Oak Street Medical Practice
General practice in the heart of the city

We run all our surgeries by an appointment only system.

To book an appointment, telephone the surgery on 01603 613431.  For urgent cases you can make an appointment on the same day by calling the surgery.  This is a sit and wait clinic where you could have to wait up to two hours depending on how busy we are.  However, you are usually seen sooner than this.

If you are too ill to come to the surgery and you require a visit at home, please call the surgery before 10am. Home visits take up much more of a doctor’s time than a consultation in the surgery, so if you are mobile please come into the surgery to be seen.

Repeat prescriptions

SystmOnline – click here

Email to oakstreet.practicenorwich@nhs.net

Postal requests.  Please enclose a SAE for return.

By hand in reception script box

Please note: we do not take prescription requests over the phone

Many chemists will offer a re-ordering system directly with them.

Please remember to allow two working days before coming to collect. (We have many requests and all have to be seen and signed by the doctor).

If you want your prescription to be posted to you we will need a  Stamped Addressed Envelope. Please allow 7 days.

For the first week of illness you can fill in a “self certificate” form SC2 obtained from your employer. If you are self-employed, you need form SC1 from us, the Post office or the DSS. Private certificates for the first few days of illness are available but there is a charge for these.  Please note Sickness Certificates cannot be made out for a future date.

To obtain your results please phone 01603 613431 after 10.00am. The doctors check your results before any information is relayed to you. For reasons of confidentiality we are unable to give test results to anyone other than the patient concerned unless the patient is a child.

Cervical smear results usually take about 6 weeks. You will receive the results in writing direct from the Screening Team

Midwife Clinic

Advice on pregnancy.

Time: Tuesday 14:00 – 17:00
 

Vasectomy Clinic

NHS and Private Patients welcome.

Time: Mondays and Thursdays by appointment only.

 

Minor Injury Clinic

The Surgery also provides a minor injury service.  This service is to give treatment for minor cuts, bruises and contusions, minor dislocation of fingers or toes, sprains and strains, splinters and other minor injuries.

If you have a minor injury call the surgery for an appointment.

As well as our practice, there are many other local NHS services you can contact for health advice, information or treatment.

Before you do, remember that you can treat many minor ailments such as colds, coughs and indigestion by keeping a well-stocked medicine cabinet at home.

We suggest you keep the following:

  • Paracetamol and aspirin (children under 16 and people with asthma should not take aspirin)
  • Mild laxatives
  • Anti-diarrhoeal medicines
  • Rehydration mixture
  • Indigestion remedy (for example, antacids)
  • Travel sickness tablets
  • Sunscreen – SPF15 or higher
  • Sunburn treatment (for example, calamine)
  • Tweezers and sharp scissors
  • A thermometer
  • A selection of plasters, non-absorbent cotton wool, elastic bandages and dressings

Remember:

  • Keep the medicine chest in a secure, locked place out of reach of small children
  • Always read the instructions and use the suggested dose
  • Watch expiry dates – don’t keep or use medicines past their sell-by date
  • Take all unwanted and out-of-date medicines back to the pharmacy

There is plenty of information to help you manage your health on the NHS Choices website.

The below link will take you to different sections of NHS Choices and you can look up information about different conditions and treatments using the A-Z.

https://www.nhs.uk/conditions/ 

The Norwich Vasectomy Clinic

Centrally located Vasectomy Clinic accomodating patients from within Norfolk.  Please find below information relating to the procedure and after care.  If you have any queries please contact the practice on 01603 613431.

Vasectomy Clinics are held on Mondays, Tuesday mornings and Thursdays, please contact the surgery for an appoint or “choose and book” via the website.  Thank You.

If you cannot find the answers to your questions on this website please call the Clinic our staff will be happy to help.
I have made my decision – what do I do next?

Who should consider a Vasectomy?

Vasectomy is the name given to the operation performed on a male which results in

  • Permanent 
  • Irreversible
  • Sterility

These 3 points are essential to understand because if you don’t want Permanent & Irreversible Sterility then a Vasectomy is not for you and you should make an appointment with your GP to discuss the other forms of contraception available.

Booking your appointment

To book an appointment or for further information please contact the practice on 01603 613431

Or Email the Vasectomy Team

Pre-Operation Information

Some men find the whole prospect of a vasectomy terrifying. This is very reasonable view of course since most men up until their vasectomy operation have spent their whole lives judiciously guarding their genitals from any kinds of hazards and trauma, and have usually been taunted by horror stories of vasectomy operations from well meaning friends!

However, forearmed is forewarned. If you are in any way worried about the operation then we would like you to ring us beforehand and either speak to the surgeon on the phone, or even come and see him for a chat and look around the operating theatre.

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That way you can ask him any questions you like and he should be able to allay all of your fears.

He has done so many of these operations that there will be no question he is not able to answer for you.

To prepare for the operation, please read the following instructions.  On the night before your vasectomy shave and trim your pubic hair as indicated in the diagram overleaf. Use scissors, warm soapy water and most important, a safety razor.

The aim of the trim and shave is to stop pubic hair getting into the operating area and more importantly the incision. This will help prevent infection.

The Trim
Use scissors to trim any pubic hair that could reach inside the circle drawn in the diagram. This will usually include hair around the base of your penis and hair that is on your scrotum but next to your thighs. You need only trim your hair to about 1 cm.

The Shave
Shave the front of your scrotum and penis with a safety razor in the area as shown in diagram.  On the morning of your operation, have a shower. No talcum powder please. Also please wear two supportive pairs of underpants or a pair of swimming trunks (not boxer shorts), as you will use these to keep the dressing  in place after the operation.

The Operation

The ‘No Touch, No Scalpel Vasectomy’ operation involves 2 essential parts:

Identifying the sperm carrying tubes (vas deferentia) that run from the testicles to the base of the bladder.
Blocking the tubes (vas deferentia).
Sperms are manufactured by the testes. They, travel along the vas tubes and are stored in little sacs called the seminal vesicles, near the prostate. From there, in ordinary circumstances, sperm are discharged during ejaculation, with fluid from the prostate gland, out of the penis. In this operation the vas tubes are first of all completely numbed using local anaesthetic.

Then a small 1cm cut is made in the middle of the skin on the front of the scrotum (ball-sac). Each tube is then identified, pulled through this hole, and then divided in half. Throughout the operation the surgeon will only touch your ‘insides’ with the sterilised equipment, and will use ‘electrical pen’ rather than a scalpel to do all the cutting. This is why the operation is called a ‘No Touch, No Scalpel Vasectomy’. Because of this post-operative complications from this procedure are very low.

The surgeon will explain everything as he goes along, and afterwards you will receive a drink, before being allowed to go home.  Please bear in mind, though, that some people feel a little “woozy” afterwards and it can be very helpful to have a friend or relative who can drive you home if necessary.

The whole procedure including counselling we estimate will take about an hour.

Before the operation you will receive counselling from our vasectomy nurse to make sure you understand everything about the operation, including the details of the procedure, and all the potential hazards and complications. This is important because we want to make sure that once you know and understand all this information, you will then be in a position to give us your informed, signed consent to proceed.

The operation itself should only take about 20 minutes. Only the doctor is present, however your wife/partner can be present if you wish.

Also, please bring a soothing piece of music of your choice (CD or Tape) if you would like to.  There is also quite a large car park adjoining the surgery.

Post Operation Information

Our advice would be to take the rest of the day off work and treat the next day at least as a rest day. If your operation is on a Thursday then we would recommend that you could restart an office job the following Monday, and a manual job (i.e. electrician or plumber) the following Wednesday.

Post-operative discomfort levels vary enormously, so you must proceed thereafter as you think fit!

Any Post-Operative Pain that you get shouldn’t be anything more than that which 2 paracetamol (500mg) four times per day should relieve. If the pain is anything more than that, and especially if it is worsening as time goes on, then we would like you to contact us direct. 01603 612300.

When am I sterile?

Sixteen weeks after the operation, hopefully you will have clocked up at least 50 or more ejaculations. This is about 3 – 4 per week and our ‘Love Log’ should help you keep tabs on things. At this time you will receive through the post a sample container together with instruction on how to do the sample and what to do with it afterwards.

This sample will tell you if the operation has been a success or not.

Every year we have several couples who, for whatever reason decide not to do this.

Of these, once every 2 – 3 years we then have couple returning to us for a re-op after an un-wanted pregnancy, so Please, Please, Please do this sample.

Vasectomy FAQ’s

How long is the waiting list?
Once we have received the referral from your GP your details are added to our Waiting List and appointments are then issued in referral date order.  The waiting times can vary so feel free to call Sian or Sarah for current timescales.

Private appointments are available at a time chosen by you.  Call for details.

What costs are involved?
There is no cost if you are referred by an NHS GP. The cost for a Private appointment Is currently £350.

Where will the procedure take place?
The procedure is carried out at the Oak Street Medical Practice by Dr Cooke on Mondays and Thursdays.

How long does the procedure take?
Firstly you have a consultation with a Nurse for approximately 20 minutes, where he/she will go through the procedure and answer any questions you may have.  The operation itself is approximately 20-30 minutes.

How long will I need off work?
This depends very much upon your type of work you do, for example, if you are office based (desk job) you should be able to return to work within 3-4 days.  A more manual/labour intensive worker may require 5-6 days with no strenuous work for approximately 2 weeks.

Will I experience much discomfort?
Full details are available to download – see “The Operation”, “Pre-Op Info” and “What you need to know!” sections above.

When will I be considered sterile?
Full information is available in our “When am I sterile?” section above.

When will I be able to resume Sex?
Basically, it is down to the individual and their recovery.

Is the procedure reversible?
This Vasectomy Operation is designed to produce Permanent, Irreversible Sterilisation.  For more information see……….

I have made my decision – what do I do next?

Make an appointment to see your own GP, he/she will discuss with you the pros and cons of this type of permanant contraception.  If you still wish to go ahead, your GP can then refer you to us.  It’s that simple!

The NHS does not pay for some of the services we provide. These include private sick notes, insurance forms, holiday cancellation forms, medical reports, fitness to travel certificates, private prescriptions, passport signing and some vaccination services. Our fees for these services, which are in line with BMA approved national guidelines, are displayed in the surgery. Payment by Cash or Cheque must be made on the day.

*Price

Simple Certificate of Fact - £20.00

Letters or Forms (ie Insurance, General GP Letters) - £30.00

  • Sickness/Accident claim forms
  • Passport forms/photo verification
  • Fitness to travel certificates
  • Medication letters to travel
  • Private sick note
  • Freedom from infection certificate
  • Holiday cancellation certificate
  • Extension letters for studies

Short Factual letters confirming Registration/Date of Birth - £15.00

Written Reports – short  £50.00 (fees may depend on whether there are accompanying forms)

Written Reports – medium £100.00 (fees may depend on whether there are accompanying forms)

Written Reports – long  £150.00 (fees may depend on whether there are accompanying forms)

Private Prescription Charges - £15.00

Private Medical Consultation – 30 minutes  £90.00

HGV, PSV, Taxi Driver Medicals -  £60.00

Travel Service

Hep B course (of 3)
£60.00

Heb B Booster
£20.00

Meningitis
£50.00

Rabies single vaccination
£53.00

Rabies course (of 3)
£159.00

Yellow Fever
£65.00

YF Exemption Certificate
£15.00

Duplicate YF Certificate
£15.00

Private Prescription for Malaria
£10.00

*Prices are current as at time of publishing.

IF THE SERVICE YOU REQUIRE IS NOT LISTED – PLEASE ENQUIRE.

Email the surgery – oakstreet.practicenorwich@nhs.net or bring in to reception.

 

Iceni

 

Needs Profiling of 0-19 Year olds: How your NHS records are used

 

This practice is taking part in a new NHS service that helps your GP to spot whether more help is needed to manage children’s health. The service is called “needs profiling”.

Using information from your health records, a secure NHS computer system will look at any recent treatments children have had in the community or at this surgery, and any existing health conditions that they have, and alert the doctor to the likelihood of a possible future hospital admission. This may include screening service and technologies that help us search all of our patient’s records to identify patients that would most benefit from a particular treatment, sometimes by linking the information we hold with information about you from other organisations providing your care. The clinical team at the surgery will use the information to help patients get early care and treatment where it is needed.

The information will be seen only by qualified health workers involved in your care. NHS security systems will protect your health information and patient confidentiality at all times.

If you don’t want your information being used in this way, or have any other concerns, please contact the Practice Manager.