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

• Pregnancy vaccinations
• Childhood immunisation programme
• 45 year old vaccinations
• Adult flu vaccine
• Child flu vaccine
• Diphtheria / Tetanus / Pertussis (whooping cough) vaccine
• Measles / Mumps / Rubella (MMR) vaccine
• Meningococcal vaccine

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.

• Free or subsidised contraception services (enquire for eligibility and details)
• IUD inserts
• Implant (Jadelle) inserts
• IUD removals
• Implant (Jadelle) removal

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

Getting a COVID-19 vaccine is an important step you can take to protect yourself, your kaumātua and whānau from the effects of the virus. For more information on the COVID-19 vaccines and eligibility visit Ministry of Health - COVID-19 vaccines

Covid-19 vaccines can be administered before, after, or at the same time as other national schedule vaccines. When the Nuvaxovid vaccine is given at the same time as the Shingrix shingles vaccine or the Fluad Quad flu vaccine, there may be a chance of experiencing a stronger post-vaccination response and you should discuss this with your vaccinator.

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.

• Throat swab for rheumatic fever prevention

Sometimes your doctor needs to take a sample of blood or urine either to discover what is wrong with you or to measure something in your blood so that the right medication is given to you. These tests could be anything from blood sugar to a full blood count or a sample of tissue to test for cancer.

While urine can generally be tested in the surgery, blood and other specimens are usually sent away for testing at a laboratory. Most results come back within 48 hours unless a very rare test is needed which has to go to a specialist lab further away when it might take a little longer.

A patient portal is a secure online tool provided by GP practices that can allow convenient access to your health information as well as interaction with the practice e.g. booking appointments and requesting repeat prescriptions.

Download the Tend app to manage your healthcare:

Appointments

• Book 15 minute appointments in clinic or online
• Book 30 minute appointments in clinic or online
• Book a medical service like a sexual health check or vaccination.

Manage medications

• Order repeat prescriptions
• Check the status of your repeat
• See when your medications are running low.

Stay on top of your healthcare

• Check your test results
• View your consultation notes 
• Get reminders and notifications 
• Message your care team
• Make bill payments.

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.

Spirometry is a tool that measures how effectively your lungs are working. It is able to show how much air lungs are able to hold (their volume) and how much air can be breathed in and out (inhaled and exhaled) which is called flow. This tool is used to assess damage caused by conditions like COPD (chronic obstructive pulmonary disease – a group that includes bronchitis and emphysema), pulmonary fibrosis, cystic fibrosis and asthma. Results are shown on a graph called a pneumotachograph.

For more information click on the following link http://en.wikipedia.org/wiki/Spirometry

• Contraception (birth control) advice
• Menopause
• Sexually transmitted disease (STD) checks
• Male sexual health
• Pregnancy testing

• Telehealth consultations - anyone can access
• Video consultations

A virtual consultation is a way of having an appointment with your healthcare provider, but not in person. This is usually done via a video app or a phone call. For more detailed information about telehealth consultations, please see the guide from Healthify.

Download the Tend app to see a clinician online. 
Available everyday until 9pm. 

All New Zealand children are entitled to 11 free health checks from birth to three years. The checks aim to ensure that children are growing and developing as well as possible. Included in the checks are clinical assessment, health education and family/whānau support.

Baby checks are at birth and then at 24 hours, five days and around 2-4 weeks. Babies are weighed and measured to ensure that they are developing correctly. These sessions provide a great opportunity for parents to ask questions from an expert and have any problem addressed; difficulties with breastfeeding or sleep for example. They can also be used to discuss immunisations and vaccinations. These checks will be carried out by your lead maternity carer (LMC).

Between the ages of 4-6 weeks and three years, there are seven core health checks available, typically these are around 4-6 weeks, 8-10 weeks, 3-4 months, 5-7 months, 9-12 months, 15-18 months and 2-3 years. These checks may be carried out by a Well Child Provider of your choice e.g. Plunket, Māori health provider, community nurse, a general practice team (doctor and practice nurse). Your LMC will be able to give you a list of Well Child Providers in your area.

More information about Well Child services is available on the Ministry of Health website.