GP Services in Ramstein (Host Nation)

Print Friendly, PDF & Email

All primary care services are provided by the Host Nation GP, Dr Nikolaus. He and his Practice Manager, Frau Silke Schirra speak English. You are requested to also register with his practice on arrival.

Dr Nikolaus
Marktstrasse 32
66877 Ramstein – Miesenbach
www.praxis-dr-nikolaus.de

Telephone number
Tel: 06371 598482 - this number is used for British patients only and will be answered by English speaking staff.

Opening times
Monday to Friday 0800 – 1130
Monday & Thursday 1500 - 1730

If you have symptoms of (or suspect you may have) an infectious disease, it may be necessary to arrange an appointment at the beginning or end of a clinic to reduce the risk infecting other people. Please inform the reception staff if you have any of the following symptoms when booking your appointment: rash, diarrhoea, vomiting, a rash, flu-like symptoms, or have travelled abroad in the last 2 weeks.

Appointments are offered within 5 working days and urgent appointments will usually be available within 24 hours. You can make appointments directly with the practice. Please call 06371 598482.

During the summer Dr Nikolaus closes for two weeks. During this time alternative arrangements are to use the

American Urgent Care Centre
Kaisersrt 171
66849, Landstuhl

Reception 06371 495021

Referral to another clinician/hospital

Should Dr Nikolaus refer you to another clinician, please make sure you inform the Ramstein team on Ramstein@shcac.de immediately.  All referrals require approval via the Optimal Care Meeting at SHAPE Medical Centre prior to arranging an appointment at the hospital.  Once approved, a Patient Support Officer will contact you to arrange an appointment.

If your hospital clinician recommends surgery, you should contact the PSOs on 0800 588 9936 or 0049 521 305 3960 from out of Germany or a UK mobile for this to be arranged.  NB: Service personnel, please see the section entitled “Military Occupational Health and Defence Consultant Advisors”.

Please send any reports or invoices relating to hospital care to Ramstein@shcac.de as soon as you receive them.

Paediatric / Children’s services

Host Nation Paediatrician (English spoken)

Drs Schmitt and Seipenbusch
Schulstrasse 4
66877 Ramstein-Miesenbach

Tel: 06371 50398

Opening times: Monday, Thursday 0800-1800, Tuesday 0800-1730, Wednesday 0800-1200, Friday 0800-1300

Health Visitor


A Health Visiting service is provided routinely every 3 months and as required at other times. Support is always available via telephone, Skype or email. The Health Visitor works closely with the paediatricians, Drs Schmitt & Seipenbusch, to deliver care/screening for your child. To contact the Health Visitor call 0032 65 44 2001/5824.

School Nurse

As part of the Health Visitor’s 0-19 service, MOD schools are provided with health support and advice via the Health Visitor who visits them termly but is available at other times to school staff and parents if required via telephone, Skype or email.

School entry vision and hearing screening is offered to all British Military children in MOD schools in the summer term. The private MOD sponsored schools may request health support and advice from the Health Visitor for MOD sponsored children. The parents of children in MOD sponsored private schools have the same open access to the Health Visitor as those in MOD schools.

Immunisations

You will be contacted by the SHAPE Medical Centre when your child is due any immunisations and also given information on who to contact to arrange these.

Children attending German Kindergarten or German schools must of either had chickenpox after the age of one or have the Varicella (chickenpox) vaccination. Please contact the SHAPE medical centre for more information.

From 31st March 2020 the measles vaccination will be mandatory for all children attending German Kindergarten or Germany schools

Please ensure that your child’s red health book is kept current with all vaccinations and assessments.

Children’s Speech & Language (SLT)

If you feel your child needs support with SLT issues, contact the SHAPE medical centre by phone (0032 6544 5824) or email (LLPHealthcare-SHAPE-0Gpmailbox@mod.gov.uk). A GP in SHAPE will review your request and if approved, you will be asked to book an initial assessment appointment with a local approved speech and language therapist. This assessment will then be reviewed by the visiting SLT and you will be sent a letter with information on how many sessions have been approved and where the SLT should send their reports to  If additional sessions are required, the therapist or you must contact SHAPE before booking any appointments. You may be liable for payment if extra sessions are provided without prior approval.

Child and Adolescent Mental Health

In the first instance, book an appointment with Dr Nikolaus, who can help with many common mental health conditions, by providing support and medication if appropriate.  He will also contact the GP at the UK medical centre in SHAPE who can also refer patients aged 5-17 to our remote Child and Adolescent Mental Health Service (CAMHS) team, which includes a nurse and psychiatrist.  The remote CAMHS team has English-speaking mental health clinicians who can provide support via secure video consultations on your laptop or smart phone.

Both Dr Nikolaus and the remote CAMHS team can manage mild to moderate health conditions.

Adult Mental Health Services

In the first instance, book an appointment with Dr Nikolaus who can help with many common mental health conditions, by providing support and medication if appropriate.  He will also contact the GP at the UK medical centre in SHAPE who can also refer you to our remote mental health team which has English-speaking mental health clinicians who can provide support via secure video consultations on your laptop or smart phone.

Both Dr Nikolaus and the remote mental health team can manage mild to moderate mental health conditions including depression, anxiety, social phobia and PTSD.

Military Occupational Health and Defence Consultant Advisors

Routine Military Medicals

These are undertaken by a visiting team at the Dr Nikolaus Practice. The medical records administration is carried out in SHAPE. Consultations from the GP or hospitals will be incorporated in to your medical record.

Occupational health clinics will be offered to military personnel in Brunssum on a monthly basis. You will be reminded to attend for your routine appointments for immunisations, hearing tests and medical boards by the MAU.

If your secondary healthcare (hospital) consultant recommends surgery or other significant treatment which may have an impact on your operational capability, Defence Consultant Advisor (DCA) opinion will be sought. DCAs are military clinical specialists responsible for providing occupational health input who also advise if the proposed treatment is in line with UK best practice.

Should the DCA decide that your long term career prospects may be best served by a different approach, a further referral to a UK based military consultant may be recommended and the hospital clinician will be advised that the proposed treatment will not go ahead at that time.  The Clinical Referrals Manager (CRM) will advise your GP and will also contact you to provide an update.

If the DCA indicates that the proposed treatment should go ahead, the LLP SHC administration team will contact you to confirm an appointment to continue your hospital treatment.

Please be aware all recommendations for hospital care for serving personnel are reviewed in line with the MOD Occupational Health Policy.

Military immunisations are also provided by Dr Nikolaus.

Audiology

For enquiries and to make an appointment, please contact the UK Medical Centre SHAPE. Tel:  +32 (0) 6544 5824.  Audiology tests for military personnel will take place in Ramstein and individuals will be advised accordingly.

Routine Audiology Services

  • Military occupational routine screening
  • Children’s routine hearing screening
  • Replacement of hearing aid tubes and batteries
  • Minor repairs to hearing aids or like-for-like replacement of hearing aids.

Specialist Audiology Services

For enquiries and to make an appointment, please contact the UK Medical Centre SHAPE. Tel:  +32 (0) 6544 5824.  Audiology tests for military personnel will take place in Ramstein and individuals will be advised accordingly.

A hearing specialist (audiologist) from the UK visits every three months to provide the following services:

  • Diagnostic Hearing Tests
  • Middle ear pressure testing
  • New born hearing screening
  • Middle ear pressure testing
  • Speech hearing testing
  • Test of inner ear hair cells
  • Confirmation of military hearing grading and reviews
  • Hearing protection advice
  • NHS Hearing aid supply and fitting
  • Hearing aid replacement and repair
  • Ear plugs and swim plugs
  • Tinnitus management

Appointments take place in Brunssum for Ramstein patients.

Dietician

Dietitians are qualified professionals who offer advice and support regarding diet and nutrition. You can access the services of a dietitian via referral from your GP. Our dietitian can offer support for a variety of conditions, including:

  • Diabetes
  • Food Allergies
  • Crohns/Colitis
  • Weight Management
  • Irritable Bowel Syndrome
  • Nutritional Deficiency
  • Coeliac Disease
  • High Cholesterol
  • Heart Disease

If you feel you need help with diet and nutrition, please make an appointment to discuss it with your GP. If appropriate, your GP will refer you to the dietitian for assessment.

Dietician services in EJSU are offered remotely via secure video consultation. If you are referred, the dietitian will contact you to arrange an appointment. If the dietitian is unable to contact you after three separate attempts, your referral will be cancelled.

Please contact SHAPE Medical Centre if you have any queries or request further information.0032 65 44 5824.

Optician and Eye Sight Tests

Please see our dedicated page for more information on opticians and eye sight tests.

The following Host Nation Provider can offer eye tests in English

Dr. med. Bindels und W. El-Far
Am Stutzwald 1
66877 Ramstein-Miesenbach

Reception: 06371 71240
www.augenaerzte-ramstein.de

Physiotherapy

Once you have received a referral for physiotherapy from the Host nation GP, it needs to be sent to SHAPE UK medical centre. This can initially be: by fax on 0032 6544 5016 or you may choose to scan it in or take a photo and e-mail it to: LLPHealthCare-SHAPE-0Gpmailbox@mod.gov.uk.

Once a fax, email or photo has been sent the original referral needs to be sent to: UK medical Centre Building 401 SHAPE BFPO 26. Please note; if you choose to send only by post, it could take 2-3 weeks to reach us. This will therefore extend your wait for treatment.

Once the referral has been received, the UK physiotherapist will triage the referral and you will be contacted to book a telephone consultation  to gain more information on the problem. If host nation physiotherapy is approved, you will be provided with a letter confirming this and stating how many sessions you are entitled to. You will have a further telephone consultation with the physiotherapist towards the end of the sessions, to determine whether you require further intervention or onward referral. If more sessions are required, you will be provided with an authorisation letter confirming this.

Failure to obtain an authorisation letter prior to commencing physiotherapy treatment, or having more sessions than authorised, is likely to result in you becoming liable for the bill.

The physiotherapist will visit Ramstein approximately every 3 months to review patients who are struggling to progress under host nation provision, and military personnel who may require onward referral to the UK rehabilitation teams.

Prescriptions & Prescription Charges

Prescriptions

The pharmacy listed below has English speaking staff. Please take your prescription, whether issued by a GP or hospital, and they will dispense medication without upfront charges to customers. Please sign the prescription to indicate that you have received the medication. We will pay the pharmacy bill for you. We strongly recommend you use this pharmacy if you are based in Ramstein.

Hubertus Apotheke
Landstuhler Strasse 2
66877 Ramstein Miesenbach
Tel: 06371 50708

If you collect medication from a different pharmacy, you will have to pay and reclaim the costs. A form can be obtained by emailing ramstein@shcac.de.

Prescription Charges

If you are not entitled to free prescriptions you will be sent an invoice to make payment for the prescription charges.

Repeat Prescriptions

Please follow your Apotheke's guidance regarding ordering repeat prescriptions.

Unwanted or Out of Date Medication

Unwanted or expired medications cannot be reused, even if you haven’t opened them. However, all waste medication must be disposed of safely. Medicines that are incorrectly thrown away can end up in the public water supply or harm the environment.

  • Never flush medicines down the toilet
  • Never put medicines in the bin
  • Never share your medicines with others

Please return any medicines to the apotheke, who will be able to dispose of any unwanted medicines you may have in your home or accommodation.

Women’s Health Services

All women’s health services, including a full midwifery and obstetric service, are provided by Drs. Mader & Oender at:

Nardini Klinik
Nardinistraße 30
66849 Landstuhl
Tel: 06371 842801

Cervical screening

You will receive an invitation letter if you are due Cervical Cytology. Please book your appointment with the clinic. Contraceptive Services are also provided.

Mammography

You will receive an invitation letter if you are due Breast Screening. Please book your appointment with the clinic.

Midwifery

Please see our dedicated Midwifery Services page.

Pregnancy

NHS pregnancy and baby guide.  This site is part of NHS Choices and offers information about all stages of pregnancy, birth and the first months with your child.

The NHS pregnancy book.  This guide provides information on a healthy pregnancy, labour and childbirth, and the first weeks with your new baby.

Sexual Health

Please see our dedicated Sexual health page.

GP Referral for Elective (non-emergency) Hospital Care

Optimal Care Meeting (OCM)

If you are referred to another clinician, please make sure you inform the Ramstein team on ramstein@shcac.de immediately.  All referrals require approval via the Optimal Care Meeting at SHAPE Medical Centre prior to arranging an appointment at the hospital.  Once approved, a Patient Support Officer will contact you to arrange an appointment.

If your hospital clinician recommends surgery, you should contact the PSOs on 0800 588 9936 for this to be arranged.  NB: Service personnel, please see the section entitled “Military Occupational Health and Defence Consultant Advisors”.

Please send any reports or invoices relating to hospital care to Ramstein@shcac.de as soon as you receive them.

Hospital Locations (A&E - Adult and Child)

Landstuhl

Nardini Klinikum

Nardinistr. 30
66849 Landstuhl
Reception: 06371 840

  • 24/7 emergency care (no Urology or Neonates, Paediatric trauma only)

Kaiserslautern

Westpfalzklinikum

Hellmut-Hartert Strasse 1
67655 Kaiserslautern
Reception: 0631 2030

  • 24/7 emergency care

Homburg

Universitätsklinikum des Saarlandes (UKS)

Kirrbergerstrasse 100
66424 Homburg
Reception: 068 41160

  • 24/7 emergency care