General Practice Services

We provide a comprehensive range of general practice services. Some of these are outlined below with reliable LINKS providing additional information. Health Navigator NZ also provides additional information on common health issues.   

Accident Care  

We treat and manage most minor injuries within the practice. We encourage patients to return to the practice for ongoing care after being seen elsewhere. We will manage your injury and arrange specialist follow up care (such as physiotherapy), with expert providers if required. 

Advance Directive

An Advance Directive is defined in the Code of Health and Disability Services Consumers' Rights as a written or oral directive by which a consumer makes a choice about a possible future health care procedure. It is intended to be effective only when he or she is not competent.  

Advance Directives are becoming more popular. We will support you in the development and safekeeping of your Directive. For more information please see the following

https://www.healthnavigator.org.nz/health-a-z/a/advance-care-planning/ 

Allergy Management and Desensitisation/Immunotherapy Services  

We will work to identify allergens, provide options to best manage symptoms and explore options for desensitisation. Some immunotherapy treatments require specialist care, others can be administered in the Practice. 

Blood Test (Phlebotomy) Service 

We offer blood testing our patients and this is available at the Richmond Road Medical Centre for a fee of $15.00  General practices in New Zealand are not funded to take bloods.

Bowel Function Review 

Changes in Bowel habit can be caused by a range of medical conditions and should be regarded seriously. These problems not always related to serious disease and most often can be remedied. 

New Zealand does however have one of the highest incidences of bowel cancer in the world. Bowel cancer can be asymptomatic however any change in bowel habit, abdominal pain, bleeding from the bowel or unintentional weight loss should be investigated to exclude bowel cancer. Please come and talk with us about any concerns. For more information about bowel cancer and screening. 

Consultations

Consultations with our patients are at the heart of our general practice. 

Our standard GP consultation is 15 minutes long.  

If you have several concerns, please book a longer appointment. This allows us to ensure all outcomes can be managed carefully. 

Chronic Disease Management  

Chronic disease often causes stress and may require adjustments and treatment.  We will work carefully alongside you to optimise your support and treatment outcomes. Please ask our Doctors or Nurses if you feel you might benefit from additional nurse led support services.  

Continence Assessment and Advice 

Urinary incontinence (loss of bladder control) is a common problem and can affect people of all ages. If this affects your daily activities, we can support you with advice and/or medical treatment that can ease or stop these problems. 

Contraception - Advice and Provision  

The range of contraceptive options available to New Zealanders has increased significantly over the last ten years.  We will help you to find the option that best suits your needs.  

For more information on contraception choices.

Appointments for emergency contraception and sexual health screening are fully subsidised for patients under 25 years (up to 4 times per year).  

Diabetes Assessment and Support   

Diabetes refers to a group of diseases that result in too much sugar in the blood (high blood glucose). It is estimated that approximately 200,000 people New Zealanders have diabetes and a further 100,000 people have yet to be diagnosed.  

The most common types of diabetes include:  

Type 2 - A chronic condition that affects the way the body processes blood sugar (glucose). 

Type 1  - A chronic condition in which the pancreas produces little or no insulin. 

Gestational diabetes - A condition in which blood sugar is high affecting pregnant women. 

Over time, the high blood sugar that results from diabetes, can damage the heart, blood vessels, eyes, kidneys, and nerves. Good control of blood glucose is beneficial and people with better diabetes control have fewer complications.    

Please see us if you are concerned that you might have diabetes or if you have questions about this condition. Diabetes management can be challenging for patients and we are here to support you with this. 

We offer all our diabetic patients a fully subsidised appointment with one of our nurses once a year for review and flu vaccinations at no charge. 

We have included some helpful links below. 

Ministry of Health -Diabetes

Diabetes New Zealand

If you have financial concerns that makes seeing us difficult, please let us know and we will do all we can to support you. 

Dietary Assessment and Nutrition Advice 

Dietary problems are common. We offer specific support for a range of nutritional problems that include, but are not limited to weight management, nutrition advice for all ages, irritable bowel syndrome, colitis, coeliac disease and iron and B12 deficiency.  

With a thorough assessment we can support you to choose options that will help you best manage dietary and weight related challenges.  Great results can be achieved. 

Driving Medicals  

All New Zealand drivers must be medically fit to control their vehicle, see other road users, make speed and distance judgements and react safely to a potentially hazardous situation. A Driver’s License medical examination is required when applying for (or renewing) a heavy vehicle endorsement, when you have a medical condition which may affect your ability to drive safely, or if you are 75 years or older. Please book a double appointment if you require a driver’s medical and have other medical issues to discuss. 

More information on the requirements of the New Zealand Transport Agency can be found here.

 

Diving/SCUBA Medicals  

Some medical conditions make SCUBA diving more dangerous. We provide diving medicals for recreational divers. Occasionally a specialist review may be requested if there are certain risk factors for diving safety.  

Ear Checks/ Tympanometry/Ear syringing 

Tympanometry tests middle ear function and is an important part of an ear health and hearing screen for both children and adults. This test is performed by your GP or nurse at the practice.   

Ear Syringe - Removal of obstructing ear wax  

Ear wax is a naturally occurring substance in healthy ears, but it is quite common for wax to build up in the ear canal and this can impair hearing. The wax can be flushed out by syringing water into the ear. Syringing is most effective if the wax has been softened for 3 days prior to patients presenting for treatment. Give us a call if you have any concerns about this.  

Exercise Advice /Green Prescription Referrals 

For people of all ages exercise benefits many areas of well-being. We are committed to helping all patients, meet their goals.   

 Patients can be referred by our practice team to the following low-cost programmes.   

Green Prescriptions (GRx) linkis a referral-based health and wellness programme for adults 18 years and over. It is designed for people who would like support and motivation to get physically active to improve their health. It is delivered through group sessions in various communities in Auckland and Counties-Manukau.   

Active Families Sport Auckland.

Sport Auckland also delivers Green Prescription 'Active Families' to children aged 5 - 17 years of age. For information relating to our Active Families programmes.  Ask us if you think this would be a suitable option for you.  

Never to old YMCA

ECG  

An electrocardiograph (ECG) records the electrical activity of the heart over time. It gives us information about your heart's structure and function. We can do this in the practice.  

Equipment Hire  

Home blood pressure monitors, and nebulizers are available for hire from the Practice. Please ask our staff for further details. 

Fatigue Assessment

Fatigue is a feeling of constant tiredness or weakness. Fatigue is most often caused by a combination of factors that we will help identify and manage. 

Fertility Advice and Initial Assessment 

Infertility is a common problem affecting one in six couples at some stage of their reproductive life. It is usually defined as the inability of a couple to conceive after 12 months of unprotected intercourse. Approximately 80% of couples will be pregnant after 12 months of trying and another 5-15% will conceive in their second year of trying. Some couples will however know or suspect they have a fertility problem within this year. Please come and see us at any. We will help you with any concerns you have.  

While current fertility treatments often provide good outcomes access to public services are limited. We encourage patients over thirty years, who are planning to have family in the future, to talk with us. This enables us to fully inform you about your fertility options. 

For more information:

National Women's Health

Fertility Associates (public and private care options)

Heart Health Checks 

 In New Zealand 33% of all deaths are caused by cardiovascular disease, many of these deaths are premature and preventable. https://www.heartfoundation.org.nz/statistics 

Who should be checked? 

We advise that all men over 45 and woman over 55 years be checked at regular intervals for Cardiovascular Disease risk and possible complications.  For patients of Maori, Pacific and Indo-Asian descent these ages are revised to 35 years for men and 45 years for women. These are guidelines only and if you any concerns please come and see us. 

HEALTHY HOMES  

Kainga Ora is a free service which supports low income families to achieve warmer, drier and healthier homes by improving insulation, ventilation, curtains, bedding, heating and help with WINZ entitlements. To make changes to a property the family do not have to own the home. 

Families with children, a history of specific illnesses and pregnant women are currently seen as a priority for this service. For more information and support with referrals please come in and see us or visit Healthy Homes Initiative.

Immunisation/Vaccination Services for all ages 

Vaccinations and immunisation are crucial to the wellbeing of all our patients. To help patients informations you need at the time of your immunisation appointment. 

Infusion Services

Infusions are medications delivered to your body intravenously. We perform these for various medications such as Iron and Zoledronic Acid (an infusion for the treatment of osteoporosis and for some cancers). 

Insurance Medicals

Insurance medicals involve a comprehensive medical examination to assess your health and medical conditions. These require a double (30 minute) GP appointment. Additional testing such as blood tests, spirometry and ECG may be required. Please call the Practice and advise you are booking for an Insurance Medical Assessment.

Interpreting Services  

Face to face and phone interpreting services in 40 different languages is available at the practice during normal business hours at no additional cost.

We have medical staff who are fluent in Dutch, Korean and Spanish.

Lifestyle Challenges - Addiction Assessment and Support

We appreciate it can be very challenging for patients to both seek support and maintain intended change when faced with addiction and related problems. You will be well supported.

Medical Alarm Applications

Medical alarms allow you to get help when you need it at the press of a button. Medical alarms are promoted to provide “peace of mind” and are a very useful tool for some patients. We will support you with referral to a service that best fits your needs and work with you to see if you are eligible for funding support.

For further information on funding to support the purchasing and ongoing cost of a medical alarm, please see St John Medical Alarms.

There are a number of companies that provide this service. St John Medical Alarms is our preferred provider

Mobility Parking Applications

A Mobility Parking Permit enables the permit holder to park in accessible reserved parking spaces or park longer than the stated time in some standard car parks and metered spaces.

For information re eligibility for a mobility parking permit https://www.ccsdisabilityaction.org.nz/mobility-parking/applications-and-renewal/

Application forms are available at the practice.

MedicAlert® Applications

Knowledge of adverse drug reactions and medical conditions can greatly help emergency responders manage your care. If you have any medical condition or allergy that may put you at risk in an emergency or are taking ongoing medications, MedicAlert® is highly recommended.

For further information regarding recommendations talk with our doctors and nurses or see https://www.medicalert.co.nz/content/why-medic-alert/who-needs-medicalert.aspx.

Mental Health and Lifestyle Challenges - Assessment and support.

We will support you with challenges related to such issues as work stress, relationships, parenting, depression, anxiety, alcohol and drug use and gambling. These problems are common, and options will be provided so the support provided best suits your needs.

Musculoskeletal Medicine

Musculoskeletal problems are common and have the potential to significantly impact on your daily activities and sporting aspirations.

We will assess you throughly and assist you to return to your best. Dr Cathy White has special interest in sport medicine.

Palliative Care

We provide end of life care for our enrolled patients and are well supported by our local Hospice Service. Subsidies to support some patients are available. Please talk with your doctor or nurse.

Patient Portal

We encourage all patients over 16 years to register with the Patient Portal. This enables you to make appointments and order repeat prescriptions online. It also gives you access to your test results, immunisation records, recalls, medical warnings and long-term medications.

Enrolment into the portal is optional and can be done at any time. However, if you complete the portal registration form at the time of your enrolment or next appoinment, we can help you with this process. For more information Patient Portal Connectmed

Pregnancy

Pre-pregnancy planning

If you are planning a pregnancy, we recommend that that you see us. We will talk about rubella, supplementation, travel risks, provide any required testing and answer any questions you have. There is good evidence that this planning can improve pregnancy outcomes.

Early Pregnancy Care

The first part of your pregnancy is an important time. We will answer any questions you have, help you manage any troublesome symptoms, provide testing as required and support you to find a lead maternity care (LMC). This is the person who will look after you during your pregnancy and delivery.

Postnatal Check for Mothers 

A subsidised check-up for all mothers is available with our Nurse at 6 - 8 weeks postpartum. 

Pre-exposure Prophylaxis

(PrEP)

Pre-exposure Prophylaxis (PrEP) refers to the use HIV medication by people who are HIV-negative in order to reduce their risk of HIV infection. Correct use of PrEP reduces the risk of HIV transmission by up to 99%.

Dr Cathy White provides this service for patients at RRMC.

Recall and Reminders

We will remind you of your screening and health monitoring needs. To help us please keep us informed of any changes in your contact details.

Patients can review recalls and recommendations through their Patient Portal. If you feel this information may need updating, please contact our practice nurse.

Please note that once you have received 2 reminders, a record of that need will remain on file, but no further reminders will be sent.

Respiratory Health -Assessment and Management

Asthma

New Zealand has one of the highest rates of asthma in the world, affecting up to 1 in 4 children and 1 in 6 adults.

For more information please see the following links.

Adults: www.healthnavigator.org.nz/health-a-z/a/asthma-adults/

Children: https://www.kidshealth.org.nz/asthmahttps://

Chronic Obstructive Pulmonary Disease (COPD)

The term COPD includes a range of diseases including emphysema, chronic bronchitis, certain types of bronchiectasis, and sometimes asthma and refers to the damage to the lungs which makes breathing difficult that is common to all these diseases.

COPD affects about 1 in 7 adults aged over 45 years and is common in older age groups. It is often undiagnosed.

The main cause of COPD is long-term exposure to substances that irritate and damage the lungs; nearly all COPD in New Zealand is smoking-related. There is no cure for COPD but regular inhalers, vaccinations and early treatment of infection with antibiotics can make a difference.

Spirometry 

Spirometry is a common pulmonary function test. It measures lung function, specifically the amount and/or speed of air that can be inhaled and exhaled. 

This is an important test for patients with conditions such as asthma, COPD (Chronic Obstructive Pulmonary Disease), Pulmonary Fibrosis and Cystic Fibrosis. 

Sexual Health Consultations

Consultations for problems related to sexually transmitted diseases and other aspects of sexual health are often difficult for patients. These are however common presentations and represent important aspects of our lives. We provide patients with the opportunity to discuss issues related to sexual wellbeing, for example sexual identity, libido, sexual function and the prevention and treatment of sexually transmitted disease. We offer support and where indicated management options that are used with success.  

Subsidised appointments with the doctor or nurse are available for registered patients under 25 years of age (for up to 4 appointments per year).

Screening – Program Enrollment and Recall Support

We support patients to enroll and participate in all our National Screening Programs.

Please see https://www.nsu.govt.nz/ for further information or talk with us.

Skin Health/Minor Surgery

Our doctors and nurses can help with treatment for a range of skin conditions that include but are not limited to - acne, management of skin ageing and sun damage, skin cancer and precancerous lesions, eczema and psoriasis. We manage and treat most skin lesions at the Richmond Road Medical Centre and offer cryotherapy and expanded surgical services.

NZ has a very high incidence of skin cancer. If you have persisting problems of concern, please have a check-up.

This link https://www.dermnetnz.org/ provides reliable and up to date information on a wide range of skin conditions.  

Sleep Assessment and Advice

Sleep disruption can have a significant impact on people's lives, and it is our experience that many interventions have been trialed before patients decide to visit their Doctor. The origin of difficulties can be multifactorial, and we will work with you to identify, manage these and improve your sleep.

Smoking Cessation Support

Together, we can optimise your chances of succeeding with the changes you wish to make. We offer a range of options that can be tailored to your personal needs.

Support

If you are facing financial difficulties that makes seeing us difficult, please talk to our staff and we will help support you.

Travel medicine

Our dedicated TRAVELSAFE service is recommended for all travellers and is available to both members of our community and registered patients.

Our TRAVELSAFE Service provides you with individualised:

·         Up-to-date pre and post travel advice.

·         Vaccinations for disease prevention specific to your destination.

·         Options to maximise your long-term vaccination protection.

·         Alerts to possible hazards specific to your destination, such as high-risk areas within a country and risks around specific activities on offer there.

·         Advice on how to manage illness should this occur during your travel.

·         Prescription medicines and instructions for their use for many common conditions such as travellers’ diarrhoea.

·         Advice on how to make your travel more comfortable by minimising the effects of travel problems such as jet lag, altitude sickness and motion sickness.

While it is ideal to be seen months before your intended travel, we will do all we can to make your travel safe within the timeframes you face.

Wellness Check-ups and Personalised Screening Advice for all Ages.  

A checkup offers a snapshot of your health at any one time. We encourage you to have a check-up if you have not seen a GP for some years; if you need to update your family history; if you are seeking information about screening opportunities; or if you are simply seeking reassurance about your health. 

We will examine you, review your family history and provide personalised screening and preventative medical advice and treatment if indicated.  

All patients are welcome anytime. We recommend patients are seen in their 16th year and that men over 45 years and women over the age of 55 attend for a yearly health review. 

The following links provide general recommendations for AGE SPECIFIC SCREENING and PREVENTATIVE MEDICINE SCHEDULES and Cardiovascular Risk Assessment for patients who are without symptoms.