Under today's NHS structure, the way in which GP practices provide their services means that each service is divided into a different category. All GP's must provide essential services, however the range of additional and enhanced services that practices provide will differ. It works like this:
All GP practices are contracted to provide "essential services", that is the treatment for people who are unwell.
Old Machar Medical Practice also provide the following “additional services”:
● Child health surveillance, together with the Health Visiting team.
● Contraceptive services including general contraceptive advise, oral contraceptive pills, contraceptive injections and implant fitting, and IUCD (coil) insertion.
● Maternity services in the ante-natal and post-natal period, together with the midwives from the Aberdeen Maternity Hospital.
● Cervical smears.
● Occasional Cryotherapy Clinics for the freezing of various small skin lesions.
● Minor Surgery Clinics: for the removal of various small skin lesions.
Old Machar Medical Practice also hold contracts with NHS Grampian for the following “enhanced services”:
● Regular monitoring, by blood and urine tests, for patients on a range of drugs for arthritis and bowel problems.
● Regular monitoring, by blood tests for patients on warfarin.
● Annual comprehensive reviews for patients with heart disease.
● Annual comprehensive reviews for patients with diabetes.
● Alcohol screening
● Extended hours consulting for doctors and nurses
● Palliative care
● A methadone substitution programme for patients with drug abuse problems together with nurses from the Substance Misuse Service
● Minor Injuries assessment and treatment.
Responsibility for the following “devolved services” have been removed from practice control and are now provided by the Aberdeen City Health and Social Care Partnership or NHS Grampian:
● Routine immunisation of adults - including influenza, pneumococcal and shingles vaccinations.
● An annual flu immunisation programme to protect the elderly and other "at risk patients".
● Immunisation for adults in relation to travel. (NOTE: Not all travel immunisations are available on the NHS).
● Routine immunisation of children.
● Monitoring, by blood and/or urine tests and physical examinations, required for patients by specific hospital clinics - these will be performed at specified "hubs" outwith the practice.