We provide all aspects of healthcare for the family from pregnancy care with our Antenatal clinic, 2 week & six week checks, childhood immunisations & developmental care .We are also part of the HSE under 6 scheme. Our services for children include:

Pregnancy Care and 6-week Mother and Baby checks

Providing ongoing care and support for mum and baby. To read more, click here

Childhood Immunisations

We provide all the standard primary childhood vaccinations, most of which are free of charge. You can read more about these at http://www.immunisation.ie/

Chicken Pox Immunisation

We can immunise your child against chicken pox using the varicella vaccine. This vaccine is ordered on request in advance of your visit, so please book in advance and mention to our reception that you want to make a chicken pox immunisation appointment.

Immunising your child is the most effective way of protecting them against serious diseases such as hepatitis, diphtheria and polio. The Primary Childhood vaccinations are free at Carlton Clinic. These involve three injections, given when your child is 2, 4 and 6 months of age. Babies are more vulnerable so it’s important to give your child the earliest and best protection.

MMR Immunisation

Babies over 1 year of age should get an immunisation at the doctor’s to protect against Measles, Mumps and Rubella.  A follow-up dose is often given in schools at the age of 4-5, but can also be given by your doctor. Two doses give your child better protection.

Young People’s Health

All of our GPs are skilled in this area but Dr Tom Breslin & Dr Andree Rochfort have special interests in young people’s health concerns.


We can help you with common skin disorders, including acne, psoriasis and eczema. We also treat moles, warts, veruccae, ingrown toenails, etc.

Cervical Cancer Vaccine

The cervical cancer vaccine is available for girls and young women between 9 and 26. It is administered in three injections over 6 months. The vaccine needs to ordered and paid for in advance.

Minor Surgery

We provide a comprehensive range of minor surgical procedures at The Palms GP Surgery.

We offer fast and cost efficient access to many procedures including:

  • Mole & Skin Cancer Biopsy and Removal
  • Skin Tag Removal
  • Ingrown Toe Nail Removal or Wedge Resection
  • Sebaceous Cyst Removal
  • Cryotherapy (Freezing) of Warts & Verruca
  • Joint Injections

All surgery requires a pre-surgical assessment appointment.

Fever/High Temperature in Children

A normal temperature in children is about 36.4C (97.5 F), but this does differ slightly from child to child. A fever is usually considered to be a raised temperature of 37.5C (99.5F) or above.

You may be concerned that your child has a fever if they:

  • Feel hotter than usual to touch (on their forehead, back or stomach)
  • Feel sweaty or clammy
  • Have flushed cheeks

What causes a high temperature?

Most fevers are caused by infections. A fever helps the body ght infections by stimulating the immune system (the body’s natural defence against infection and illness). By increasing the body’s temperature, a fever makes it more difcult for the bacteria and viruses that cause infections to survive. Your child’s temperature can also be raised during teething, following vaccinations or due to too much bedding or clothing.

Taking your child’s temperature

If you are concerned that your child has a raised temperature, the best first step is to check their temperature with a thermometer.

This will help you to work out if you need to call your GP.

If you need to speak with your GP on the phone, it will help your GP to make a decision about the type of medical attention your child needs.

  • Digital Thermometer – this is the most accurate way of getting your child’s temperature.  Hold your child comfortably on your knee and place the thermometer under their armpit.  Gently the thermometer in place, for the time stated in the manufacturer’s instructions (usually about 15 seconds). The temperature is shown on the display.
  • Ear (or tympanic) Thermometer – these are quick but expensive and can give misleadingly low readings, especially in babies, if they are not correctly placed in the ear.
  • Strip Thermometer – these are held on the child’s forehead and are not an accurate way of taking a temperature. They show the temperature of the skin, rather than the body.
  • Mercury-in-glass Thermometers – THESE SHOULD NOT BE USED.  They can break, releasing small shards of glass and highly poisonous mercury. If your child is exposed to mercury, seek medical advice immediately.


ALWAYS contact your GP (The Palms Surgery) (053) 94 21336 or Care Doc (outside of normal surgery hours) 1850 334 999 if:

  • Your child is UNDER 3 MONTHS and has a temperature of 38C ( 101F ) or higher.
  • Your child is 3-6 MONTHS and has a temperature of 39C ( 102F ) or higher.
  • You think your child is showing SYMPTOMS OF MENINGITIS.
  • You think your child is dehydrated.
    Symptoms of dehydration include: dry or sticky mouth, few or no tears when crying, eyes or fontanelle (soft spot on baby’s head) looks sunken, lack of urine or wet nappies for 6-8 hours (infant), 12 hours (older child) or only a very small amount of dark yellow urine, lethargy or irritability, dry cool skin.
  • Your child has a fit (convulsion)
  • Your child’s health is getting worse.