How to register
Under the new GMS Contract, you will register with the Practice rather than an individual GP. However, you will be asked for your GP of preference and this will be recorded.
Procedures carried out when you register with the Practice:
You will be invited to complete a GMS1 form and a patient questionnaire, as it may be some time before your medical records reach us.
We offer a simple check-up for all new patients registering with the surgery which we hope you will find helpful. Please make an appointment as soon as possible with the Practice Nurse.
You will be given a copy of our Practice Leaflet and details of the surgery hours and when the doors of the premises will open and closed each day.
Please call in person or telephone the surgery as soon as possible after 8:30 am in the morning as appointments are booked very quickly, especially after a Bank Holiday.
Open Surgery is held daily from 0830. If you arrive at the Practice by 10 am you will be seen by the Open Surgery Doctor that morning. If your appointment is not urgent and you do not wish to see a doctor within 24 hours, you may pre-book an appointment with a doctor of your choice.
Patients contacting the Practice after 10 am may leave a message for the duty dr.
We have an evening surgery from 4:30 pm – 5:30 pm every day except Thursday. If you do not work, and are able to attend in the morning, we would be grateful if you did not take up an evening appointment, so that these are more available for patients who work.
|Monday||08.30 - 12.00 am||Drs Woodall & Hood Open Surgery|
4.O30 - 5.30 pm
|Tuesday||08.30 - 12.00 am||Dr Woodall||Advanced booking* possible 08.30 - 09.00 am
Otherwise, appt must be booked on the day
|08.30 - 12.00 am||Dr|
2 pm - 5 pm
08.30 - 12.00 am
Appt must be booked on the day
|08.30 - 12.00 am||Dr Woodall||Advanced booking* possible 08.30 - 09.00 am
Otherwise, appt must be booked on the day
|Thursday||08.30 - 12.00 am||Dr Upadhyay||Appt must be booked on the day|
|08.30 - 12.00 am||Dr Church||Advanced booking* possible|
08.30 - 12.00 am
Advanced booking* possible 08.30 - 09.00 am
|Friday||08.30 - 12.00 am||Dr Woodall||Advanced booking* possible 08.30 - 09.00 am
Otherwise, appt must be booked on the day
|08.30 - 12.00 am||Dr Church||Appt must be booked on the day|
4.30 - 5.30 pm
* Advanced bookings allow patients to pre-book an appointment with a doctor of their choice.
Patients Who Fail to Attend Appointments
We are very concerned about the number of patients who fail to attend for their appointments at the Practice. When an appointment is missed, it means that another patient is denied the chance to see a doctor or nurse on that day.
If, for any reason, you are not going to be able to make your appointment, please let us know as soon as possible, so that it can be offered to someone else. Even if it is on the day, we can offer your appointment to someone else.
Patients who repeatedly fail to attend appointments may be removed from the Practice list and will have to find a new doctor.
If there is any reason why you may be unable to inform us and would like to discuss this with us, please get in touch.
Thank you for your co-operation.
|Well Person Clinic||
If you have not seen your doctor in the last three years, we offer a general health check to all our patients. This includes advice on anti-smoking, alcohol control, diet and stress management. For our more aged population, if you are over 75 years of age, we offer an annual check up. This can be arranged at the Surgery or in the home if you are housebound.
Please telephone the surgery and make an appointment with our Practice Nurse
Family Planning Clinic
A full range of confidential services is provided, including emergency contraception and pre-conceptual advice.
Please make an appointment. Both doctors and our Practice Nurses are available for contraceptive and pre-conceptual advice.
A family planning clinic is held at the Aberystwyth North Road Clinic on Wednesday afternoons and evenings. You can arrange an appointment for the afternoon clinic by telephoning 01545 571 224, or you may "walk in" between 5.30 pm and 7 pm.
Child Health Surveillance and Immunisation Clinic
Clinics are held on Mondays.
Clinics are held on Wednesday afternoons
We aim to provide good quality care in co-operation with the Hospital Diabetic Services.
|Travel Clinic||We provide travel advice and immunisations. A charge is made for some travel vaccinations, i.e. Rabies, Japanese Encephalitis. We recommend you plan well in advance of your travels.|
Warfarin (INR) Clinics
Warfarin is a medicine taken in tablet form to thin the blood. Thinning the blood can help to prevent blood clots. This may be important if you have had a blood clot in the past, for example, deep vein thrombosis or pulmonary embolus. It may also be important if you have had heart valve surgery or have longstanding heart rhythm problems.
If your doctor prescribes you Warfarin tablets it is important to have a regular blood test to ensure its effects are optimised and safe. The blood test is called an INR (International Normalised Ratio).
The practice nurses run INR clinics.
At these clinics blood is taken and sent away to Bronglais Hospital, Aberystwyth for testing. The INR result will usually be available the following day.
When you telephone the surgery for your result, you will be advised on any alterations in Warfarin dosing which may be needed and when your next blood test is due. Please make this appointmentment with the receptionist.
Do not alter your Warfarin dose unless instructed to do so by the doctor
The INR range is usually from 1 to 6
1 is too low and you may be advised to increase the dose.
6 is too high (risk of bleeding) and you may be advised to stop warfarin dosing for a few days.
It is standard practice that the required warfarin dose should be taken at the same time each day. Preferably 6 pm each evening.
The frequency of blood testing depends on each INR result. Usually testing will be necessary every few weeks, but may vary and sometimes blood may need testing every few days.
If you take Warfarin, please ensure all health professionals involved in your care, (eg doctor, dentists, chiropodists) are aware of this.
A booklet is available to help with managing warfarin dosing. It contains further useful advice as well as a place for recording the various INR results.
Patients on medication required on a repeat basis will be able to order monthly supplies by:
- placing the repeat prescription sheet in the box located by the Dispensary at the Health Centre
- posting the repeat prescriptions sheet to the Health Centre
- ordering online at this website by ticking the items required on the computerised request form. Data sent is encrypted and uses a secure directory.
Please note: From 1 August 2013, it will no longer be possible to order medications over the telephone for patients registered at Machynlleth Health Centre.
Please allow 48 hours notice for your prescription to the prepared. If ordering by post, allow extra time for the order to reach us.
Please check you have the correct medication before leaving the premises.
Patients who live over one mile from the nearest pharmacy may have their prescriptions dispensed at the Health Centre and should register as dispensing patients.
Take your medicine as the doctor prescribed. Finish the course, unless the doctor tells you otherwise.
Read the label carefully and make sure you understand the instructions on the package
Always tell the doctor if:
You are allergic to any of the drugs, or have had a previous unpleasant reaction to them.
You are taking any other drugs, including 'over the counter' preparations bought from the chemist or supermarket.
You are pregnant, or planning to become pregnant soon.
You are breast feeding.
You are having dental treatment at the moment.
You are on a special diet.
You have been unable to take the full course of medicine the doctor prescribed to you.
Most people have none or little side effects from their medicine. However, if you feel your medicine is causing you unusual effects contact a doctor.
If develop any of the following after taking a drug you should contact a doctor immediately:-
Red itchy rash
Swelling of the face
Difficuly in breathing
Do not take or save old medicines; bring them to the health centre for safe disposal
Do not store medicines in your bathroom cabinet. Keep them in a dry cool place and OUT OF THE REACH OF CHILDREN.
Do not share your medicines with other members of your family or friends.
Mention what medicines you are taking to the chemist if you buy any 'over the counter' preparations.
All ladies between the ages of 20-65 are encouraged to have a smear test every 3 years. This procedure can be carried out by our Practice Nurse and only takes a few minutes. Alternatively, you may arrange an appointment at the Aberystwyth North Road Clinic, Tel. 01545 571224 Monday-Friday 9-5; appointments are available on Wednesdays between 5.30 pm and 7 pm only.
IMPORTANT = If a doctor has arranged for a test to be carried out, it is your responsibility to ring for the result. Some tests can take four to seven days before a result is obtained. Please ring weekdays between 2 pm and 4 pm to check that your result is back and if action is required.
Maternity Medical Service
Ante-Natal care is provided in the Dulas Unit, Bro Ddyfi Community Hospital or at home. We recommend you contact your GP or a Midwife as early in your pregnancy as possible. Full details of our Ante-Natal care is available on request. The midwives can be contacted via Gwenllian Ward, Bronglais General Hospital, Aberystwyth, telephone 01970 623131 and ask for a Machynlleth midwife. Ante-Natal clinics are held on the 2nd/3rd and 4th Tuesday of the month in the hospital at 1.30 pm, or if you would prefer to be seen at home please ask the midwives.
Since 2nd January 2009, the Practice has been providing a service for the treatment of Minor Injuries to the people of the Dyfi Valley and visitors to the area.
The procedure a patient should follow in order to use this service is different from that you would normally use when making an appointment with a GP or Practice Nurse.
The service is an additional one at the Practice which is available for patients who have a Minor Injury.
Patients with other conditions should continue to contact the surgery in the normal way to make an appointment to see a doctor, nurse or healthcare assistant.
THE NATURE OF MINOR INJURIES WHICH WILL BE TREATED
As the name ‘Minor Injuries Unit’ suggests, the service covers injuries which are unlikely to have serious consequences, are relatively simple to treat and which have occurred in the previous two days (48 hours).
If it is suspected a problem may be serious, the patient should go to their nearest Accident & Emergency Dept, or call 999 as appropriate. (This would be at Bronglais Hospital, Aberystwyth).
For minor injuries more than 48 hours old, patients should make an appointment to see their GP in the normal way.
Examples of injuries which WILL BE TREATED
Cuts requiring stitching, or other simple closure technique
- Superficial burns and scolds
- Blows to head, without loss of consciousness
- Minor dislocations of fingers or toes
- Minor accident to hands, feet or limbs
- Recent injury of a severity not suitable for simple domestic first aid
- Foreign bodies superficially embedded in tissue
- Foreign bodies aggravating eye, but not penetrating
This list is not comprehensive, but gives a good indication of the scope of the service.
Examples of Injuries NOT SUITABLE FOR TREATMENT AT THE SURGERY
If a patient has suffered an injury which is deemed to be more than superficial, coming to the surgery would involve delay before treatment, as the surgery would have to assess and subsequently advise the patient to go to an A&E Department or call 999
- 999 call
- Fractures or accidents to hands, feet or limbs substantially affecting function
- Penetrating Injuries
- Blow to head with loss of consciousness
- Deeply imbedded foreign bodies
- Foreign bodies in bodily orifices
- Profuse bleeding
- Serious burns
- Suspected overdose or poisoning
- Collapse or fall in a public place
PATIENTS ELIGIBLE TO USE THE SERVICE
This service is available to all people residing in, or visiting the Machynlleth area.
AVAILABILITY OF THE SERVICE
The Minor Injuries Unit will be open Monday – Friday from 08.00 to 18.30 hrs (excluding Bank Holidays).
Outside these hours, patients with Minor Injures are advised to call Shropdoc, the out of hours service, on 08450 20 21 31
HOW TO ACCESS THE MINOR INJURIES SERVICE
Patients with a minor injury may either come directly to the surgery or contact the surgery between the hours of 8 am to 6:30 pm by telephoning 01654 702224 .
On arrival at the surgery:
- Between 8.00 and 8:15, please ring the bell for attention. (Located to the right of the main entrance door).
- Between 08.15 and 18:00 present at reception in the normal way.
- Between 18:00 and 18:30 please ring the bell for attention.
(Located to the right of the main entrance door).
The Receptionist will need to ask for brief details of the problem, in order to check the nature of the problem is likely to be classed as a 'minor injury'.
If so, the receptionist will notify the duty doctor or nurse & you will be asked to wait in the waiting room.
You should normally expect to be assessed by a Doctor/Nurse within 15 minutes, although this may extend to within 30 minutes between 08.00 – 08.30 & between 18.00 and 18.30hrs.
Depending on the nature of the problem, the nurse may call the duty doctor to assist, as necessary.
If the nature of the problem is unsuitable for treatment in the Minor Injuries Unit you will either be:
- Referred to attend an Accident & Emergency Dept or
- Advised to make an appointment with a GP or Nurse to be seen in the normal way.
PATIENTS PRESENTING AT THE MINOR INJURIES UNIT, INSTEAD OF MAKING A NORMAL APPOINTMENT TO SEE A GP OR NURSE
As explained above, this service is aimed at providing a service for patients with minor injuries
Experience has shown at other Minor Injuries Units, some patients will try to use it as a means of ‘jumping the queue’, instead of waiting to be seen by a GP or Nurse in either a normal ‘urgent’ or ‘routine’ appointment, (e.g. chest infection, colds and coughs, fever, sore throat, aches and pains, conjunctivitis etc).
Patients requesting to be seen in the Minor Injuries Unit, who have problems which would normally be investigated during a GP or Nurse appointment, will be asked by the Receptionist or Nurse to make an appointment with a GP or Nurse, and will not be treated in the Minor Injures Unit.
This would then involve the patient leaving the surgery and returning later to be seen at their appointment.
Seasonal Flu Vaccination
Flu (also known as influenza) is a highly infectious illness caused by the flu virus. It spreads rapidly through small droplets coughed or sneezed into the air by an infected person. For most people, flu is unpleasant but not serious. You will usually recover within a week.
Studies have shown that flu vaccines provide effective protection against the flu, although protection may not be complete and may vary between people. Protection from the vaccine gradually decreases and flu strains change over time. Therefore, new vaccines are made each year and people at risk of flu are encouraged to be vaccinated every year.
The flu vaccination is offered to people in at-risk groups. These people are at greater risk of developing serious complications if they catch flu, such as pregnant women and elderly people.