Download Churchill Medical Group

Churchill Medical Group
Churchill Clinic
94 Churchill Ave
Chatham Kent, ME5 0DL
Telephone: 01634 842397
Website
www.churchillclinic.com
When the surgery is closed call 01634 891855
Welcome to our website.
The Churchill Clinic in Chatham
Allington & Lockmeadow Clinics in Maidstone
We are a family run group dedicated to a high standard of patient care and providing the best service
for our patients as possible. Over the past 20 years we have expanded our range of services that we
provide and our clinics. You can find out more about these on this website. Please click on the tabs
to navigate around the site.
This web guide contains useful information about how to get the most from a visit to your surgery.
Equality and Diversity
We pride ourselves on providing healthcare for all sections of society and we are actively registering
new patients at all our clinics.
Our premises have suitable access for disabled persons and car parking facilities available at the
Churchill & Allington surgery premises.
Opening Times
All our clinics operate the following opening times:
Monday
Morning
Afternoon
08:00 - 12:00
14:30 - 18:30
Tuesday
08:00 - 12:00
14:30 - 18:30
Wednesday
08:00 - 12:00
14:30 - 18:30
Thursday
08:00 - 12:00
14:30 - 18:30
Friday
08:00 - 12:00
14:30 - 18:30
Weekend
closed
closed
When We Are Closed
Churchill Clinic...
Our out of hours Telephone calls and emergency doctor service at present is contracted out to
MedOCC (Medway Doctors On Call) 18:30 - 08:00 Tel: 01634 891855
Allington & Lockmeadow Clinics
Our out of hours Telephone calls and emergency doctor service at present is contracted out to
MAIDOC Maidstone Doctors on Call 18:30 - 08:00 Tel 08451 552255
All clinics lunch time closure 12:00 - 14:30 call 01634 832678.
Please phone for urgent EMERGENCIES. This is not a free NHS Service but funded by local
doctors.
Each call, home or base consultation, nurse or doctor advice undertaken by the service is charged to
the practice. Any misuse of the service will inevitably result in removal of the patient from NHS
service list of our practice. But you have a right to register with another practice.
If we are closed our recorded message will inform you which number to ring at the time.
NHS Direct
In the case of urgent need when the practice is closed you can call NHS Direct
(www.nhsdirect.nhs.uk/) (0845 4647) to speak to a triage nurse. Your needs will be assessed and
advice offered or arrangements made for you to see a doctor.
Please do not ask to see a doctor out of hours unless you genuinely cannot wait until the surgery reopens.
Call 999 in an emergency. Chest pains and / or shortness of breath constitute an emergency.
Doctor Consultation
An appointment system is in operation in our surgery. This is allows the doctor to have his time
scheduled to five each patient he specialized individual attention that he or she needs. URGENT
cases will always be accommodated or referred to the appropriate facility.
Unforeseen events like this well no doubt cause some delay for some patients with appointments
who may have to wait a little longer, as those others who require immediate attention are worked
into the schedule. We ask your co-operation and understanding in this matter.
If you cannot keep your appointment
If for any reason your are unable to keep your scheduled appointment, please call our office in
advance so that your time may be given to another patient who needs to see the doctor
Home Visits
If possible please try to telephone reception before 10am if you require a home visit.
A doctor or nurse may phone you back as it may be that your problem can be dealt with by
telephone advice, or that it would be more appropriate to send a nurse, or indeed arrange a hospital
attendance.
House visits are only available for patients who are housebound because of illness or disability.
Please remember that several patients can be seen in the practice in the time that it takes to make one
home visit. There are also better facilities for examining and treating patients at the Health Centre.
Telephone Advice
While the doctor is busy seeing patients, it is not always possible for the doctor to answer questions
over the phone. For this reason our staff are well trained and capable to handle most routine calls.
Any staff member will gladly help you to make an appointment or answer your question regarding
medication, treatment or test results.
Please be courteous to them as they are interested in your well being as much as you are. If they
cannot answer your question they will consult the doctor or nurse and get back to you with an
answer or advise you to call back at a less busy time when the doctor is more likely to be free to talk
to you.
Test Results
Please call between 4pm and 5pm to enquire about your test results as our reception staff will have
more time to deal with your request between these times.
Note that the practice has a strict policy regarding confidentiality and data protection and we will
only release test results to the person to whom they relate unless that person has given prior
permission for the release of this data or they are not capable of understanding the results.
When you take your test you will be told how long it will be before the results are returned to the
practice.
It is your responsibility to check your results and to make an appointment to discuss them with your
doctor if your are advised to do so.
Repeat Prescriptions
If your are on a regular treatment, your doctor may give you a repeat prescription card which will
enable you to obtain prescriptions without seeing your doctor every time.
You can request a repeat prescription - in person / by writing / with a repeat prescription card. In
order to avoid mistakes and keep the phone free for people ringing for appointments and
emergencies, we do not accept repeat prescriptions. These repeat prescriptions will not normally be
given longer than 4 weeks.
It is advisable for you to see the doctor from time to time if you are on regular medications. Please
refrain from asking the doctor to write repeat prescriptions during the consultation with the doctor.
Please send a SAE if you are not collecting these prescriptions in person.
Prescriptions Charges and Exemptions
Extensive exemption and remission arrangements protect those likely to have difficulty in paying
charges (NHS prescription and dental charges, optical and hospital travel costs).
The NHS prescription charge is a flat-rate amount which successive Governments have thought it
reasonable to charge for those who can afford to pay for their medicines. Prescription prepayment
certificates (PPCs) offer real savings for people who need extensive medication.
NHS charges
From 1 April 2009, the charges are:



Prescription (per item): £7.20
12-month prepayment certificate (PPC): £104.00
3-month PPC: £28.25
If you will have to pay for four or more prescription items in three months, or more than 14 items in
12 months, you may find it cheaper to buy a PPC. The charge for a single prescription item is
£7.20, whereas a three month PPC will cost you £28.25 and a 12 month PPC £104.00.

Telephone advice and order line 0845 850 0030

General Public - Buy or Renew a PPC On-line
There is further information about prescription exemptions and fees on the NHS website
(www.nhs.uk/NHSEngland/Healthcosts/Pages/Prescriptioncosts.aspx)
Please allow 48 hours, excluding weekends and Bank Holidays, for your request to be processed.
Any problems please telephone the surgery.
NHS Services
Our NHS Services Include


Fully Comprehensive GP Services For Registered Patients
Contraception & Family Planning, including Depot Injection/Implanon/Mirena Coil.




Travel Vaccinations
Childhood Immunisations
Nurse led chronic disease clinics
Minor Operations
Non-NHS Services
Non-NHS Services
Open to all including patients registered at the practice.
All Purpose Full Medicals
We carry out comprehensive fitness medical examinations for
the purposes of employment, insurance, sports, HGV/PSV
vehicle licensing etc.
Sickness Certificates & Letters
Sickness Certificates to employers and any purpose letters
other than hospital referrals attracts a charges even if you are
registered as NHS patient. The practice displays these charges
in the waiting room
Family Planning, Vasectomy & Hormone Implants
A comprehensive Family Planning Service is available within
normal surgery hours.
Coil fitting, caps, implanon etc are done special arrangement
under NHS or Privately.
The practice also undertakes Vasectomy operations by private
arrangements.
Oestrogen, Testosterone Implants are also done for Libido,
Erectile Improvement.
Wellman & Wellwoman Health Clinics
Our practice also runs Well Woman / Clinics to promote
healthier living and to prevent conditions such as obesity,
heart disease & Diabetes.
The clinics are operated by appointment by specially trained
Medical Professionals.
Private Services
Private Services









Private Doctor Consultations
Wellman & Wellwoman Health Screens
Womens Health & Family Planning
Menopause, Andropause & Sexual Dysfunction
Vasectomy
DVT Screens & Sclerotherapy For Veins
Yellow Fever & Travel Vaccines
All Purpose Full Medicals/HGV/PSV
Allergy Blood Testing
Aesthetic Services





See http://aestheticface.co.uk/ (aestheticface.co.uk/)
Photo rejuvenation For Younger Looks
Laser Treatments For Pigments & Age Spots
Laser For Acne & Acne Scarring
Cosmetic Botox, For Wrinkle Reduction


Restylene & Juvederm Facial Fillers
Laser Hair Removal For All Types of Skin
Test Results

Test Results
Please call between 4pm and 5pm to enquire about your test results as our reception staff will have
more time to deal with your request between these times.
Note that the practice has a strict policy regarding confidentiality and data protection and we will only
release test results to the person to whom they relate unless that person has given prior permission
for the release of this data or they are not capable of understanding the results.
When you take your test you will be told how long it will be before the results are returned to the
practice.
It is your responsibility to check your results and to make an appointment to discuss them with your
doctor if your are advised to do so.
Dermal Fillers
Facial Contour
Over the years your skin becomes thinner, loses its elasticity and its full, firm youthful appearance
starts to wrinkle. This is a result of the natural ageing process or damage caused by the sun, smoking
or excessive consumption of alcohol. Fat tissue which helps to fill out your face is lost. This
reduction in skin volume can make your face look thin and narrow which may result in you looking
older than you are.
Naturally, we all want to look young and maintain our age. Up until now, if you wanted to
significantly reshape and re-sculpt your face – most notably the chin or cheeks that have become
hollow as a result of ageing – implants or fat transplant by surgical means were the only option.
However, not many of us want to change the way we look through surgery but just want to slow
down the ageing process.
Fortunately, the newer natural collagen fillers, involving minimally invasive needle procedures and
carried out by medical aesthetic practitioners, can be the perfect solution to taking years off your
age. This can help to rediscover sexy cheekbones and restore smooth plumped-up skin to revitalise
your appearance without resorting to the surgeon’s knife. Facial fillers have now become the
modern artistry of cosmetic physicians who redefine the face and enhance the cheeks, creating a
more sculpted look and the much desired “triangle-shaped” face.
Unlike surgical options, injectable collagens can either provide gradual or instant natural-looking
results through less invasive treatments. The most common side effects of the use of injectables
include side effects at the site of the injection(s) such as bleeding, tenderness or pain, redness,
bruising or swelling. These effects generally last, on average, 2-6 days.
Tattoo Removal
Tattoo Removal
A tattoo used to be a permanent and irreversible adornment to one's skin. However, in recent years
new lasers have been developed for safe and effective way to successfully remove unwanted tattoos.
Patients request removal of a tattoo for a variety of reasons — social, cultural or physical. Some
patients develop an allergic reaction to a tattoo several years after the initial application.
Because each tattoo is unique, removal techniques must be tailored to suit each individual case. For
instance, professionally applied tattoos tend to penetrate the deeper layers of the skin at uniform
levels. Homemade tattoos are often applied with an uneven hand and their removal may be more
difficult. Deeper blue and black ink colors are particularly difficult to remove. Professional tattoos
made with some of the newer inks and pastel colors may also be difficult to remove entirely.
Removing Tattoos
Early methods of tatto removal were less successful. surgery,acid injection, dermabrasion and skin
grafting can be painful and often leave a scar in place of the original tattoo .
Can Tattoos be removed without scarring?
Now, usung latest the latest laser technology both single coloured and multicoloured tattos can be
removed safely and effectively forever without scarring. By directing a specially chosen laser light
at the unwanted colours it is possible , througha process known as selective photothermolysis to
treat the unwanted coloured inks without affecting any of the surrounding skin. Lasers have become
the standard treatment because they offer a "bloodless," low risk, highly effective approach with
minimal side effects. The type of laser used generally depends upon the pigment colors. In many
cases, multiple treatments may be required.
How does laser treatment work?
The laser light is directed at the unwanted tattoo pigment in a series of pulses. Laser energy rapidly
heats up the unwanted coloured pigment , shattering the ink into much smaller particles. These
particles are small enough for body to naturally disperse them, causing tattoo to fade away.
How many treatments will I need?
As every individual tattoo is different, the number of treatments will vary from person to person.
The colour, depth, age and size of the tatto and skin colour will all affectthe length and amount of
treatment each individual will need. treatments are done four weekly to allow body to remove the
maximum amount of tattoo pigment. the tattoo will continue to fade over the course of several
treatment sessions
Are there side effects or comlications?
Side effects are generally minor, but may include skin discoloration at the treatment site, infection of
the tattoo site, lack of complete pigment removal, or some scarring. A raised or thickened scar may
appear three to six months after the tattoo is removed
Contact Us
Contact Us
.
For all enquiries or to make initial consultation call us on 08456 019982
Photo Rejuvenation
Photo Rejuvenation
IPL photo rejuvenation is a non-invasive treatment that erases skin damage without disruption of the
skin’s surface, with minimal risk and perhaps most importantly, no “downtime”
How is the Photo Rejuvenation Procedure performed?
A cold gel is usually applied to the area to be treated. An intense light is applied in a series of gentle
pulses over the treatment area. You might feel a slight sting, like the snapping of a small rubber
band. Without damaging the skin, the light penetrates through the skin and is absorbed by
abnormally dilated vessels or pigmentation. The heat causes the damage to the vessel or breaks
down the pigment, and body begins its natural healing process. Each treatment takes about twenty
minutes depending upon the area to be treated and can be carried out as frequently as every three
weeks.
How many Treatments will I need?
For optimal results, a series of three to five treatments are recommended. Follow-up treatments may
be desired once a year to maintain results. The same treatment can be used effectively on the neck,
the chest and the hands.
What are the benefits of Photo Rejuvenation?
Treatment Improves sun spots, age spots, dull complexions, uneven pigmentation and large pores.
Visible signs of ageing get diminished along with flushing of the skin, broken capillaries and
rosacea. Skin gets revitalised, become smoother and even toned. To achieve superior cosmetic
enhancements of the face photo rejuvenation can be done soon after microdermabrasion followed on
from a mild chemical peel.
Are there any possible side effects?
Side effects are rare. Immediately following the treatment, the skin may appear flushed, brown
pigmented spots may appear darker, and capillaries may be more visible. In rare instances,
temporary swelling or blistering can occur. In order to minimise such unforeseen side effects it is
advisable to apply cool compression and continue to use recommended recovery cream and
moisturiser with sun protective factor cream between the treatments.
Laser
What is a Laser?
Laser stands for Light Amplification by the Stimulated Emission of Radiation. Lasers work by
producing an intense beam of bright light that travels in one direction. The laser beam can cut, seal
or vaporize skin tissue and blood vessels. The laser has the unique ability to produce one specific
color (wavelength) of light that can be varied in its intensity and pulse duration.
Ordinary light from non-laser sources is composed of many different colors and appears white. This
broad spectrum of light can also be pulsed to a specific duration and varied in intensity as well as the
exact range of wavelengths. This allows broad spectrum Intense Pulsed Light (IPL) the ability to
specifically treat blood vessels and pigmentation.
The wavelength and power output of a particular laser or IPL typically determines its medical
application. When the laser or IPL light is directed at skin tissue, its light energy is absorbed by
water or pigments found in the skin. Water is found in large amounts in all living cells. Pigments of
the skin include hemoglobin, a protein that makes blood red, and melanin, the tan or brown-colored
pigment. All three targets absorb laser light of different colors.
WHAT ARE THE BENEFITS OF LASER AND/OR IPL TREATMENTS?
Lasers may offer you and your therapist the following general benefits:







Improved therapeutic results
Reduced risk of infection
"Bloodless" aesthesity
An alternative to traditional scalpel surgery, in some cases
Less scarring, in most cases
Precisely controlled tecniques, which limits injury to normal skin
Safe and effective same-day treatments for many skin conditions
WHAT TYPE OF LASER OR IPL SHOULD BE USED?
Different types of lasers and IPL are used to treat a variety of skin conditions, birthmarks and
growths and cosmetic complaints. Presently, no single laser or IPL is capable of treating all skin
conditions, but certain lasers can be tuned to a variety of colors of light or coupled to a robotized
scanning device to expand their clinical effectiveness. Your therapist will carefully evaluate your
individual condition and suggest the appropriate type of laser and/or IPL system to achieve the best
results.
WHO IS QUALIFIED TO PERFORM LASER AND/OR IPL THERAPY?
Experts in skin care, doctors, therapists who have have extensive training and experience with laser
and IPL.
WHAT ARE THE COMMON LASERS AND IPL USED IN
NORMAL PRACTICE
CARBON DIOXIDE (CO2) LASER
The CO2 laser system can be used in several ways: "focused" for cutting skin without bleeding;
"defocused" for superficially vaporizing skin; and "ultra pulsed" for facial resurfacing. By delivering
very powerful, rapid pulsing or scanning of the latest generation of CO2 lasers, dermasurgeons are
able to resurface the skin for cosmetic improvement. This technique removes fine lines and wrinkles
of the face, smoothes acne scars, and rejuvenates aging and sun-damaged skin as it contours the skin
surface.
When the CO2 laser's energy is defocused and not continuous (pulsed), the doctors can treat warts,
shallow tumors and certain precancerous conditions.
When the CO2 laser energy is continuous and focused into a small spot of light, the beam is able to
cut the skin. It is used in this way to remove skin cancers, to treat a variety of nonvascular and
pigmented lesions and for eyelid operations. This technique is also used to remove warts and for
some surgical incisions.
ERBIUM (ER):YAG LASER
The high-powered erbium:YAG (Er:YAG) laser produces energy in a wavelength that gently
penetrates the skin, is readily absorbed by water and scatters the heat effects of the laser light. These
properties enable dermasurgeons to remove thin layers of aged and sun-damaged skin tissue with
exquisite precision while protecting healthy surrounding tissue.
The Er:YAG laser is commonly used for skin resurfacing to improve moderate facial wrinkles, mild
surface scars or splotchy skin discolorations. Newer Er:YAG lasers have an extended pulse duration
that allows them to act in a similar manner to the CO2 laser. Your therapist is best able to determine
which of these lasers, alone or in combination, are best suited to correct your specific concern.
YELLOW LIGHT LASERS
Through the use of an organic dye, short pulses of yellow-colored light are produced. A popular
yellow light laser is the pulsed dye laser. Because yellow light is more precisely absorbed by the
hemoglobin than other colors, these lasers are effective in the treatment of blood vessel disorders,
such as port wine stains, red birthmarks, enlarged blood vessels, rosacea, hemangiomas and red-nose
syndrome. Certain yellow light lasers may also be used to treat stretch marks and are safe and
effective for infants and children. The krypton and Nd:YAG lasers are dual light systems. The uses
of the yellow light are similar to those already described.
The green light, in contrast, is used for the treatment of benign brown pigmented lesions, such as
café-au-lait spots, the "old age" spots commonly found on the backs of the hands and lentigines or
freckles. Green light lasers are also used for the treatment of small blood vessels on the face and
legs.
OTHER LASERS
THE Q-SWITCHED NEODYMIUM YAG (ND: YAG)
Delivering infrared light, it is used to remove tattoos and deep dermal pigmented lesions, such as
nevus of Ota. This laser can also be tuned to produce a green light for the treatment of superficial
pigmented lesions like brown spots, as well as orange-red tattoos.
KTP
The KTP emits a green light and is capable of treating certain red and brown pigmented lesions.
When the pulse duration is lengthened, the Nd:YAG laser is also effective in removing hair and an
inflammatory condition termed pseudofolliculitis barbae for months and sometimes permanently.
This is particularly useful in the treatment of dark-skinned patients.
NEW TECHNOLOGIES: NON-ABLATIVE LASERS AND LIGHT SOURCES
Instead of heating and removing the top skin tissue, non-ablative (non-wounding) lasers work
beneath the surface skin layer to improve skin tone and texture and minimize fine lines with few
side effects and a speedy recovery. Light-based devices that produce a broad spectrum of light
(wavelengths) with computer-controlled parameters of energy delivery (Intense Pulsed Light, or
IPL) can be adjusted according to a patient's skin type and condition. This technology is primarily
used for the treatment of benign red and brown lesions, hair removal and facial skin rejuvenation.
OTHER APPLICATIONS: HAIR REMOVAL AND LEG VEINS
Laser technology is presently being utilized for efficient and long-lasting body hair removal. The
laser energy causes thermal injury to the hair follicle, stunting hair growth. Several laser hairremoval systems, including the diode laser, the long-pulsed alexandrite and Nd:YAG lasers and the
IPL, are being used successfully with long-lasting results.
Until recently, lasers were used primarily for superficial facial veins. Thanks to the newest
technologies, leg veins may be effectively treated with a variety of lasers and intense pulsed light
systems
Introduction
CMG Lifecare
Headed by Dr. Ravi Vibhuti, CMG Lifecare is able to provide the latest cosmetic treatments. Once
the domain of Harley Street, these treatments are now available in Medway & Maidstone in Kent
and at affordable prices.
Our clinic is fully equipped, and staffed with experienced, qualified practitioners. We offer
advanced laser, microderabrasion and chemical peel treatments and we can offer a fast, minimal risk
solutions for a clearer and healthier looking skin.
Conditions, such as acne scarring, varicose veins, wrinkles, blemishes, sun damage, birthmarks,
and... much, much more, are easily treated.
If you are considering skincare treatment and would like to know more please contact our laser
therapist for a free consultation. We are committed to the highest standards of care and treatment.
Alternatively, if you are just browsing, please feel free to search our pages. There is a wealth of
information relating to all of our skincare treatments.
If you would like to know more then contact us by phone or email.
Our team are friendly and knowledgeable. Our aim is to identify your problem and suggest the best
possible solution to rectify it in a most cost effective way.
Remember – we are just a phone call away. 0845 6019982
Dr. Ravi Vibhuti is an experienced general practitioner and cosmetic physician.
Beautician
Kat
Tel : 0845 6019982
Member of the Guild of Professional Beauty Therapists MGPBT
Laser training & education, mapperley park, Nottingham.
Practical and theoretical training, Polaris medical Ltd
Laser hair removal IPL & Nd Yag. Core of Knowledge national minimum standards CSA 2000
Practical & Theoretical aspects of the Quantum SR/HR/DL/QS system.
Polaris medical Ltd microdermabrasion.
Skin Ceuticals and product knowledge. / Nueskin oxgen and led light therapy.
Certificate of completion skin research Jan Marini / Jan Marini Glycolic peels.
Useful Links










http://www.aestheticface.co.uk (www.aestheticface.co.uk) CMG Lifecare
Department of Health website (www.dh.gov.uk/en/policyandguidance) - Policy and
Guidence
Cosmetic Doctors: (www.cosmeticdoctors.co.uk/) - Independent medical cosmetic advice
British Medical Laser Association (www.bmla.co.uk/)
The Restylane website (www.restylane.co.uk/)
Botox information site (www.botox.com/)
Sculptra information website (www.sculptra.co.uk/)
Radiesse informaton website (www.radiesse.com/worldwide)
Laser Treatments (www.lumenis.com)
Laser Practioner Finder (www.skinandhealth.com)
Staff Details
Doctors
Dr Ravi Vibhuti
MBBS T (GP)
General Physician, Surgeon & Aesthetic Medical Practitioner
Graduated in Karnataka University, India.
General Practice Specialist Training in UK
Accredited for Minor Operations -Medway PCT
Marie Stope Trained Vasectomy Surgeon
West Kent Obstetric List
Family Planning /IUCD Certificate
West Kent Child Surveillance List
Aesthetic Medical Training - London & Paris
Trained in Laser Treatments
Medical Memberships
CME Medway Post Graduate Centre
British Medical Association
Medical Protection Society
General Medical Council
Member British Association of Cosmetic Doctors
British Medical Laser Association
Dr Mayur Vibhuti
MBBS(Lon) BSc(Hons) MRCGP
GP Partner
Medway GP Programme Director
Dr Rebecca Seldon MBBS MRCGP DFRSH DRCOG(Loc implant insertion/removal)
Interest in women's health.
Dr Sajith Philipose
Nurses
Nurse Parin Anderson
RGN
Healthcare Assistants
Mrs Sandra Gadd
Ms Kat Yeh
Practice Management
Ms Yvonne Edison
Practice Manager
Administration
Alison Levick
Administrator
Ms Lynn Smith
QoF Manager
Reception
Mrs Sandra Gadd
Ms Sue Smith
Ms Anita Hodge
Mrs Valerie Joyce
Ms Lynne Clark
Ms Krystel Stephenson