These are run by the Community Midwives. If you are pregnant and have not yet been seen by a Midwife, please inform the Reception Staff. We now run daily postnatal clinics at Truro Health Park where the Midwives see the majority of new mums and babies. On the first day after discharge a Midwife will contact the family to ascertain if a home visit or an appointment at Truro Health Park is needed.
The midwives see newly pregnant women at around 8-9 weeks of pregnancy, this will plan the appointments including scans for the remainder of the pregnancy. Midwives are attached to a surgery and this is to ensure as much as possible continuity in seeing the same Midwife up to delivery. Your Midwife will discuss with you where you would like to have your baby, dependant upon your health and past pregnancies; alternatives include Treliske Hospital, Penrice Birth Centre (St. Austell) or a home birth. When you have had your baby post natal visits are mostly within the clinics at Truro Health Park, unless you are not well enough to attend.
The midwifery team run antenatal preparation classes to prepare you for your birthing experience.
We also have maternity support workers in the midwifery team who can visit at home or see you at the Health Park.They provide breast feeding advice and newborn baby care support.
To book an appointment please call: 01872 243700
Midwives Office: 01872 221 420
CHRONIC DISEASE MONITORING
If you are on medication for heart disease, thyroid problems or have had a history of stroke, your blood pressure and cholesterol levels should be checked annually. If you are on medication for hypertension, your blood pressure should be checked at least once every six months. Our Practice Nurses run special screening clinics. If you suffer from Asthma or Diabetes, there are dedicated nurse clinics to review your condition at least annually. A new government initiative suggests that patients with Rheumatoid Arthritis should be reviewed annually at the surgery.
Routine physical checks (blood pressure, urinalysis etc) are available with the Practice Nurse. For more detailed advice on health matters, ask for a Lifestyle Clinic appointment. Click on the picture above to be directed to Health Promotion Cornwall.
Exercise poster - click here >>Exercise Leaflet
For children at 2,3 and 4 months, MMR at 13 months and pre-school boosters are available in twice weekly nurse clinics. Adult vaccinations for tetanus are done by the practice nurse.
Please consult your doctor first for an assessment. If your doctor feels that you need minor surgery you will be placed on a short waiting list and this will be performed at the practice. Some minor surgery procedures require referral to the hospital due the size or location of the problem.
Our Practice Nurses run a general session every day by appointment at Lander Medical Practice, and Monday mornings and Thursday mornings at Threemilestone, to deal with managing minor illnesses, wounds, injuries, dressings, removal of stitches and ear syringing.
They are supported by two Health Care Assistants who have clinics (Mon-Friday mornings and Wednesday and Friday afternoons at Lander Medical Practice, Monday and Wednesday mornings at Threemilestone) to take bloods, perform routine ECGs and blood pressure monitoring.
If you are travelling, we will ask that you check with your travel agent or look on an appropriate website to find out what travel vaccinations you will require. If you require Typhoid, Hepatitis A & B (Twinrix) or a tetanus booster, you can book in with the Nurse for these immunisations. We also provide Yellow Fever as a private vaccination which will incur a change. For all other travel vaccinations you are advised to visit a Travel Clinic Centre.
Information about countries and vaccinations required can be found on the links below:
It is important to make the initial appointment as early as possible, even if you think it is too early - we suggest at least six weeks before departure.
Hepatitis B: GPs are not obliged to provide the hepatitis B vaccine on the NHS if you're not thought to be at risk (source: NHS Choices Website)
This Practice has a policy to make a charge for the vaccine if you want it as a travel vaccine, or we may refer you to a travel clinic so you can get vaccinated privately. The current cost of the vaccine given at this practice is £25 per vaccine.
Warts are usually harmless, but may be unsightly. Warts on the feet are called verrucas and are sometimes painful. Warts and verrucas usually clear in time without treatment. If required, they can often be cleared more quickly with treatment. For example, by applying salicylic acid, or by freezing with liquid nitrogen or a cold spray, or by covering with tape
What are warts and verrucas?
Warts are small rough lumps on the skin. They are caused by a virus (human papilloma virus) which causes a reaction in the skin. Warts can occur anywhere on the body but occur most commonly on hands and feet. They range in size from 1mm to over 1cm. Sometimes only one or two warts develop. Sometimes several occur in the same area of skin. The shape and size of warts vary, and they are sometimes classed by how they look. For example: 'common warts', 'plane (flat) warts', 'filiform (finger-like) warts', 'mosaic warts', etc.
Verrucas are warts that occur on the soles of the feet. They are the same as warts on any other part of the body. However, they may look flatter as they tend to get 'trodden in'.
Note: anal and genital warts are different and are dealt with in a separate leaflet. Please enquire regarding this.
Who gets warts and verrucas and are they harmful?
Most people develop one or more warts at some time in their life, usually before the age of 20. About 1 in 10 people in the UK have warts at any one time. They are not usually harmful. Sometimes verrucas are painful if they press on a sensitive part of the foot. Some people find their warts unsightly. Warts at the end of fingers may interfere with fine tasks.
Are warts contagious?
Yes, but the risk of passing them on to others is low. You need close skin-to-skin contact. You are more at risk of being infected if your skin is damaged, or if it is wet and macerated, and in contact with roughened surfaces ie in swimming pools and communal washing areas. You can also spread the wart virus to other areas of your body. For example, warts may spread round the nails, lips, and surrounding skin if you bite warts on your fingers, or nearby nails, or if you suck fingers with warts on. If you have a poor immune system you may develop lots of warts which are difficult to clear. (For example, if you have AIDS, if you are on chemotherapy, etc.)
To reduce the chance of passing on warts to others:
Don't share towels.
When swimming, cover any wart or verruca with a waterproof plaster.
If you have a verruca, wear flip flops in communal shower rooms and don't share shoes or socks.
To reduce the chance of warts spreading to other areas of your body:
Don't scratch warts.
Don't bite nails or suck fingers that have warts.
If you have a verruca, change your socks daily
To treat or not to treat?
There is no need to treat warts if they are not causing you any problems. Without treatment, about 3 in 10 warts have gone within 10 weeks, and most warts will have gone within 1-2 years, and leave no scar. The chance that a wart will go is greatest in children and young people. Sometimes warts last longer. In particular, warts in older people are sometimes more persistent and may last for several years.
Treatment can often clear warts more quickly. However, treatments are time consuming and some can be painful. Parents often want treatment for their children, but children are often not bothered by warts. In most cases, simply waiting for them to go is usually the best thing to do.
What are the treatment options?
The three most commonly used treatments are:
Covering with duct tape.
Each of these is now discussed further
There are various lotions, paints, and special plasters that contain salicylic acid. You can buy these at pharmacies, or your doctor may prescribe one. Read the instructions in the packet on how to use the brand you buy or are prescribed, or ask your pharmacist for advice. Usually:
You need to apply each day for up to three months. This 'acid burns' off the top layer.
Every few days rub off the dead tissue from the top of the wart with emery paper (or similar). Gradually the wart is 'burnt off' and 'rubbed away'.
It is best if you soak the wart in water for 5-10 minutes before applying acid. You should not apply acid to the face because of the risk of skin irritation which may cause scarring.
If you have diabetes or poor circulation, you should use salicylic acid only on the advice of a doctor.
If you put the acid on correctly each day you have a good chance of clearing the warts within three months. Studies report that about 7-8 in 10 warts are cleared within three months with daily use of salicylic acid.
Tips for success include:
Try not to get the acid on the skin next to the wart as it may become irritated. You can protect the nearby skin by putting some Vaseline on the normal skin beforehand, or by putting on a plaster with a hole in it which just exposes the wart for treatment.
If the surrounding skin does become sore, stop the treatment for a few days until it settles. Then re-start treatment. There is also a small risk that you may get a skin allergy to the treatment. If this occurs, the surrounding skin becomes red and itchy.
It may take two weeks or more before you notice any improvement. It can take up to three months of daily applications for warts to go completely.
Treatment may work better if you put a plaster on the wart after applying the acid.
Acid lotions and paints are flammable. Keep them away from open fires and flames.
A recent study found that covering a wart with strong adhesive tape is likely to clear the wart within a month or two. (Duct tape was used in the study.) In this study, about 7 in 10 warts had cleared within two months with using duct tape. It may be worth a try as it is painless. However, further studies are needed to clarify the role of this treatment. The method described in the study was:
The wart was covered with duct tape for six days. If the tape fell off during this time a fresh piece of tape was put on.
After six days, the tape was removed and the wart soaked in warm water for five minutes. After drying it was then gently rubbed with an emery board or pumice stone to get rid of dead tissue from the top of the
The wart was then left uncovered overnight and duct tape put on again the next day.
Treatment was continued for up to two months. (Note: most warts that cleared with duct tape did so within 28 days.)
Some experts advise that you should not use duct tape on the face as in some people it can irritate the skin.
Other treatment options
A podiatrist or chiropodist can pare or rub down a verruca. This is often enough to ease any pain, even though part of the verruca may still remain.
If the above treatment options do not clear warts then other methods may be tried. There are various ways that can 'cut out' or 'burn' warts, but they are usually only done by specialists if other treatments have failed. Some treatments (such as laser treatment) are not available on the NHS to treat warts and verrucas.
What about swimming?
A child with warts or verrucas should go swimming as normal. Warts can be covered with waterproof plasters. A verruca can also be covered with a waterproof plaster but some people prefer to wear a special sock which you can buy from pharmacies. It is also a good idea to wear flip-flops when using communal showers as this may reduce the chance of catching or passing on virus particles from verrucas.
Updated April 2018