Outside Services

Gateway drop in clinics    

• Mon 1pm-4pm at East Lothian Community Hospital, Haddington
• Thurs 11am-4pm at The Esk Centre, Musselburgh

All women aged between 50 and 70 are currently offered breast screening by mammography every 3 years in Scotland. Women under the age of 50 are not offered screening unless they have previously had breast cancer, have a close relative who developed breast cancer early (usually when aged under 45), or are known to carry certain genes that predispose them to early-onset breast cancer. The screening programme is centrally coordinated with invitations issued on a 3 yearly basis. The contact details for the Lothian Breast Screening Programme are Ardmillan House, 42 Ardmillan Terrace, Edinburgh EH11 2JL, and their telephone number is 0131 537 7400.

CTACs East Lothian is a service that has been developed in response to changes in the GMS contract and as part of the primary care improvement plan. This is to help the Practice Nurses focus on more complex matters.

What services does CTACs East Lothian offer?

Wound Care – all wounds including post-operative, acute and chronic. If a person sustains minor injury they should attend either GP surgery or call minor injures on 111. Subsequent care can be carried out by CTACS
Removal of suture and staples
Secondary Care phlebotomy (only Haematology and Pre chemo bloods for those attending Ward 1 Oncology)
Doppler Assessment
Vitamin B12 Injection
Ear irrigation at designated hubs

Where are CTACs located

East Lothian Community Hospital
Musselburgh Primary Care
Tranent Medical Practice
Prestonpans Medical Practice
Harbours Medical PRactice
Dunbar Medical PRactice
North Berwick Medical Practice
Gullane Medical Practice

To book an appointment please call 0300 790 6292. Phone lines are open Monday to Friday between 8:00 and 17:00

For any condition involving you mouth of teeth see you dentist.
If you need dental care out with your registered practice hours you can call and the voice message can give you information on emergency care.  If you are not registered with a Dentist you can attend the ‘Walk-in’ dental service at Chalmers Dental Centre, 3 Chalmers Street, Edinburgh, EH3 9EW.  This service is available Mon-Fri 9am-6pm.  For same day treatment you need to arrive before 3pm.  There will be a charge for this service.  For dental care after these hours you will need to call NHS 111.

During Covid 19, the way you access emergency dental care has changed. Please visit nhslothian.scot for more information.

Please read the following for self care information you need on removal ear wax. Never use cotton buds or other objects as this pushes the ear wax in further. You can speak to a Pharmacy about getting ear drops.

What to do if self-care does not work.

If self-treatment does not remove the wax, you may need to have ear wax removed by contacting CTACs on 0131 446 4227 and they will arrange an appointment.
However please only do this if:
 You have tried self-care first using oil
 Or you have been advised not to put oil in your ear because of a perforated ear drum or ear surgery.
If you need to undergo ear syringing by a nurse (a method of flushing earwax from your ear), you will need to use oil drops as outlined above for at least 10 days beforehand.

Hospitals with Accident and Emergency Departments

• Royal Infirmary of Edinburgh (RIE), 51 Little France Crescent, Edinburgh EH16 4SA. 
  Telephone: 0131 536 1000
• St John’s Hospital, Howden Road, West Howden, Livingston, West Lothian EH54 6PP.
  Telephone: 01506 523000
• Royal Hosptial for Sick Children and Young People (RHCYP), 50 Little France, Edinburgh EH16 4TJ.
• Telephone: 0131 536 1000

Hospitals without Accident and Emergency Departments in East Lothian

• East Lothian Community Hospital, Hospital Road, Haddington, East Lothian EH41 3PF.
  Telephone: 0131 536 8300

Hospitals without Accident and Emergency Departments in Edinburgh

• Western General Hospital, Crewe Road South, Edinburgh EH4 2XU.    
  Telephone: 0131 537 1000
• Princess Alexandra Eye Pavilion, Chalmers Street, Edinburgh EH3 9HA.  
  Telephone: 0131 536 1628
• Chalmers Hospital, 2A Chalmers Street, Edinburgh EH3 9HQ.      
  Telephone: 0131 536 1070
• Astley Ainslie Hospital, 133 Grange Loan, Edinburgh EH9 2HL.      
  Telephone: 0131 537 9000
• Lauriston Building, Lauriston Place, Edinburgh EH3 9HA.      
  Telephone: 0131 536 1000

For queries about your Hospital Out-Patient Appointment please contact:

• East Lothian Community Hospital: 0131 536 8300
• Eye Pavilion: 0131 536 3920
• Lauriston Buildings: 0131 536 1000
• Royal Hospital for Sick Children: 0131 536 0000
• Royal Infirmary: 0131 536 1000
• St John’s, Livingston: 01506 523 000 
• Western General: 0131 537 1000

       If you need further help following this, please speak to a Receptionist.

‘If you live in Edinburgh and the Lothians and are affected by cancer (including family members and carers) you could benefit from this new support service.

Macmillan Cancer Support and NHS Lothian are working together to support people affected by cancer access a wide range of support, including benefits advice, help at home and emotional support. For more information or to access the service call 07977 307 286 / 07929 784 315 or email [email protected]‘

• Newly Pregnant patients who wish to be booked in with a Midwife do not need to see a GP first.
• Simply call 0131 536 2009 to book your fist appointment.

CHANGES is a Community Health Project in Musselburgh that promotes positive wellbeing.  They can help with a range of mental health issues including stress, anxiety and depression.  You can self refer for counselling and various classes by calling 0131 653 3977 or emailing: [email protected].  For more information the website: https://changechp.com

Eclipse Counselling service is also available at Prestonpans.  Please discuss this with your GP.

CWIC Mental Health Pathway

For more information on Mental Health links please like here to visit our Mental Health page.

Please visit the following link for more wellbeing resources www.wellbeinglothian.scot

NHS Pharmacy First Scotland (NHS PFS) is a consultation service designed to encourage the public to visit their community pharmacy as the first port of call for all minour illnesses and common clinical conditions.  The current Minor Ailments Service will be discontinued and replaced by this new service, which will be delived by every pharmacy in Scotland form Wednesday 29th July 2020.

Who is eligible?

• Everyone registered with a GP practice in Scotland or the Defence Medical Devices on a permanent or temporary basis (including care home residents).
• People who live in Scotland (including gypsy or travellers/ asylum seeker or dependant of a asylum seeker).
• Visitors to Scotland are excluded.

Please see below for contact details on our local Pharmacies:

Well Pharmacy (Ormiston)
Tynemount Road, Orminston, EH35 5AB
Telephone: 01875 610412
Opening Hours: M-F: 8.30-17.30, Sat: 8.30-17.00
Note: Closed for Lunch from 13.00 – 14.00 p.m

Well Pharmacy (Tranent)
115 High Street, Tranent, EH33 1LW
Telephone: 01875 615453
Opening Hours: M-F: 8.30-17.30, Sat: 8.30-17.00

Lloyds Pharmacy (Tranent)
49-51 High Street, Tranent, EH33 1LN
Telephone: 01875 610321
Opening Hours: M-F: 9.00-18.00, Sat: 9.00-17.00

The NHS in Scotland recommends that everyone has a free eye check every 2 years, or more frequently if advised. It is important for adults to have eye examinations on a regular basis to check for problems that may require specialist care, such as glaucoma, macular degeneration and cataract. Please note that you are no longer able to self-refer to the Emergency Eye Clinic at the Princess Alexandra Eye Pavilion in Edinburgh.

EAST & MIDLOTHIAN CHILDREN’S PHYSIOTHERAPY DEPARTMENT

East & Midlothian Children’s Physiotherapy Department run a telephone Help Line Service on Monday and Thursday’s between 9.00am and 11.00am where parents and professionals can ring the department to discuss any concerns

To seek advice or to discuss a child with us please phone

Musselburgh Primary Care Centre on 0131 446 4144

Discussions are confidential and personal detail need not be shared. If a request for assistance is advisable you will be asked to complete our written form.

Anyone can ring us if you would like to speak to a Physiotherapist for advice. You do not need to go to your GP or school to access this service.

In East Lothian, you can self-refer to Physiotherapy by phoning 0300 3 690 680 Monday to Friday 9am – 11:30am. This service is for Adults only with Musculo-skeletal problems. It offers triage and early access to self-management advice. This advice line is able to refer directly to Physiotherapy if required. For further information on Physiotherapy in East Lothian or to self-refer, please click here.

NHS 24 have a MSK app that can help you get quick access to good information. The aim is to help you get back to normal quicker after a muscle, back and joint problem.

For more information and features on the app please visit www.nhsinform.scot

Unfortunately, we do not offer a NHS Podiatry clinic based within the Practice. You can refer yourself by picking up a form from Reception at the surgery. You should then either return the completed form to us or post it to your preferred clinic directly. Please note that you cannot self-refer for Domiciliary Podiatry as you require a GP referral for this service.

Podiatrists offer a range of services dedicated to foot care, including Orthotics. Please note NHS Podiatry is unable to offer routine nail care and cutting unless there are relevant medical circumstances. For further information about Podiatry, please click here.

If you have a positive home pregnancy test, the first step is to self-refer to the Midwife by calling 0131 536 2009 (Monday to Friday from 9 a.m. to 5 p.m.) for an appointment. Or, if you are unsure about continuing with the pregnancy, you should book an appointment with your GP on 01875 610248 as soon as possible for advice and support.

At your first Midwife appointment at the surgery (usually on Wednesday afternoons) at around 8-10 weeks into your pregnancy, you will be asked detailed questions about your past medical history, family history and medications, and have blood tests taken. Following this, you will receive an appointment for your first scan that is usually done when you are around 12 weeks pregnant. This booking scan confirms the dates of pregnancy, and you will also have a later detailed scan at around 20 weeks that looks at your baby’s heart, kidneys, skull and spine.

You should be taking a supplement of Folic Acid (400 micrograms for most women) for the first 12 weeks of your pregnancy, as this has been shown to reduce the risk of a malformation in the baby’s spinal cord called Spina Bifida. You may need a higher dose if you are Diabetic, on medication for Epilepsy, or have a previous or family history of problems related to Spina Bifida – please ask your Midwife if you are unsure.  You should also take Vitamin D (10mcg) throughout pregnancy and breastfeeding.  You should eat a healthy, balanced diet, and should avoid eating liver and pate, raw or partially cooked eggs, raw or uncooked meats, raw shellfish, unpasteurised milk and some types of cheese. It is best not to drink alcohol at all as it will reach and may harm your baby. Smoking harms you and your baby. If you need help to stop smoking during pregnancy, please phone 0800 848484.

Our Midwifery colleagues who work in teams in the community deliver the majority of antenatal care. Our local Midwife team visits the surgery every Wednesday afternoon, and can be contacted on 01620 642 707 out with these hours. For further information about keeping you and your baby well during pregnancy, please click here.

You can choose from the following two locations:

Tranent Medical Practice is a walk in Service only.  For 18 years old and under please attend between 3:30pm and 5pm on Tuesday afternoons.  For over 18’s please visit between 5:30pm and 6:30pm on Tuesday afternoons.  Please note this service runs on a first come first served basis.

This service may be currently unavailable due to Covid-19.

The Chalmers Sexual Health Centre based at 2A Chalmers Street, Edinburgh EH3 9ES.

Both locations offer a wide range of services and you are able to self-refer without a GP referral. The services that are offered include:

• Contraception (such as the combined oral contraceptive pill, mini-pill, contraceptive implant, depot, condoms, patches, diaphragms, caps, coils, sterilisation and vasectomy)
• Cervical smears
• Sexually transmitted infection (STI) testing and treatment (including HIV testing)
• Dedicated clinics about the management of the menopause and pre-menstrual symptoms
• Young Person’s clinics
• Emergency contraception, termination referral and pregnancy testing

For Chalmers please click here for further information and advice. If you wish to make an appointment at this strictly confidential clinic, please telephone 0131 536 1070 or simply apply online.

The Social work team are available on 01875 824309.  They can give you advice about benefits, care at home or difficulty with daily tasks (such as washing, dressing, food preparation and getting about).

If you wish to stop smoking, we can offer you help to achieve this goal. Please complete a form for the dedicated Stopping Smoking Clinic at Reception or phone 0131 537 9914. There are several benefits to stopping smoking including:

• Reducing your risk of developing illness or death caused by cancer, heart or lung disease
• Reducing your risk to gangrene or amputation caused by circulatory problems
• Protecting the health of those around you by not exposing them to second hand smoke
• Reducing the chances of your children suffering from asthma or glue ear
• Improving your fertility levels, and your chance of a healthy pregnancy and baby
• Improving your breathing and general fitness
• Saving you money

Why use NHS Lothian Stopping Smoking Clinic?

• Attending a dedicated Stopping Smoking Clinic doubles your chances of stopping
• Using a product to stop smoking prescribed by these clinics can double your chances of quitting
• You are FOUR times more likely to stop smoking with this service than by yourself

For further information about East Lothian Stopping Smoking Services, please click here.

For more information about the location of clinics please click here.

The Women’s Circle on Resilience

(for women from minority ethnic communities)

is a workshop on building competencies to deal with difficult life situations and becoming aware of the ways to overcome them.

During our sessions, we will build on five basic things that can contribute to or strengthen our ability to cope with situations of severe stress, trauma or other life difficulties.

Carers of East Lothian are continuing to deliver support over the telephone to unpaid carers. If you are struggling with a caring situation, please call us on 0131 665 0135. We have a carer support worker available to respond to new enquiries Monday to Friday, 10 am to 4 pm. If we cannot answer immediately, please leave a message with your contact details and we will get back to you as soon as possible. You can also reach us at [email protected].

We can offer information, practical advice and emotional support to help you in your caring role. We can also assist with welfare rights and benefit applications.

We understand that this is an anxiety-provoking time for carers and the people you care for. Please reach out for help if you need it – 0131 665 0135.

Call 0300 790 6296 if you have an enquiry regarding:

Flu
Covid
Shingles
Pneumococcal
Any other routine vaccinations

Call 0131 446 4802 if you have an enquiry regarding childhood vaccinations including missed flu.

Call 111 who will assess requirement for Tetanus vaccination.