Ashtead Hospital. Private GP Services. Ashtead Hospital

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1 Ashtead Hospital Private GP Services Ashtead Hospital

2 Private GP appointments at a time to suit you It is our commitment to practice modern medicine with traditional values. At the heart of our service is the belief that every patient deserves great care. Any concerns, fears and questions will be addressed and answered in a thorough, respectful and confidential manner. We give our patients the time they need, at a time that suits them. To book an appointment please call Come and find out more about the Private GP Service at our FREE information evening on 8th November - Book Now We can arrange same day in-house blood tests with fast results and follow up. On-site ultrasound, X-rays, CT scans, MRI scans plus many more specialist investigations can be easily undertaken. We are fortunate to have a wide in-house selection of reputable and experienced consultants, should you require a referral. Most private health insurances accept private GP referrals to consultants and we are happy to refer you to any private consultant of your choice. Our Well Person Health tests and checks are outlined in detail below and include: Well Man Well Woman Cervical Smear and HPV test Sexual Health check Fertility check We also provide the following other services which are outlined in detail below: Menopause and HRT From Birth Package Mother and Baby Check Diabetes Review Asthma Review Smoking Cessation Weight Loss Clinic Anti-aging treatments Medicals: for work or other countries Travel Clinic Vaccinations To book an appointment please call or Ashtead.Enquiries@ramsayhealth.co.uk

3 Pricing GP Consultation (20 mins) 90 Extended GP Consultation (40 mins) 160 NB. Private prescriptions are included without a fee Registration fee 40 NB. paid at the time of first appointment Additional charges: Referral letters 35 Private sickness letter 35 Radiology referrals 40 Telephone consultation* 40 Repeat prescription* 40 *at the doctors discretion

4 Well Man We can provide men with a full health assessment, tailored to them. Following a discussion with the doctor, further investigations can be added to the package as required. from 400 The consultation and testing time is 45 minutes. A follow-up appointment is included to discuss results of the tests. Detailed medical history is taken with the doctor to cover all aspects of medical and family history and lifestyle including diet and stress assessment Urine analysis Height, weight, body mass index, blood pressure Full medical examination with the doctor with ample time for discussion of specific problems Blood analysis - 40 different tests including tests for anaemia, liver and kidney function, thyroid function, cholesterol and blood glucose. These are sent to a reputable laboratory in London: The Doctor s Laboratroy (TDL) Male specific blood tests: Prostate profile (including PSA) Prostate examination (digital rectal assessment) Additionally if required: Discussion and management of erectile dysfunction Management of urinary symptoms Additional tests (prices on enquiry): Resting ECG Exercise ECG (treadmill test assessing cardiac function) Echocardiogram (ultrasound examination of the heart) Spirometry (assessment of lung function) Chest X-ray

5 Well Woman We provide women with a health screen tailored to them. Following a discussion with the doctor, further investigations can be added to the package as required. s from 400 The consultation and testing time is 55 minutes. A follow-up appointment to discuss results is included. Detailed medical history is taken with the doctor to cover all aspects of medical and family history and lifestyle including diet and stress assessment Urine analysis Height, weight, body mass index Blood pressure Full medical examination with the doctor with ample time for discussion of specific problems Blood analysis - 40 different tests including tests for anaemia, liver and kidney function, thyroid function, cholesterol and blood glucose. These are sent to a reputable laboratory in London: The Doctor s Laboratroy (TDL) Blood tests specific to female health including vitamin D Full gynaecological history Discussion of contraception, pre-conception counselling, hormone replacement therapy Breast examination and instructions on self-examination Pelvic examination Additional tests (prices on enquiry): Resting ECG Exercise ECG (treadmill test assessing cardiac function) Echocardiogram (ultrasound examination of the heart) Spirometry (assessment of lung function) Chest X-ray Cervical smear and HPV testing Pelvic scans

6 Fertility Check 40 minutes appointment required If you are thinking of starting a family, or have been trying to conceive and are concerned about yours or your partner s fertility, then you may wish to see one of our experienced GPs who can help individuals and couples overcome their difficulties in conception. There are a number of blood tests available, which can help reassure you or perhaps identify a problem which may require more specialist help. Almost 50% of all case of infertility may be associated with a male factor, so it is important that both male and female partners be involved in the investigation of infertility. Individual prices of commonly requested tests are shown below (please note, this list is not exhaustive): Anti Mullerian Hormone 136 Female Hormone profile 150 Male hormone profile 180 Sperm analysis 220

7 Cervical Smear and HPV We can offer women the opportunity to have smear tests more frequently than currently offered on the NHS. The UK NHS smear test programme starts at age 25 and smear tests are offered every 3-5 years after this. However there is an increasing demand from many women to have this test every year, as is offered in Europe and the USA. Private Smear tests can be performed at any age, can be repeated annually (or more frequently) and our results are back in 2-3 days. We use the latest Liquid Based Cytology (LBC) which is processed using the Holographic ThinPrep system as an enhanced Quality Control. Our samples are sent to The Doctors Laboratory in London which provides high quality NHS-approved cytology services with rapid results. Please endeavour to book your appointment in the middle of your cycle if you wish to have a cervical smear test. Should you find that your period is going to coincide with your appointment then please telephone to rearrange your appointment beforehand as we may not be able to rebook your smear test as a separate procedure. The cervical smear test can be combined with the HPV testing. PAP cervical smear 160 PAP cervical smear with HPV testing 215 HPV (Human Papilloma Virus) tests Cervical cancer prevention is changing. There is a move from smear testing programs to HPV based screening. HPV testing is important in deciding which women are at risk of developing cervical cancer. A negative HPV test results indicates a patient is at a very low risk of developing cervical disease. If you have tested negative for HPV and not in a stable relationship, you should consider vaccination against cervical cancer (Gardasil). There are over 100 subtypes of HPV, most do not cause significant disease, but some have been confirmed a causal agents for cervical cancer. These are known as High Risk HPV types. Types 16 and 18, account for 70% of all cervical cancers worldwide.

8 Menopause and HRT 40 minutes appointment required. Menopausal side effects such as hot flushes, vaginal dryness, tiredness, worsening memory and mood changes can dramatically reduce quality of life for some women. Our doctors are experienced in managing patients suffering with menopausal symptoms and can discuss in detail all the appropriate treatment options, available to you. There are many treatment options available to women suffering with menopausal symptoms. These range from herbal, acupuncture, non-hrt treatments, to topical HRT and conventional HRT medications. Blood tests are available, and are important in deciding on the lowest effective for HRT treatments, these include cholesterol, glucose, thyroid function tests, oestradiol and FSH. Regular review with the doctor may also be advised, and further blood tests may be needed to monitor and optimise HRT treatment. If you ve been diagnosed with breast cancer or have tested positive for an abnormal breast cancer gene (BRCA1 or BRCA2) and so are at high risk, you shouldn t use HRT. If you would like to discuss your options with one of our doctors, please call and book an appointment. Travel Vaccination Clinic Your Private GP Service offers a comprehensive travel vaccination clinic. It is best to plan to get vaccinated at least 6 weeks prior to travelling. Please ask to speak to one of our doctors before you book your appointment, for information on which vaccinations are required for travel to specific countries or regions. A vaccination appointment fee of 15 is payable for Saturday appointments only. Multiple travel vaccinations can be given at the same clinic appointment if appropriate. All our vaccinations are carried out by our doctors. A regularly updated list can also be found on The National Travel Health Network and Centre (NaTHNaC) website: and NB. We do not currently offer the Yellow Fever vaccination.

9 Vaccine s Please note these prices are. Some immunisations require more than one. Hepatitis A Vaccine Hepatitis B Vaccine Adult only 2 vaccines, 6-12 months apart Adult only 3 vaccines at 0, 1 and 6 months. Hepatitis A & B Vaccine (Twinrix) Adult only 2* 3** *Children ** Adults 85 *Children: 2 vaccines, 6-12 months apart. **Adults: 3 vaccines at 0, 7 and 21 days. Accelerated courses may be possible. Further boosters may be required There is currently a national shortage of the Hepatitis B vaccine and it can only be offered to high risk patients on a named basis. This is expected to continue until Hepatitis A & Typhoid Vaccine 2 95 Typhoid Vaccine Adult only 2 vaccines, 6-12 months apart 1 50* Adult only 1 vaccine *s can be subject to change and availability may vary according to the manufacturer.

10 Encephalitis Vaccine Rabies Vaccine 2* vaccines at 0 and 28 days. *Adult booster required 4 at 0, 7, 21 (28) days and 12 months Tetanus (Combined Diptheria, Tetanus, Pertussis) (Revaxis) * *Depends on age 50 Tick Born Encephalitis Vaccine vaccines at 0, 1 and 5 months Booster required every 10 years at risk. This list is not exhaustive, if there is a vaccine you require which is not listed please contact us and we will endeavour to source it.

11 Vaccinations Vaccinations are available to protect against a range of illnesses and diseases from childhood immunisations to travel and occupational vaccinations. Occasionally, certain vaccines may not be available from the supplier, see details below. Multiple vaccinations can be given at the same appointment if appropriate. Live vaccines need four weeks between s. Have you had the flu jab? Ask you practice/ pharmacist if it was a live vaccine. All our vaccinations are administered by our doctors. s Please note these prices are. Some immunisations require more than one. Meningitis B (Bexsero) Meningitis ACWY Vaccine (Menveo) 2 or or 3 vaccines.* 1 vaccine 85 *Number of s and intervals vary depending on age of child. Further booster may be required. How many s does my child need? Shingles Vaccine Chicken Pox Vaccine vaccine 2 vaccines at least 6 weeks apart

12 HPV Vaccine (Gardasil 4) New HPV Vaccine (Gardasil 9) vaccines 3 vaccines BCG Vaccine for Tuberculosis (TB) Hepatitis B Vaccine 1 1 vaccine 3* 130 TB pre test. Vaccine not currently available from supplier (10/09/17) 55 *The standard course involves three injections. Further boosters may be required. Following the course of immunisations, a blood test may be recommended to confirm immunisation status for certain groups e.g. those at risk from occupational exposure. TB pre-test: TB Gold blood (Quantiferon) Test 145 Influenza Vaccine (Agrippal) Influenza nasal spray (FLUENZ TETRA) These blood results typically take 3 days to return so vaccination can be booked 4 days later. 1 1 vaccine * spray *Flu vaccination is given by nasal spray applicator, one spray into each nostril.

13 Measles, Mumps, Rubella (MMRvaxPro)* Rotavirus* s 1 vaccine 4-in-1* 5-in-1* vaccine 1 vaccine Currently Unavailable Currently Unavailable * NB. Patient will need to prepay for these vaccines as they will need to be ordered in especially, and cannot be returned. Appointment may be cancelled and rebooked within 1 month, but will need to be used within 3 months. This list is not exhaustive, if there is a vaccine you require which is not listed please contact us and we will endeavour to source it.

14 Notes

15 Notes

16 Directions to Ashtead Hospital The Warren, Ashtead, Surrey KT21 2SB Tel: By Road Ashtead Hospital is situated on the edge of Ashtead Village, on the A24 between Leatherhead and Epsom, and is just two miles from Junction 9 of the M25. The Hospital has its own car park and provides free parking. It is easily accessible by car from Dorking (15 minutes), Sutton (20 minutes), Reigate (20 minutes), Kingston (25 minutes), Walton and Weybridge (25 minutes), Guildford (30 minutes), Croydon (30 minutes) and Central London (45 minutes). The Warren, Ashtead, Surrey KT21 2SB /Ashtead

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