I have a family history of cancer. Should I have genetic testing?
Possibly — and the right route is the NHS, free, rather than a commercial test.
Certain inherited gene changes are more common in some populations, including people of Ashkenazi Jewish ancestry, and Prestwich has a long-established Jewish community where this comes up.
NHS genetic services provide testing with counselling before and after, which matters enormously — a result of this kind affects screening, risk-reducing options, and your relatives. Ask your GP for referral; it costs nothing.
What we can do is take the family history properly and write that referral. What we would not recommend is a direct-to-consumer DNA test, which delivers a life-altering result with no support attached.
Where would I go for a blood test?
Randox Health at Holland & Barrett in Manchester — straightforward on the Metrolink from Bury or Prestwich.
And a scan?
Vista Health at The Croft Shifa Health Centre, Belfield Road, Rochdale.
Ask about the NHS wait before paying, and about Right to Choose, which lets you select a different NHS provider at no cost.
Do you cover the whole borough?
Yes — Prestwich, Radcliffe, Whitefield, Ramsbottom, Tottington, Unsworth and Besses o' th' Barn.
Circumstances vary considerably across quite short distances here, and the appointment and the price are the same wherever you are in it.
Can I be seen around commuting?
Yes — 6am to 10pm, seven days a week. With the Metrolink running into the city, a large share of the borough works in Manchester.
Can you send a prescription to a local pharmacy?
Yes — electronically, to whichever you use. You collect it yourself.
Is £40 worth paying?
Sometimes, and often not. A pharmacist, a free GP blood test or Talking Therapies will serve plenty of people better, and we will say so.
What can you not do?
Examine you — no blood pressure, no breast examination, no internal examinations, no cervical screening.
Which matters here: a lump you have found needs seeing in person, urgently, not investigating by blood test.
And we never prescribe opioids or stimulants remotely, nor benzodiazepines or z-drugs for ongoing use.