Drs Cammack
& Evans
Paraparaumu Beach
04 298 5114
Services
Child Health
Immunisation
We strongly encourage immunisation but recognise some parents choose not to
Infant checks
6 weeks and 3 months
Parenting advice
Management of asthma, eczema and other long term conditions
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All consultations are free for children registered with the practice and aged 14 or under
Adolescent health
Healthy eating advice
Alcohol and drug issues
Contraception advice *
Sexual health advice *
Pregnancy tests*
Pregnancy advice
Free
Mental health
Assessment, treatment and referral for counselling
Acne assessment and management
* Free for those aged 18 and under
Consultations for those aged 16 and over are strictly confidential
Women's Health
Lifestyle
Help with smoking cessation, diet, exercise and alcohol
Contraceptive advice*
Including IUCD fitting and Jadelle insertion*
Cervical smears
Usually every 3 years aged 20-70
Sexual health*
Pre-Pregnancy planning
Pregnancy testing
Maternity care
Initial tests, support in choosing midwife or specialist care and referral, free care in the first trimester until you have chosen a midwife or specialist
Infertility
Initial investigation and referral
Menopause care
Prolapse treatment
Including fitting ring pessaries
Pipelle biopsy
Sampling of the lining of the uterus for cancer
Mammography and breast examination
Usually every 2 years, aged 45-70
Cardiovascular risk assessment
(Risk of heart attack or stroke)
From age 55, or from 45 for those at higher risk
Osteoporosis investigation and treatment
Including zoledronate (Aclasta) infusions
Skin cancer check
Including photography and dermoscopy (photography under high magnification)
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* Free for those aged 18 and under
Men's Health
Lifestyle
Help with smoking cessation, diet, exercise and alcohol
Cardiovascular risk assessment
(Risk of heart attack or stroke)
Usually from age 45, or 40 for those at higher risk
including screening blood tests for diabetes, cholesterol, liver & kidney function
Sexual health*
Erectile dysfunction
Prostate check
Skin cancer check
Including photography and dermoscopy (photography under high magnification)
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* Free for those aged 18 and under
Elderly Care
Management of long term conditions
Systematic ongoing care of hypertension, ischaemic heart disease, diabetes, arthritis, respiratory disease, osteoporosis, and many other conditions
Generally 3 monthly review with a thorough annual assessment
Assessment of care and welfare
Home help, meals, personal care, respite care, mobility aids,
continence, impaired hearing, medical alarm, transport, financial assistance
Dementia assessment and care
Including Addenbrooke’s Cognitive Assessment
Driving medicals
Recall for annual flu immunisation
Palliative care
Patients with cancer and other terminal conditions
Home visiting
The practice is responsible for over 100 patients in Rest Home and Hospital Level care
Screening
Cardiovascular risk assessment
(Risk of heart attack or stroke)
Usually from age 45 in men, 55 in women, or 5 years earlier for those at higher risk
Diabetes
Skin cancer
Including photography and dermoscopy (photography under high magnification)
Cervical smears
Usually every 3 years aged 20-70
Mammography and breast examination
Usually every 2 years, aged 45-70
Prostate cancer
Long Term Conditions
We have well-developed protocols for managing many long term conditions in young and older patients
Asthma
Eczema and other skin conditions
Hypertension
Diabetes
Heart disease
COPD (Chronic obstructive airways disease)
Mental health
Stroke
Dementia
Cancer
Arthritis
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In general patients are seen 3 to 6-monthly depending on their condition, with a more thorough review annually
Lifestyle Advice
Diet
Exercise
Smoking cessation support
with or without medication
Weight management
Alcohol and drug issues
Palliative Care
Home visiting in the terminal stages of illness.
With the high proportion of elderly patients in Kapiti, the practice has extensive involvement in palliative care, in close co-operation with Mary Potter Hospice. The practice is responsible for palliative care beds at a local hospital.
Urgent Care
Life threatening conditions
If you have severe chest pain or symptoms of a stroke or other life threatening condition, dial 111.
Immediate problems
If you need to be seen immediately, e.g for a fracture or laceration, just come to the surgery – if possible phone to let us know you are coming.
Same day problems
If you feel you need to be seen that day we will always fit you in, though we may only have time to deal with your immediate problem. The nurse will make an initial assessment and you will then normally be seen by your usual doctor.
If you are acutely unwell please ring the surgery and ask to speak to the nurse who will make arrangements for you to be ushered to a room as soon as you arrive.
Home visits
Can be arranged if you are too unwell to attend the surgery. Please phone and speak to a nurse as early in the day as possible.
We undertake:
IV antibiotic therapy for infection, such as pneumonia or cellulitis
Urinary catheterisation
Instituting anticoagulation for DVT
Instituting anticoagulation for atrial fibrillation
Accidents and Wound Care
Minor fractures, lacerations and sprains
We are available promptly. If you need to be seen immediately, for example with a laceration, just come to the surgery – if possible phone to let us know you are coming.
Post-surgery care on discharge from hospital
Wound management
With the high proportion of elderly patients in Kapiti, our nurses are especially skilled in wound care management, including compression bandaging of leg wounds and ulcers. We can assess circulation in the legs with Doppler ultrasound.
Compression stockings
When leg wounds are healed we can assess suitability for and fit compression stockings.
Nursing Services
Procedures
Ear syringing
Cryotherapy (Liquid Nitrogen to warts and sun damaged skin)
Punch biopsy (sampling of possible skin cancers and rashes for analysis)
ECGs
Spirometry (lung function test)
Urinalysis
Spirometry
Audiometry
Tympanometry (middle ear function test)
Pregnancy tests
Immunisation
Child immunisation
Travel immunisation & advice
Flu immunisation (free for 65 and over and for those with diabetes, heart or chest conditions and certain other groups)
Pregnancy immunisations for flu and whooping cough (free)
Other adult immunisations (including shingles and pneumococcus)
All Nurses are certified vaccinators
Wound care
Wound management & dressings
Post surgery checks and removal of sutures
Compression bandaging of leg ulcers
Fitting compression stockings
Lifestyle advice
Diet
Exercise
Smoking cessation support (with or without medication)
Cardiovascular risk assessment
Weight management
Alcohol and drug issues
Assessment of care and welfare for elderly and infirm
Home help, meals, personal care, respite care, mobility aids,
continence, impaired hearing, medical alarm, transport, financial assistance
Advice on managing long term conditions
Asthma
Eczema
Diabetes
High cholesterol
Heart failure
Skin Cancer and other Lesions
The practice has a special interest in skin cancer surgery (over 3500 cases)
Skin cancer checks
Skin photography
including dermoscopy (photography under high magnification)
Cryotherapy
(freezing of warts and sun damaged skin)
Electrosurgery
(removal of benign skin lesions with diathermy)
Punch biopsy
(sampling of possible skin cancers for analysis)
In-growing toenail surgery
Sebaceous cysts
Warts
Travel Health
Detailed travel risk assessment
depending on destination
Oral and written advice
tailored to your destination
A travel medication “kit”
Immunisation and malaria prophylaxis
(Please note we don’t offer Yellow Fever vaccination)
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If you are planning to travel overseas, try to give us at least one month’s notice (some immunisations take time to work). Phone the surgery for a Travel Health Consultation with the nurse.
We will get you to fill in a questionnaire about your travel plans and immunisation history; it would be helpful if you could download the questionnaire now and bring the completed form with you.
Also, before you come to your consultation, go to www.fitfortravel.nhs.uk and for each country you will be visiting, check the Malaria Map. Note whether you will be visiting any High Risk or Low Risk areas.
If you need any other information about travel health we recommend www.fitfortravel.nhs.uk.
Medicals
Driver’s medicals
Occupational
Elderly
Insurance medicals
Pre-employment medicals
Practical procedures and equipment
Treatment
Skin surgery
over 3500 cases
Joint and other steroid injections
Shoulder
Tennis elbow
Carpal tunnel
Wrist and hand
Trigger finger
Trochanteric bursitis
Knee
Plantar fasciitis
Electrosurgery
Removal of benign skin lesions with diathermy
Wedge resection of in-growing toenails
Diagnosis
ECG
Home BP monitoring
Event monitor
Portable ECG to capture and analyse episodes of palpitations
Spirometry
Lung function testing
Oximetry
Checking blood oxygen in respiratory illness
Audiology
Tympanometry
Checking for glue ear and Eustachian dysfunction
Ultraviolet examination of cornea
Checking for ulcers and foreign bodies
Dermoscopy
Photography of skin lesions under high magnification
Pipelle biopsy
Sampling tissue from the uterus
Punch biopsy
Sampling suspicious skin lesions
Sigmoidoscopy
Examination of the lower bowel
Ultrasound measurement of circulation in the legs
Assessment of leg ulcers