Lowfield Medical Centre

Services

Antenatal Services

The midwives are no longer based in the surgery, but are now with the Health Visitors in the Darent Valley Hospital.
If you need to refer yourself to the midwives please visit the Dartford and Gravesham NHS Trust.

You do not need to see the GP to be referred to the midwives if you know you are pregnant, however if you have any concerns about the pregnancy you may wish to book an appointment to see a doctor at the surgery.

Anticoagulation Clinic

This is a service run for our patients on anticoagulation treatment by our practice nurses and one of the doctors. We have on-site testing equipment. Patients are referred by their own doctor or the hospital.

Asthma & COPD Clinic

Our nurse prescriber runs asthma/COPD clinics by appointment. Please enquire at reception to make an appointment.

Should you require spirometry testing, please follow the instructions below:

Spirometry is a special lung function test. For it to be accurate, we request you observe the following guidelines:

  • Ideally refrain from smoking for 24 hours prior to test.
  • As far as possible avoid using any short acting bronchodilator e.g. Ventolin for 4 hours before and if on long acting bronchodilator e.g. Salmeterol or Oxis try to avoid for 12 hours before.
  • Avoid taking a large meal immediately before coming.

For those patients who are house-bound with these conditions our Community Matrons will liaise with the doctors and arrange to visit you to support you with your condition.

This practice is part of the Telehealth project which aims to support house-bound patients with long term conditions by monitoring those conditions at home together with the support of the Community Matrons and the GP’s. As a patient if you wish to be involved in this the matrons or your doctor will discuss this with you and together you can decide whether it is appropriate for your condition.

Contraceptive Advice

This practice offers a full range of contraceptive services including the combined contraceptive pill and progesterone only pill. If you would prefer the coil or the Mirena fitted you will need a pre-insertion appointment with the nurse for routine swabs. Once these are clear you will need a 30 minute appointment with the doctor and nurse for insertion. You will then be offered a six week check as follow up.

We also offer the progesterone injection, the progesterone implant and counselling services. Initially you will need to make an appointment to discuss this with the doctor.

Useful Links

www.fpa.org.uk

www.patient.co.uk

Diabetic Clinic

The GP’s and practice nurses jointly run the diabetic clinic. The practice aims to do a full diabetic check on every diabetic patient in their care every year. If further appointments are needed these will be discussed with you and your doctor or nurse. The diabetic clinic is run throughout the week and if your check is due you will need to make a 10 minute appointment with the nurse and a 20 minute appointment with the GP.

The Paula Carr Diabetes Care Service runs a mobile retinal screening service which the surgery hosts once a month. You will be sent your annual appointment from the Paula Carr Screening Centre which is based in Ashford. However, your appointment will be at the surgery.
For any queries please telephone the Paula Carr Diabetic Screening Centre on 01227 868777.

Flu Clinics

Please phone the surgery to make your flu vaccination appointment.

The flu vaccination is offered to all those patients over the age of 65 and those in the "at risk" categories. Information about the "at risk" categories are available on our flu leaflet or by phoning the surgery. Please ring 01322 224550 and ask for an appointment.

How do I access my Test Results?

We ask patients to please ring the surgery for their test results, after 4pm on Monday, Tuesday, Thursday and Friday or after 12pm on Wednesday. Please allow time for your results to come back and for the Doctor to read them. Routine blood or urine tests usually only take a few days but other tests may take a week or longer to come back. If you are unsure about when your results will be back please ask the Practitioner who requested the results, or one of the receptionists. 

In the case of urgent results, the surgery will contact the patient directly, so please be sure to keep your contact details up to date.

Immunisation Clinic

We offer a comprehensive baby and child immunisation programme according to the British schedule. For detailed information please visit NHS Choices.

New Babies

You will be sent an appointment for the first immunisation at 8 weeks and further appointments will be made by the nurse when you attend.

Newly Registered Children

You will be asked to bring in your child’s red book when you attend the registration appointment. This will enable us to check your child’s immunisation status and put the information on our computer. The nurse will then telephone you to make an appointment for your child to receive their next immunisations.

HPV is currently administered by school nurses in secondary school. The surgery is notified of any girls who have missed any of the doses and we will administer these at the surgery.

BCG is no longer routinely given as part of the immunisation schedule.

Menopausal Advice

The practice offers the full range of menopausal treatments. You will need to make an appointment to discuss the options available to you with a doctor.

External Links

www.menopausematters.co.uk

Minor Surgery

We hold two surgeries a month for minor operations performed by Dr. David Lawrence and after a referral from your doctor. Once you have been assessed by your doctor and referred for a minor operation your name will be put on the waiting list by the Practice Manager. You will then be called into the surgery according to your priority.

Non NHS Work

Some services we provide are not covered by the NHS. This means that a fee is charged for these services which is payable in advance. Download our Fees for Non NHS Work.

Payment can be made by cash only.

Forms for completion by GPs should be left with our Reception Help Desk.  

Want to know more? See our FAQs regarding Private and Professional Fees for Non NHS Work.

Phlebotomy Clinics

We hold phlebotomy clinics on Monday, Tuesday, Wednesday and Friday mornings from 8.30am - 10.30am by appointment made at reception.

FAQs

What does a fasting blood test mean?

This means that you must not have any food or drink except water for 12 hours before you have your blood taken. 

May I take my tablets?

Yes you may, but if in doubt, please ask the doctor or nurse.

What happens if I am told to book a glucose tolerance test? 

You will need to fast from the night before and this includes not eating any sweets or gum. You may drink water. You should book at appointment at 8.30am for the first blood test and glucose drink and then you will have a second blood test 2 hours later. You have to remain in the surgery sitting quietly so you may wish to bring a book or magazine. 

Podiatry

Patients must be referred by a GP to see an NHS Podiatrist. Please book an appointment to see your GP.

Download Patient Informaiton on Alternatice Sources of Foot Care.

Postnatal Services

Both your health visitor and midwife will be in close contact after the delivery of your baby and will give you their contact numbers. Your doctor will perform your post natal check and six week baby check at the surgery. You will be sent an appointment for this by the surgery.

You will also receive in this letter an appointment for your baby’s first immunisation which is normally performed at about 8 weeks at the surgery, by our immunisations nurse, Pamela Gates. Also enclosed will be a registration form to register your baby at this practice.

Sexual Health Clinic

There is a sexual health clinic held for all patients aged 20 and under.

The clinic is not held at Lowfield Medical Centre. Please visit the Tower Road, Dartford, Kent DA1 2HA.


Telephone Number: 0300 790 0245


Mon and Tues: 09.00-15.00 and 17.30-18.00. Walk in 15.00-17.00.


Wednesday: 08.00-15.00 appointments.


Thursday: 13.00-15.00 and 18.00-19.00 appointments. Walk in 15.30-17.30.


Saturday: 09.30-12.00 walk in.

Available for:

  • Sexual Health Advice
  • Condoms
  • C card (if available)
  • Contraception
  • Emergency Contraception
  • Chlamydia Screening

Statement of Purpose

Travel Health

Lowfield Medical Centre is a Yellow Fever Centre. Please make appointments with the Practice Nurse for your Yellow Fever vaccinations. We also provide a vaccination service for holiday/work vaccination requirements. Please ask at Reception for details of the fees of the various vaccinations.

It may be helpful to consult with the Fit for Travel (www.fitfortravel.scot.nhs.uk) before making your appointment as this will give you more information about immunisations and the time needed to complete the course before travelling. It will also give you more information about the country to which you are travelling and any particular health problems i.e. malaria. We urge you to allow plenty of time when embarking on a course of immunisations (2 months).

Typhoid Vaccine
There is a worldwide shortage of typhoid vaccine and we will not be able to get any supplies until the end of July. 

There is a possibility that the MASTA clinics have some as they are manufacturers and can supply their own clinics. There is a clinic at Bluewater and a few in London, but it is best to telephone first to check they have vaccine.

Well Women Clinics

Two of our female nurses offer well woman checks during the course of their regular surgeries. This needs a 20 minute appointment half way through your menstrual cycle. During this appointment they will ask you about your general health and any smoking, drinking and exercise habits. It will provide an opportunity to discuss any concerns you may have and to seek advice on any changes you may wish to make.

The physical examination will take the form of a blood pressure check, weight and a cervical smear. You will be written to with the results of your smear within 4 weeks, so it is essential we have an up-to-date address and contact details.

If there are any concerns you can always ring the surgery.

Whooping Cough

Pregnant ladies over 20 weeks are invited to have a whooping cough vaccination. Please phone for an appointment and information.

Download our Information Leaflet.