Mill Stream SurgeryBensonWallingfordOxon, OX10 6RLTel: 01491 838286
2018 Flu Clinics
The National Flu Programme has changed this year. Everyone who qualifies for a flu jab will get one, but the changes mean that we need to give different jabs to different groups, and our flu jab supply will be arriving later than usual. We will be running our flu clinics late September and during October.
Please see the Flu Clinic 2018 under Clinics and Services for full details of this year's programme.
We welcome teenagers and young adults and encourage you to come to the surgery for any health concern, however minor or embarrassing it may seem.
The doctors and nurses can help you with physical problems, as well as emotional worries, stress or other issues. Examples of common reasons young people come to see us include skin problems, worries about weight and eating, contraceptive advice (including ‘morning after pill’), sexual health concerns, low mood, worrying thoughts and anxiety, drugs and alcohol.
Even if you are under 16 you are welcome to attend the doctor/nurse without your parents. We are happy for you to bring a friend along for moral support.
Remember that anything you say to any member of surgery staff (including receptionists) is totally confidential.
Free Chlamydia screening for those aged 24 or under is available.
Chlamydia is a sexually transmitted infection, but it often gives you no symptoms at all so you do not know you have got it, unless you do a test.
If you are 24 or under you are welcome to be screened for Chlamydia - Free self test kits are widely available:
test by post: Order a FREE post test online at
You can find out more about chlamydia screening from the Oxford Chlamydia Screening Project website - click here, or there is more information under the 'Sexual' tab on the 'Your health' page of this website.
Over 24 or have symptoms?
Visit your local sexual health clinic: ring 01865231231 or visit www.sexualhealthoxfordshire.nhs.uk/visiting for clinic opening times.
The morning after pill is effective up to 72 hours (3 days) after unprotected intercourse but the earlier it is obtained the more effective it is. A coil can be fitted up to 5 days after unprotected intercourse for emergency protection.
The practice nurses Alison, Julie and Sue share many of the nursing procedures such as wound care, cervical cytology (smears), dopplers, blood pressure assessment and reviews and ECG event monitoring.
They also offer appointments to discuss all aspects of following a healthy lifestyle including weight management, exercise and alcohol intake. They also have some separate areas of responsibility as follows:
Alison assesses and reviews patients with asthma and COPD, performing lung function tests, inhaler checks etc. You can download our spirometry leaflet here.
Family planning services are available from the surgery including the pill, injection, coil and cap (diaphragm).
Support and education of patients with newly diagnosed or established diabetes to help prevent complications and advice regarding medication including insulin use.
We offer 2 clinics each week on Tuesday mornings and Friday afternoons.
Julie and Sue offer 30 minute appointments where a risk assessment for the country/countries you are travelling to are carried out and certain relevant vaccinations are administered. Please see Travel Vaccinations for further details.
Maria and Lauren are the practice phlebotomists and take most of the blood tests in the surgery.
In addition, Maria can take blood pressure readings (not blood pressure reviews). ECGs, fits the 24 hour blood pressure monitor and carries out ear irrigation and health checks.
Please ask for a leaflet from reception about treating your ear wax before booking an appointment with Maria.
The District Nursing service is designed for patients who cannot attend the surgery.
The service will accept requests for patients whose nursing needs are best met in the home environment or because the DN’s have the specialist skills to meet the specific needs of the patient.
Requests for a District Nurse may be made by:
Those who require nursing assessment and care in support of any of the following areas may be seen by a District Nurse. This list shows examples of the ways District Nurses can help..…
Once your treatment is complete or you are well enough to receive your care in an alternative setting you may be transferred / discharged from the service.
To contact District Nurses
Please feel free to ring on 01865903177. At weekends and bank holidays the district nurse can be contacted via the Out of Hours service on 111 (please ask for the District nurse covering Benson).
Health visitors are mainly concerned with the development of children under 5 years. Regular baby clinics are held at the surgery. Please ask the health visitors or receptionists for details. Health Visitors also deal with health education, diet, immunisations, safety in the home and social problems for all age groups.
A health visitor is usually available between 9.00am and 10.00am on weekdays for telephone consultations and visit requests. There is a telephone answer phone at other times.
Tel. 01491 832000
Initially, all pregnant women should see one of the doctors at a routine surgery appointment. You will then be asked to make a 1 hour booking appointment with the midwife at 8-10 weeks of pregnancy.
This appointment is designed to assess your needs and enable an appropriate plan of care to be devised. Discussions include tests available, diet, parent education classes etc: and is an opportunity to address questions and concerns that you may have, Women may choose to have their baby at home, in our local midwifery led unit in Wallingford (St Georges Ward) or in the Consultant Unit at the John Radcliffe Hospital, Oxford.
The antenatal clinics are on a Monday afternoon at Mill Stream Surgery, otherwise the midwife is contactable at St Georges Ward, Wallingford on 01491 826037 or 07795 152909.
This service is to offer psychological help to people with common mental health problems at the Mill Stream Surgery. The service is run by Tracy Avis, a CBT therapist offering a range of interventions including recommending self-help literature and brief one-to-one therapy sessions. The service is based on the evidence that many people can solve their own problems if they are given appropriate advice and support, without needing to get involved with formal psychiatric services.
Who is it for?
The service is aimed for people with mild to moderate mental health problems. People with more complicated problems may need to be referred to other services such as the local Community Mental Health Team. Your GP will be able to advise you about whether your particular problems might be helped by this approach, but some examples include
· Any form of anxiety and worry, including panic attacks, social anxiety and agoraphobia
· Obsessional problems (e.g. washing or checking too much)
· Depression and low mood
· Eating disorders
This is not a complete list, so talk to your GP if you have a different problem which you think might benefit from attending this service.
What kind of treatment?
The main intervention offered is based on a form of treatment called cognitive behaviour therapy, or CBT for short. The basic idea behind CBT is that you can overcome mental health problems by making changes in the way you think and behave. Research has shown that CBT is probably the most effective form of treatment for many common mental health problems.
People benefit from this form of therapy in different ways; reading self-help literature, attending therapeutic groups or seeing a therapist for one-to-one sessions. Research has shown that many people can do CBT for themselves, without needing to have full-blown therapy, if they have the necessary advice and support.
Who will I see?
The service is run by Tracy Avis, a therapist who also works for Oxford Health. She is an experienced CBT therapist and is professionally accredited by the British Association of Behavioural and Cognitive Psychotherapies (BABCP).
What happens in the Service?
You will be seen initially for an assessment session of approximately forty minutes, where Tracy will find out more about your problems, check that they are likely to be helped by this service, and answer any questions you have. If you both agree that this looks like a promising approach, then you will discuss options that may be of help for you. These options would range from reading self-help literature, accessing other community services (such as therapeutic groups) or attending a number of one-to-one therapy sessions with Tracy. The length and/or frequency of further appointments would be set according to your needs. A typical follow up session is of approximately twenty minutes. There is no pre-set limit to how many times you can see Tracy, but most people typically need 2 – 3 sessions.
If it sounds like this service might help you, please discuss it with your GP who would be able to advise you on how to book for an appointment.
The service runs on Thursday mornings.
A physiotherapy session is held at the practice each Wednesday afternoon. Other physiotherapy facilities are available at Wallingford Community Hospital. Referrals are made by the doctor.
These services will try to find a volunteer to help with certain jobs; shopping, transport, gardening etc., for people who require it.
Benson Volunteers which is available for people living in Benson and Ewelme, may be contacted between 9.00am and 11.00am Monday to Friday on 01491 825992.
Wallingford Volunteers cover the whole practice area; they may be contacted between 9.30am and 11.30am, Monday to Friday on 01491 836345.
We often get asked for information about chiropodists or podiatrists. We do not suggest anyone in particular but would recommend you use a podiatrist who is state registered.
Walking is the sure safe way to health and fitness. It is a chance to meet people and make friends. Regular walks run throughout the year, and they are free. Pick up a leaflet from the surgery to find out more about Health Walks, or telephone Margaret Wiggall 01865 890730. There is also a website where you can read about Health Walks - Walking for Health.
The doctors will carry out private medical examinations (e.g. for Life Assurance, the DVLA) upon request. Please speak to the receptionists.
Flu immunisations this year
All change! No change!
Earlier this year (long after GP practices had placed their orders for flu jab!), the Department of Health and Social Care told us that the national flu programme would change this year!
Everybody who qualifies for a flu jab will get one, but the changes mean that:
So how will these changes affect Mill Stream Surgery patients?
What hasn’t changed?
How can you help us?
Who can have an NHS flu immunisation?
What if I am not in one of these groups?
The NHS flu programme is designed to reduce serious complications and death, so only certain high risk populations are eligible. Those eligible are decided annually by a national body, based on clinical evidence. Young children are immunised because the flu virus tends to ‘sit’ in this population and from here spread rapidly from child to child and to the rest of the population.
Unfortunately, if you are not eligible, the NHS will not be able to offer you the flu jab, as only those most at risk are offered immunisation.
Is it worth having a flu jab?
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