Care Co-ordinator

Your Care Co-ordinators at Oakwood are Kellie and Alison. Care co-ordinators within GP practices, act as a central point of support for patients to review needs and coordinate services allowing them to access what they need, when they need it. 

Who we can help 

Examples of patients who may want to access the service are:

  • Recently discharged patients with ongoing care needs
  • Patient with a new diagnosis who may need support from local or national groups
  • Patients with long term or complex care needs
  • Patients who frequently access the practice and/or other care environments

Non-urgent advice:How do I get a referral to these services? 

When you contact the practice your request will usually be triaged by the GP or healthcare professional If they feel you would benefit from the input of one of the team they will ask for you to be referred to our care coordinator.

Sexual Health Clinic

Welcome to Sexual Health Cheshire West and Chester

We provide free and confidential sexual health services in Cheshire West and Chester including Winsford, Blacon and Ellesmere Port. Our services include providing free information and advice on all types of contraception and STI testing and treatment. Our service is confidential, non-judgemental and for people of all ages, genders and orientations.

Everyone is welcome and you don’t need to see a GP first. You can book an appointment online 24/7 or speak to us on 0300 247 0020.  Our telephone line is open Monday – Thursday 9am- 5pm, Friday 9am-3:30pm & Saturday 9am-12:30pm

You may have heard about Mpox in the news recently. But what is it, what are the symptoms and how can you access help and information?

Sexual Health Services available in Chester West and Chester

  • Sexual Health Counselling and advice
  • Contraception (all types)
  • Coil and implant fitting and removal
  • Emergency contraception
  • Screening and treatment for sexually transmitted infections (STIs), including HIV
  • Postal testing
  • Express testing
  • Pregnancy testing
  • Referrals for termination of pregnancy
  • Cervical screening
  • PrEP- Pre-exposure prophylaxis
  • PEPSE
  • Vasectomy Services
  • Hepatitis B vaccinations
  • HPV vaccinations (for men who have sex with men)

Book an appointment online

Call 0300 247 0020

Sexual Health Clinics in Chester, Winsford, Ellesmere Port, Blacon and Northwich

Fountains Health Centre Sexual Health clinic 

Fountains Health, Delamere Street, Chester, CH1 4DS

Parking on site £1.50 for 2 hours following validation within the clinic.

Dene Drive

Dene Drive Primary Care Centre, Winsford, CW7 1AT

Parking on site free of charge.

Ellesmere Port, Stanney Lane Clinic

Stanney Lane, Ellesmere Port, CH65 9AE

Parking available within the Whitby car park, free of charge.

Blacon Children’s Centre

Carlisle Rd, Blacon, Chester, CH1 5DB

Parking free of charge.

Watling Street Clinic

Watling St, Northwich CW9 5EX

Parking on site, free of charge.

Neston Clinic

(next to Neston Surgery)
Mellock Lane
CH64 9RN

Parking on site, free of charge.

Call 0300 247 0020Monday – Thursday 9am- 5pm, Friday 9am-3:30pm & Saturday 9am-12:30pm

Minor Ailments Bacterial Conjunctivitis Children

Inclusions

Children Aged between 3 months and 2 years

Red Irritated and sticky Eye

Exclusion

Child under 3 and over 2

Facial Swelling

Recent course of treatment

Headache, eye pain or had eye surgery

Minor Ailments Oral Thrush in Babies

Oral thrush (mouth thrush)

Oral thrush is usually harmless. It’s common in babies and older people with dentures. It can be easily treated with medicines bought from a pharmacy.

Check if it’s oral thrush

Adults

The inside of a person's mouth which is red with lots of white patches.
When you have oral thrush, your mouth is red inside with white patches.
Red patches inside a person's mouth.
When you wipe off the white patches, they leave red spots that can bleed.

Other symptoms in adults are:

  • cracks at the corners of the mouth
  • not tasting things properly
  • an unpleasant taste in the mouth
  • pain inside the mouth (for example, a sore tongue or sore gums)
  • difficulty eating and drinking

Oral thrush in adults is not contagious.

Babies

White coating on the top of a child's tongue.
A baby with oral thrush will have a white coating on their tongue. It may look like cottage cheese and it cannot be rubbed off easily.
White spots inside a baby's mouth.
Sometimes there are white spots in their mouth.

Babies with oral thrush may not want to feed.

Babies can pass oral thrush on through breastfeeding. This can cause nipple thrush in mothers.

If you’re not sure it’s oral thrush

Look at other causes of a white or sore tongue.

A pharmacist can help with oral thrush

Oral thrush can be easily treated with a mouth gel bought from a pharmacy. The gel is suitable for adults, children and babies over the age of 4 months.

Ask your pharmacist for advice. Always follow the instructions on the medicine packet.

If you leave oral thrush untreated, the infection can spread to other parts of the body.

Non-urgent advice:See a GP if:

  • your baby is under 4 months and has signs of oral thrush
  • you have oral thrush and do not see any improvement after 1 week of treatment with a mouth gel
  • you have difficulty or pain when swallowing

How you can prevent oral thrush

Oral thrush is an infection caused by a fungus called Candida. Some things can make the fungus grow more than usual.

You might get thrush if you’re:

  • taking antibiotics over a long time
  • using asthma inhalers
  • having cancer treatment like chemotherapy

There are some things you can do to help prevent oral thrush.

Do

  • take care of your teeth: brush twice a day, clean your dentures, and go for regular check-ups even if you have dentures
  • brush your gums and tongue with a soft toothbrush if you do not have any teeth
  • rinse your mouth after eating or taking medicine
  • go to regular check-ups if you have a long-term condition like diabetes
  • sterilise dummies regularly
  • sterilise bottles after each use

Don’t

  • do not wear dentures at night
  • do not keep wearing dentures if they do not fit properly – see your dentist
  • do not smoke

Proxy Access – Access for someone else

If you would like to request access to someone else’s medical records to book appointments, order medication, or view their health records, then they will need to complete a Proxy Access to Health Records if they are over the age of 11.

The Proxy form needs to be signed by the patient giving access. In some cases the Practice may need further information or may need to contact the patient directly to discuss this.

Please see the toolkits for more information on proxy access and the risks and benefits:

GP online services toolkit: Applications for proxy access

Please be aware that you will need to have online access and will have to have your own e-mail address.

If you are unsure about this please contact us to discuss.

Minor Ailments UTI’s

(UTIs) Urinary tract infections (UTIs) affect your urinary tract, including your bladder (cystitis), urethra (urethritis) or kidneys (kidney infection). UTIs may be treated with antibiotics, but they’re not always needed.

If you have any of the following you can be referred under the minor ailments scheme to a local pharmacy who can prescribe you antibiotics.

Check if it’s a urinary tract infection (UTI)

Symptoms of a urinary tract infection (UTI) may include:

  • pain or a burning sensation when peeing (dysuria)
  • needing to pee more often than usual
  • needing to pee more often than usual during the night (nocturia)
  • needing to pee suddenly or more urgently than usual
  • pee that looks cloudy or change in odour.
  • Exclusions
  • Under 18’s
  • Over 65’s
  • Pregnant or Breast Feeding
  • Fever
  • Liver/Kidney Impairment
  • Had previous treatment in last 3 months

Women’s Health

Contraception: Pill Checks, Depo Injections & Coil / Implant fittings

Menopause discussions and medications

Non-urgent advice: Contraception – Appointments

Patients who want to start or change their contraception need a discussion with a GP. These can be future-dated and booked online for extended access appointments.

Non-urgent advice: Contraception Pill reviews

Patients who are on the contraceptive pill need a review with the Practice Nurse at least annually, and when starting on a new medication this could be sooner.

Please ensure you book these with enough time to avoid running out of medication.

Non-urgent advice: Contraceptive Injections (depo)

Patients who have the contraceptive injection need to book an appointment with the Practice Nurse. Please ensure these are booked in advance as they are time-limited and need to be done within a 5 day window. Nurse appointments can be booked up to 3 weeks in advance.

Non-urgent advice: Contraceptive Coil and Implant fittings

If you would like to consider a contraceptive coil please contact the Practice to book a discussion appointment with Dr Harding or Dr Strefford. They will discuss the options with you and if appropriate, book you into one of their coil clinics.

If patients are coming up to the date when the contraceptive coil needs changing then the reception team can send a note to the GPs to ask to book in to the clinics; the GPs will then contact you directly with an appointment time.

Please note, if you are considering changing your contraception when you are coming up to change your coil you will need an appointment to discuss the options with the GP.

Coil removals with no need for further contraception can be done by the Practice Nurse; please ensure you state this when booking or your appointment may be cancelled.

Non-urgent advice: Contraceptive Implant Fittings & Removals

If you would like to consider a contraceptive implant please contact the Practice to book a discussion with Dr Harding. Dr Harding will discuss the options with you and if appropriate, book you into one of her clinic slots or a clinic slot with the Practice Nurse, Roisin.

Implant fittings can also be done in the PCN Extended Access Nurse Hub if appropriate.

If patients are coming up to the date when the contraceptive implant needs changing then the reception team can send a note to the Dr Harding to ask to book in to the clinics; Dr Harding will then contact you directly with an appointment time.

Please note, if you are considering changing your contraception when you are coming up to changing your implant you will need an appointment to discuss the options with the GP.

Non-urgent advice: Menopause – discussion

If you would like to discuss any symptoms or issues associated with menopause please contact the Practice to book an appointment with a GP.

There are local services available to support you (see below) and it is an area that is in development locally between Practices.

https://www.menopausematters.co.uk/index.php

https://www.livewell.cheshirewestandchester.gov.uk/Services/3703/Manage-My-Menopause

https://www.menopausecafe.net/

Non-urgent advice: Menopause – Medication and Reviews

If you are started on medication by the GP to manage menopause symptoms and experience side effects or issues you can discuss your medication with the Practice Pharmacist.

You will need a review of your medication a month after starting the medication and then every 6 months.

The Practice has a text message survey/questionnaire that you will automatically be sent to allow the GP to consider any next steps – please do look out for this and contact us if you have not received it.

Please be aware that we are seeing shortages of HRT nationally and local chemists may struggle to get hold of prescribed medications. If this happens to you, please ask the pharmacy what they are able to get hold of, as it can change between pharmacies, and let us know. This avoids the GP issuing another prescription for something out of stock and stops you having to make multiple requests or trips.

Blood Tests

Please Book for a blood test  at Norwich Infirmary Or Leighton Hospital Via the link.

UHNM – Patient Connect

Blood tests have a wide range of uses and are one of the most common types of medical test.

For example, a blood test can be used to:

  • assess your general state of health
  • check if you have an infection
  • see how well certain organs, such as the liver and kidneys, are working
  • screen for certain genetic conditions

Most blood tests only take a few minutes to complete and are carried out at your GP surgery or local hospital by a doctor, nurse or phlebotomist (a specialist in taking blood samples).

Read about some common types of blood test.

For more information about a wider range of tests, search the blood test A-Z index on Lab Tests Online UK.

Preparing for a blood test

The healthcare professional who arranges your blood test will tell you whether there are any specific instructions you need to follow before your test.

For example, depending on the type of blood test, you may be asked to:

It’s important to follow the instructions you’re given, as it may affect the result of the test and mean it needs to be delayed or carried out again.

What happens during a blood test?

A blood test usually involves taking a blood sample from a blood vessel in your arm.

The arm is a convenient part of the body to use because it can be easily uncovered. The usual place for a sample to be taken from is the inside of the elbow or wrist, where the veins are relatively close to the surface.

Blood samples from children are often taken from the back of the hand. Their skin may be numbed with a special spray or cream before the sample is taken.

A tight band (tourniquet) is usually put around your upper arm. This squeezes the arm, temporarily slowing down the flow of blood and causing the vein to swell. This makes it easier for a sample to be taken.

Before taking the sample, the doctor or nurse may clean the area of skin with an antiseptic wipe.

A needle attached to a syringe or special container is inserted into the vein. The syringe is used to draw out a sample of your blood. You may feel a slight pricking or scratching sensation as the needle goes in, but it shouldn’t be painful. If you don’t like needles and blood, tell the person who is taking the sample so they can make you more comfortable.

When the sample has been taken, the tourniquet will be released, and the needle will be removed. Pressure is applied to the skin for a few minutes using a cotton-wool pad. A plaster may be put on the small wound to keep it clean.

After the test

Only a small amount of blood is taken during the test so you shouldn’t feel any significant after-effects.

However, some people feel dizzy and faint during and after the test. If this has happened to you in the past, tell the person carrying out the test so they’re aware and can help you feel more comfortable.

After the test, you may have a small bruise where the needle went in. Bruises can be painful, but are usually harmless and fade over the next few days.

Blood test results

After the blood sample has been taken, it will be put into a bottle and labelled with your name and details. It will then be sent to a laboratory where it will be examined under a microscope or tested with chemicals, depending on what’s being checked.

The results are sent back to the hospital or to your GP. Some test results will be ready the same day or a few days later, although others may not be available for a few weeks. You’ll be told when your results will be ready and how you’ll be given them.

Sometimes, receiving results can be stressful and upsetting. If you’re worried about the outcome of a test, you may choose to take a trusted friend or relative with you. For some tests, such as HIV, you will be offered specialist counselling to help you deal with your results.

Vitamin B12 or Folate Deficiency Anaemia

The treatment for vitamin B12 or folate deficiency anaemia depends on what’s causing the condition. Most people can be easily treated with injections or tablets to replace the missing vitamins.

Treating vitamin B12 deficiency anaemia

Vitamin B12 deficiency anaemia is usually treated with injections of vitamin B12, called hydroxocobalamin.

At first, you’ll have these injections every other day for 2 weeks (Loading dose) or until your symptoms have started improving.

Your GP or nurse will give the injections.

After this initial period, your treatment will depend on whether the cause of your vitamin B12 deficiency is related to your diet or whether the deficiency is causing any neurological problems, such as problems with thinking, memory and behaviour.

The most common cause of vitamin B12 deficiency in the UK is pernicious anaemia, which is not related to your diet.

Diet-related

If your vitamin B12 deficiency is caused by a lack of the vitamin in your diet, you may be advised to take vitamin B12 tablets every day between meals, which can be bought over the counter at any pharmacy.

Or you may need to have an injection of hydroxocobalamin twice a year.

People who find it difficult to get enough vitamin B12 in their diets, such as those following a vegan diet, may need vitamin B12 tablets for life.

Although it’s less common, people with vitamin B12 deficiency caused by a prolonged poor diet may be advised to stop taking the tablets once their vitamin B12 levels have returned to normal and their diet has improved.

Good sources of vitamin B12 include:

  • meat
  • salmon and cod
  • milk and other dairy products
  • eggs

If you’re a vegetarian or vegan, or are looking for alternatives to meat and dairy products, there are foods that are fortified with vitamin B12, such as some yeast extracts, breakfast cereals and soy products.

Check the nutrition labels while food shopping to see how much vitamin B12 different foods contain.

Not diet-related

If your vitamin B12 deficiency is not caused by a lack of vitamin B12 in your diet, you’ll usually need to have an injection of hydroxocobalamin every 2 to 3 months for the rest of your life.

If you have had neurological symptoms that affect your nervous system, such as numbness or tingling in your hands and feet, caused by a vitamin B12 deficiency, you’ll be referred to a haematologist and may need to have injections every 2 months.

Your haematologist will advise on how long you need to keep taking the injections.

For injections of vitamin B12 given in the UK, hydroxocobalamin is preferred to an alternative called cyanocobalamin. This is because hydroxocobalamin stays in the body for longer.

Treating folate deficiency anaemia

To treat folate deficiency anaemia, your GP will usually prescribe daily folic acid tablets to build up your folate levels.

They may also give you dietary advice so you can increase your folate intake.

Good sources of folate include:

  • broccoli
  • brussels sprouts
  • asparagus
  • peas
  • chickpeas
  • brown rice

Most people need to take folic acid tablets for about 4 months. But if the underlying cause of your folate deficiency anaemia continues, you may have to take folic acid tablets for longer, possibly for life.

Before you start taking folic acid, your GP will check your vitamin B12 levels to make sure they’re normal.

This is because folic acid treatment can sometimes improve your symptoms so much that it masks an underlying vitamin B12 deficiency.

If a vitamin B12 deficiency is not detected and treated, it could affect your nervous system.

Monitoring your condition

To ensure your treatment is working, you may need to have further blood tests.

A blood test is often carried out around 7 to 10 days after starting treatment to assess whether treatment is working.

This is to check your haemoglobin level and the number of the immature red blood cells (reticulocytes) in your blood.

Another blood test may also be carried out after approximately 8 weeks to confirm your treatment has been successful.

Most people who have had a vitamin B12 or folate deficiency will not need further monitoring unless their symptoms return or their treatment is ineffective.

NHS Health Check

NHS Health Check

What is an NHS Health Check?

The NHS Health Check is a free check-up of your overall health. It can tell you whether you’re at higher risk of getting certain health problems, such as:

During the check-up you’ll discuss how to reduce your risk of these conditions.

If you’re aged over 65, you’ll also be told about symptoms of dementia to look out for.

Who is the NHS Health Check for?

The check is for people who are aged 40 to 74 who do not have any of the following pre-existing conditions:

  • heart disease
  • chronic kidney disease
  • diabetes
  • high blood pressure (hypertension)
  • atrial fibrillation
  • transient ischaemic attack
  • inherited high cholesterol (familial hypercholesterolemia)
  • heart failure
  • peripheral arterial disease
  • stroke
  • currently being prescribed statins to lower cholesterol
  • previous checks have found that you have a 20% or higher risk of getting cardiovascular disease over the next 10 years

You should have regular check-ups if you have one of these conditions. Your care team will be able to give you more information about this.

How do I get an NHS Health Check?

If you’re aged 40 to 74 and do not have a pre-existing health condition, you should be invited to an NHS Health Check by your GP or local council every 5 years.

If you think you are eligible but have not been invited, contact your GP surgery to find out if they offer NHS Health Checks or contact your local council to find out where you can get an NHS Health Check in your area.

Some pharmacies also offer NHS Health Checks.

What happens at an NHS Health Check?

Your NHS Health Check will be done by a healthcare professional. This will usually be a nurse, but it could also be a doctor, pharmacist or healthcare assistant.

The check takes about 20 to 30 minutes and usually includes:

  • measuring your height and weight
  • measuring your waist
  • blood pressure test
  • cholesterol test, and possibly a blood sugar level test, which is usually a finger-prick blood test. You may be asked to have a blood test at or before the NHS Health Check

You’ll also be asked some questions about your health including:

  • whether any of your close relatives have had any medical conditions
  • if you smoke, and how much
  • if you drink alcohol, and how much
  • how much physical activity you do

Your age, gender and ethnicity will also be recorded.

Your NHS Health Check results

You’ll usually be told your NHS Health Check results during the appointment.

You’ll be given your cardiovascular risk score of developing a heart or circulation problem, such as heart disease, stroke, type 2 diabetes or kidney disease, over the next 10 years.

The healthcare professional may describe this risk score as low, moderate or high.

Everybody’s cardiovascular risk rises with age, so the next time you have an NHS Health Check your risk score may be higher, even if your test results are the same.

There are some things about your risk which you cannot change, such as your age, ethnicity and family history. But the most important factors in your risk score (such as smoking, your cholesterol level and blood pressure) can be changed.

Your NHS Health Check results should also be broken down into:

At the end of your NHS Health Check, you’ll have the chance to discuss your results and how to improve your scores, including where you can get support.

This could include talking about how to:

  • improve your diet
  • increase the amount of exercise you do
  • lose weight
  • stop smoking
  • reduce the amount of salt in your diet
  • reduce your alcohol intake
  • reduce your cholesterol

You may also be referred to local services, such as stop smoking and physical activity services, to help you make any changes.

Information:

Find out more

Benefits of the NHS Health Check

The NHS Health Check aims to lower your risk of getting conditions that affect the heart and blood vessels, such as heart disease, stroke and kidney disease.

Many of the warning signs for these conditions, such as high blood pressure and high cholesterol, do not have symptoms.

The NHS Health Check helps you find out if you are at risk of getting these conditions so you can take action to improve your health. This could include making lifestyle changes or taking medicines.

The risk factors assessed during the health check are often shared by other conditions, including type 2 diabetes, preventable cancers and respiratory illness. An NHS Health Check could help you to reduce your chance of getting these conditions too.

Dementia and heart disease also share common risk factors.