Practice Leaflet> - Guildford and Waverley CCG

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Churchill Medical Group

Churchill Clinic

94 Churchill Ave

Chatham Kent, ME5 0DL

Telephone: 01634 842397

Website www.churchillclinic.com

When the surgery is closed call 01634 891855

Welcome to our website.

The Churchill Clinic in Chatham

Allington & Lockmeadow Clinics in Maidstone

We are a family run group dedicated to a high standard of patient care and providing the best service for our patients as possible. Over the past 20 years we have expanded our range of services that we provide and our clinics. You can find out more about these on this website. Please click on the tabs to navigate around the site.

This web guide contains useful information about how to get the most from a visit to your surgery.

Equality and Diversity

We pride ourselves on providing healthcare for all sections of society and we are actively registering new patients at all our clinics.

Our premises have suitable access for disabled persons and car parking facilities available at the

Churchill & Allington surgery premises.

Opening Times

All our clinics operate the following opening times:

Morning

Monday 08:00 - 12:00

Tuesday

Wednesday

08:00 - 12:00

08:00 - 12:00

Afternoon

14:30 - 18:30

14:30 - 18:30

14:30 - 18:30

Thursday

Friday

Weekend

08:00 - 12:00

08:00 - 12:00 closed

14:30 - 18:30

14:30 - 18:30 closed

When We Are Closed

Churchill Clinic...

Our out of hours Telephone calls and emergency doctor service at present is contracted out to

MedOCC (Medway Doctors On Call) 18:30 - 08:00 Tel: 01634 891855

Allington & Lockmeadow Clinics

Our out of hours Telephone calls and emergency doctor service at present is contracted out to

MAIDOC Maidstone Doctors on Call 18:30 - 08:00 Tel 08451 552255

All clinics lunch time closure 12:00 - 14:30 call 01634 832678.

Please phone for urgent EMERGENCIES. This is not a free NHS Service but funded by local doctors.

Each call, home or base consultation, nurse or doctor advice undertaken by the service is charged to the practice. Any misuse of the service will inevitably result in removal of the patient from

NHS service list of our practice. But you have a right to register with another practice.

If we are closed our recorded message will inform you which number to ring at the time.

NHS Direct

In the case of urgent need when the practice is closed you can call NHS Direct

(www.nhsdirect.nhs.uk/) (0845 4647) to speak to a triage nurse. Your needs will be assessed and advice offered or arrangements made for you to see a doctor.

Please do not ask to see a doctor out of hours unless you genuinely cannot wait until the surgery re-opens.

Call 999 in an emergency. Chest pains and / or shortness of breath constitute an emergency.

Doctor Consultation

An appointment system is in operation in our surgery. This is allows the doctor to have his time scheduled to five each patient he specialized individual attention that he or she needs. URGENT cases will always be accommodated or referred to the appropriate facility.

Unforeseen events like this well no doubt cause some delay for some patients with appointments who may have to wait a little longer, as those others who require immediate attention are worked into the schedule. We ask your co-operation and understanding in this matter.

If you cannot keep your appointment

If for any reason your are unable to keep your scheduled appointment, please call our office in advance so that your time may be given to another patient who needs to see the doctor

Home Visits

If possible please try to telephone reception before 10am if you require a home visit.

A doctor or nurse may phone you back as it may be that your problem can be dealt with by telephone advice, or that it would be more appropriate to send a nurse, or indeed arrange a hospital attendance.

House visits are only available for patients who are housebound because of illness or disability.

Please remember that several patients can be seen in the practice in the time that it takes to make one home visit. There are also better facilities for examining and treating patients at the Health

Centre.

Telephone Advice

While the doctor is busy seeing patients, it is not always possible for the doctor to answer questions over the phone. For this reason our staff are well trained and capable to handle most routine calls. Any staff member will gladly help you to make an appointment or answer your question regarding medication, treatment or test results.

Please be courteous to them as they are interested in your well being as much as you are. If they cannot answer your question they will consult the doctor or nurse and get back to you with an answer or advise you to call back at a less busy time when the doctor is more likely to be free to talk to you.

Test Results

Please call between 4pm and 5pm to enquire about your test results as our reception staff will have more time to deal with your request between these times.

Note that the practice has a strict policy regarding confidentiality and data protection and we will only release test results to the person to whom they relate unless that person has given prior permission for the release of this data or they are not capable of understanding the results.

When you take your test you will be told how long it will be before the results are returned to the practice.

It is your responsibility to check your results and to make an appointment to discuss them with your doctor if your are advised to do so.

Repeat Prescriptions

If your are on a regular treatment, your doctor may give you a repeat prescription card which will enable you to obtain prescriptions without seeing your doctor every time.

You can request a repeat prescription - in person / by writing / with a repeat prescription card. In order to avoid mistakes and keep the phone free for people ringing for appointments and emergencies, we do not accept repeat prescriptions. These repeat prescriptions will not normally be given longer than 4 weeks.

It is advisable for you to see the doctor from time to time if you are on regular medications.

Please refrain from asking the doctor to write repeat prescriptions during the consultation with the doctor. Please send a SAE if you are not collecting these prescriptions in person.

Prescriptions Charges and Exemptions

Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs).

The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.

NHS charges

From 1 April 2009, the charges are:

Prescription (per item): £7.20

12-month prepayment certificate (PPC): £104.00

3-month PPC: £28.25

If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC. The charge for a single prescription item is £7.20, whereas a three month PPC will cost you £28.25 and a 12 month PPC £104.00.

 Telephone advice and order line 0845 850 0030

 General Public - Buy or Renew a PPC On-line

There is further information about prescription exemptions and fees on the NHS website

(www.nhs.uk/NHSEngland/Healthcosts/Pages/Prescriptioncosts.aspx)

Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed.

Any problems please telephone the surgery.

NHS Services

Our NHS Services Include

 Fully Comprehensive GP Services For Registered Patients

 Contraception & Family Planning, including Depot Injection/Implanon/Mirena Coil.

Travel Vaccinations

 Childhood Immunisations

Nurse led chronic disease clinics

 Minor Operations

Non-NHS Services

Non-NHS Services

Open to all including patients registered at the practice.

All Purpose Full Medicals

We carry out comprehensive fitness medical examinations for the purposes of employment, insurance, sports,

HGV/PSV vehicle licensing etc.

Sickness Certificates & Letters

Sickness Certificates to employers and any purpose letters other than hospital referrals attracts a charges even if you are registered as NHS patient. The practice displays these charges in the waiting room

Family Planning, Vasectomy & Hormone Implants

A comprehensive Family Planning Service is available within normal surgery hours.

Coil fitting, caps, implanon etc are done special arrangement under NHS or Privately.

The practice also undertakes Vasectomy operations by private arrangements.

Oestrogen, Testosterone Implants are also done for Libido,

Erectile Improvement.

Wellman & Wellwoman Health Clinics

Our practice also runs Well Woman / Clinics to promote healthier living and to prevent conditions such as obesity, heart disease & Diabetes.

The clinics are operated by appointment by specially trained

Medical Professionals.

Private Services

Private Services

 Private Doctor Consultations

 Wellman & Wellwoman Health Screens

Womens Health & Family Planning

 Menopause, Andropause & Sexual Dysfunction

Vasectomy

 DVT Screens & Sclerotherapy For Veins

Yellow Fever & Travel Vaccines

All Purpose Full Medicals/HGV/PSV

 Allergy Blood Testing

Aesthetic Services

 See http://aestheticface.co.uk/ (aestheticface.co.uk/)

 Photo rejuvenation For Younger Looks

Laser Treatments For Pigments & Age Spots

 Laser For Acne & Acne Scarring

Cosmetic Botox, For Wrinkle Reduction

 Restylene & Juvederm Facial Fillers

 Laser Hair Removal For All Types of Skin

Test Results

Test Results

Please call between 4pm and 5pm to enquire about your test results as our reception staff will have more time to deal with your request between these times.

Note that the practice has a strict policy regarding confidentiality and data protection and we will only release test results to the person to whom they relate unless that person has given prior permission for the release of this data or they are not capable of understanding the results.

When you take your test you will be told how long it will be before the results are returned to the practice.

It is your responsibility to check your results and to make an appointment to discuss them with your doctor if your are advised to do so.

Dermal Fillers

Facial Contour

Over the years your skin becomes thinner, loses its elasticity and its full, firm youthful appearance starts to wrinkle. This is a result of the natural ageing process or damage caused by the sun, smoking or excessive consumption of alcohol. Fat tissue which helps to fill out your face is lost. This reduction in skin volume can make your face look thin and narrow which may result in you looking older than you are.

Naturally, we all want to look young and maintain our age. Up until now, if you wanted to significantly reshape and re-sculpt your face – most notably the chin or cheeks that have become hollow as a result of ageing – implants or fat transplant by surgical means were the only option.

However, not many of us want to change the way we look through surgery but just want to slow down the ageing process.

Fortunately, the newer natural collagen fillers, involving minimally invasive needle procedures and carried out by medical aesthetic practitioners, can be the perfect solution to taking years off your age. This can help to rediscover sexy cheekbones and restore smooth plumped-up skin to revitalise your appearance without resorting to the surgeon’s knife. Facial fillers have now become the modern artistry of cosmetic physicians who redefine the face and enhance the cheeks, creating a more sculpted look and the much desired “triangle-shaped” face.

Unlike surgical options, injectable collagens can either provide gradual or instant natural-looking results through less invasive treatments. The most common side effects of the use of injectables include side effects at the site of the injection(s) such as bleeding, tenderness or pain, redness, bruising or swelling. These effects generally last, on average, 2-6 days.

Tattoo Removal

Tattoo Removal

A tattoo used to be a permanent and irreversible adornment to one's skin. However, in recent years new lasers have been developed for safe and effective way to successfully remove unwanted tattoos.

Patients request removal of a tattoo for a variety of reasons — social, cultural or physical. Some patients develop an allergic reaction to a tattoo several years after the initial application.

Because each tattoo is unique, removal techniques must be tailored to suit each individual case.

For instance, professionally applied tattoos tend to penetrate the deeper layers of the skin at uniform levels. Homemade tattoos are often applied with an uneven hand and their removal may be more difficult. Deeper blue and black ink colors are particularly difficult to remove.

Professional tattoos made with some of the newer inks and pastel colors may also be difficult to remove entirely.

Removing Tattoos

Early methods of tatto removal were less successful. surgery,acid injection, dermabrasion and skin grafting can be painful and often leave a scar in place of the original tattoo .

Can Tattoos be removed without scarring?

Now, usung latest the latest laser technology both single coloured and multicoloured tattos can be removed safely and effectively forever without scarring. By directing a specially chosen laser light at the unwanted colours it is possible , througha process known as selective photothermolysis to treat the unwanted coloured inks without affecting any of the surrounding skin. Lasers have become the standard treatment because they offer a "bloodless," low risk, highly effective approach with minimal side effects. The type of laser used generally depends upon the pigment colors. In many cases, multiple treatments may be required.

How does laser treatment work?

The laser light is directed at the unwanted tattoo pigment in a series of pulses. Laser energy rapidly heats up the unwanted coloured pigment , shattering the ink into much smaller particles.

These particles are small enough for body to naturally disperse them, causing tattoo to fade away.

How many treatments will I need?

As every individual tattoo is different, the number of treatments will vary from person to person.

The colour, depth, age and size of the tatto and skin colour will all affectthe length and amount of treatment each individual will need. treatments are done four weekly to allow body to remove the maximum amount of tattoo pigment. the tattoo will continue to fade over the course of several treatment sessions

Are there side effects or comlications?

Side effects are generally minor, but may include skin discoloration at the treatment site, infection of the tattoo site, lack of complete pigment removal, or some scarring. A raised or thickened scar may appear three to six months after the tattoo is removed

Contact Us

Contact Us

.

For all enquiries or to make initial consultation call us on 08456 019982

Photo Rejuvenation

Photo Rejuvenation

IPL photo rejuvenation is a non-invasive treatment that erases skin damage without disruption of the skin’s surface, with minimal risk and perhaps most importantly, no “downtime”

How is the Photo Rejuvenation Procedure performed?

A cold gel is usually applied to the area to be treated. An intense light is applied in a series of gentle pulses over the treatment area. You might feel a slight sting, like the snapping of a small rubber band. Without damaging the skin, the light penetrates through the skin and is absorbed by abnormally dilated vessels or pigmentation. The heat causes the damage to the vessel or breaks down the pigment, and body begins its natural healing process. Each treatment takes about twenty minutes depending upon the area to be treated and can be carried out as frequently as every three weeks.

How many Treatments will I need?

For optimal results, a series of three to five treatments are recommended. Follow-up treatments may be desired once a year to maintain results. The same treatment can be used effectively on the neck, the chest and the hands.

What are the benefits of Photo Rejuvenation?

Treatment Improves sun spots, age spots, dull complexions, uneven pigmentation and large pores. Visible signs of ageing get diminished along with flushing of the skin, broken capillaries and rosacea. Skin gets revitalised, become smoother and even toned. To achieve superior cosmetic enhancements of the face photo rejuvenation can be done soon after microdermabrasion followed on from a mild chemical peel.

Are there any possible side effects?

Side effects are rare. Immediately following the treatment, the skin may appear flushed, brown pigmented spots may appear darker, and capillaries may be more visible. In rare instances, temporary swelling or blistering can occur. In order to minimise such unforeseen side effects it is advisable to apply cool compression and continue to use recommended recovery cream and moisturiser with sun protective factor cream between the treatments.

Laser

What is a Laser?

Laser stands for Light Amplification by the Stimulated Emission of Radiation. Lasers work by producing an intense beam of bright light that travels in one direction. The laser beam can cut, seal or vaporize skin tissue and blood vessels. The laser has the unique ability to produce one specific color (wavelength) of light that can be varied in its intensity and pulse duration.

Ordinary light from non-laser sources is composed of many different colors and appears white.

This broad spectrum of light can also be pulsed to a specific duration and varied in intensity as well as the exact range of wavelengths. This allows broad spectrum Intense Pulsed Light (IPL) the ability to specifically treat blood vessels and pigmentation.

The wavelength and power output of a particular laser or IPL typically determines its medical application. When the laser or IPL light is directed at skin tissue, its light energy is absorbed by

water or pigments found in the skin. Water is found in large amounts in all living cells. Pigments of the skin include hemoglobin, a protein that makes blood red, and melanin, the tan or browncolored pigment. All three targets absorb laser light of different colors.

WHAT ARE THE BENEFITS OF LASER AND/OR IPL TREATMENTS?

Lasers may offer you and your therapist the following general benefits:

 Improved therapeutic results

 Reduced risk of infection

"Bloodless" aesthesity

 An alternative to traditional scalpel surgery, in some cases

Less scarring, in most cases

 Precisely controlled tecniques, which limits injury to normal skin

 Safe and effective same-day treatments for many skin conditions

WHAT TYPE OF LASER OR IPL SHOULD BE USED?

Different types of lasers and IPL are used to treat a variety of skin conditions, birthmarks and growths and cosmetic complaints. Presently, no single laser or IPL is capable of treating all skin conditions, but certain lasers can be tuned to a variety of colors of light or coupled to a robotized scanning device to expand their clinical effectiveness. Your therapist will carefully evaluate your individual condition and suggest the appropriate type of laser and/or IPL system to achieve the best results.

WHO IS QUALIFIED TO PERFORM LASER AND/OR IPL THERAPY?

Experts in skin care, doctors, therapists who have have extensive training and experience with laser and IPL.

WHAT ARE THE COMMON LASERS AND IPL USED IN

NORMAL PRACTICE

CARBON DIOXIDE (CO2) LASER

The CO2 laser system can be used in several ways: "focused" for cutting skin without bleeding;

"defocused" for superficially vaporizing skin; and "ultra pulsed" for facial resurfacing. By delivering very powerful, rapid pulsing or scanning of the latest generation of CO2 lasers, dermasurgeons are able to resurface the skin for cosmetic improvement. This technique removes fine lines and wrinkles of the face, smoothes acne scars, and rejuvenates aging and sun-damaged skin as it contours the skin surface.

When the CO2 laser's energy is defocused and not continuous (pulsed), the doctors can treat warts, shallow tumors and certain precancerous conditions.

When the CO2 laser energy is continuous and focused into a small spot of light, the beam is able to cut the skin. It is used in this way to remove skin cancers, to treat a variety of nonvascular and

pigmented lesions and for eyelid operations. This technique is also used to remove warts and for some surgical incisions.

ERBIUM (ER):YAG LASER

The high-powered erbium:YAG (Er:YAG) laser produces energy in a wavelength that gently penetrates the skin, is readily absorbed by water and scatters the heat effects of the laser light.

These properties enable dermasurgeons to remove thin layers of aged and sun-damaged skin tissue with exquisite precision while protecting healthy surrounding tissue.

The Er:YAG laser is commonly used for skin resurfacing to improve moderate facial wrinkles, mild surface scars or splotchy skin discolorations. Newer Er:YAG lasers have an extended pulse duration that allows them to act in a similar manner to the CO2 laser. Your therapist is best able to determine which of these lasers, alone or in combination, are best suited to correct your specific concern.

YELLOW LIGHT LASERS

Through the use of an organic dye, short pulses of yellow-colored light are produced. A popular yellow light laser is the pulsed dye laser. Because yellow light is more precisely absorbed by the hemoglobin than other colors, these lasers are effective in the treatment of blood vessel disorders, such as port wine stains, red birthmarks, enlarged blood vessels, rosacea, hemangiomas and red-nose syndrome. Certain yellow light lasers may also be used to treat stretch marks and are safe and effective for infants and children. The krypton and Nd:YAG lasers are dual light systems. The uses of the yellow light are similar to those already described.

The green light, in contrast, is used for the treatment of benign brown pigmented lesions, such as café-au-lait spots, the "old age" spots commonly found on the backs of the hands and lentigines or freckles. Green light lasers are also used for the treatment of small blood vessels on the face and legs.

OTHER LASERS

THE Q-SWITCHED NEODYMIUM YAG (ND: YAG)

Delivering infrared light, it is used to remove tattoos and deep dermal pigmented lesions, such as nevus of Ota. This laser can also be tuned to produce a green light for the treatment of superficial pigmented lesions like brown spots, as well as orange-red tattoos.

KTP

The KTP emits a green light and is capable of treating certain red and brown pigmented lesions.

When the pulse duration is lengthened, the Nd:YAG laser is also effective in removing hair and an inflammatory condition termed pseudofolliculitis barbae for months and sometimes permanently. This is particularly useful in the treatment of dark-skinned patients.

NEW TECHNOLOGIES: NON-ABLATIVE LASERS AND LIGHT SOURCES

Instead of heating and removing the top skin tissue, non-ablative (non-wounding) lasers work beneath the surface skin layer to improve skin tone and texture and minimize fine lines with few side effects and a speedy recovery. Light-based devices that produce a broad spectrum of light

(wavelengths) with computer-controlled parameters of energy delivery (Intense Pulsed Light, or

IPL) can be adjusted according to a patient's skin type and condition. This technology is primarily used for the treatment of benign red and brown lesions, hair removal and facial skin rejuvenation.

OTHER APPLICATIONS: HAIR REMOVAL AND LEG VEINS

Laser technology is presently being utilized for efficient and long-lasting body hair removal. The laser energy causes thermal injury to the hair follicle, stunting hair growth. Several laser hairremoval systems, including the diode laser, the long-pulsed alexandrite and Nd:YAG lasers and the IPL, are being used successfully with long-lasting results.

Until recently, lasers were used primarily for superficial facial veins. Thanks to the newest technologies, leg veins may be effectively treated with a variety of lasers and intense pulsed light systems

Introduction

CMG Lifecare

Headed by Dr. Ravi Vibhuti, CMG Lifecare is able to provide the latest cosmetic treatments.

Once the domain of Harley Street, these treatments are now available in Medway & Maidstone in Kent and at affordable prices.

Our clinic is fully equipped, and staffed with experienced, qualified practitioners. We offer advanced laser, microderabrasion and chemical peel treatments and we can offer a fast, minimal risk solutions for a clearer and healthier looking skin.

Conditions, such as acne scarring, varicose veins, wrinkles, blemishes, sun damage, birthmarks, and... much, much more, are easily treated.

If you are considering skincare treatment and would like to know more please contact our laser therapist for a free consultation. We are committed to the highest standards of care and treatment.

Alternatively, if you are just browsing, please feel free to search our pages. There is a wealth of information relating to all of our skincare treatments.

If you would like to know more then contact us by phone or email.

Our team are friendly and knowledgeable. Our aim is to identify your problem and suggest the best possible solution to rectify it in a most cost effective way.

Remember – we are just a phone call away. 0845 6019982

Dr. Ravi Vibhuti is an experienced general practitioner and cosmetic physician.

Beautician

Kat

Tel : 0845 6019982

Member of the Guild of Professional Beauty Therapists MGPBT

Laser training & education, mapperley park, Nottingham.

Practical and theoretical training, Polaris medical Ltd

Laser hair removal IPL & Nd Yag. Core of Knowledge national minimum standards CSA 2000

Practical & Theoretical aspects of the Quantum SR/HR/DL/QS system.

Polaris medical Ltd microdermabrasion.

Skin Ceuticals and product knowledge. / Nueskin oxgen and led light therapy.

Certificate of completion skin research Jan Marini / Jan Marini Glycolic peels.

Useful Links

 http://www.aestheticface.co.uk

Department of Health website

(www.aestheticface.co.uk) CMG Lifecare

(www.dh.gov.uk/en/policyandguidance) - Policy and

Guidence

Cosmetic Doctors: (www.cosmeticdoctors.co.uk/) - Independent medical cosmetic advice

British Medical Laser Association (www.bmla.co.uk/)

 The Restylane website (www.restylane.co.uk/)

Botox information site (www.botox.com/)

Sculptra information website (www.sculptra.co.uk/)

Radiesse informaton website (www.radiesse.com/worldwide)

 Laser Treatments (www.lumenis.com)

Laser Practioner Finder (www.skinandhealth.com)

Staff Details

Doctors

Dr Ravi Vibhuti MBBS T (GP)

General Physician, Surgeon & Aesthetic Medical Practitioner

Graduated in Karnataka University, India.

General Practice Specialist Training in UK

Accredited for Minor Operations -Medway PCT

Marie Stope Trained Vasectomy Surgeon

West Kent Obstetric List

Family Planning /IUCD Certificate

West Kent Child Surveillance List

Aesthetic Medical Training - London & Paris

Trained in Laser Treatments

Medical Memberships

CME Medway Post Graduate Centre

British Medical Association

Medical Protection Society

General Medical Council

Member British Association of Cosmetic Doctors

British Medical Laser Association

Dr Mayur Vibhuti MBBS(Lon) BSc(Hons) MRCGP

GP Partner

Medway GP Programme Director

Dr Rebecca

Seldon

Dr Sajith Philipose

MBBS MRCGP DFRSH DRCOG(Loc implant insertion/removal)

Interest in women's health.

Nurses

Nurse Parin Anderson

Healthcare Assistants

RGN

Mrs Sandra Gadd

Ms Kat Yeh

Practice Management

Ms Yvonne Edison

Administration

Alison Levick

Practice Manager

Administrator

QoF Manager Ms Lynn Smith

Reception

Mrs Sandra Gadd

Ms Sue Smith

Ms Anita Hodge

Mrs Valerie Joyce

Ms Lynne Clark

Ms Krystel Stephenson

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