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Counselling Clinic

Coming soon.

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Vasectomy

Please read the guidance regarding action to take post-vasectomy during the Government lockdown

Guidance Leaflet


Who provides the service?

NHS vasectomy clinics are held at Ashfields Primary Care Centre on Tuesday mornings.  The service is headed by Mr Simon Stubington, Consultant Urologist at Leighton Hospital.  Two of our doctors, Dr Rosson and Dr Gowda, also provide this service.

Who can refer to the service?

Clinic referrals are accepted from all practices within the South Cheshire CCG and Vale Royal CCG areas, therefore you must be registered with one of these surgeries prior to your GP’s referral.

How can I arrange a referral?

The consultation you have with your own doctor at your practice is the counselling process.  Your doctor will discuss the vasectomy procedure and answer any questions you may have.  If you are happy to continue with your request for a vasectomy, your referral will be made to Ashfields for the procedure..

During your consultation your doctor will provide you with written information.  This booklet provides more detail about the procedure, including post-vasectomy care and how to provide a sample.  If you do not receive any information from your doctor you can download a copy of the Vasectomy Patient Booklet.

How do I arrange the appointment?

Patients are responsible for arranging their own vasectomy appointment.  Details of how to make the appointment are in the booklet.  Please note: if you are employed in a heavily manual capacity (especially lifting) we recommend refraining from returning to work for the rest of the week.  If you work in an office or have light duties you should be able to return to work the following day.

What should I do on the day?

Your checklist:

  • Shave your scrotum (this reduces the risk of post-operative infection)
  • Make sure you have suitable painkillers available at home
  • Make a note of any questions you may still have
  • Have breakfast (it helps to avoid feeling faint during/immediately after the procedure
  • Wear supportive underwear

What happens afterwards?

Your checklist:

  • Take the specimen pot, form and instructions home
  • Submit you specimen sample at 12 weeks (please refer to the instructions)
  • Use alternative contraception until you receive a letter informing you that the procedure was successful.
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Upper Limb Clinic

Mr Waseem and Mr Fischer Consultant Orthopaedic Surgeons operate an out-reach clinic from the Macclesfield Spire Regency Hospital. Although a private hospital this is a fully commissioned NHS service at no cost to the patient.

Advantages:

  • Out patient clinics happen at Ashfields in Sandbach
  • Its a consultant led service.
  • The consultants involved also work in the NHS Macclesfield hospital which has a very high reputation.
  • As the Spire Regency doesnt take acute/trauma work the chances of operations being changed/cancelled are much lower.
  • The communication from Spire to us your GPs is excellent – which cant always be said of other providers.

Disadvantages:

  • Distance. Currently all investigations and operations take place in Macclesfield which is around 40 minutes away by car. Though there is adequate parking at the Regency Hospital.
  • Limitations. Because the Regency doesn’t have ITU facilities it cant operate on some higher risk patients with multiple co-morbidities.

Choice:

You are completely free to choose any provider of orthopaedic services including Leighton, Oswestry and North Staffs. The SandbachGPs host this service because we think it delivers a high quality service close to home and is right for some people.

Links:

See Mr Fisher’s website

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Ultrasound Clinic

Ashfields hosts a community non-obstetric ultrasound service (NOUS).  This service is provided by an experienced team of sonographers from Diagnostic Health Care.

Patients are referred to the service via the e-Referral System, which allows them to select an appointment of their own choosing.  Other benefits of the community-based clinic include:

  • Much shorter wait times
  • Faster reporting of the results
  • Reduced pressure on hospital clinics
  • No parking fees

There are conditions where patients will still be referred to the hospital for an ultrasound scan; these include:

  • Obstetric dating scans
  • Scans for soft tissue problems (breast, ganglions, thyroid, etc)
  • If a patient is under 18 years of age
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Treatment Room

Coming soon.

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Physiotherapy – Self Referral

Self refer to physio by completing the Self Refer to Physiotherapy Form. 

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Pharmacist Clinics

Our practice pharmacists run Chronic Disease Clinics – more info to follow.

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Neurology

Details to come.

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Minor Surgery Service

Details to come.

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Midwives

Details Coming soon.