These clinics are run by Midwives and appointments can be booked in by telephoning the surgery or calling in to the reception.
Information on Clinics can be found here: https://www.pregnancyadvice.org.uk/. If you have any questions about your maternity care, the Midwives can be contacted via the Surgery reception.
Cervical (Smear test) Screening
Women will be invited by the National Screening Team for a routine cervical smear every 3 – 5 years depending on their age. This appointment can be booked with one of our fully trained nurses.
Ask our receptionist if you require an appointment in the evening or on the weekend.
Cervical Screening (Smear Tests)
Cervical screening reduces the risk of developing cervical cancer. Cervical cancer rates have halved since the 1980’s largely due to most women regularly having cervical screening. Cervical cancer can often be prevented.
All women aged 25 to 64 are offered cervical smear tests. You will automatically receive an invitation from the National Screening Programme, plus a reminder if you do not make an appointment. You will receive invitations every three years between the ages of 25 and 49 and then every five years between 50 and 64.
When you receive your invitation letter, please phone the surgery on 01480 483100 to make an appointment with one of our Nursing Team.
These are held throughout the week. Immunisations are an important part of protecting a child’s health. If you need further information about vaccinations, please contact your health visitor. Parents will be contacted about making an appointment.
This is the most common sexually transmitted infection and 1 in 10 sexually active under 25 year olds will have this without having any symptoms. If untreated, the disease can cause infertility. We encourage all patients aged 15 – 24 years to take a simple test for chlamydia.
This can be done by a simple urine test whilst in the surgery and the result will be sent direct to the patient, via text, email or post.
Frequently Asked Questions about Chlamydia
Q:What is Chlamydia?
Chlamydia is the most common sexually transmitted infection in the under 25year age group. It is a bacterium that is passed from one person to another during sex.
Q:How Would I know I had it?
You may not know as 70-80% of infected women and over 50% of men will have no symptoms. If you were to have symptoms it usually occurs 1-3 weeks after coming in contact with the infection, women may notice bleeding between periods, bleeding after sex, unusual vaginal discharge or think they have urinary tract infection or cystitis. Men may have pain on passing urine, some penile discharge and some testicular pain.
Q:How can I get tested?
We can test on a urine sample for either men or women, preferably using the first urine sample of the day. Women may also choose to do a self taken vaginal swab. There is no examination involved. You don’t even need an appointment! You may choose to collect a urine sample bottle from reception and return in with your name, DOB and mobile phone number for results.
Q:How will I get my results?
You can receive your results either by text, email or letter depending upon your personal preference, please state how you would like to receive your results on the sample bottle or enclose a note.
Q:What is the treatment?
The treatment consists of a single dose of antibiotics which will either be 2 or 4 tablets taken all at once. You should then either abstain from sexual activity for 1 week or use condoms.You may choose to be re screened after treatment to ensure the infection has cleared; this can be done 6 weeks later.
Chronic Disease Clinics
We run nurse-led clinics to monitor patients with medical conditions such as asthma, COPD, diabetes and heart disease. The experienced nursing team will advise you if you need to see the doctor about your condition.
HRT / Menopause reviews
Please contact reception for more details on this service.
LARC Long Acting Reversible Contraception
Acorn Surgery is happy to be able to offer appointments for contraceptive implant insertion and removal.
Patients can also access appointments for the fitting, six week checks and removal of coils.
Please contact the Reception for more information.
Please click HERE for information on Long Acting Reversible Contraception (LARC)
Mammogram Information (Breast Screening)
Having a mammogram (an x-ray of the breasts) is an important part of health screening and can detect breast cancer early so patients can receive the right treatment. Women are invited for breast screening every 3 years between the ages of 50 & 71 and receive a letter in the post from the National Screening Service. Patients should get their first invite between the ages of 50 & 53.
If you’re a trans man, trans woman or you are non-binary, you may be invited automatically or you may need to call the local breast screening service to ask for an appointment on 01223 217627. Having this screening is really important, only takes a few minutes and could be life-saving.
If you receive a letter, please attend for your mammogram and if you have any concerns about it or need more information, please visit our website to download a booklet or visit this website.
We work closely with our colleagues at Hinchingbrooke Hospital & Addenbrookes Hospital to ensure that NHS services and funds are used appropriately. Please only use A&E departments if you have a genuine emergency or accident which cannot be dealt with by the Acorn Surgery doctors. Unless you have a life-threatening emergency—when you should dial 999— if you need care during normal surgery hours, please contact us first and we will either see you at the surgery or offer appropriate advice over the telephone.
Open 8am-8pm seven days a week, including Bank Holidays.
Minor Surgery Clinics
We perform a wide range of minor surgical procedures at the practice such as joint injections and removal of some types of moles and warts. Ask the doctor for advice.
Please Note – Due to changes in our team this service is temporarily limited to injections while our clinician completes necessary training
NHS Health Checks
Everyone is at risk of developing heart disease, stroke, type 2 diabetes or kidney disease but these diseases can often be prevented. We offer the NHS Health Check at the Surgery to adults between the ages of 40 and 74. We will assess your risk and offer personalised advice on how to reduce it. The check includes:
height & weight measurement
blood pressure check
The checks are carried out by our nursing team. If you wish, we can refer you on to a health trainer to give you tailored support and guidance on your health and wellbeing.
At the Acorn Surgery we work on a 28 day cycle, which means every 28 days a new cycle of medication can be issued.
What is a batch prescription?
A batch prescription is a prescription that issues a multiple number of 28 day cycles of medication.
The pharmacy dispenses these every 28 days, without the patient needing to request their medication from the surgery.
Batch prescriptions can be in sets of 2 cycles, 3 or 6 cycles.
They can only be issued to patients that are on regular medication.
If you no longer wish to be on a batch prescription please let the Prescription Administrator know and they will arrange for you to revert back to regular prescription orders.
What happens when a batch has finished?
When you collect the last of your batch, the pharmacy should let you know its your last one. All pharmacies are different however this may be verbally or a note in with your medication.
It is then the patients’ responsibility to request a new batch from the surgery.
NO REQUESTS WILL BE ACCEPTED OVER THE PHONE
Via the NHS App – Owned and run by the NHS, the NHS App is themost simple and secure way to access a range of NHS services on your smartphone or tablet. The NHS App is available now on iOS and Android.
NHS Online Login – You can view your current repeat medication and order the items you require. This is for patients who have a NHS login.
Contact Us Online – This is the best way to request medication if you don’t use the NHS App, you are requesting medication for someone under 16, are a housebound patient or ordering Acute Medication. Click here to open the form.
In Person – post in the black prescription box in the waiting room.
We offer a range of family planning services including emergency contraception (morning after pill), coil insertions and contraceptive implants.
Speak to one of our team for further information.
In Times of Bereavement
The Final Days of Life
What to expect when someone is approaching death
As illness progresses, people become weaker and need more support from those caring for them. Understanding what happens when they are approaching death will help to anticipate the care they need. Some of the things that happen at this time may seem strange or frightening, especially if they are not expected. People are individual, so it is not easy to say exactly what will happen and in what order changes might occur, but this sheet seeks to explain what may happen in the last few days and hours of life.
Eating and drinking
As people become weaker, they may need help with eating and drinking. They may feel sick or find it difficult to swallow: if this happens, it is important to tell their nurses or doctors. As people get nearer the end of their life they often don’t want to eat or drink: this is normal and rarely causes them distress, though those caring for them are often worried about this. Again, it is important to let the doctors and nurses know about any concerns you may have.
As people become weaker they may find it difficult to swallow medication. Their doctor will often decide that some medications can be stopped as they are no longer needed in the final days of life. Other medications, for example pain relief, can be given in different ways.
As a person’s illness progresses, they are likely to get weaker each day and will spend more time sleeping and become more drowsy. They will become less able to talk or join in things that are happening around them. Even if they are drowsy or asleep, they may still hear what’s going on and can take comfort from hearing the usual sounds of life or hearing someone talking to them, even when they are unconscious. Towards the end, some people may lapse into unconsciousness and cannot be roused at all for a period before they die. Some people never lose consciousness and die in their sleep.
People may experience changes to their breathing in the last days of their life. People who have had difficulty breathing may find it easier to breathe, as the body needs less oxygen because it is less active. Breathing may be made worse if they are anxious. People who are very drowsy or unconscious may have noisy breathing because of a build-up of fluid in the back of the throat, which they are no longer able to cough up. Such noisy breathing does not distress the patient, though it may be distressing for those around them: it may be eased by moving the patient into a different position and by medication.
When death is near When death is only hours away, breathing may change again, becoming shallow and irregular. Sometimes there are pauses between breaths that become longer until the last breath is taken. They may produce less urine and it will become darker in colour as they drink less. They may lose control over their bladder: if this happens the nurses will give advice. Some people may become restless, agitated or confused: if this happens, the nurse or doctor can consider giving medication. Arms and legs may become cool to the touch and blue in colour as a result of blood circulation slowing down. The skin may become dry or moist and clammy.
Support in the home Doctors and nurses should be visiting to check on people close to the end of life: they will be happy to answer any of your questions. They are available 24 hours a day every day of the week, though they are often particularly busy during the night. It is normal for people to feel frightened and out of their depth when their loved one is close to death. It is OK to ask for help or just to talk to someone about your concerns and fears. In working hours call your GP practice: at nights and weekends call 111 (rather than 999) who will be able to get hold of a doctor or nurse for you.
When someone dies Most people stop breathing and die peacefully after a period of unconsciousness. If you think this has happened, phone your GP practice in hours, or 111 out of hours, and explain that you think they have died and that this was expected. They will arrange for someone to visit to confirm that they have died and explain what happens next and what you need to do and what support is available.
Non-urgent advice: Support
If you feel you need support or advice, it may be helpful to first talk to your GP. They may be able to signpost you to support services. Your place of work or school may also be able to help. Faith communities can also be a source of support for many people.
If you feel that you or a loved one are at immediate risk to themselves or others, please contact your GP, A&E department or call NHS 111. If you are experiencing a mental health crisis, call 111 and select option 2 when prompted for the mental health service. You can also access 111 online via www.111.nhs.uk . You can also contact the Samaritans by calling 116 123.
Hospital Bereavement Care Services
If a person died in hospital, support for the bereaved is offered by the hospital bereavement care services and the chaplaincy teams. Please note that chaplaincy services in all the hospitals are for people of all faiths, or none.
Alan Hudson Day Treatment centre, Wisbech part of Arthur Rank Hospice Services Offers bereavement support to the families of patients who have received care from the service. Email: [email protected] Tel: 01945 669 620
Sue Ryder St John’s Hospice, Moggerhanger, Bedford Offers bereavement support to families and friends of those patients for whom this Hospice service has cared. Email: [email protected] Tel: 01767 642 446
Sue Ryder Thorpe Hall Hospice, Peterborough Family support team Specially trained staff and volunteers offer family support to patients, and pre- and post-bereavement support to their loved ones on a one-to-one and group basis, including Wayfinders, a bereavement support walking group. Specialist support is also available for children and young people. Email: [email protected] Tel: 01733 225 921 Website: Online Bereavement Support | Sue Ryder
The Norfolk Hospice Tapping House Offers support in bereavement to family members of patients who have received care from the service. This includes counselling, individual support and bereavement support groups. Tel: 01485 601 700 Monday to Friday, 09:00 to 17:00 Website: The Norfolk Hospice
Support after the loss of a child, including during pregnancy and birth.
The Compassionate Friends A charitable organisation of bereaved parents, siblings and grandparents who support other bereaved parents, siblings, and grandparents who have suffered the death of a child. Email: [email protected] Tel: 0345 123 2304 Open every day 10:00 to 16:00 and 19:00 to 22:00 Website: The Compassionate Friends (tcf.org.uk)
Child Bereavement UK Supports families and educates professionals when a baby or child of any age dies or is dying, or when a child is facing bereavement. Email: [email protected] National support & information line: 0800 028 8840 Website: Child Bereavement UK
CRUSE Bereavement Care This voluntary organisation has a specialist team providing support to children and young people. CRUSE National helpline: 0808 808 1677 Open Mon and Fri 09:30 to 17:00, Tuesday to Thursday 9:30 to 20:00, weekends 10:00 to 14:00 Website: Home – Cruse Bereavement Support
Ormiston Families Stars Provides specialist counselling for bereaved children and young people aged 0-25, living in Cambridgeshire. Also provides support for families and professionals. (Service not provided to those living in Peterborough). Email: [email protected] Tel: 01223 292 276 Website: Ormiston Families Stars – Ormiston Families
The Young People’s Counselling Service, Peterborough Provides free and confidential counselling for young people aged 11-16 years old who are dealing with emotional distress – such as bereavement, loss, loneliness and anxiety, low self-esteem, bullying, self-harm, abuse, addiction or depression. Email: [email protected] Tel: 01733 903288 (Peterborough), 01945 479956 (Wisbech) Website: The Young People’s Counselling Service – Supporting Young People (ypcs.uk)
CRUSE Bereavement Care CRUSE bereavement care promotes the wellbeing of anyone bereaved by death to enable people to understand their grief and cope with their loss. CRUSE National helpline: 0808 808 1677 Open Mon and Fri 09:30 to 17:00, Tuesday to Thursday 9:30 to 20:00, weekends 10:00 to 14:00 CRUSE National website: Home – Cruse Bereavement Support
Lifecraft Cambridgeshire and Peterborough A contact point providing support and information on bereavement after a loved one’s suicide. Email: [email protected] Tel: 01223 566 957 Website: Welcome – Lifecraft
Compassionate Friends – Local Groups Local support groups for parents bereaved through suicide within Cambridgeshire and Peterborough. Please contact National Helpline or [email protected] for further information on local support groups available. National helpline: 0345 123 2304 Open every day 10:00 to 16:00 and 19:00 to 22:00
The Heart and Soul Team at Cambridgeshire and Peterborough Foundation Trust Provides a bereavement support group to give individuals the opportunity to meet others who have been bereaved by suicide and be able to talk in a warm, caring environment supported by experienced bereavement volunteers. The bereavement support group meets on the 2nd Monday of each month, from 6.00-7.30pm, via Zoom. Meeting ID details will be sent to you on enquiry. Tel: 07973 883511 Email: [email protected]
Support After Suicide A network of organisations who support people who are affected by suicide Website: Support After Suicide
Dying Matters A coalition of members across England and Wales, which aims to help people talk more openly about dying, death and bereavement, and to make plans for the end of life. Website: Dying Matters | Hospice UK
Contact the Cemeteries and Crematorium Department of your local council to arrange a funeral yourself.
Funeral costs can include:
funeral director fees
things the funeral director pays for on your behalf (called ‘disbursements’ or ‘third-party costs’), for example, crematorium or cemetery fees, or a newspaper announcement about the death
local authority burial or cremation fees
Funeral directors may list all these costs in their quotes.
Some services provided are not covered under our contract with the NHS and therefore attract charges.
Examples include the following:
Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
Insurance claim forms
Prescriptions for taking medication abroad
Private sick notes
Subject Access Requests
To Whom in May Concern Letters
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability. Private work does not take precedence over our routine practice work and therefore will be completed when time allows. Please allow at least four weeks when asking for any private work to be completed.
Please note all ‘To Whom it May Concern Letters’ also attract a fee. These should always be requested from reception and not during a consultation with the Doctor.
There is a charge for services carried out where these are not part of general NHS provision. Please note these charges apply per request for a service.
All requests are to be made in writing online through our contact page or via our Patient Services Coordinators at the Front desk in reception.
Paymentin advanceis required. This can be by either bank transfer or cash. Unfortunately, we do not currently accept debit/credit cards.
For more information on our Non-NHS services please click here.
Patient Transport Services
Patients who require non-emergency transport to appointments should contact the East of England Ambulance Service who have been commissioned to provide this service. The number to contact is 0845 603 8117.
PIP (Personal Independence Payment)
For information and guidance on eligibility including how to claim PIP
If you require vaccinations relating to travel, we recommend you visit www.fitfortravel.com website. Once you have checked which inoculations you need for your visit abroad, please contact us and we will check your medical record and organise for you to come in to see our Practice Nurse to have some of the vaccinations that you might need.
Non-urgent advice: Notice
Please note that we are contracted to offer an NHS travel service which includes tetanus, typhoid and hepatitis A vaccine.
For other immunisations, because not all travel vaccinations are included in the services provided by the NHS, we suggest contacting a provider such as the Cambridge Travel Clinic on 01223 367362, as they are a dedicated Travel Vaccination Service.
For your information there is further information about countries and vaccinations required on the links below