De Parys Medical CentreTel: 01234 350022
Bromham SurgeryTel: 01234 826505
The most frequently requested private forms are listed below. If the service you require is not listed below, please enquire.
Please put your request in writing and allow 21 days. We require payment at the time of making the request.
Private letters price list
Why GPs charge fees
This is a guide only and variations may apply.
Any Bedford patients when they are referred by one of our GPs to a hospital will be offered a choice of hospital or other Provider for their first outpatient appointment.
The most commonly used are shown below.
The hospital or provider available will depend upon your medical condition. Your Doctor will normally discuss the most suitable choice
We routinely use e-referral which is a national electronic booking service which gives patients a choice of place, date and time for their first outpatient appointment in a hospital or clinic.
Our diabetic clinics are held at the surgery weekly and are run primarily by Practice Nurses. Many diabetic patients will already be attending this clinic and others the hospital clinic. If you are diabetic and attend neither clinic please contact your doctor urgently. Some hospital patients may benefit from attending the surgery clinic particularly if they experience difficulty in getting to the hospital or if their diabetes is relatively stable.
We would encourage all patients who suffer with asthma to attend one of our clinics. This gives you an opportunity to discuss the management of your asthma, and will also improve your inhaler technique. We would ask all asthmatic patients who are not attending hospital clinics and particularly those on preventive treatments to attend an asthma clinic at least once a year.
If you require a cervical smear or would like a health check with particular emphasis on female health matters (ie menopause, breast examination) please make an appointment.
These are held twice weekly with the doctors and midwife in attendance.
All patients over the age of 65 or who suffer from significant disease eg diabetes, lung, heart or kidney disease, are recommended to have annual vaccination to prevent influenza (flu). Flu clinics are held annually between September and December. Please ask at reception for details.
Dr John Goulding has been performing vasectomy operations at the surgery since 1995 and has undertaken over 2000 procedures so far.
He has more recently been offering the "No Scalpel Vasectomy" which in generally quicker to perform, has less complications than the traditional method, but is equally as effective.
Patients from our practice can book directly to see Dr Goulding for an initial consultation prior to arranging the vasectomy. Patients from other Bedford area practices can be referred by their GP. The cost of the procedure is covered by the NHS. Private procedures can also be arranged, if requested, by contacting Dr Goulding at the surgery.
Counselling is a therapy which involves talking through your problems with a counsellor.
Counselling in Primary Care
Primary Care counselling is a free, short-term, weekly counselling service for patients aged sixteen years or more. You can be referred for counselling by your GP, or other health professional.
The Counsellor can support you in addressing a specific problem, such as:
You may be offered between 2-12 sessions or signposted to other services which might be of help to you.
Counselling appointments generally last for 50 minutes and provide a place for you to talk about your problem, express your feelings, and feel supported and heard. Counselling can help with working through what has happened in the past as well as what might be going on now. Counselling can help you to make changes and move forward in a more positive way.
Counselling is confidential. However, please be aware that if there is a risk of harm to you or someone else, or where required by law, we may share information with critical others.
Counselling - NHS Choices
Mental Health - NHS Choices
The Royal College of Psychiatrists
Cruse: Bereavement Counselling
CHUMS - community based service for children and young people with mild to moderate mental health difficulties
You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form which is available from your employer or on the HMRC website.
If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).
It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.
You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.
The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.
For more information see www.gov.uk/
Book your appointment for travel vaccinations at least 8 weeks before you travel. We reserve the right to refuse to give travel vaccinations less than 4 weeks before travel.
Trips to far away destinations are increasingly popular and the lower costs plus faster transport, makes it feasible for the many. The variety of different adventurous type trips are also on the increase. This is all good news, however, with such diversity, the risk of travel to your health is increased and this makes the appointment with the nurse more complex. For example, we need to know about your travel itinerary and any significant aspects of your health in the past. These are typical questions we will be asking:
We need to perform a risk assessment before deciding which vaccines are recommended and the advice that will best address your needs. For this reason the appointment could take 20 minutes or even a little longer. Within this surgery we plan to give you the necessary injections within the appointment time to save you having to come back. Modern vaccines are excellent today, so if you do feel nervous, please try not to worry – people are always surprised at how easy the injections are and unlike experiences remembered from the past!
It would help us greatly if you had some awareness of the travel health problems that you may be of risk from on your trip before you come for your appointment. Before you attend for your appointment please fill in the form below and read the information for the country you are visiting and bring it to the appointment with you.
* PLEASE NOTE: AFTER COMPLETING THE FORM, YOU MUST RING THE SURGERY TO MAKE AN APPOINTMENT AFTER 5 WORKING DAYS. *
De Parys Vaccine charges
There is further information about countries and vaccinations required on the links below
It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.
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.
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