Clinics and services

Melrose Surgery
73 London Road
Reading
RG1 5BS
Tel: 0118 9595200

News:

Emergencies
In case of an emergency please telephone the surgery on 0118 9595200

During surgery hours please give the details clearly to the receptionist emphasising that it is an emergency. Out of hours please listen carefully to the recorded message which will inform you of the WESTCALL, on call emergency co-operative, telephone number with whom we work.

Appointments
Appointments can be made to see a Doctor on the same day you request an appointment and can be made in person or on the telephone

Cancelling your Appointment
If you are unable to attend an appointment with one of the doctors or nurses, please telephone or use the link at the bottom of this page to cancel your appointment.

Announcements

01 Sep - 01 Oct
NHS Smokefree

Find out about all of the free NHS services available to support you as you go try to give up smoking.

01 Aug - 01 Oct
NHS Summer Health

Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more

01 Jul - 01 Oct
Change for Life

Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.

BBC Health

Diabetes drug advice 'not heeded'

A type two diabetes drug is still being prescribed in the UK two months after it was recommended for withdrawal, BBC Panorama learns.

Junior medics 'leaving training'

Nearly one in four junior doctors drop out of their NHS training after two years, figures show.

Gum and heart link 'breakthrough'

Scientists say they have established one reason why gum disease may increase the risk of heart disease.

Reading Arabic 'hard for brain'

Israeli scientists believe they have identified why Arabic is particularly hard to learn to read.

'No evidence' implants are toxic

Tests on a type of breast implant filled with an unapproved gel have shown no evidence they are unsafe, UK experts say.

Research into age-related illness

Edinburgh scientists are attempting to find the trigger which leads older people to develop dementia.

Clue to egg flaws in older women

British scientists say they are closer to knowing why older women trying to fall pregnant are more likely to produce abnormal eggs.

Bone drug linked to cancer risk

Long-term use of bone-strengthening drugs may boost the risk of oesophageal cancer, a study suggests.

'Big drop' in alcohol consumption

Alcohol consumption has fallen faster than ever, figures from the British Beer and Pub Association suggest.

Urine wanted to test odour device

Bristol researchers developing an odour detector to help incontinence sufferers offer volunteers vouchers in exchange for urine.

Yahoo Health

FDA relents from midodrine withdrawal plan (AP)

AP - Federal regulators have backed off a plan to remove a Shire PLC low blood-pressure treatment from the market after warning in August that the drug has not been proven effective.

Picking right blood pressure medicine challenging (AP)

AP - It's hard to predict which pills will best lower which patient's high blood pressure, but researchers are hunting ways to better personalize therapy — perhaps even using a blood test.

Cholera outbreak in Cameroon 'worst in 20 years' (AP)

AP - UNICEF says more than 300 people have died in the West African nation of Cameroon from the country's worst cholera outbreak in 20 years.

WHO wants faster, more flu vaccine production (AP)

CVS employee Mambo Muntanga, left, receives a flu shot from nurse practitioner Susan Brown, Friday, Aug. 27, 2010, in Rockville, Md. It's flu-shot season again, and for the first time health authorities are urging nearly everyone to get vaccinated — and people 65 or older even can choose to try a new high-dose version. (AP Photo/Evan Vucci)

AP - The vaccine used to contain the recent swine flu pandemic was effective, but health authorities will need to ramp up the speed and volume of production during the next global outbreak, a World Health Organization official said Monday.

Expert warns of complacency after swine flu fizzle (AP)

Robert Webster, chairman of the Department of Virology and Molecular Biology at St. Jude Children's Research Hospital in Memphis, Tenn., attends the Options for the Control of Influenza conference in Hong Kong Sunday, Sept. 5, 2010 in Hong Kong. Webster urged health authorities around the world to stay vigilant even though the recent swine flu pandemic was less deadlier than expected, warning that bird flu could spark the next global outbreak. (AP Photo/Vincent Yu)

AP - A leading virus expert urged health authorities around the world Sunday to stay vigilant even though the recent swine flu pandemic was less deadly than expected, warning that bird flu could spark the next global outbreak.

Cholera kills 41 in Central African nation of Chad (AP)

AP - Health officials in Chad say an outbreak of cholera in the Central African nation has killed at least 41 people.

Study: Diet Drug Meridia May Boost Heart Risks (Time.com)

Time.com - A new study finds that some users of the weight-loss pill Meridia may have an increased risk of heart attack or stroke

For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)

LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.

Clinical Trials Update: Sept. 3, 2010 (HealthDay)

HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:

Keep Health in Mind When Planning School Day Menus (HealthDay)

HealthDay - MONDAY, Sept. 6 (HealthDay News) -- As parents prepare for their children's return to school, they need to remember that healthy meals and snacks are essential for learning.

MedPage Today

Investigation Reveals More Woes for Rosiglitazone

(MedPage Today) -- On July 15—a day after the FDA completed two days of hearings on rosiglitazone (Avandia)—a British advisory commission on drugs concluded that the product should be withdrawn from the market, according to an investigation conducted by BMJ.

Washington Week: Insurance, State Actions Top News

WASHINGTON (MedPage Today) -- Several studies highlighting insurance issues were released this week, including one on federal programs for kids and two others focused on employer-provided medical coverage.

FDA Approves New Eye Pressure Drop Formulation

WASHINGTON (MedPage Today) -- The FDA approved a new formulation of the drug bimatoprost (Lumigan) in a 0.01% solution as a first-line treatment to reduce elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Kids on HAART Would Benefit from Revaccinations (CME/CE)

(MedPage Today) -- Children with HIV who received standard childhood immunizations before starting on highly active antiretroviral therapy (HAART) could benefit from revaccination, a review suggests.

New Guidelines Out for Pneumococcal Vaccine (CME/CE)

(MedPage Today) -- Adults with asthma and those who smoke should receive the 23-valent polysaccharide vaccine to prevent pneumococcal disease, according to new recommendations from the CDC.

OSHA Should Dictate Residents' Hours, Group Says

WASHINGTON (MedPage Today) -- The consumer group Public Citizen is urging the Occupational Safety and Health Administration (OSHA) to regulate the work hours of resident physicians.

Four Factors Increase Risk of Opioid Dependence (CME/CE)

(MedPage Today) -- A combination of four factors appears to significantly increase the risk of opioid dependence among patients taking prescription painkillers, researchers have found.

Low IgG Poses Infection Risk With Rituximab (CME/CE)

(MedPage Today) -- Certain subgroups of patients with rheumatoid arthritis, particularly those who have low levels of IgG, are at risk for severe infections when treated with rituximab, French investigators found.

ESC: Stockholm Take Home Message -- Watch the 'Not' Warfarins

STOCKHOLM (MedPage Today) -- An investigational antiplatelet -- ticagrelor (Brilinta) -- emerged as a big winner from the five-day long European Society of Cardiology congress, but the buzz here focused instead on a trio of investigational oral anticoagulants -- dabigatran, rivaroxaban, and apixaban.

Admitting Clinical Errors Not Always Best Policy

(MedPage Today) -- Wide-scale disclosure of clinical errors seems intuitively to be the ethical choice for hospitals and physicians, but researchers from the University of Washington suggest that disclosure should be decided on a case-by-case basis rather than a one-size-fits-all solution

Clinics

Vaccination Schedule

Travel Information

Diabetic Clinic
By appointment with the practice nurse.

Asthma Clinic
By appointment with the practice nurse.

Child Immunisations red cross
By appointment with the practice nurse.

Child Health Surveillance Clinics
These are held regularly. Your health visitor will advise you of the exact times

Travel Clinic
By appointment with the practice nurse.

Minor Surgery
These are booked individually with the doctor.

Coil Fitting
These are booked individually with the doctor.

High Blood Pressure
By appointment with the practice nurse

Menopause Clinic
By appointment with the practice nurse

Antenatal / Postnatal Clinics doc baby
Postnatals are booked individually with the doctor (Wednesday from 2.00pm - 3.00pm)

Antenatals are booked with the Midwife (Wednesdays from 9.00am - 12.30pm)

Family Planning Clinic
By appointment with the practice nurse

Stop Smoking

By appointment with the practice nurse or with the smoking cessation officer (Tuesdays and Wednesdays from 4.00pm - 6.00pm)

Non NHS Requirements

For Insurance Medicals, passport applications, medicals for driving licence and travel inoculations please contact the receptionists. Private fees apply. Private patients are welcome.

Vaccination Schedule

At two months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At three months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection

At four months old:

Diptheria, tetanus, pertussis (whooping cough), polio and Haemophilus influenzae type b (Hib) (DTaP/IPV/Hib) - one injection
Meningitis C (meningococcal group C) (MenC) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

At around 12 months old:

Haemophilus influenzae type b (Hib) and meningitis C (Hib/MenC) - booster dose in one injection

At around 13 months old:

Measles, mumps and rubella (German measles) (MMR) - one injection
Pneumococcal infection - pneumococcal conjugate vaccine (PCV) - one injection

Three years four months to five years old (pre-school):

Diphtheria, tetanus, pertussis (whooping cough) and polio (dTaP/IPV or DTaP/IPV) - one injection
Measles, mumps and rubella (German measles) (MMR) - one injection

13 to 18 years old:

Diphtheria, tetanus and polio (Td/IPV) - one injection

Travel Information

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required. There is further information about countries and vaccinations required on the links below

Europe & Russia	North America
Central America	South America
Carribean	Africa
Middle East	Central Asia
East Asia	Australasia and Pacific

It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment may be required with the practice nurse to actually receive the vaccinations. Most travel vaccines are kept in stock . Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Most travel vaccines incur a charge. This is because travel vaccination is not included in the services provided by the NHS and therefore is a chargeable service.

Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

clock2 Travel Questionnaire

Practice Information

For quick medical advice online or on the telephone contact NHS Direct