We have a nursery nurse at the surgery – Karen Agar:
Karen

Karen trained as a Nursery Nurse in Edinburgh and has worked with parents and children in many areas of childcare.
Karen works with the Health Visitors at the weekly clinics and carries out developmental assessments. She also supports parents and children in the areas of development and behaviour.
The Health Visiting Service and Useful Information
The Health Visitors aim to contact all pregnant women during their pregnancy to introduce the health visiting service. Parents are given the parent-held child health record and asked to take it with them whenever their child goes to see any health professional so that the record can be as complete as possible. Home visits are offered to mothers with newborn babies up to the baby’s sixth week. All first-time parents are given the Birth to Five book which has a wealth of valuable information on child health. Parents are invited to bring their children to the child health clinics for developmental checks and immunisations.
Child Health Clinics
Union Brae Surgery
There is a clinic at Union Brae on Tuesday afternoons which is appointments only for immunisations and routine checks. The appointments are made by the surgery so if you are unable to attend an appointment or wish to make an appointment you should contact them. There is a Doctor in attendance at these clinics.
Norham Surgery
At Norham Surgery on the second Thursday of each month there is a clinic between 9.00am to 10.00am during which routine immunisations will be given. This clinic is for appointments only and there will be a Doctor in attendance.
Between 9.30am and 11.00am on this day there is a drop-in clinic to give parents an opportunity to have the baby weighed and discuss any concerns.
Other Clinics
On Wednesday afternoons (between 1.00pm and 3.00pm) the Health Visitors run a drop-in clinic at SureStart Childrens Centre, Ladywell Place. There is also a drop-in clinic at Holy Trinity School, Bell Tower Place on Thursday mornings (between 10.30am and 12 noon).
At these clinics the Health Visitors offer advice relating to pre-school child health, development and behaviour, and parenting issues as well as weight checks. There is no Doctor in attendance at these clinics.
Development and Surveillance Programme
| 6 to 8 weeks | Carried out by Health Visitor and Doctor |
| 4 months | Carried out by a member of the health visiting team |
| 1 years | Carried out by Health Visitor |
| 27 months | Carried out by Health Visitor |
If you have a worry about your child’s health, progress or behaviour you can contact the health visitor at any time – you do not have to wait until the next check is due.
The Health Visitor’s training enables her to discuss issues relating to the health of the whole family eg postnatal depression, relationship issues, bereavement etc. For any family concerns please contact the health visitor on her direct line – 01289 356952.
Immunisations
These are given routinely against some diseases. It is important to remember that these diseases can kill and that immunisation is a way of protecting your child.
Immunisation Schedule
Diphtheria, Tetanus, Pertussis (whooping cough), Hib (Haemophilus influenzae type b) Polio Pneumococcal conjugate vaccine (PCV) | Two months |
Diphtheria, Tetanus, Pertussis, Hib Polio Meningitis C | Three months |
Diphtheria, Tetanus, Pertussis, Hib Polio Pneumococcal conjugate vaccine (PCV) Meningitis C | Four months |
Hib Meningitis C | Around twelve months |
Measles, Mumps, Rubella (German Measles) – MMR Pneumococcal conjugate vaccine (PCV) | Around 13 months |
Diphtheria, Tetanus and Pertussis Polio MMR | Three years four months to five years |
Tetanus and Diphtheria Polio | Thirteen to eighteen years |
Injections are given in the thigh. If the child is unwell, has a fever on the day of immunisation, or has had complications after a previous vaccine, talk to the health visitor or doctor about this.
For some advice and useful links to other Websites see below:
For information about meningitis you can visit the Meningitis Research Foundation’s Website
For information about immunisation you can visit the Immunisation Website
Debbie McLeman November 2008