9 Broadwater Way Eastbourne, BN22 9PQTel: 01323 502200
Winter 2018 newsletter is now available - please go to 'Latest News'. Alternatively, you can Click Here to subscribe to our newsletter.
Due to GDPR guidelines, from close of business on Thursday 31st January, we will no longer be operating a fax service.
Upcoming Practice Closures
Easter Weekend - We will close for the Easter break on Thursday 18th April 2019 at 18.00pm and will re-open Tuesday 23rd April at 08.00am.
You should receive invitations for immunisations automatically at the appropriate times. If, however, you do not receive one, please contact the clinic.
A clinic is held every Monday afternoon between 14:00 – 15:45 and Thursday morning 10.30-11.30. You will be sent an appointment when immunisations are due.
Our community midwives work closely with the local District General Hospital and provide antenatal care for pregnant women. Full support, advice and the usual midwifery services in the patients' homes are provided. Please see tab Maternity (midwife) referrals.
A regular vaccinations against the 'flu virus is held usually in late autumn. We recommend the elderly and people with chronic lung disease and chronic heart disease have the vaccination. Please book your vaccination at the reception desk around late September.
The doctors, with support of the practice nurses provide a comprehensive range of family planning services including coils, implants and yearly pill checks. For contraceptive advice please book an appointment to see your doctor or the practice nurse.
The clinic sees all diabetics anually for assessment, advice and appropriate treatment and is run weekly by the practice nurse and your doctor.
A special "skin clinic" is run three days a week by Dr David Price and Dr Thomas who both have a special interest in Dermatology. A referral is required from your own GP to be seen in the Dermatology Clinic.
As well as treatment from their own doctor, patients with hypertension are monitored and advised by the practice nurse. You can also check your blood pressure without making an appointment. There is a patient friendly machine in our waiting room. You will be asked to hand your result to the receptionist, who will arrange for it to be reviewed by the nurse. If there are any problems or concerns, the nurse will contact you.
If you are concerned about your weight and would like to lose some, make an appointment with the practice nurse who offers support.
The nurses run clinics for warfarin monitoring on a Monday, Wednesday and Thursday.
Sam Guillemard is a chiropractor who runs a clinic at the surgery. This is a private service rather than NHS and costs are paid by the patient. To make an appointment call Sam on 07980089377
If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.
There is further information about countries and vaccinations required on the links below
Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.
Cryotherapy clinics are held approximately once a month for patients aged 12 years +. Please contact reception for more information and an assessment appointment.
What is cryotherapy?
The term ‘cryotherapy’ literally means ‘treatment using low temperature’, and refers to the removal of some skin lesions by freezing them. The most common product used by doctors is liquid nitrogen.
What is liquid nitrogen?
Liquid nitrogen is the liquid state of gaseous nitrogen, which occupies 78% of the air we breathe. Liquid nitrogen is extremely cold, boiling at minus 196° c. It is necessary to store and transport it in special flasks.
What conditions can be treated with cryotherapy?
A wide variety of superficial benign (non-cancerous) lesions can be treated with cryotherapy, but it is most commonly used to remove actinic keratoses (an area of sun-damaged skin found predominantly on sun-exposed parts of the body), viral warts, seborrhoeic keratoses, Bowen’s disease and other benign lesions. Occasionally, your doctor may suggest using cryotherapy to treat a small skin cancer called basal cell carcinoma.
What does the procedure involve?
Cryotherapy is done during the course of a routine out-patient consultation with your dermatologist, or by your general practitioner or their nurse, without any special preparation.
Whilst liquid nitrogen is usually applied to the skin by using a spray gun, a metal probe or a cotton bud can sometimes be used instead.
Although there is slight local pain felt, cryotherapy does not normally require a local anaesthetic, and the procedure itself lasts a matter of seconds; the precise time depending on the thickness and size of the lesion. The frozen skin becomes white and takes one to two minutes to thaw to normal skin temperature. Your doctor may suggest that the process is repeated once the skin has thawed out.
Over the succeeding few days, a scab will form, and this will take one to two weeks (and occasionally a little longer, especially on the legs) to fall off. Usually, the treated area will eventually look normal, although scarring and discolouration is possible, particularly on the legs.
Depending on the nature of the lesion, more than one treatment may be necessary, and this is usually repeated at regular intervals.
How should the treated area be cared for?
Your doctor will explain how s/he would like you to care for the treated areas. Your doctor may suggest that Vaseline is applied. If wetted the scabs should be patted dry with a soft towel or tissue.
It is important not to pick at the scab as this will encourage scarring. A dressing or plaster is not usually necessary, but may be advisable if the treated area is likely to be knocked or rubbed by clothing.
What are the side effects of this treatment?
Immediate side effects:
Subsequent side effects:
You will be required to sign a consent form prior to treatment.
Where can I get more information about cryotherapy?
Dr Harvey performs the Minor Surgery for the practice. Patients have to be seen by one of the Doctors first and, if suitable, they will be referred to the Minor Surgery clinic. A wide range of operations are performed under local anaesthetic. At Park Practice, we have a fully equipped operating area where we aim to provide a rapid access, local service with minimum inconvenience to our patients.
Before your operation:
What to expect when you arrive for your minor surgery
You should go to the Reception desk at Park Practice to book in. It is very important that you arrive on time, because any delays will transfer on to following patients. Our Minor Surgery nurse, Lisa or Vicky, will then come to collect you from the waiting area and show you to the minor surgery room. We try to make the experience as "stress free" as possible for you.
Before your surgery, Dr Harvey will explain exactly what procedure is being done and why. You will have the opportunity to ask any questions about the procedure being performed and/or any alternative treatments - including what would result if you decided not to have surgery. Provided you are happy, you will then be asked to sign a consent form:
We would like to emphasise that any procedures involving cutting the skin will result in a scar. Although this sounds very obvious, we frequently see patients who are surprised to hear that they will be left with a scar after cutting out a skin lesion and that sometimes the scar may be more obvious that the original lesion.
If a lesion has been cut out (e.g. a mole) it will be sent for "Histology". This is routine for all cases and does not necessarily mean that we suspect cancer. "Histology" means that the sample will go to the hospital, where an expert will look at it under the microscope and provide a definite diagnosis. For this reason, we like to see all patients who have lesions cut out at around 1 month after the procedure to check that the scar is satisfactory, that there are no complications and to discuss the histology result with the patient. This appointment is during normal surgery at your "usual" surgery and you should make it by contacting reception in the usual way.
After your operation:
You should rest for the remainder of the day.
Unless Dr Harvey advises otherwise, any dressings should remain dry and intact for 24 to 48 hours. After 24 to 48 hours you may have a shower or bath, provided the wound is dry. Do not use bubble bath or talcum powder for two weeks, because it could irritate the wound and impair the healing process.
Not all procedures involve stitches, however, if you have non-dissolving stitches, you will need to book an appointment with the practice nurses to have your stitches removed. We recommend that you book this appointment on the day of your operation before you leave. As a general rule, stitches to the head and neck area are removed at around a week after your operation and other parts of the body may have stitches removed up to two weeks after your operation. However, either Dr Harvey or the nurse will advise you of exactly when your stitches should be removed before you leave.
The local anaesthetic used will start to wear off 3 hours after your operation. We recommend that you start to take some painkillers 2 hours after your operation so that they start to work as your anaesthetic wears off. Suitable painkillers are paracetamol, co-codamol or ibuprofen.
Complications are rare. Signs of infection include a fever, increasing redness around the wound and a mucky green or yellow discharge - as a rule of thumb, any wound that seems to be getting worse over a period of days rather than getting better. If you are concerned that you may have developed an infection, please telephone the surgery to make an appointment so that treatment can be arranged.
You should be able to return to normal activities, including driving as soon as you feel able.
Most patients will be back at work the next day.
Drs Thomas, Harvey and Price are able to administer steroid injections in and around joints so we request you discuss with one of them if you think you requre a steroid (cortisone) injection. Before considering an injection we advise you read the information on the ARC UK webiste which is very useful.
You will be required to sign a consent form prior to this procedure.
Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:
The fees charged are based on the British Medical Association (BMA) suggested scales and our reception staff will be happy to advise you about them along with appointment availability.
Private Letters & Sick Certificates - from: 1st January 2019
Medical Examinations & Reports
Health in Mind is a service offering support to adults experiencing mild to moderate anxiety or low mood.
If you have particularly severe difficulties, or if your difficulties have been going on for some time, you should visit your GP so he or she can ensure you get the help you need.
Please click the following link to print and fill out one of our Health in Mind self-referral forms:
Health in Mind Self-referral
Book to meet your Midwife to plan your care
Click on the link below fill in your details and click submit
Referral form for Maternity Care
Your Community Midwife will be in contact with you to book your first appointment.
The more you know about your pregnancy and your options, the more you are likely to feel in control. The information given here is based on The Pregnancy Book, which your midwife should give you at your first appointment.
Before you are pregnant
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to find those services that are local to you.
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