Clinics & Services

We offer the following clinics:-

• Asthma
• Child Health Surveillance
• child immunisations
• Chronic Kidney Disease
• COPD
• Coronary Heart Disease               
• Diabetes
• Family Planning                 
• Hypertension           
• Lifestyle                          
• Mental Health          
• Minor Illness                     
• Minor Surgery 
• Seasonal Influenza and Pneumococcal immunisations
• Stroke/TIA                       
• Spirometry              
• Thyroid                                                          
• Weight management 
• Well Woman                            

Unfortunately Cos Lane is no longer able to provide specialist travel advice.  We would advise patients seeking travel advice to consult the fit for travel website www.fitfortravel.nhs.uk

There are two local travel clinics who can offer specialist advice and vaccinations.  They are

Fife Travel Clinic  www.totaltravelhealth.co.uk

or

Fife Global Travel Centre www.cadhampharmacy.co.uk

Non-NHS Services

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

• Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
• Insurance claim forms
• Prescriptions for taking medication abroad
• Private sick notes

Some requests for medical examinations require specialised equipment and cannot be carried out. The most common of these are employment medicals that require audiometric testing.

For more information please speak to a member of the admin team who will be happy to advise you about the charges and appointment availability.

COS LANE MEDICAL PRACTICE

RESPIRATORY ANNUAL REVIEWS

Invites are issued once a year to all patients with Asthma using regular inhalers and those with COPD (Chronic Obstructive Pulmonary Disease)

It is important to attend your annual review even when you are feeling well so we can assess your lung condition and how well your medication is helping you at your baseline, not just when you are unwell. 

Your check up may include:

• Inhaler technique review
• Breathing flow rate (FEV1) and Oxygen levels
• Heath advice regarding diet, weight and smoking
• Pulmonary rehabilitation classes (where appropriate)

Please bring all your inhalers/devices to your review appointment, and do your best to refrain from smoking before you come so we can assess you at your best.

For more information about respiratory conditions visit.

https://patient.info/news-and-features/the-respiratory-system

For Asthma:

https://www.nhsinform.scot/illnesses-and-conditions/lungs-and-airways/asthma

For COPD:

https://www.nhsinform.scot/illnesses-and-conditions/lungs-and-airways/copd/chronic-obstructive-pulmonary-disease

You might also want to consider joining a local support group:

https://www.blf.org.uk/support-for-you/breathe-easy         May 2019

COS LANE MEDICAL PRACTICE

THYROID ANNUAL REVIEWS

Invites are issued at least once a year to all patients with Thyroid problems who are currently taking thyroid replacement medication, including Levothyroxine.

It is important to attend your annual review even when you are feeling well so we can assess your thyroid condition and how well your medication is helping you at your baseline, not just when you are unwell. Having a blood level that is too high or too low can cause other health issues which are important to pick up and prevent, but don't always cause obvious symptoms.

Your appointment will be with one of our Healthcare Assistants and your check MAY include:

• Blood Pressure check
• Giving a blood sample

We will contact you if you need a change in medication dose or an earlier repeat test, but otherwise will not routinely contact you with your result, so please telephone the surgery a few days after your blood test for your results to confirm your result is back and normal. 

For more information about thyroid conditions visit.

https://www.nhs.uk/conditions/underactive-thyroid-hypothyroidism/

https://patient.info/hormones/thyroid-and-parathyroid-glands/underactive-thyroid-gland-hypothyroidism                                                                                                                  May 2019

COS LANE MEDICAL PRACTICE

RHEUMATOID ARTHRITIS

ANNUAL REVIEWS

Invites are issued once a year to all patients with Rheumatoid Arthritis whether currently on medication, or not.

It is important to attend your annual review even when you are feeling well so we can assess your general health as well as how well any medication is helping control your joint condition.

Your check up may include:

• Basic measurements such as height, weight and BP.
• Health and lifestyle advice including diet, weight and smoking
• A discussion about bone health and heart health, particularly important in people with Rheumatoid Arthritis .
• Information to improve your ability to understand your disease and self-manage your condition
• Strategies to reduce your risk of complications from your arthritis, as well as reducing other health risks.
• Discussing issues related to medication and blood monitoring

Please bring your monitoring sheets to your review appointment if you are on medication requiring regular blood testing.

For more information about Rheumatoid conditions visit.

https://www.nhs.uk/conditions/rheumatoid-arthritis/

https://www.nras.org.uk/

https://www.arthritis.org/about-arthritis/types/rheumatoid-arthritis/

July 2019

COS LANE MEDICAL PRACTICE

EPILEPSY ANNUAL REVIEWS

Invites are issued once a year to all patients with Epilepsy over the age of 18 and currently receiving ant-epileptic medication.

It is important to attend your annual review even when you are feeling well so we can assess your epilepsy and general health when at your baseline, not just when you are unwell. 

Your check up is aimed at:

• Improving your seizure control and reducing seizure frequency
• Reducing the risk of SUDEP (sudden unexpected death)
• Preventing unplanned pregnancy (if you are female and of child-bearing age)
• Heath advice regarding diet, weight and smoking
• Detecting and addressing other associated health conditions, particularly mental health issues
• Enabling better self care and self management
• Referring to specialist epilepsy support services when appropriate

Please make time to attend your review so we can help YOU to live the best life you can with your epilepsy condition.

For more information about Epilepsy, please visit

https://store.epilepsy.org.uk/

https://www.epilepsysociety.org.uk/

https://www.nhs.uk/conditions/Epilepsy/

June 2019

COS LANE MEDICAL PRACTICE

MENTAL HEALTH ANNUAL REVIEWS

 Invitations to an annual health check-up with Alicia Miller our Advanced Nurse Practitioner, are issued to patients on long term medication for their mental health condition.

 It is important to attend your annual review even when you are feeling well so we can review your overall general health.

Your check up may include:Blood tests, basic lifestyle checks including blood pressure, weight, etc and would like to check your smoking status and offer smoking cessation advice and Nicotine Replacement Therapy where appropriate.  We will also review all of your medication and discuss any outstanding health needs that you have at that time.

  For more information about keeping well visit:-

 https://breathingspace.scot

 https://www.samaritans.org

 https://www.thespark.org.uk

 https://www.accesstherapiesfife.scot.nhs.uk

If you are prescribed LITHIUM in addition to your annual health review, it is essential that you attend the practice on a 3 monthly basis for blood tests for your lithium monitoring.

 The Chief Medical Officer also recommends that you have an ECG (a heart tracing) every 6 months.  If you are due an ECG, this can be done at the same time as your quarterly blood test, so please mention this when booking your appointment.  Your blood should be tested 12 hours after your last dose of Lithium the night before.  Your results will be back in 1 week and you can phone the practice for these.

 For more information about Lithium monitoring visit:-

 https://www.mind.org.uk/information-support/drugs-and-treatments/lithium-and-other-mood-stabilisers/lithium/#.XSXkd-tKiUk

                July 2019