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Tel: Moffat (01683) 220197
Fax: (01683) 221320
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Childhood Vaccinations

One of the most important things that a parent can do for their child is to make sure that they have all their routine childhood vaccinations. It's the most effective way of keeping them protected against infectious diseases.

Ideally, kids should have their jabs at the right age to protect them as early as possible and minimise the risk of infection.

Vaccination Checklist

Here's a checklist of the vaccines that are routinely offered to everyone in the UK for free on the NHS, and the age at which you should ideally have them.

Age Diseases Protected Against Vaccine Given Site**
2 months
Diphtheria, tetanus, pertussis (whooping cough), polio & Haemophilus influenzae type b (Hib)
 
DTaP/IPV/Hib (Pediacel or Infranrix IPV Hib) Thigh

Pneumococcal disease
 
PCV (Prevenar 13) Thigh

Rotavirus
 
Rotavirus (Rotarix) By mouth

Meningococcal type B
 
MenB (Bexsero) Left thigh
3 months
Diphtheria, tetanus, pertussis, polio & Hib
 
DTaP/IPV/Hib (Pediacel or Infranrix IPV Hib) Thigh

Rotavirus
 
Rotavirus (Rotarix) By mouth
4 months
Diphtheria, tetanus, pertussis, polio & Hib
 
DTaP/IPV/Hib (Pediacel or Infranrix IPV Hib) Thigh

Pneumococcal disease
 
PCV (Prevenar 13) Thigh

Meningococcal type B
 
MenB (Bexsero) Left thigh
Between 12 and 13 months old – within a month of the first birthday
Hib/MenC
 
Hib/MenC (Menitorix) Upper arm/thigh

Pneumococcal disease
 
PCV (Prevenar 13) Upper arm/thigh

Measles, mumps and rubella (German measles)
 
MMR (Priorix or MMR VaxPRO) Upper arm/thigh

Meningococcal type B
 
MenB (Bexsero) Left thigh
3 years & 4 months or soon after
Diphtheria, tetanus, pertussis & polio
 
dTaP/IPV (Repevax) or DTaP/IPV (Infanrix-IPV) Upper arm

Measles, mumps and rubella
 
MMR (Priorix or MMR VaxPRO ) (check first dose has been given) Upper arm
2 to 11 years
Influenza (flu)
 
Fluenz Tetra (flu nasal spray) Nasal Spray
 (both nostrils)
Girls aged 11 to 13 year s old
Cervical cancer caused by human papillomavirus types 16 and 18
 
HPV (Gardasil) Upper arm
Around 14 years old
Tetanus, diphtheria and polio
 
Td/IPV (Revaxis), and check MMR status Upper arm

Meningoccocal types ACWY
 
MenACWY (Nimenrix) Upper arm

 

** Where two or more injections are required at once, these should ideally be given in different limbs. Where this is not possible, injections in the same limb should be given 2.5cm apart. For more details see Chapters 4 and 11 in the Green Book.
Immunisations for at-risk children

Usual Age Diseases Protected Against Vaccine Given Site**

At birth, 1 month old, 2 months old and 12 months old
 
Hepatitis B Hep B Thigh
At birth Tuberculosis BCG Upper arm (intradermal)

6 months to 2 years – annually
 
Influenza (flu) Inactivated flu vaccine Upper Arm

Read more about these vaccines at www.immunisationscotland.org.uk
 

Want to Stop Smoking?

NHS Choices suggest eight practical, quick and simple steps you can take straight away to quit smoking

1. Talk to your GP

Many people don't realise that their GP can help them quit smoking. But your doctor can do a lot, such as enrolling you in a 'stop smoking' clinic and prescribing nicotine replacement therapy such as patches and gum, or stop smoking medication such as Champix.

Find out more about how your GP can help you quit.

2. Join an NHS Stop Smoking Service

The NHS has stop smoking services staffed by trained stop smoking advisers all over the country in a range of venues at times to suit you. You can join a group where local smokers meet once a week or have one-to-one support if you prefer. You usually go for a few weeks and work towards a quit date.

Find your nearest Stop Smoking Service at Smokeline, or call 0800 848484 seven days a week 8 am to 10 pm.

3. Get a free Smokeline Quit Pack

To request a quit pack, please go to Smokeline and complete the information requested.  Once you have submitted the form Smokeline will send you a DVD and booklet on how to stop smoking and a copy of Aspire to Stop Smoking magazine.

4. Have an emergency phone number

Keep an emergency number, perhaps for your local NHS Stop Smoking Service.

Read more about how to cope with cravings.

5. Consider using NRT

Nicotine is addictive, and self-control alone might not be enough. Give yourself a better chance of success by using nicotine replacement therapy (NRT). This is available either free or on prescription from your GP, depending on where you live or from your local NHS Stop Smoking Service.

Find your nearest Smokeline Service at www.canstopsmoking.com/ or call 0800 848484 seven days a week 8 am to 10 pm. Or, you can buy nicotine patches, gum and so on over the counter from a pharmacy.

6. Chat online with an expert

Ask an expert for advice through Smokeline's online web chat service.

8. Get online help

Use our stop smoking tool to get daily tips for success.

Read more about the stop smoking treatments available on the NHS.

Content provided by NHS Choices and Smokeline.

Flu and the Flu Vaccine

Flu is a highly infectious illness that spreads rapidly through the coughs and sneezes of people who are carrying the virus.

If you're at risk of complications from flu, make sure you have your annual flu jab available from September onwards.

Flu symptoms can hit quite suddenly and severely. They usually include fever, chills, headaches and aching muscles. You can often get a cough and sore throat.

Because flu is caused by a virus and not bacteria, antibiotics won't treat it.

Anyone can get flu, but it can be more serious for certain people, such as:

  • people aged 65 or over
  • people who have a serious medical condition
  • pregnant women

If you are in one of these groups, you're more vulnerable to the effects of flu (even if you're fit and healthy) and could develop flu complications, which are more serious illnesses such as bronchitis and pneumonia, which could result in hospitalisation.

Flu can also make existing medical conditions worse.

Read more about flu.

Should you have the flu jab?

See your GP about the flu jab if youre 65 or over, or if you have any of the following problems (however old you are):

  • a serious heart complaint
  • achest complaint or breathing difficulties,including asthma, bronchitis and emphysema
  • serious kidney disease
  • diabetes
  • lowered immunity due to disease or treatment such as steroid medication or cancer treatment
  • if you have a problem with your spleen or you have had your spleen removed
  • if you have ever had a stroke

Your GP may advise you to have a flu jab if you have serious liver disease, multiple sclerosis (MS) or some other diseases of the nervous system.

Can I get a flu jab privately?

Yes, you can pay for the flu vaccination privately if you are unable to have it on the NHS. It is available from some pharmacies and GPs on a private patient basis.

Pregnant women and the flu jab

If you're pregnant, you should have the flu jab, regardless of the stage of pregnancy you've reached. Pregnant women are more prone to complications from flu that can cause serious illness for both mother and baby.

If you are pregnant and catch flu, talk to your GP urgently as you may need treatment with antiviral medicine.

Read more about the flu jab in pregnancy.

Children and the flu jab

During autumn/winter 2016/17, flu immunisation will be offered to children aged 2–5 years through their GP practice and all children at primary school will be offered the immunisation via the school. Children must be aged 2 or above on 1 September 2016 to be eligible. 

In the meantime, it's important that children with a long-term health condition receive the flu jab because their illness could get worse if they catch flu. This includes any child over the age of six months with a long-term health problem such as a serious respiratory or neurological condition.

If you have a child with a long-term condition, speak to your GP about whether they should have the flu vaccination.

Carers and the flu jab

If you are the carer of an elderly or disabled person, make sure they have had their flu jab. As a carer, you could be eligible for a flu jab too. Ask your GP for advice, or read our information about Flu jabs for carers.

How to get the flu jab

If you think you need a flu vaccination, check with your GP, practice nurse or your local pharmacist.

The best time of the year to have a flu vaccination is in the autumn from September to early November. Most GP surgeries arrange flu vaccination clinics around this time. Its free and it's effective against the latest flu virus strains.

Even if you've already had a flu jab in previous years, you need another one this year. The flu jab may only protect you for a year. This is because the viruses that cause flu are always changing.

The pneumo jab

When you see your GP for a flu jab, ask whether you also need the 'pneumo jab' to protect you against some forms of pneumococcal infection. Like the flu jab, its available free on the NHS to everyone aged 65 or over, and for younger people with some serious medical conditions.

How effective is the flu jab?

No vaccine is 100% effective, however, people who have had the flu jab are less likely to get flu. If you do get flu despite having the jab, it will probably be milder than if you havent been vaccinated.

The flu jab doesnt cause flu as it doesnt contain live viruses. However, you may experience side effects after having the jab, such as a temperature and aching muscles for a couple of days afterwards. Your arm may feel sore at the site where you were injected. More severe reactions are rare.

The flu vaccine only protects against flu, but not other illnesses caused by other viruses, such as the common cold.

Who shouldnt have the flu jab?

You shouldn't have the flu vaccination if:

  • you've had a serious reaction to a flu vaccination before
  • you have a high temperature (postpone it until you're better)

Not all flu vaccines are suitable for children, so discuss this with your GP beforehand.

Speak to your GP, practice nurse or pharmacist if you have any further questions.

Content provided by NHS Choices and Immunisation Scotland.

Get Fit For Free

The secret to getting fit for free is to use every opportunity to be active.

Armed with a bit of get-up-and-go and good planning, you can be fitter than ever without spending a penny.

NHS Choices have enlisted the help of top fitness experts to help you explore new ways and places to exercise for free. Click on the following to find out more:

Content provided by NHS Choices.

Mental Health

One in four affected

It's easy to think that mental health issues don't concern us, but in fact a quarter of us will have problems with our mental wellbeing at some time in our lives.

Mental health problems are equally common in men and women, but the types of problems differ. Women are one-and-a-half times more likely to be affected by anxiety and depression, while men suffer more from substance abuse (one in eight men is dependent on alcohol) and anti-social personality disorders. Men are also more prone to suicide: British men are three times more likely than British women to die as a result of suicide.

Serious mental health problems are also more common than you might think. One person in 100 has a severe mental health condition such as schizophrenia or bipolar disorder.

All these figures are based on people who have sought help for their mental health problems. Many more could be living with undiagnosed mental health issues, according to mental health charity MIND.

If you're worried about your mental health, or if someone in your life is affected, there are plenty of ways to get help. Find out more about mental health support.

You can also contact mental health charities such as Sane and the Mental Health Foundation.

Read more at NHS Choices

Contraception

Contraception is free for most people in the UK. With 15 methods to choose from, you'll find one that suits you.

Contraceptive methods allow you to choose when and if you want to have a baby, but they dont protect you from sexually transmitted infections (STIs). Condoms help to protect against STIs and pregnancy, so whatever other method of contraception you're using to prevent pregnancy, use condoms as well to protect your and your partners health.

Where to get it

Contraceptive services are free and confidential, including to people under 16 as long as they are mature enough to understand the information and decisions involved. There are strict guidelines for care professionals who work with people under 16.

You can get contraception free from:

  • most GP surgeries (talk to your GP or practice nurse),
  • community contraceptive clinics,
  • some genitourinary medicine (GUM) clinics,
  • sexual health clinics (these offer contraceptive and STI testing services), and
  • some young peoples services (call 0800 567123).

Find sexual health services.

Many of these places also offer information, testing and treatment for STIs. If you've been exposed to the risk of pregnancy, you're also at risk of catching an STI.

Before you make an appointment, make sure youre as informed as possible about the contraceptive options available. Peoples choice of contraception may vary over time, depending on their lifestyle and circumstances.

Contraception and menopause

Women who have sex with men and don't want to get pregnant need to keep on using contraception until they haven't had a period for more than 12 months (menopause).

This is because periods can become irregular before they stop entirely, and pregnancy can still occur during this time. Find out more about menopause.

The methods of contraception

There are lots of methods to choose from, so don't be put off if the first thing you use isn't quite right for you; you can try another. You can read about each of the different methods of contraception by visiting these pages:

There are two permanent methods of contraception:

To find your nearest contraception clinic click here.

You can also look in the phone book under 'sexual health', or use the fpa clinic finder.

You can find out more about each type of contraception by contacting:

  • FPA:provider of information on individual methods of contraception, common sexually transmitted infections, pregnancy choices, abortion and planning a pregnancy. www.fpa.org.uk
  • Brook: theyoung people's sexual health charity for under-25s.www.askbrook.org.uk

In addition to your chosen method of contraception, you need to use condoms to prevent STIs. Always buy condoms that have the CE mark on the packet. This means that they've been tested to the high European safety standards. Condoms that don't have the CE mark won't meet these standards, so don't use them.

Content provided by NHS Choices.

Travel Vaccines

There's no point spending hours choosing your swimwear, beach bag and flip-flops if you barely think about the bugs and other health risks that could ruin your holiday.

Almost one in four UK holidaymakers don't get any vaccinations despite travelling to areas that have life-threatening infectious disease.

Find out which travel jabs you need for your destination.

Its not worth skipping travel vaccinations. Infectious diseases can make you very sick, spoil your holiday and even kill or cripple you.

Vaccinations protect you against many travel-related infections, such as yellow fever, typhoid and hepatitis A. Use the information on these pages to learn about travel vaccines, which ones you need for your destination, and when and where to get them.

For additional general information, read our articles on travel health.

The vaccines

The vaccinations currently available for travellers abroad.

More on the vaccines

Whats available on the NHS?

Some travel vaccinations are freely available on the NHS. Others are only available privately and may incur a fee.

More on NHS and private travel jabs

When and where

Where and when to have your travel jabs.

More on where and when

Content provided by NHS Choices.

Carers

Looking after someone?

Caring for someone can be very difficult and many people find that they need extra help with the care they provide.

Find out what support you might be able to receive here - provided by NHS Choices. This page also provides lots of help and advice.

Carers Direct - 0808802 0202

Free, confidential information andadvice forcarers.

Lines are open 8am to 9pm Monday to Friday, 11am to 4pm at weekends. Calls are free from UK landlines or you canrequest a free call back.

You can alsoask for a call back in one of more than 170 languages.

You can send a query to our advisers by email.

Find out more about the Carers Direct helpline.

Safer Drinking

For the first time, the same drinking guidelines now apply across the whole of the UK.  This harmonisation sees the other UK nations also now advising that not drinking alcohol at all is the safest approach in pregnancy, which has been Scotland's advice for a number of years. 

To keep health risks from alcohol to a low level, it is safest not to drink more than 14 units a week on a regular basis, for both men and women.  This has been reduced from the previously set 21 units per week. Not drinking alcohol at all is the safest approach in pregnancy

The new alcohol guidelines are based on a thorough review of the scientific evidence, in the most  comprehensive look at all the evidence of alcohol in 20 years. The guidelines give you the most up to date scientific information, so that you can make an informed decision about your drinking.

For more information on the revised guidelines http://www.gov.scot/topics/health/services/alcohol/safer-drinking