Pregnancy

Once you are 6 weeks pregnant, please visit Salisbury Maternity Unit’s website (link below) and click the pink ‘register your pregnancy with us’ icon. Fill in your details and the team will be in contact to arrange your booking appointment and scans

If you have an urgent pregnancy-related issue, please call the Maternity team on 01722 425185

Over the counter Medications

Wiltshire Clinical Commissioning Group (WCCG) is following new guidelines set out by NHS England in March 2018, meaning that for many minor short-term health conditions, medicines which are available over the counter will no longer be routinely prescribed.

Following a period of national consultation, NHS England has published new guidance which covers 35 minor, short-term health conditions which are either:

Self-limiting – a condition which doesn’t require any medical advice or treatment as it will clear up on its own, such as sore throats, coughs, colds and viruses.

Suitable for self-care – a minor illness that is suitable for self-care can be treated with items that can be purchased over the counter from a pharmacy. For example, these conditions include indigestion, mouth ulcers, warts and verrucae.

The guidance also includes the restriction of vitamins, minerals and probiotics as items of limited clinical effectiveness.

The guidance applies to everyone in Wiltshire, although there are certain scenarios where patients should continue to have their treatments prescribed

Physiotherapy Self Referral

If you would like to refer yourself to physiotherapy, please complete the form below:

Please send the completed form either by:

Emailwilts.mskphysiobooking@hcrgcaregroup.com

Post: Physiotherapy Central Booking Department, Chippenham Community Hospital, Rowden Hill, Chippenham SN15 2AJ#

For a wealth of information about arthritis and joint problems please use the link below:

Family Planning

We are a family practice and managing women’s health, contraception and sexual health is a core area of excellence.

Contraception options

When starting any form of contraception we suggest advice, counselling and a basic medical check-up at the time of commencement and a review at 3 months, followed ideally with an annual review.

We are committed to ensure that all our patients have the full choice of contraception options backed up with professional advice to enable each individual to have confidence in their own method of contraception and optimise their own sexual health. Please see the NHS website for further in depth information.

Emergency Contraception

Emergency contraception should always be discussed with an expert; contact us during working hours for urgent advice and treatment.

Contact us by Phone on 01722 333214, or use our Online Systems

Accessing Help out of Hours

We are open from 08:00 – 18:30 Monday to Friday. However, if you do need medical assistance outside of our opening hours, please access these services:

NHS 111- Please call 111 if you have a non-urgent medical enquiry, or if you’re not sure what to do. A trained advisor will assess you and direct you to the appropriate medical care. This service is available 24/7.

Salisbury Walk-In Centre (Millstream Medical Centre)- Open from 18:30, this is a sit-and-wait service for a face-to-face consultation. No appointment is required.

Sarum Cathedral Primary Care Network (PCN)

PCNs were set up by NHS England to encourage greater collaborative working across practices and enable a greater array of health and social care staff to enter primary care.

Sarum Cathedral Primary Care Network (PCN) is a collaborative project between Salisbury Medical Practice and Harcourt Medical Centre. If you are a patient at one of these practices then you are also part of our PCN and will be able to benefit from services and projects offered now and in the future.

What do we offer?

Care Home and Frailty Service

We have a dedicated team of GPs, Health Care Assistants, Pharmacists and administrative staff who work hard to ensure every care home registered with the PCN receives a weekly ward round, regular Structured Medication Reviews, new admission and hospital discharge reviews, as well as a Multi-disciplinary team discussion on a monthly basis.

Pharmacy Team

Consists of three Pharmacists, a Pharmacy Technician, and apprentice, who work across the PCN ensuring appropriate medication is prescribed, answering medication queries and doing medication safety reviews/audits.

Social Prescriber Team

Currently  has two team members who take referrals from the primary care team. They spend their time supporting patients and signposting to appropriate services.

Paramedic Service

This role provides a specialist Paramedic resource for Health Care Professionals and patients, working in collaboration with other members of the Primary Care Network.

What do we have planned?

Supporting patients with a new diagnosis of Cancer through expansion of our social prescriber team.

Providing new parents an opportunity for discussion with other new parents with guidance from our social prescriber team.

Condition specific peer-support groups in the form of Cafés. This was a regular feature at Fisherton House prior to the Covid-19 pandemic and is something we hope to re-establish in the future.

Development of a combined Home Visiting Team for patients with acute problems, through expansion of our Paramedic team.

Combined Flu vaccination clinics to give patients more choice as to where and when they have a flu vaccination.

Minor Surgery

Patients advised or recommended for minor surgery need to be assessed first and, if suitable, they will be referred to the Minor Surgery clinic. A wide range of operations are performed under local anaesthetic.

Please note that we do not remove skin tags, moles or benign lesions for cosmetic purposes. We receive regular requests from patients who have skin tags in a variety of locations (especially around the neck and in the armpits). Removal of these tags for cosmetic reasons is not an NHS service and we cannot perform this procedure.

Before your operation

Please arrive at least 10 minutes before the expected time of your surgery in order to assist with the smooth running of the clinic. Please have a shower or bath before coming to your appointment. You can have your meals as normal beforehand, although a light lunch may be more comfortable for you than a large meal.

It is usually best to arrange for somebody else to bring you to your appointment and take you home afterwards. Although it’s unlikely to be a problem, we would not advise travelling unaccompanied by public transport in case you feel unwell afterwards.

What to expect when you arrive for your minor surgery

Before your surgery we will explain exactly what procedure is being done and why. You will have the opportunity to ask any questions about the procedure being performed and/or any alternative treatments – including what would result if you decided not to have surgery. Provided you are happy, you will then be asked to sign a consent form.

We would like to emphasise that any procedures involving cutting the skin will result in a scar. Although this sounds obvious, we frequently see patients who are surprised to hear that they will be left with a scar after cutting out a skin lesion and that sometimes the scar may be more obvious that the original lesion.

If a lesion has been cut out (e.g. a mole) it will be sent for “Histology”. This is routine for all cases and does not necessarily mean that we suspect malignancy. “Histology” means that the sample will go to the hospital, where an expert will look at it under the microscope and provide a definite diagnosis.

Rest

You should rest for the remainder of the day. Unless we advise otherwise, any dressings should remain dry and intact for 24 to 48 hours. After 24 to 48 hours you may have a shower or bath, provided the wound is dry. Do not use bubble bath or talcum powder for two weeks, because it could irritate the wound and impair the healing process.

Stitches

If you have non-dissolving stitches, you will need to book an appointment with the practice nurses to have your stitches removed. We recommend that you book this appointment on the day of your operation before you leave.

Generally, stitches to the head and neck area are removed at around a week after your operation and other parts of the body may have stitches removed up to two weeks after your operation. However, we will advise you of exactly when your stitches should be removed before you leave.

Local Anaesthetic

The local anaesthetic used will start to wear off 3 hours after your operation. We recommend that you start to take some painkillers 2 hours after your operation so that they start to work as your anaesthetic wears off. Suitable painkillers are paracetamol, co-codamol or ibuprofen.

Complications

Complications are rare and when we have audited our minor surgery cases we have achieved exceptionally low rates of infection. Signs of infection include a fever, increasing redness around the wound and a mucky green or yellow discharge – as a rule of thumb, any wound that seems to be getting worse over a period of days rather than getting better. If you are concerned that you may have developed an infection, please telephone the surgery to speak to the Practice Nurse so that treatment can be arranged.

You should be able to return to normal activities, including driving as soon as you feel able.

Most patients will be back at work the next day.

Home Visits

Information about our home visits

Non-urgent advice:

Only use home visits as a last resort and where possible please try to still come in to the medical centre to see us

Please contact us before 11am if possible – home visits take up a lot of time for the duty clinician, so please help us by coming to an appointment at the medical centre where possible.

Home visits are reserved for patients who are housebound or who have become too ill to travel to the medical centre.

A doctor will usually telephone you to discuss your visit request – this is to make sure you receive the most appropriate response to your medical needs.

Babies and children can often be brought safely to the surgery where they will be seen quickly. This includes those who may be infectious, who can be seen quickly in a side room.

We regret that home visits cannot be undertaken because of patient transport problems – taxi and bus services are well provided locally

Online Services

Non-urgent advice: Notice

Using our online services takes the hassle out of contacting us, allowing you to get in touch in your own time outside of our opening hours

To register for our online services and for more information about the advantages they offer, please enquire at our reception

SystmOnline

Systmonline is a secure online service for our patients, offering:

  • Blood result/pathology result viewing
  • Repeat prescription ordering
  • Change of address
  • A Secure message facility (because email is not secure). This service lets you send routine (non-urgent) enquiries straight to the practice inbox.

To register for Systmonline please enquire in person at reception. We will need to see a form of photo ID in order to register you.

AccuRx Triage

You can use AccuRx Triage to avoid the need for you to call the surgery, reducing phone traffic for us.

With this system you can submit medical and administrative requests to the practice during working hours. Medical queries are viewed by your GP and usually assigned a phone call in the first instance. We aim to respond to your query within 72 hours depending on clinical urgency.

Please note this service is disabled when all available GP slots are filled on a given day for patient safety – if your issue is urgent please phone us.