Parbold Surgery
Dr J M Caine & Partners
4 The Green
Parbold
Wigan
WN8 7DN
Tel: 0844 811 0909

News:

Announcements

Find out about all of the free NHS services available to support you as you go try to give up smoking.

Stay safe in the sun, including sunscreens, sunburn relief, heat exhaustion, eczema and moles. Summer holidays are great fun for children, but can bring risks. Find out more

01 Jul - 01 Oct
Change for Life

Would you like loads of tips and help to make changes for a healthier future? As part of Change4Life, you will receive tons of helpful information, recipes, tools, tips, and games for the kids.

BBC Health

More obesity ops 'will save cash'

Millions of pounds is lost in England by the failure of the NHS to provide more obesity operations, a study says.

Statins 'may cut arthritis risk'

Taking statins may reduce the risk of developing rheumatoid arthritis, a study suggests.

Call for morning sickness action

More needs to be done to establish which are safe and effective ways to relieve morning sickness, experts say.

ME 'virus link' found in children

ME, or Chronic Fatigue Syndrome, in children could be caused by a virus, scientists say.

UK radiotherapy 'lagging behind'

Too few UK cancer patients are receiving state-of-the-art radiotherapy care, experts from Cancer Research UK say.

Gaps persist in cancer survival

Despite significant improvements in cancer survival rates across England, regional differences remain, national statistics show.

'Genetic link' to breast cancer

Researchers have identified a series of genetic variations which may play a role in a common breast cancer.

Bipolar 'not linked to violence'

People with a mental illness are no more likely to be violent unless they abuse drugs or alcohol, a study suggests.

NHS in Wales faces £380m cutbacks

The Welsh NHS faces making £380m worth of cutbacks by April, with managers saying it is the biggest challenge they have faced in 20 years.

Diabetes drug advice 'not heeded'

A type two diabetes drug is still being prescribed in the UK two months after it was recommended for withdrawal, BBC Panorama learns.

Yahoo Health

US smoking rate still stuck at 1 in 5 adults (AP)

AP - U.S. smoking rates continue to hold steady, at about one in five adults lighting up regularly, frustrated health officials reported Tuesday.

FDA cites claims on 2 green tea beverages (AP)

AP - Federal health regulators have issued warnings to the makers of Canada Dry ginger ale and Lipton tea for making unsubstantiated nutritional claims about their green tea-flavored beverages.

FDA relents from midodrine withdrawal plan (AP)

AP - Federal regulators have backed off a plan to remove a Shire PLC low blood-pressure treatment from the market after warning in August that the drug has not been proven effective.

Judge won't let stem cell money keep flowing (AP)

AP - A federal judge on Tuesday refused to lift his order blocking federal funding for some stem cell research, saying that a "parade of horribles" predicted by federal officials would not happen.

Japan confirms its first case of new superbug gene (AP)

AP - Japan has confirmed the nation's first case of a new gene in bacteria that allows the microorganisms to become drug-resistant superbugs, detected in a man who had medical treatment in India, a Health Ministry official said Tuesday.

Picking right blood pressure medicine challenging (AP)

AP - It's hard to predict which pills will best lower which patient's high blood pressure, but researchers are hunting ways to better personalize therapy — perhaps even using a blood test.

Weight-loss surgery 'could save millions' in UK (AFP)

Britain's National Health Service could save millions of pounds a year by offering more weight-loss surgery for obese patients, a medical study has said.(AFP/File/Paul Ellis)

AFP - Britain's National Health Service could save millions of pounds a year by offering more weight-loss surgery for obese patients, a medical study said Wednesday.

For Bonobo Males, Mom Is the Best Wingman (LiveScience.com)

LiveScience.com - To most human males, the thought of your mother anywhere near your sex life is probably horrifying. Not so for the bonobo, one of our closest primate relatives. A new study confirms that hanging out with mom boosts male bonobos' chances of getting intimate with a fertile female.

Clinical Trials Update: Sept. 7, 2010 (HealthDay)

HealthDay - (HealthDay News) -- Here are the latest clinical trials, courtesy of ClinicalConnection.com:

Lack of Sleep May Be Linked to Childhood Obesity (HealthDay)

HealthDay - MONDAY, Sept. 6 (HealthDay News) -- Infants and preschoolers who don't get enough sleep at night are at increased risk for later childhood obesity, a new study suggests.

MedPage Today

Judge Won't Lift Block on Stem Cell Research Funding

(MedPage Today) -- Federal spending of embryonic stem cell (ESC) research will remain off-limits for now, a federal judge ruled, dealing yet another blow to the Obama administration's efforts to support such research.

Cigarette Smoke May Affect Fertility (CME/CE)

(MedPage Today) -- Smoking may provide an explanation for reduced fertility, results of two studies suggested.

Adult Smoking Hits Plateau

(MedPage Today) -- One in five U.S. adults continues to smoke tobacco -- a percentage that hasn't budged since 2005 -- suggesting that more aggressive efforts are needed to reduce smoking-related diseases and deaths, the CDC said.

PCV-7 Vaccine May Promote Serotype 19A Infection (CME/CE)

(MedPage Today) -- Infants receiving a three-dose regimen of heptavalent PCV-7 pneumococcal vaccine were more likely than unvaccinated controls to pick up a nonvaccine pneumococcal strain associated with invasive infection and antibiotic resistance, researchers said.

Nevirapine Reuse Possible in Exposed Children With HIV (CME/CE)

(MedPage Today) -- In most HIV-infected children being exposed at birth to nevirapine (Viramune) doesn't rule out using the drug again later, researchers reported.

Pandemic H1N1 Similar to Seasonal Strains (CME/CE, with video)

(MedPage Today) -- In general, the pandemic H1N1 influenza virus did not cause more serious disease than other recent influenza A strains, researchers found.

More Human Trials Needed for HIV Vaccine Hunt

(MedPage Today) -- HIV vaccine researchers are calling for more and better human trials as part of the quest for ways to block transmission of the virus.

Patients Expect More from PCI than It Delivers (CME/CE)

(MedPage Today) -- Cardiologists fully understand the limits of percutaneous coronary interventions -- but their patients are often overly optimistic about the benefits of PCI, a new survey revealed.

Splint Matches Cast for Kids' Wrist Fractures (CME/CE)

(MedPage Today) -- In children with wrist fractures, a splint works as well as a cast, researchers reported.

Behcet's Takes Higher Toll in Men (CME/CE)

(MedPage Today) -- Men with Behçet's disease are much more likely than women to die of this chronic multisystem vasculitis, a large French study found.

Clinics and Services

We run the following clinics - all are by appointment.

Ante Natal Clinic

Midwives from Ormskirk Hospital attend each Friday afternoon. Once you discover you are pregnant you should book in to see a GP who will arrange subsequent antenatal appointments and check which hospital team you want your antenatal care from

Expectant mums and dads in Skelmersdale can now sign up for lessons in parenthood.

A new programme of Parentcraft Classes has been launched in the town to provide first time parents with support and advice.

The four-week courses will take place on Tuesday afternoons between 1.30pm and 3pm. They will alternate between three venues - the First Steps Children's Centre, St John's Children's Centre and Park Children's Centre.

Run by midwives and health visitors, the antenatal classes will cover all aspects of pregnancy, birth and looking after a new baby.

Health visitor Amanda Claeys said: "The course provides a step by step guide to pregnancy, birth and beyond. All the basics are covered including labour, pain relief, bringing baby home and feeding. It's a great way to learn the basics and meet other expectant parents in the area."

Anyone who wishes to book a place on the Parentcraft Classes should call Park Children's Centre on 01695 554535.

Child Development Clinic

Child development checks are mostly done by the Health Visitor, you will receive an appointment direct from them. Baby's 6 week checks are done by GPs here in the surgery. Book to see the GP at the appropriate time and tell the receptionist it is for a 6 week check.

Remember to bring your child health record (Red Book)

NHS Central Lancashire Health Visiting Services

Childhood Immunisation Clinic
These are performed by the practice nurse here at the surgery. The current immunisation schedule is at this website

Remember to bring your child health record (Red Book)

Family Planning
These are done by any GP or practice nurse. We can advise and prescibe all methods including barrier methods, oral contraception (the pill), progesterone only (mini pill), depot injections (long acting injection every 12 weeks).

For sterilisation (vasectomy or laproscopic sterilisation) patients should first book to see a GP.

For IUCD (coil) fitting and contraceptive implants we offer advise only and the actual fitting is at one of the PCT run family planning clinics:

NHS Central Lancashire also offers family planning services across West Lancashire at:

Hants Lane Clinic, Ormskirk: Monday 6.30 - 8.30pm (doctor led)
Birleywood Health Centre, Skelmersdale: Monday 6.30 - 8.30pm (nurse led)
Burscough Health Centre: alternate Tuesdays (from 11/11/08) 6.15 -8.15pm (doctor led)
Ashurst Health Centre, Skelmersdale: Wednesday 6.30 - 8.30 (doctor led)
Tarleton Health Centre, alternate Wednesdays (from 5/11/08) 6.30 -8.30pm (doctor led)
Sandy Lane Health Centre, Skelmersdale: Thursday 6.15 - 8.15pm (nurse led)
Ormskirk Diabetic Centre Thursday evenings 6.30 to 8.30pm tel 01695 588224

And for young people under 25:

The Grove Burscough: Monday 7.00 - 9.00pm (nurse led)
Hants Lane Ormskirk: Tuesday 7.00 - 9.00pm (doctor led)
The Info Shop Skelmersdale: Saturday 11.30 - 2.30pm (nurse led)

Cervical smear tests
With the practice nurse.

New patient registration health checks
With a Health Care Assistant.

Routine and holiday immunisation
Run by the Practice Nurse.

Non-NHS Services

Patients should be aware that fees may be charged for services not covered by the NHS contract. These include:-

private certificates
reports supporting private health insurance claims
other non NHS medical reports.

Fees may also be charged for other special purposes such as:-

HGV and PSV licences
elderly driver’s fitness to drive
fitness to travel etc.

The fee scale is recommended by the BMA and details are available from the receptionists.

Practice Information

For quick medical advice online or on the telephone contact NHS Direct