Opportunistic Case Finding | Mungret Medical Centre

The Opportunistic Case Finding Programme (OCF) is one of a suite of three programmes of the Chronic Disease Management (CDM) GP Programme. The objective of the OCF Programme is to allow GPs to identify patients at high risk of cardiovascular disease or diabetes.

It consists of two, a week apart, visit every five years;

The first consultation, generally with a practice nurse, will involve blood tests, physical measurements, physical examination, and if necessary further investigations, screening and vaccines will also be reviewed.
The second consultation will be a week later and with a GP. At this consultation the results of your first consultation will be reviewed, your medical records reviewed, your medications reviewed, and changes made if necessary to your management plan.

Patients found to be at high risk of developing a disease at OCF can be moved to the Prevention Programme (PP) which occurs yearly. Or, if an applicable disease is diagnosed, they can be moved to the Chronic Disease Management (CDM) Programme which occurly six monthly.

If you have a valid medical card or doctor visit card listed with MMC for over one month, the OCF/PP/CDM visits and services associated with OCF/PP/CDM such as the specific OCF/PP/CDM blood tests, Electrocardiography (ECG) and Ambulatory Blood Pressure Monitors (ABPMs) are covered with the medical card / doctor visit card.

If you are a private patient there are currently no free visits in the OCF programme available, however consultations remain available to address these topics.

Current smoking status
BMI ≥30kg/m2
Previous B-Type Natriuretic Peptide (BNP) greater or equal to 34 pg/ml orN-terminal prohormone of brain natriuretic peptide (NTproBNP) greater or equal to 125pg/ml
History of gestational diabetes
Dyslipidaemia that was previously recorded
Moderate or severe chronic kidney disease (eGFR<60ml/min 1.73m2) that was previously recorded
History of severe mental illness

The Chronic Disease Management (CDM) programme is not suitable nor intended for emergencies. The CDM programme is meant for patients with established diseases and/or conditions, which have been previously diagnosed and initial management commenced and/or completed, either at Mungret Medical Centre or elsewhere. This webpage is not meant to convey medical advice and if you are having a medical emergency, which may or may not be associated with the symptoms above, always follow the HSE advice on emergencies. Call 112 or 999 for an ambulance if someone is seriously ill or injured, and their life is at risk.

The Opportunistic Case Finding (OCF) programme is not suitable nor intended for emergencies. The OCF programme is meant for patients with established risk factors, diseases and/or conditions, which have been previously diagnosed and initial management commenced and/or completed, either at Mungret Medical Centre or elsewhere. This webpage is not meant to convey medical advice and if you are having a medical emergency, which may or may not be associated with the symptoms above, always follow the HSE advice on emergencies. Call 112 or 999 for an ambulance if someone is seriously ill or injured, and their life is at risk.

The Prevention Programme (PP) programme is not suitable nor intended for emergencies. The PP programme is meant for patients with established risk factors, diseases and/or conditions, which have been previously diagnosed and initial management commenced and/or completed, either at Mungret Medical Centre or elsewhere. This webpage is not meant to convey medical advice and if you are having a medical emergency, which may or may not be associated with the symptoms above, always follow the HSE advice on emergencies. Call 112 or 999 for an ambulance if someone is seriously ill or injured, and their life is at risk.

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General Practitioner Services

For GMS (Medical Card, DVC, Under 6's, Over 70's) and Private Patients of all ages. This covers a wide variety of general presentations, issues, and conditions, as well as gender-specific health issues.

Blood Tests (Phlebotomy)

Mungret Medical Centre has a full blood taking (phlebotomy) service. Generally, most blood tests do not require a fasting period beforehand. If, you do need to fast, please do not eat anything for 12 hours before your blood test, but you can drink water and take your medications as normal.

Vaccination (Immunisations)

Mungret Medical Centre (MMC) offers a range of Vaccination (Immunisations); flu vaccines, covid vaccines, childhood vaccines, pregnancy related vaccines, travel vaccines, chickenpox vaccines, Respiratory Syncytial Virus (RSV) vaccine.

Prevention Programme

The Opportunistic Case Finding Programme (OCF) is one of a suite of 3 programmes of the Chronic Disease Management (CDM) GP Programme. The objective of the OCF Programme is to allow GPs to identify patients at high risk of cardiovascular disease or diabetes.

Chronic Disease Management (CDM)

The aim of Chronic Disease Management (CDM) is to make changes now to lessen the burden of diseases in the short term, and their effect on our patients' lives, but also to reduce the risk of significant adverse events occurring in future for certain conditions.

Cryosurgery (Cryotherapy)

Cryosurgery is the application of extremely low temperatures to destroy abnormal or diseased tissue and is used most commonly to treat skin conditions. Mungret Medical Centre has special facilities to store and use liquid nitrogen (-195.8 Celsius) for our cryosurgery services.

Ambulatory Blood Pressure Monitors

Ambulatory Blood Pressure Monitoring (ABPM) is when your blood pressure is measured as you move around, living your normal daily life. It is measured for up to 24 hours. A small digital blood pressure monitor is attached to a belt around your waist and connected to a cuff around your upper arm.

Antenatal (Pregnancy) Care

Mungret Medical Centre offers care to both expectant mothers and those trying to get pregnant. Changes to the routine antenatal schedule such as all appointments being carried out with the maternity hospital/services are possible as needed. Further advice on vaccinations, lifestyle and dietary...

Contraceptive Services

In addition to short term and emergency contraceptive such as, oral contraceptive pills, injections, vaginal rings, patches, Mungret Medical Centre provides a range of long-term contraceptive options which include; the Implanon (“the bar”) for under the skin, the Kyleena/Mirena/Jaydess/Copper Coil.

Joint Injections

Specific joint issues can be amenable to joint injections. Specifics and indications for injections can be discussed with the doctors at Mungret Medical Centre.

Electrocardiography (ECG)

ECG is a process whereby a graph of the heart’s voltage versus time is created by placing electrodes (stickers) on various parts of the body. These electrodes detect the small electrical changes that are a consequence of cardiac muscle depolarization followed by repolarization during each cardiac...

Ear Wax Removal

Ear wax can be removed via two methods with Mungret Medical Centre; ear microsection and ear irrigation.

Venesection for Haemochromatosis

Haemochromatosis is an inherited condition where iron levels in the body slowly build up over many years. Ireland has one of the highest rates of haemochromatosis in the world. Excessively high levels of iron can damage organs leading to impaired function.

Medical Certificates, Forms and Reports

There is a wide range of organisations seeking the completion of medical certificates, forms and reports by General Practitioners, therefore please contact Mungret Medical Centre for the services offered. Certain certificates and reports may require a chart review and/or physical examination....

Sexual Health Screening

Mungret Medical Centre offers a discrete and sensitive Sexually Transmitted Infection (STI) screening service. STIs can be both symptomatic and asymptomatic (have no symptoms). Regular STI screening is recommended, particularly if you are having unprotected sexual contact with new partners.

National Screening Programmes

Mungret Medical Centre partakes in national screening programmes such as CervicalCheck. When seeking an appointment for a screening service please let us know in advance of the appointment. For further information, including registration and checking when the next smear is due, please visit cervical

Health Checks: Well Woman and Well Man

Primary prevention aims to prevent disease or injury before it ever occurs. Mungret Medical Centre offers a variety of holistic health checks which can be tailored to an individual’s health needs. These health checks are sometimes also known as Well Woman and Well Man checks.

And More

We provide many more services -the above list is the most commonly requested ones. If a service you are looking for is not listed, please contact us for more information.

Occupational Health

Pre-Employment Medicals

Pre-Employment Medical assessments allow companies to have their potential employees reviewed in to order to ascertain their suitability for a specific role and any reasonable adaptations that might be required.

Independent Medical Reports

Independent Medical Reports can be sought by companies and human resources departments for a variety of reasons, and these reports aid planning, staffing levels, and governance. Common reasons to seek an Independent Medical Report include absences from the workplace, either sporadic or ongoing.

Hearing Checks and Audiometry

Hearing Checks and Audiometry provided at Mungret Medical Centre allow for hearing screening to be performed.

Diving Medical (Commercial)

Dr Brian McEllistrem is approved by the Health and Safety Authority of Ireland to carry out medicals on divers at work in Ireland.‍

Seafarers Medical Examinations (ENG11)

Dr Brian McEllistrem is an Approved Doctor with the Irish Maritime Administration, Department of Transport to preform Seafarers Medicals (ENG11).

Offshore Energies UK (OEUK) Medical Examinations

Dr Brian McEllistrem is registered with OEUK as an Overseas Examining Doctor for medicals including Offshore Work Certificates and Certificates of Fitness to Participate in ERT (Emergency Response Team) Duties.‍ Please see our website for specific advice for employees and companies.

RenewableUK Medical Examinations (Wind Turbine Medical Examinations)

We offer fitness to work medicals in accordance with RenewableUK guidelines for those working in the renewable energy industry, such as on wind turbines.

Mantoux Skin Testing (TB Screening)

The Mantoux test or also known as Tuberculin Skin Test (TST) and Mendel–Mantoux test, is a tool for screening for tuberculosis (TB) amongst other indications. It requires two visits to Mungret Medical Centre, first to administer the tuberculin and then to read it 48 hours to 72 hours later.

QuantiFERON Testing (TB Screening)

QuantiFERON testing is a set of blood tests, taken at one visit, often required for educational and work placements. Similar to the Mantoux text there are several indications for QuantiFERON testing, and the test itself should be considered with other investigations and symptoms.

Vision Screening

A comprehensive screening programme can provide a general overview of employee’s visual disorders, detecting those where corrective action should be taken. Vision screening tests are a means of identifying individuals with defective vision who need a full eyesight test.‍

Executive Health Check

Reducing the likelihood of future adverse healthcare events includes both occupational and general lifestyle considerations. Mungret Medical Centre offers a variety of holistic health checks which can be tailored to individual health needs.

Vaccination Programmes

Both seasonal and role specific vaccinations are often recommended for employees, to help reduce the deleterious effects of certain communicable diseases on the workforce. ‍

Workplace Accident

Following a workplace accident an independent occupational health assessment can inform/review likely required investigations, interventions, and recovery trajectory, which is turn can both help reduce risk of similar events in future and aid human resources in planning responsibilities.‍

Health Surveillance

Health surveillance allows for early identification of ill health and helps identify any corrective action needed. Health surveillance can be delivered in multiple ways.

Strength Testing

Mungret Medical Centre has a range of objective physical testing equipment. These include grip strength measuring, allowing a measure of maximal grip strength, and back strength testing, similarly assessing back strength.

Company and Industry Specific Solutions

To discuss our occupational health services and your specific company's or industry’s needs, please contact us for more information.‍

Tropical Medical Bureau (TMB)

Mungret Medical Centre is an associate clinic of the Tropical Medical Bureau (TMB).The Tropical Medical Bureau (TMB) is the leading travel medicine clinic group in Ireland, specialists in providing the best information and medical care available for the international traveller.

Typhoid vaccine. Hepatitis A vaccine.

Additional Vaccines depending on Itinerary

Diphtheria, tetanus and poliomyelitis vaccine. Diphtheria, tetanus, and pertussis vaccine. Hepatitis B vaccine.Meningitis (group A, C, W-135, and Y) vaccine. Rabies vaccine. Yellow Fever vaccine.Mungret Medical Centre is a registered Yellow Fever Vaccination Centre.

TMB Travel Vaccine Fees

For further information on fees for consultants and vaccinations please see the relevant fees section.

Diabetes Mellitus Type 2

Diabetes Mellitus Type 2 is a metabolic disease, involving inappropriately elevated blood glucose levels and resistance to insulin. It is estimated that 4.8% (161,500) of the Irish population have type two diabetes.

Asthma

Asthma is a condition in which your airways narrow and swell and may produce extra mucus. Asthma in Ireland affects 7% in Irish adults and 21% in Irish children which amounts to about 460,000 people in Ireland.

Chronic Ischaemic Heart Disease

Chronic ischaemic heart disease relates to poor blood flow to the heart which deprives it of oxygen. The coronary arteries supply blood to the heart. Hardening, or narrowing of these arteries is known as coronary artery disease.

Atrial Fibrillation

Atrial fibrillation, also sometimes called "a fib", is a heart condition that causes an irregular and often abnormally fast heart rate. It can be associated with palpitations, dizziness, shortness of breath and tiredness. In atrial fibrillation, the heart's upper chambers (atria) contract randomly..

Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is a disease of the airways whereby they become inflamed, damaged and narrowed. The main cause, at over 70%, is smoking or passive smoking (breathing in other people's tobacco smoke).

Heart Failure

Heart failure means that the heart is unable to pump blood around the body properly. It usually happens because the heart has become too weak or stiff. Symptoms of heart failure include shortness of breath, fatigue, weakness, chronic cough, swelling in the legs/ankles/feet, sleeping...

Stroke - Cerebrovascular Disease

A stroke occurs when there is a blockage to the blood supply to part of the brain or when a blood vessel in the brain bursts. In either case, parts of the brain become damaged or die. A stroke can cause lasting brain damage, long-term disability, and mortality.

Transient Ischaemic Attack - Cerebrovascular Disease

A transient ischaemic attack (TIA), or mini stroke, happens when there is a temporary disruption in the blood supply to part of the brain. The disruption in blood supply results in a lack of oxygen to the brain. This can cause sudden symptoms like those of a stroke without permanent disability.

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Opportunistic Case Findingin Mungret, Limerick City

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