Your GP's surgery is far more than a place to go when you are feeling unwell and needing a quick cure. The doctor who sees you has gone through an extensive medical training to equip her or him to help children and adults of all ages with a range of physical and emotional difficulties. GPs are at the centre of the healthcare hub and will be aware of services and expertise that are available locally and further-a-field. GPs are also aware of the link that stress and unhappy life events have on physical health so know when to suggest a talking therapy rather than medication.

Primary care practices offer a range of services and are able to deal with most minor accident care. If they are not able to deal with an injury they will refer on to the appropriate service.

Minor surgery is commonly provided in primary care practices, providing fast, competent removal and biopsies of skin lesions. Other services include cosmetic work such as removal of benign moles and skin tags. Ingrown toenail surgery is also commonly provided. 
These conditions do not need to be referred to a hospital, perhaps saving you a long wait or a cancelled appointment when a more serious case takes priority.

Each GP surgery or primary care practice will have its own procedure for repeat prescribing but the following rules are common to most, if not all. Patients who are well-known to the practice who have a stable condition like asthma, hypertension or diabetes could be allowed to get a repeat prescription for up to six months. Repeat prescriptions are never given to patients who are not known to the practice and there is probably a blanket ban on repeats for narcotics and other drugs that could be misused as doctors are expected to monitor these drugs carefully.

We are able to provide repeat prescriptions for a limited number of ongoing, stable conditions according to our practice policy, however you will need to have an appointment if: 

• You are currently taking three or more medications
• Your medication type or dose was changed at your last appointment
• You have been into hospital since your last prescription
• You have been under the care of a specialist who has changed your medication since your last review
• You were not seen for your last prescription
• You are on an antidepressant

Requests for repeat prescriptions received before 1pm will be available from 2pm the same day. Requests received after 1pm will be available from 9am the following day (or Monday if the request is received on Friday).

An additional fee will apply for prescriptions that need to be processed urgently.

Liquid nitrogen is a fast, effective treatment provided in many practices to treat viral warts, sun damaged skin, skin tags and many benign cosmetic lesions. It comes in a container with a nozzle and is usually applied by swab or spray. Often one treatment is all that is needed but sometimes it may need repeating after two weeks.
Because it cannot be stored for too long, you will often find that your GP will treat a number of patients one after the other. 

For more information click here.

• Implant (Jadelle) inserts
• IUD inserts
• Implant (Jadelle) removal
• IUD removals

LARC methods are very effective at preventing unplanned pregnancy and are “fit and forget” forms of contraception – you don’t need to remember them every day or every month. LARC methods:

• Intrauterine Contraceptive Devices (IUCD or IUD) are inserted through the cervix into a woman’s uterus. IUCDs may be either hormonal (Mirena^® or Jaydess^{® )} or non-hormonal (copper IUCD).
• Jadelle^® is a hormone-releasing implant that is inserted just under the skin of the upper arm.

Depending on the type of device, it will need to be changed after between three and ten years.

Read more about LARC methods here

All women and people with a cervix aged 25 – 69 who have ever had intimate skin-to-skin contact or been sexually active should have regular cervical screening. This includes women who have been immunised against HPV. Together, regular screening and HPV immunisation provide the best protection against cervical cancer.

There are now more options for how you have cervical screening done:

• a simple vaginal swab test for HPV, either done yourself or with help from a healthcare professional
• a cervical sample taken by a healthcare professional (used to be known as a smear test).

Talk with your healthcare provider to decide which option is best for you.

If HPV is found, you may need to have a follow-up test or be referred directly for colposcopy.

If you’ve not yet had HPV testing, you should be screened 3 years after your last test (or 1 year if immune deficient). Once you have had an HPV test, and providing HPV is not found, your next screening will be in 5 years (or 3 years if immune deficient).

For more information: Cervical screening | Time to Screen - National Screening Unit

Another service offered to you at your GP surgery (primary care practice) is advice and immunisation before you go to another country. While you are likely to have the immunisations needed to live in New Zealand, there may be other injections you need to protect yourself before going for example to Africa or South America. In some places you will need protection from rabies or malaria. Yellow fever vaccinations are only available at approved centres; please click here to view the centres in New Zealand. Your doctor will be able to tell you what diseases you will need to be protected from in any named country and advise you on other medical matters. 

• Travel vaccinations

Immunisation is the safest and most effective way to provide protection for you and your tamariki’s health. For more information view the NZ immunisation schedule.