As soon as you are aware that you are pregnant, make an appointment with the doctor who will take a history and carry out some general health checks before referring you to a local hospital of your choice. You will be given a shared care programme enlisting subsequent antenatal care. There is an antenatal clinic run at Tudor Lodge Health Centre for patients booked under St George's Hospital. You will be seen regularly throughout your pregnancy either at the practice, health centre or at the hospital.
Child Health and Immunisation
Thursday 1.00 - 3.00pm (Walk-in baby clinic) (doctor and nurse only)
All new babies and children up to the age of five are invited for regular check-ups from eight weeks old. The chart below shows the current schedule for immunisations.
Each vaccination is given as a single injection into the muscle of the thigh or upper arm.
UK 2016 Immunisation Schedule
||Immunisation (Vaccine Given)
- DTaP/IPV(polio)/Hib (diphtheria, tetanus, pertussis (whooping cough), polio, and Haemophilus influenzae type b) - 5-in-one injection (Pediacel® or Infanrix IPV Hib®); plus:
- PCV (pneumococcal conjugate vaccine) - in a separate injection (Prevenar 13®)
- Rotavirus (Rotarix®) - oral route (drops)
- Meningitis B (Bexsero®)
- DTaP/IPV(polio)/Hib 5-in-one injection, 2nd dose (Pediacel® or Infanrix IPV Hib®); plus:
- Rotavirus (Rotarix®) - oral route (drops)
- DTaP/IPV(polio)/Hib 5-in-one injection, 3rd dose (Pediacel® or Infanrix IPV Hib®); plus:
- PCV 2nd dose (Prevenar 13®) - in a separate injection
- Meningitis B 2nd dose (Bexsero®)
|Between 12 and 13 months
- Hib/MenC (combined as one injection) - 4th dose of Hib and 1st dose of MenC (Menitorix®); plus:
- MMR (measles, mumps and rubella) - combined as one injection (Priorix® or M-M-RVAXPRO®); plus:
- PCV 3rd dose (Prevenar 13®) - in a separate injection
- Meningitis B 3rd dose (Bexsero®)
|2 - 7 years
- Nasal flu spray annually (Fluenz®). For children aged 2, 3 and 4, this is usually given in the GP surgery. Children in school years 1, 2 and 3 may have this at school
|3 years and four months
- Preschool booster of DTaP/IPV(polio). 4-in-one injection (Repevax® or Infanrix-IPV®); plus:
- MMR 2nd dose (Priorix® or M-M-RVAXPRO®) - in a separate injection
|12 - 13 years (girls)
- HPV (human papillomavirus types 16 and 18) - two injections (Gardasil®). The second injection is given 6-12 months after the first one.
- Td/IPV(polio) booster. 3-in-one injection (Revaxis®)
- Men ACWY: combined protection against Meningitis A, C, W and Y (Nimenrix® or Menveo®)
- Influenza (annual) and PPV (pneumococcal polysaccharide vaccine): for those aged over 65 years and also those in high-risk groups
- Td/IPV(polio): for those not fully immunised as a child (Revaxis®)
- DTaP: for pregnant women from 20 weeks of gestation to protect the newborn baby against whooping cough (Boostrix®)
- Shingles (Zostavax®) vaccine: for adults aged 70 years. (Plus catch-up for adults aged 78 and 79.)
WHO IS ELIGIBLE FOR SCREENING?
|Age Group (Years)
||Frequency of Screening
|25 - 49
|50 - 64
The NHS call and recall system invites women who are registered with a GP. This also keeps track of any follow-up investigation and, if all is well, recalls the woman for screening in three to five years time. It is therefore important that all women ensure their GP has their correct name and address.
Women who have not had a recent cervical test may be offered one when they attend their GP or family planning clinic on another matter.
WHY ARE WOMEN UNDER 25 AND WOMEN OVER 65 NOT INVITED?
Invasive cancer is rare in women under 25 but changes in the cervix are common. This means that younger women may get an abnormal result even when there is nothing wrong.
Minor operations can be done in our treatment room. Please discuss this with your doctor who will then arrange for you to be given an appointment.
Run by our practice nurse and practice manager, this clinic gives advice and treatment to patients trying to give up smoking. This is a six-week programme: half an hour for the initial appointment followed by a series of 15 minute appointments.
Vaccinations and travel advice are provided by the practice nurse. Not all the vaccines provided by the practice are free. Please ask at reception for details of the fees.
Postnatal and Babies' Eight Week Checks
Postnatal: Patients are sent letters with appointment times after confinement.
Eight week checks: Previously arranged by appointment.
The primary care team can refer you to physiotherapy if appropriate.
The primary care team can refer you to a podiatrist if appropriate.
This service is provided by doctors and by the practice nurse. Emergency contraception (morning after pill) is available on the same day. You may speak to any member of reception or the nurse.
Other Health Care Services
Primary care services not available at the practice are provided by NHS Southwest London.
Tel: 020 8251 1111