Childhood Immunisation

This practice follows the national policy for childhood immunisation. Further information can be found on the NHS Immunisation Schedule website.

We have developed a short video “TB, BCG and your baby – video for parents and carers” that outlines the changes to neonatal BCG and who is now eligible.

Why vaccination is safe and important?

Watch a video of a GP answering a parent’s questions about vaccinations.

https://www.nhs.uk/conditions/vaccinations/why-vaccination-is-safe-and-important/

Vaccination tips for parents 

School Leaver Tetanus

If you have missed your school leaver tetanus shot, you can have it done at the surgery.

MenACWY Vaccine

Human Papilloma Virus (HPV) Vaccine

Human papilloma virus (HPV) is the name of a family of viruses that affect the skin and the moist membranes that line your body, such as those in your cervix, anus, mouth and throat. These membranes are called the mucosa.

The HPV vaccine has been offered to all girls and in school year 8 for over 10 years. Since September 2019, the vaccine has also been offered to year 8 boys.  This is because the evidence is clear the HPV vaccine helps protect both boys and girls from HPV-related cancers.

The programme is delivered largely through secondary schools, and consists of two doses that are given over a 6-12 month period. 

Please click this link for further information on HPV Leaflet on HPV vaccination

Travel Health Clinic

OUR TRAVEL HEALTH CLINIC IS CURRENTLY SUSPENDED DUE TO COVID-19 PANDEMIC. PLEASE ATTEND A PRIVATE TRAVEL CLINIC.

Travel Advice and Travel Vaccination (including yellow fever)

If these are required, we advise patients to book an appointment with our Practice Nurse.

PLEASE COMPLETE YOUR TRAVEL RISK ASSESSMENT FORM AND ARRANGE YOUR APPOINTMENT 6-8 WEEKS BEFORE YOUR DEPARTURE DATE.

Our travel service is only available to registered patients at the practice.

All patients are required to complete a travel risk assessment form prior to being offered an appointment. Once you submit your risk assessment form.

Travel Risk Assessment Form (RTF Word Document).

Patient’s contacting us with less than adequate notice of their intention to travel will not be seen at the practice for an appointment and will be advised to contact/attend a private travel clinic. You will only be offered a clinic appointment that is a minimum of 10-14 days prior to your departure date.

This is to ensure that any vaccines you need to receive can take effect. Any vaccines received after this time do not allow for sufficient time to produce antibodies against diseases from vaccination.

We regret that our Nurses are unable to routinely offer travel advice over the phone. Please use the Travel Health Pro website (https://travelhealthpro.org.uk/countries) to find out what vaccinations you may need and to research any travel risks associated with your travel destination. In regards to the schedule of which vaccinations are to be administered and how long vaccines last, please find further information here: https://www.nhs.uk/conditions/travel-vaccinations/.

Please note that our reception team are not clinically trained and will be unable to advise on what vaccinations you may need for your upcoming travel plans. Please consult a private travel clinic should you wish to discuss your upcoming travel plans prior to your booked appointment or if you are unable to be seen in the practice.

The surgery is an authorised yellow fever centre and provides a full range of travel requirements. Any charges that apply for immunisations compare favourably with other private travel clinics.

We would thoroughly recommend that all patients planning to travel outside the EU visit the NHS Fit for Travel (https://www.fitfortravel.nhs.uk/home.aspx) website, it contains a huge amount of useful information on immunisations and healthcare abroad.

We provide the following NHS Travel Vaccinations:

  • Hepatitis A (FREE)
  • Typhoid (FREE)
  • Diptheria/Tetanus/Polio (DTP) (FREE)
  • Measles/Mumps/Rubella (MMR) (FREE)
  • Yellow Fever / Yellow Fever certificate – Charge will apply

Note: Not all offered travel services at the practice are free of charge. Please click HERE to view the private charges for vaccination certificate prices and the private vaccines we offer at the practice.

We do not provide the following Private Travel Vaccinations:

  • Rabies
  • Japanese Encephalitis
  • Tick Borne Encephalitis

Please note that we are unable to give you advice ahead of time on the vaccinations listed above. If your travel destination requires that you have any of the vaccinations listed above, you will need to arrange for this separately via a private travel clinic.  NOTE: if you require a Yellow Fever certificate this must be issued a minimum of 10 days prior to departure.  Some of these vaccinations may require a course to be completed over several weeks.

Prior to attending your appointment for travel vaccinations, please help us by completing the attached questionnaire and bring this with you.

Prior to attending your appointment for travel vaccinations, please help us by completing the attached questionnaire and bring this with you.

Travel Risk Assessment Form (RTF Word Document).

Travel vaccinations during pregnancy

For information about travel vaccines, see can I have travel vaccinations during pregnancy?

Influenza immunisation

From October to January every year we offer a free flu immunisation to all of our patients over the age of 65 and to those in clinical ‘At-Risk’ groups (i.e. asthmatics, diabetics, patients suffering from heart or renal disease).

If you are eligible, our administrative team will contact you each year by text message, phone or letter to offer you an appointment. We hold special Saturday Flu clinics as well as other clinics throughout the day to ensure that all our eligible patients can attend at a time that works for them. Appointments are bookable via patient online services and by calling through to reception.

We are unable to provide flu immunisations privately so if you do not fall into one of the NHS eligible groups, we will be unable to provide you with your flu jab. Local pharmacies provide a private flu immunisation programme.

This year the government have announced that ages 55-65 will also be eligible for a flu vaccine. Please note that people in the 50-64 year old age group will not be vaccinated until November and December. No appointments will be offered for this age group until then, at that point it will be subject to vaccine supply. This is nationally directed – not the decision of the practice – and is to ensure that those who are most at risk are vaccinated first. If you are 50-64 and you are in one of the other groups eligible for the flu vaccination – for example you have a health condition which puts you at risk from the flu – you will be invited earlier.

If you are eligible and aged 18 and over, you can also have the vaccine done at your local pharmacy.

Children aged between 4 to 11 on 31st of August 2020 (Reception and school years 1 to 7) will have their vaccination under the School vaccination programme and not in General practice. For further information regarding this please contact your child’s School as they will advise when these will be taking place and what to do if your child misses it at school.

You can view an NHS Video regarding Flu jabs by clicking here

 

Influenza vaccine for Children

2020 – Influenza nasal spray will be offered to all 2 and 3 year old children at our Practice.

The school-aged vaccination programme delivers the following routine vaccinations to children in school:

 

Vaccination Programme School year
Child influenza Reception year and years 1-7
HPV Year 8 & 9 (plus catch ups in older years)
Men ACWY Year 9 (plus catch ups in older years)
School leavers booster Year 9 (plus catch ups in older years)

 Vaccinations missed due to lockdown are being caught up throughout the year and are due to be completed by August 2021.  Parents/guardian can contact immunisation team at Wandsworth with their queries on 020 3903 3374 or email: hrch.immunisationteammailboxwandsworth@nhs.net

Pneumococcal vaccination

What is pneumonia?

Pneumonia is an infection in one or both lungs, it causes inflammation which can make it difficult to breathe. It can affect people of any age, but it’s more common, and can be more serious, in certain groups of people, such as the very young or the elderly, those with long term conditions such as diabetes and those with a weakened immune system.

What causes pneumonia?

There are many causes of pneumonia, the most common are viruses and bacteria, such as the coronavirus (COVID-19) or Streptococcus bacteria.

What are the symptoms of pneumonia?

Pneumonia symptoms can develop suddenly over 24 to 48 hours, or they can come on more slowly over several days. According to the NHS common symptoms are:

  • A cough: which may be dry, or produce think yellow, green, brown, or blood-stained mucus (phlegm)
  • Difficulty breathing: your breathing may be rapid and shallow, and you may feel breathless, even when resting
  • Rapid heartbeat
  • Rapid heartbeat
  • Feeling generally unwell
  • Sweating and shivering
  • Loss of appetite
  • Chest pain: which gets worse when breathing or coughing

Less common symptoms include:

  • Coughing up blood
  • Headaches
  • Fatigue
  • Feeling sick or being sick
  • Wheezing
  • Joint or muscle pain
  • Feeling confused and disorientated, particularly in elderly people

If you have a high temperature, a new, continuous cough or a loss or change to your sense of smell, use the 111 online coronavirus service. If you have other symptoms of pneumonia, contact your GP or use the regular 111 online service.

Who should have the pneumococcal vaccine?

A pneumococcal infection can affect anyone. However, some people need the pneumococcal vaccination because they are at higher risk of complications. These include:

  • all children under the age of two
  • adults aged 65 or over
  • children and adults with certain long-term health conditions, such as a serious heart or kidney condition.

How often is the pneumococcal vaccine given?

Babies receive the pneumococcal vaccine as three separate injections, at 2 months, 4 months and 12-13 months.

People over-65 only need a single pneumococcal vaccination which will protect for life. It is not given annually like the flu jab.

People with a long term health condition may need just a single one-off pneumococcal vaccination or five-yearly vaccination depending on their underlying health problem.

How long before the pneumonia vaccine takes effect?

It can take between 2 to 3 weeks to become fully effective and be immunised from pneumonia.

When should I get the pneumococcal vaccine?

Unlike the flu vaccine, which must be given seasonally, the pneumonia vaccine can be given at any point in the year, as you can develop pneumonia all year round. However, flu season and the winter months is a particularly important time to get vaccinated against pneumococcal pneumonia. 

Can I get the flu vaccine and pneumonia vaccine at the same time?

Yes, you can book an appointment with our practice nurse or speak to a member of our reception team to book your flu and pneumonia vaccine.

Do I need to book an appointment?

We recommend you that you book an appointment with our practice nurse by calling our Reception team on 020 8675 3521.

What are the pneumonia vaccine side effects?

Like all vaccines, pneumonia vaccines can cause some side effects. Most are mild and get better in a few days. Some patients don’t have any side effects of the vaccine.

The most common side effects are:

  • Pain, swelling, hardness or redness where the injection has been given
  • Decreased of appetite
  • Increase in temperature
  • Muscle and joint pains

Very rarely the vaccines may cause a severe allergic reaction. This would normally happen within minutes of receiving the vaccine. Our pharmacist will be prepared to treat you appropriately should this occur. 

Can I get the vaccine if I’m feeling unwell?

No, if you’re feeling unwell with a high temperature, we advise that you don’t get the vaccine. If you’ve already booked an appointment and feel unwell, please call your chosen pharmacy to cancel or change to a time when you are feeling better.

 For more information on pneumonia, please click here.

Shingles vaccination

What is Shingles?

Shingles, also known as herpes zoster, is caused by the reactivation of a latent varicella zoster virus (VZV) infection. Primary VZV infection manifests as chickenpox, a highly contagious condition that is characterised by an itchy, vesicular rash. Following this initial infection, the virus enters the dorsal root ganglia and remains there as a permanent, dormant infection. Reactivation of this latent VZV infection, generally occurring decades later, causes shingles.

Common symptoms

The predominant symptom of shingles is pain, often with associated paraesthesia (pricking, tingling or numbness). This is followed by the development of a painful rash, similar in appearance to that of chickenpox, which forms itchy, fluid-filled blisters that usually persist for two to four weeks. These disturbances occur in a unilateral dermatomal distribution, corresponding to the ganglia in which the viral infection is located.  Other symptoms may include headache, photophobia, malaise and fever.

Shingles FAQs

How is shingles different to chickenpox?

Although both shingles and chicken pox are caused by VZV, they are two different conditions. The main symptom of chickenpox, which usually occurs in children, is an itchy rash. Shingles, more commonly occurring within the older population, is predominantly characterised by pain.

How common is shingles?

Around 1 in 5 people who have had chickenpox (usually in childhood) go on to develop shingles. That means that 10s of thousands of people in England and Wales will get shingles each year.

How is the shingles vaccine given?

As an injection into the upper arm.

Is there a cure?

There is no cure for shingles.  Painkilling medication can be used to relieve the symptoms until the condition resolves (usually within 4 weeks). Associated secondary conditions can prove extremely difficult to treat and may lead to long-term complications.

Who can have the shingles vaccination?

Shingles vaccination is available to all people aged 70 or 78.

In addition, anyone who was previously eligible (born on or after 2 September 1942) but missed out on their shingles vaccination remains eligible until their 80th birthday.

When you’re eligible, you can have the shingles vaccination at any time of year.

The shingles vaccine is not available on the NHS to anyone aged 80 or over because it seems to be less effective in this age group.

Read more about who can have the shingles vaccine.

How do I get the shingles vaccination?

Once you become eligible for the shingles vaccination, your doctor will take the opportunity to vaccinate you when you attend the surgery for general reasons, or for your annual flu vaccination.

You can have it at the same time as your flu jab in the autumn, if you wish.

If you are worried that you may miss out on the shingles vaccination, contact your GP surgery to arrange an appointment to have the vaccine.

Do you need to have the shingles vaccination every year?

No, it’s a one-off injection.

Will there be any side effects from the shingles vaccination?

It’s quite common to get redness and discomfort at the vaccination site, as well as headaches, but these side effects should not last more than a few days. See your GP if you have side effects that last longer than a few days, or if you develop a rash after having the shingles vaccination.

Read more about the side effects of the shingles vaccine.

What about people who are not 70 yet? Will they get the shingles vaccine?

People under the age of 70 will get the shingles vaccine during the year following their 70th birthday.

It’s not available on the NHS to younger people because shingles is more common in the over-70s.

What about people who are not aged 70 or 78? Can they have the vaccine?

Anyone who was previously eligible for shingles vaccination but missed out can have the vaccine. This means:

  • anyone in their 70s who was born after 2 September 1942
  • anyone aged 79

The shingles vaccination programme is being staggered this way because it would be impractical to vaccinate everyone in their 70s in a single year.

Why can I not have the shingles vaccination if I’m over 80?

The vaccine does not work as well in people over the age of 80.

For more information on Shingles vaccinations and eligibility please click here.

 

Tetanus, Diphtheria and Pertussis Booster for a pregnant woman

A pregnant woman should have a Tdap booster shot in the third trimester of every pregnancy to protect the fetus.

 

Whooping cough vaccine (Pertussis)

Pregnant women can help protect their babies by getting vaccinated against whooping cough (pertussis). Having the vaccination helps protect your baby from catching whooping cough in the first few weeks after they’re born, as they will get some of the immunity from you.

The best time to have the whooping cough vaccine is between 20 weeks (after your scan) and 32 weeks. But if for any reason you miss having the vaccine, you can still have it up until you go into labour.

Read FAQs about whooping cough vaccination in pregnancy.