Silverstream Health Centre

Silverstream Health Centre

Welcome to our practice

We specialise in general practice services focused on supporting you with maintaining your wellness. 

Our enrolments are currently closed

Thanks for your understanding.

Click here for more info on:

Covid-19 Tests & Results, Managing a Positive Result,
Covid-19 Vaccinations and Consults

Covid-19 Tests & Results
If you have Covid-19 symptoms or are a household contact of a positive case please visit the Healthpoint info page to find your closest testing station or collection site as we have limited capacity currently. Most testing is now done via Rapid Antigen Testing (RATs) with results available within 30mins. You will need to self-report your result via My COVID Record or by calling 0800 222 478 and pressing option 3. The majority of positive cases will be able to self-manage and required to follow current isolation rules. If you have concerns or if your symptoms are worsening, call us on 04 527 7376 or 111 in an emergency.

Managing a Positive Result
Click here for managing a positive result and your symptoms at home.

Covid-19 Vaccinations
Click here for details.

Consults
Most consults are virtual (phone or video), with some in person if required. Phone 04 527 7376 to book and tell us if you have any Covid-19 symptoms. We will explain what to do when coming into the practice. Please wear a mask at all times (unless you have an exemption).

Choice of appointments and how to book them

 
In Person
 
Phone

Our books are currently closed as we do not have capacity to take on any new patients. Sorry for any inconvenience caused.

Online Patient Portal

Are you registered for the online portal?

When you’re enrolled with us you can register for this portal, called Manage My Health. Then, any time you like 24/7 you can:

  • book appointments
  • request repeat scripts
  • view lab test results

Phone reception 04 527 7376 to start your registration

What is ManageMyHealth?

ManageMyHealth is an online system that allows you to access your medical records and view medical conditions, lab results, immunisation records, allergies, prescriptions and share health information as required with other healthcare providers. It offers services such as booking online appointments, secure messaging, ordering repeat prescriptions and requesting email consultations. ManageMyHealth would help you improve health outcomes by sharing your health information with healthcare providers and important individuals in your life.

ManageMyHealth™ is available to you right now. The activation process is quick and easy.

For more information please visit the ManageMyHealth website here.

ManageMyHealth user guides

Home page guide

Messaging your health centre

View and edit your profile

View your booked appointments

Transferring health centres

Forgotten your password

Requesting a repeat prescription

Logging into MMH

How to register for ManageMyHealth

You can come into the practice to register for ManageMyHealth or fill in the form below and email to [email protected].

ManageMyHealth™ Registration Form

Shared care record

Your health information is now accessible by more clinicians involved in your care. Although we have decided as a practice to implement the shared care record system any other health professional treating you must still ask your permission to access your shared care record if you visit another GP, an after hours medical centre or a hospital emergency department. If you don’t wish other health providers to have access to your shared care record you can fully opt-out at any time by talking at us at the centre or phoning the shared care record project line on 0800 727 664, or sending a letter to the freepost address below:

Freepost Authority Shared Care Record, Compass Health, PO Box 27380, Marion Square, Wellington 6141 (no stamp required) our family.

More information

For more information on ManageMyHealth, view a list a frequently asked questions here.

Our Services

Our Services

Nurse Practitioner

Information coming soon

Health Improvement Practitioner

Information coming soon

Health Coach

Information coming soon

Support Worker

Information coming soon

Urgent Clinic

The Silverstream Health Centre offer same day appointments for patients who have urgent issues which need to be dealt with immediately. This clinic is intended for patients who have an urgent condition that cannot wait for a routine appointment.

Patients seen in the same day acute care clinic will be seen by a doctor, nurse or nurse practitioner. People with urgent life threatening conditions will be seen as a priority, so you may not always be seen straight away. The duty doctor or nurse practitioner changes everyday so you may not be able to see your regular GP in this clinic.

Please note, routine issues such as WINZ forms and insurance medicals do not qualify as urgent and will not be given a same day appointment in this clinic. These clinics are reserved for those who have serious clinical issues.

To get an appointment in the urgent clinic, please phone reception.

Cost

Same day acute care appointments have a normal appointment charge. If you need a script but no appointment, the usual script charge will apply.

Please see fees here.

Why is the practice doing this?

We have a duty clinic from Monday to Friday to ensure that patients with serious or urgent conditions can be seen as soon as possible. The duty clinic is staffed by all the doctors and nurses on a roster. This also ensures that when you have a routine appointment with your doctor they will not be called away to see urgent cases. This means better care for everyone.

Manage My Health

Information coming soon

Immunisations

Immunisation is the most effective way to actively protect you and your child from preventable diseases, such as whooping cough, tetanus, hepatitis B and measles.

The first time we are exposed to a germ, for example a bacterium or virus, it takes time for the immune system to respond and we become unwell. However, once the immune system has memory of the infection, it is able to respond rapidly to destroy the germ the next time we are exposed.

Vaccines contain parts of or weakened versions of a particular germ. Vaccination exposes the body to parts of the germ for the first time without causing disease, and subsequently, the real germ can be rapidly destroyed if it enters the body to prevent illness.

The national immunisation schedule

The national immunisation schedule provides the best protection for our children when they are most at risk.  From six weeks of age, children can be protected from several potentially dangerous diseases. It is very important to stick to the schedule – not immunising your child increases the risk of them getting the infection, and not keeping up to date reduces the protection that the immunisation can provide. It takes a few months and repeated doses of a vaccine for an infant to be fully protected.

Scheduled childhood vaccinations are free of charge.

Funded vaccines against the following diseases are available for children in New Zealand:

  • chickenpox (varicella)
  • diphtheria
  • hepatitis B
  • haemophilus influenza type b (Hib)
  • measles
  • mumps
  • pneumococcal disease
  • polio
  • rotavirus
  • rubella
  • tetanus
  • whooping cough (also known as pertussis
  • human papillomavirus (HPV)

More information on chicken pox vaccine.

Meningococcal disease vaccinations

For best protection against all meningococcal disease in New Zealand, separate vaccinations against group B disease and groups A, C, Y and W disease are recommended.

Menz B (Meningococcal B)

Meningococcal disease is caused by the bacterium Neisseria meningitidis. At least 12 groups have been identified, including groups A, B, C, X, Y and W. Bexsero®, a multicomponent recombinant vaccine against meningococcal group B disease only is available in New Zealand.

More information.

Menz ACWY (Meningococcal A, C, W Y)

Menactra is a meningococcal conjugate vaccine to protect against meningococcal groups A, C, Y and W. The vaccine is funded for children and adults with a medical condition that increases their risk of invasive meningococcal disease AND is listed on the Pharmaceutical Schedule. Menactra is also available as a purchased vaccine through your family doctor.

More information.

Immunisation reminders

If you are enrolled at the Silverstream Health Centre you will receive a recall 7-10 days prior to the immunisation due date for your child. You will then need to contact us to make an appointment.

Immunisation appointments

We run designated immunisation clinics to ensure we are running as close to time as possible as you may be required to stay for 20 minutes after your appointment. Please bring your child’s Well Child Book to your appointment. Other things to consider bringing to your appointment could be toys, treats, and another support person to help if appropriate.

Flu Vaccination

Flu can be anywhere and your best form of protection is to get a flu shot.  Influenza, commonly called the flu, can be a serious illness that is sometimes fatal. Infection with the flu virus may lead to a stay in hospital for any age group but particularly if you are elderly or have an ongoing medical condition. Flu can make an existing medical condition, such as asthma or diabetes, a lot worse.

Could you get your flu shot FREE?

Pregnant women and people 65 years and older qualify for a FREE flu vaccine. People with chronic or long terms conditions (such as asthma or diabetes) may also be eligible for a FREE flu vaccine.

Every year the practice runs a series of Flu clinics providing flu vaccinations for patients that are deemed to be ‘at risk’.

This is part of the national flu immunization programme which aims to protect those most at risk of serious illness or death should they catch flu.

Shingles vaccination

What is the shingles vaccine?

The shingles vaccine protects against the herpes zoster infection, which is commonly known as shingles. Shingles is a painful, itchy skin rash that usually appears on your chest, but can also affect your trunk, back, legs or face. It is more common in the elderly and people with weakened immune systems.

Vaccination with the shingles vaccine can reduce your risk of shingles and the long-term pain it can cause.

Whooping cough vaccination

Boostrix is a vaccine that protects against diphtheria, tetanus & whooping cough. It is free and recommended for pregnant women from 28-38 weeks. This will provide protection to both mother and her newborn baby.

More information

For more information on immunisations visit the Immunisation Advisory Centre here.

INR Testing

We offer offer INR point of contact testing.

Point of contact INR is a easy and fast procedure to test your INR, in which we only need a small amount of blood (ladybird size) from a finger prick. 
This procedure takes 3 to 5 minutes, after which you will get your test results and warfarin dosing.

To book , please call us on 04 527 7376.
This service is free of charge for Silverstream Health Centre registered patients on warfarin. 

Minor Surgery

There are some minor surgical procedures which can be performed by your GP in our specialised treatment rooms, rather than having to go to a hospital. These appointments may require extra time so please discuss any of these with your doctor so appointments can be booked appropriately.

Minor surgical procedures performed at the Silverstream Health Centre:

  • Removal of skin lesions
  • In-grown toenails
  • Removal of contraceptive devices
  • Steroid joint injections
  • Cryotherapy with liquid nitrogen for treating lesions, such as skin tags and verrucae.

More Information

A minor surgical procedure is an operation carried out in our treatment room often using local anaesthetic. The anaesthetic is administered using a very fine needle but the solution causes some initial stinging in the skin, which settles quite quickly. You should not feel any sharp pain after the area has been anaesthetised. When the anaesthetic has worn off (in a few hours) you may require paracetamol but stronger pain relief is not usually required.

Sometimes there will be complications to minor surgical procedures including wound infection, breakdown of the wound (particularly on the lower limbs and back) and sometimes numbness in the vicinity of the wound. Excessive bleeding can be a problem, in particular if you are taking warfarin. Aspirin is not a problem. Other complications are very rare.

Costs

We have tried to keep the cost of minor surgery as low as possible as we do not want this to be barrier, but the extra time involved for the doctor and the nurses and the materials used all add to the cost. If cost is a problem please discuss this with your doctor. For those with health insurance, check and see if your insurance company is funding minor surgery in primary care now, as many have elected to. Alternative arrangements for minor surgery such as private specialist or public hospital specialist services are available and you might like to discuss these with your doctor.

Aclasta Infusion

Aclasta infusions are used in New Zealand for the treatment of osteoporosis and Paget's disease. These infusions are available at Silverstream Health Centre for enrolled patients and also to patients who may be referred from another medical centre.

During the infusion you will be administered with Zoledronate (also known as zoledronic acid or Aclasta). Zoledronate is given by an intravenous infusion (into a vein in the arm via a “drip”) over about 15-30 minutes and can be given each 12-24 months as needed for treatment of osteoporosis. 

Other than flu-like symptoms after the first infusion, side effects from zoledronate treatment are uncommon, and are in general no different from placebo-treated patients in randomised trials.  It should be remembered that major fractures can be very dangerous, so this should be balanced against the small risk of ill effects from treatments.  Treatment is usually accompanied by some calcium tablets and /or vitamin D tablets before the infusion, to keep blood calcium levels normal.

Please discuss your suitability for this treatment with your own clinician. If you are not a registered Silverstream Health Centre patient, your registered clinician must refer to us for the procedure.

Cost

Initial consult Standard consultation fee (see our fees page)
Aclasta script $5 per item at the pharmacy (for patients who meet the funding criteria above)
Infusion service $150.00   

Process

  1. Clinician appointment:  Book an appointment to see your clinician for an osteoporosis consultation.  Please do not try to squeeze this into another consultation, as there is a lot to cover.  This consult is to:
    1. assess whether you are a suitable candidate for Aclasta
    2. arrange appropriate blood tests to ensure you are fit to have Aclasta
    3. provide you with information about the procedure and check your medications
    4. apply for special authority funding to meet the $600 cost of the Aclasta infusion
    5. supply you with prescriptions for Aclasta, paracetamol, calcium and vitamin D supplements
    6. arrange a time for you to return for the Aclasta infusion
  2. Nurse appointment:  Return to have your Aclasta infusion at the scheduled time.  Please remember to bring your Aclasta with you when you come.  Allow at least 60 minutes for this appointment.
  3. Book follow/up infusions:  You will be put on our recall system to organise any subsequent infusions that are required, and our nurse will contact you when these become due

Referring clinician only

For Aclasta referrals click here

Standard Hours

Monday to Thursday 8am - 8pm
Friday 8am - 5pm
Closed weekends and all public holidays

After Hours

For after hours care please visit 729 High Street, Lower Hutt, ph 04 567 5345

For when you just need an after hours virtual appointment, you can book a video consult through Practice Plus - available weekdays 5pm - 10pm and weekends & public holidays 8am - 8pm.



If you have a medical emergency, call 111

Patient Fees

Standard Consultation

Age Enrolled Casual
0 - 5 years FREE $28.00
6  - 13 years FREE $67.00
14 - 17 years $37.00 $67.00
18 - 24 years $45.50 $100.00
25 - 44 years $50.00 $115.00
45 - 64 years $50.00 $105.00
65+ years $41.00 $105.00

 

Age CSC
0 - 5 years FREE
6 - 13 years FREE
14 - 17 years $13.00
18+ years $19.50

Additional charges apply for procedures, materials and nurse consults

ACC Consultation

Age Enrolled Casual
0 - 5 years FREE $30.00
6  - 13 years FREE $50.00
14 - 17 years $35.00 $50.00
18+ years $50.00 $70.00

 

Age CSC
0 - 5 years FREE
6 - 13 years FREE
14 - 17 years $13.00
18+ years $19.50

Additional charges apply for procedures, materials and nurse consults

Extended Consultation

  Enrolled Casual
Extended
up to 30min
$108.00 $217.00
Extended
over 30min
$154.00 $244.50

 

  CSC
Extended up to 30min $37.00
Extended over 30min $55.50

Additional charges apply for procedures, materials and nurse consults

Other charges

Other charges

  • Overseas visitors: $190.00
  • Blood test: $10.00
  • Repeat script: $25.00
  • Under 14 script: no charge
  • Audiometer: Under 14 $40.00 14 plus $50
  • Travel clinic appointments: $115.50 (individual) $149.50 (couple) $514.50 (family) + consumables and vaccines
  • Drivers licence medicals: Age 16-17yrs $60.00, 18-64yrs $90.00. 65 plus $70.00
  • Joint injections: $92.00
  • Aclasta $150.00

Missed appointments

  • 0-13 yrs: no charge
  • 14-17 yrs: $22.00
  • 18+ yrs: $40.00

Pay Online

Paying online is easy using your debit or credit card via the Windcave. Click here to pay online.

Alternatively you can pay via internet banking to our bank account 12-3244-0027369-00. 

Please ensure you are using your chart number or name and date of birth as a reference so we know who to allocate the payment to. 

Our friendly reception team can also take payment over the phone from a debit or credit card. 

Our Team

Mandeeps Manage  
  • Registered Nurse Jane Morris

    Registered Nurse Jane Morris

    Bachelor of Nursing

    .

  • Janice Young

    Janice Young

    Clinical Pharmacist

    .

  • Receptionist Robyn Milne

    Receptionist Robyn Milne

    .

  • Stephanie Morris

    Stephanie Morris

    Social Worker

    .

  • Health Coach Laura Weaver

    Health Coach Laura Weaver

    .

  • O'Donis Person

    O'Donis Person

    Health Improvement Practitioner

    .

  • Receptionist Kimmy Kaur

    Receptionist Kimmy Kaur

    .

  • Receptionist Sharon Skelton

    Receptionist Sharon Skelton

    .

  • Receptionist Sandra McIver

    Receptionist Sandra McIver

    .

  • Receptionist Rebecca Newsome

    Receptionist Rebecca Newsome

    .

  • Receptionist Pamela Pearce

    Receptionist Pamela Pearce

    .

  • Receptionist Alison Spurgeon

    Receptionist Alison Spurgeon

    .

  • Andrea Houston

    Andrea Houston

    Reception/Administration

    .

  • Raelene Trost

    Raelene Trost

    Accounts Manager

    .

  • Teri Coulston

    Teri Coulston

    Admin Lead

    .

  • Arna Churchward

    Arna Churchward

    Clinical Administration Manager & Project Manager

    .

  • Medical Centre Manager Sharon Clark

    Medical Centre Manager Sharon Clark

    .

  • Registered Nurse Tina Shepherd

    Registered Nurse Tina Shepherd

    Bachelor of Nursing

    .

  • Registered Nurse Amy Shipp

    Registered Nurse Amy Shipp

    Bachelor of Nursing

    .

  • Registered Nurse Sharon Taylor

    Registered Nurse Sharon Taylor

    Bachelor of Nursing

    .

  • Registered Nurse Lauren Morton

    Registered Nurse Lauren Morton

    Bachelor of Nursing

    .

  • Registered Nurse Karen Heredia

    Registered Nurse Karen Heredia

    Bachelor of Nursing Pacific

    .

  • Registered Nurse Cathy Lindsay

    Registered Nurse Cathy Lindsay

    Bachelor of Nursing, Master of Clinical Nursing

    .

  • Nurse Manager Louise Cotton

    Nurse Manager Louise Cotton

    .

  • Nurse Practitioner Jo Donovan

    Nurse Practitioner Jo Donovan

    Nurse Practitioner

    .

  • Dr Danny Liao

    Dr Danny Liao

    MBChB, FRNZCGP

    .

  • Dr Salwan Elya

    Dr Salwan Elya

    MBChB, FRNZCGP

    .

  • Dr Franz Hubmann

    Dr Franz Hubmann

    MBChB, FRNZCGP

    .

  • Dr Cheryl Archer

    Dr Cheryl Archer

    MBChB, FRNZCGP, DRCOG, DCH

    .

  • Dr Farqad Yuseif

    Dr Farqad Yuseif

    MBChB, FRNZCGP

    .

  • Dr Catherine Hadley

    Dr Catherine Hadley

    MBChB, FRNZCGP, DipMusMedicine, Master Public Health, Child Health Diploma

    .

Silverstream Health Centre Our Team

Latest News

Read our latest newsletter here

Previous newsletter here
 

We now offer a self-check-in kiosk!!

 
Friendly reminder: There are changes to MMH coming on Monday the 1st of April. Please refer to the 'Manage My Health changes' article for details. 
 
 

COVID & Flu Vaccination walk-in clinic at Orongomai Marae 05/08/2022 9am-12pm.

 

Lower Hutt After Hours may have to close early 15/07/2022

Read more here
 
 

Manage My Health changes

Read more here

We are currently understaffed due to sickness.

 

Our fees will be increasing, effective 1st July 2022

 
 

COVID & Flu Vaccination walk-in clinic at Orongomai Marae. Thursday 7th July 9:30am - 12pm.

Practice Plus is now available for Silverstream Health Centre patients.

 

Post-Natal Depression Project summary 

Update on process time for ordering prescriptions. 

Read more.

 

Silverstream Health Centre went PINK on the 20th May 2022.

 

Manage My Health bookings back online

Farewell Dr Sarah Clark

 

SHC Covid-19 Process Update - May 2022

Please click here for info
 
 

Flu Season - 2022

Please click here for info
 

Forms

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Forms available to download here:

If photo ID or birth certificate is required please email this to [email protected]

Your Feedback

<span id="Contact-Us">Your Feedback</span>
Mandeeps Manage  
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  • We welcome your feedback and always strive to provide the best care and advice.  Let us know how we did. If things didn't go the way you wanted there may be something we can do to help put it right.

    1.  Online form direct to your medical centre

    2.  Or email our Clinical Advisory Team

    • If your feedback is of a sensitive nature or involves medical centre management*, please contact Green Cross Health directly by emailing [email protected] directly. You will receive an acknowledgement within 5 working days. 
    •  
    • *Please note, once we have contacted you, we will ask for your permission to share information with centre management to resolve your complaint and improve our services.

    3.  Or for more information and other ways to give feedback, you can also contact:

General Enquiry

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