke, diabetes, and kidney disease. Everyone is at some risk of developing heart disease, stroke, diabetes or kidney disease.

The good news is that these conditions can often be prevented, even if you have a history of them in your family.

NHS Health checks are for patients who do not have a pre-existing medical condition(s) that already requires regular check-ups; blood pressure, weight, cholesterol levels etc. They are also not designed to help investigate any current symptoms or concerns you might have. (For current symptoms or concerns, please contact the surgery in the normal way).

NHS Health Check website | Frequently asked questions

Medical documents / Private Charges – Non NHS

The National Health Service provides most health care to most people free of charge, but there are exceptions: prescription charges still exist in England and there are a number of other services for which fees are charged. Sometimes the charge is made to cover some of the cost of treatment, e.g. dental fees. In other cases it is because the service is not covered by the NHS, e.g. medical reports for insurance companies, claim forms for referral for private care, letters and forms which require the doctor to review the patient’s medical records, etc.

Examples of non-NHS services are:

Certain travel vaccinations
Private medical insurance reports
Holiday cancellation claim forms

How long does it take?

We aim to complete all types of medical form with 14 – 28 working days depending on the complexity of the form. Please do not expect your GP to process forms overnight. Urgent requests may mean that a doctor has to make special arrangements to process the form quickly.

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 workload and paperwork takes up an increasing amount of their time. In addition non-NHS work must be undertaken outside of NHS contracted time.

I only need the doctor’s signature!

When doctors sign a certificate or complete a report, it is a condition of remaining on the Medical Register that they only sign what they know to be true. Therefore, in order to complete even the simplest of forms, the doctor needs to check the patient’s medical record. Carelessness or an inaccurate report can have serious consequences for the doctor, with the General Medical Council or even the Police. The charge reflects either the time required to check information and/or the degree of responsibility in signing the document.

Why do we need to charge?

Non-NHS work takes our staff away form their normal NHS roles and adds extra hours to their day. Please remember that there are many steps and staff members involved in the process from your request for work to be done to the completed work returning to you. The time taken to do these tasks is often underestimated. A simple letter or form will take a route through the organisation involving up to 5 members of staff (reception -> clinician -> scanner -> accounts -> back to reception).

Sending documents to your GP

This service is only for registered patient only.

Name

First Last

Date of Birth Optional

Telephone number

Email Optional

Message Optional

This service is only for registered patient only.

Upload your documents Optional

Drop files here or

Max. file size: 1 GB.

We may reply with acknowledgement via SMS or email. Please confirm below if you consent for the surgery to do this.

Consent to receive SMS

Consent to receive EMAIL

Decline notification

We do not provide the followings:

Covid Recovery Certificates
Fitness to travel, fly, exercise, participate in events
Sign passport or verify personal documents
Capacity assessment

*When to charge for a private prescription:

Prescription for prophylactic medication which a patient MAY need if they become ill when travelling abroad.
Prescription for anti-malarial medications.
If they are a private patient and have had a prescription issued during a private consultation – rarely happens now.

* Please note – our fees are based on the BMA guidance on what to charge for private medical reports, forms, letters, certificates etc. Please see https://www.bma.org.uk

Certificate and Forms	Fee	Settle by
Simple form require a GP signature	£20.00	Patient
Bus Pass	£5.00	Patient
Shotgun/Firearm Licence First appointment	£50.00	Patient
Renewal	£35.00	Patient
Holiday cancellation proforma	£35.00	Patient
Private sick note / simple Certificate	£35.00	Patient
Sickness/accident insurance claim form	£35.00	Patient
Blue Badge writing application	–	–
Provident association claim form (e.g. BUPA)	£35.00	Patient
Witnessing of Power of Attorney/wills	£35.00	Patient
Short insurance claim form (dates, diagnosis & signature)	£35.00	Patient
Private prescriptions (additional fee at pharmacy) *	£18.00	Patient

Medical Exams & Reports
HGV, Taxi Driver (20 mins F2F)	£80.00	Patient
Medical examination Single appointment	£65.00	Patient
Double appointment	£130.00	Patient
Other certificates, Examination & Reports
Extract from records – no examination	£60.00	Patient/Insurance company
Proforma report – no examination	£80.00	Patient/Insurance company
Detailed written report – no examination	£100.00	Patient/Insurance company
Form AH prospective carer (without investigation / with investigations)	£100.00	Patient/Agency
Ofsted Health Declaration Form	£85.00	Patient
Simple certificate of fact (TWIMC)	£35.00	Patient
Students	£15.00	Patient
Confirmation of address (TWIMC)	£35.00	Patient
Students	£15.00	Patient

ARU Camp America No examination	£25.00	Patient
Examination needed	£50.00	Patient

Cremation
Cremation Fees (Form 4, Form 5)	£82.00	Funeral Care

Attendance Allowance
Disability Living Allowance DS1500	£17.00	DWP
Personal Independence Payment (PIP)	£33.50	DWP
Universal credit	–	–

DVLA Report
Fitness to drive proforma	£40 – £85	DVLA

Last Update April 2023

Adult Weight Management Programmes

There is a range of programmes available to support healthy lifestyle in the community, schools, workplaces etc

Healthy You tier 2 weight management programmes: self referral or GP referral

Professional Referral – Healthy You
• 16 years +, BMI >=25
• 12 week Healthy You programme combining nutrition education and physical activities for 1.5 hours/week or voucher for Slimming World or WW. In person in some locations or virtual

Diabetes prevention programme: self referral or GP referral

• 18+ with pre diabetes (HbA1c 42 47mmol/mol or fasting plasma gluc 5.5 6.9mmol/l within 24 months
• Focus on diabetes prevention, but includes weight management. 9 months with 13 x 1.5 hour sessions. No practical physical act ivities in sessions.

Maternity care & child health

What is antenatal care?

This is the care you receive while you’re pregnant to make sure you and your baby are as well as possible.

The midwife or doctor providing your antenatal care will:

check the health of you and your baby
give you useful information to help you have a healthy pregnancy, including advice about healthy eating and exercise
discuss your options and choices for your care during pregnancy, labour and birth
answer any questions you may have

Pregnancy Self-Referral Service for the Rosie Maternity Hospital

To book your pregnancy with the Rosie Hospital, or for pregnant women who have recently moved into the area, please go to the webpage https://www.cuh.nhs.uk/rosie-hospital/maternity/pregnancy-pathway/ where you can download and complete a self-referral form, and email it to the booking line admin team, cuh.cmwnewbooking@nhs.net ( all instructions are on the form).

For women who require a translator or don’t have digital access, please call 01223 348981 and leave a voicemail with your name and NHS number.

Please email your self-referral form or phone the admin booking team as early as possible following a positive pregnancy test.

Child health

We provide a 6 to 8 week post-natal health check for mother and new baby, as well as child immunisations. Please book your 6 to 8 week check as soon as you are able to; this is a 30 minute appointment with a GP and needs to be done before baby’s first vaccinations are due at 8 weeks of age. Baby and child vaccinations are done by the nursing team in a Baby Immunisation Clinic.

Guide to Childhood Illnesses

NHS vaccination schedule