New service launched - November 2015
South Worcestershire GP Services have launched a new telephone consultation service. If you’d like some clinical advice today that may not need an appointment at the practice, phone Malvern Health Centre on 01684 584050 and press 1 to be put through to this new service.
Common questions about the children’s flu vaccination
Why should children have the flu vaccine?
Flu can be a very unpleasant illness in children causing fever, stuffy nose, dry cough, sore throat, aching muscles and joints, and extreme tiredness. This can often last several days. Some children can get a very high fever, sometimes without the usual flu symptoms, and may need to go to hospital for treatment. Serious complications of flu include a painful ear infection, bronchitis, and pneumonia.
What are the benefits of the vaccine?
Having the vaccine will help protect your child from what can be a very nasty illness. It may also reduce the chance of others in your family getting it from your child. It can help you avoid having to take time off work or other activities because you are ill or need to look after your sick child.
Over the past two years the programme has been tested in a number of areas in school-aged children. In those areas less flu has been detected in all age groups of the population. This suggests that as well as protecting the vaccinated children other people benefitted too.
How will the vaccine be given?
For most children, it is given as a nasal spray.
Who will give my child their flu vaccination?
In general practice, the vaccine is usually given by the practice nurse. If given at school, specially trained healthcare staff will give your child the flu vaccination.
How does the nasal spray work?
The nasal spray contains viruses that have been weakened to prevent them from causing flu but will help your child to build up immunity. When your child comes into contact with the flu virus they will be less likely to get ill.
Are there any side effects of the vaccine?
Serious side effects are uncommon. Children may commonly develop a runny or blocked nose, headache, general tiredness and some loss of appetite. This may last a few days. The vaccine is absorbed quickly in the nose so, even if your child sneezes immediately after having had the spray, there’s no need to worry that it hasn’t worked.
Are there any children who shouldn’t have the nasal vaccine?
Children should not have the nasal vaccine if they:
- are currently wheezy or have been wheezy in the past three days (vaccination should be delayed until at least three days after the wheezing has stopped
- are severely asthmatic, ie being treated with oral steroids or high dose inhaled steroid
- have a condition that severely weakens their immune system or have someone in their household who needs isolatio
- have severe egg allergy. Most children with egg allergy can be safely immunised with nasal flu vaccine. However, children with a history of severe egg allergy should seek specialist advice. Please check with your G
- are allergic to any other components of the vaccine*
If your child is at high risk from flu due to one or more medical conditions or treatments and can’t have the nasal flu vaccine, they should have the flu vaccine by injection.
Children who have been vaccinated with the nasal spray should avoid household contact with people with very severely weakened immune systems for around two weeks following vaccination.
* See the website at http://xpil.medicines.org.uk and enter Fluenz Tetra in the search box for a list of the ingredients of the vaccine.
How effective is the vaccine?
Because the flu virus can change from year to year there is always a risk that the vaccine does not match the circulating virus. During the last ten years the vaccine has generally been a good match for the circulating strains although last year it was less so
Has the nasal vaccine been used in other countries?
Yes; it has been used safely in America for many years and it was used in the previous two flu seasons in the UK where hundreds of thousands of children were successfully vaccinated.
My child had the flu vaccination last year. Do they need another one this year?
Yes; the flu vaccine for each winter helps provide protection against strains of flu that may be different from last year. For this reason we recommend that even if vaccinated last year, your child should be vaccinated again this year.
Does the nasal vaccine contain gelatine derived from pigs (porcine gelatine)?
Yes. The nasal vaccine contains a highly processed form of gelatine (porcine gelatine), which is used in a range of many essential medicines. The gelatine helps to keep the vaccine viruses stable so that the vaccine provides the best protection against flu.
Can’t my child have the injected vaccine that doesn’t contain gelatine?
The nasal vaccine provides the best protection against flu, particularly in young children. It also reduces the risk to, for example, a baby brother or sister who is too young to be vaccinated, as well as other family members (for example, grandparents) who may be more vulnerable to the complications of flu. The injected vaccine is not thought to reduce spread so effectively and so is not being offered to healthy children as part of this programme. However, if your child is at high risk from flu due to one or more medical conditions or treatments and can’t have the nasal flu vaccine they should have the flu vaccine by injection.
Some faith groups accept the use of porcine gelatine in medical products – the decision is, of course, up to you. For further information about porcine gelatine and the nasal flu vaccine, see www.gov.uk/government/news/vaccines-and-gelatine-phe-response
We now have 2 Nurse Practitioners and have appointments available with them on:
with them on:
These Nurses have undergone additional and extensive training to qualify as a Nurse Practitioner, and are qualified to prescribe.
If you have recently changed your home telephone number, mobile number or address it is VERY IMPORTANT that you let us know. We sometimes need to contact you to give test results or invite you for routine screening, vaccinations etc. which is not possible if the information we hold is incorrect.
There is a change of details form available at reception.
Like To Register?
New to the area and would like to join our practice? We would be happy to help you. Please check that you are in our catchment boundary area. Fill in our registration forms and come see us. Find out more
From 5 January 2015 all GP practices are able to register new patients who live outside the practice area without any obligation to provide home visits or services out of hours when the patient is unable to attend their registered practice. Changes made to the GP contract mean those obligations may be set aside and do not apply when the GP practice decides, at the point of registration, that it is clinically appropriate and practical to register the individual patient in this way.
If accepted, it is probable that your Out of Area Registration will be granted without any obligation for Malvern Health Centre to provide home visits, immediate necessary treatment (following an accident or emergency when at your home) and other services such as follow up care following hospital discharge where it would be impractical geographically to provide care.
Registrations can only be agreed by the GP Partners who will consider each application and individual circumstance and decide if it is clinically appropriate and practical. The national guidance identifies several areas that make it clinically inappropriate or impractical to agree.
Please be aware that if you are accepted as an Out of Area patient and your health needs change, we may need to review your registration to investigate whether it would be more appropriate for you to be registered with a GP practice closer to your home.
To find out when your doctor is available, please select "Opening Times" at the top of the page, then on the dropdown box please select "Doctors Availability"
Or click the link below to view Doctors Availability
Doctors Availability Link
We will also have an On Call Duty GP available for acute medical emergencies. If you feel you have something urgent that needs dealing with on the day and that you really cannot wait another day, you will be offered an appointment with the Emergency Duty GP.
If you have an Emergency appointment then please be aware, if the GP gets called out on an Urgent house call or a patient walks in that needs dealing with more urgently then you will have to sit and wait in reception. You will be informed of what is happening but we will not be able to inform you of how long the wait will be.
Named GP for all patients
From 1st April 2015, all patients (including children) have been allocated a named, accountable GP.
If you have a preference as to which GP you wish to be assigned, please let the practice know during your next contact with us.
The named GP’s role will be to take responsibility for the co-ordination of all appropriate services required and ensure they are delivered where required (based on the clinical judgement of the named GP).
The following link shows Easter Pharmacy opening dates and times:
Send us your comments or suggestions
Please only use this form for comments about the practice and suggestions as to how we can improve our service to you. Medical matters and official complaints cannot be dealt with via this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.
(Site updated 25/11/2015)