The Community Midwife offers care for pregnancy, birth and the post-natal period. She runs a weekly clinic in the Practice but can also be contacted at the Royal Surrey County Hospital on:
Asthma and Spirometry
The Practice Nurses run asthma and spirometry clinics throughout the week. With regular check-ups most people’s symptoms are reduced.
Blood tests are performed at the Surgery by the Healthcare Assistant and by the Practice Nurses. Don't worry if the GP has advised numerous tests because they can all be taken in one go, without having to have repeated needles. The following tests are commonly performed:
ESR (Erythrocyte Sedimentation Rate)
The cells in your blood become sticky when you are ill. This test measures the level of stickiness in your blood and is often used to monitor the treatment of arthritis.
FBC (Full Blood Count)This test can measure a number of different elements in the blood. It can measure your haemoglobin. This is the chemical that gives your blood its red colour. If the harmogolbin is low, you are anaemic. There are many types of anaemia, and your GP will need to determine the exact type of anaemia and the reason why you are anaemic.
Glucose and HbA1C
These are tests to measure the level of glucose in your blood. If your glucose level is high, your GP will consider a diagnosis of diabetes. You will need to fast for the glucose test (no food or drink, apart from water, for 12 hours before the test) to obtain an accurate result.
INR (International Normalised Ratio)
Some patients take a medication called "Warfarin" to thin the blood, and they have regular INR tests to discover how thick or thin the blood is. The thicker the blood is the more likely it is to clot. The INR result will enable your GP or Practice Nurse to determine how much "Warfarin" you need to take, depending on the reason why your blood needs to be prevented from clotting.
This test will measure the level of fats in your blood. There are two main types, Cholesterol and Triglycerides. These fats may build up and line the walls of your blood vessels and can lead to a heart attack, angina or a stroke. If your test result is high, your GP may advise diet changes and/or medication to lower the fat level.
LFT (Liver Function Test)
The test will measure the chemicals which are involved in liver and gall bladder disease as well as bone metabolism. It may also reveal whether you have gall stones, whether you drink too much alcohol or whether you have a number of bone disease. The test may show an incorrect result if you take certain medication.
TFT (Thyroid function test)
Your thyroid may become over or under active. If you have an underactive thyroid, your GP may advise that you take a medication called "Thyroxine" but the dosage may vary for different people. This test will determind whether the dose need to be changed.
U&E (Urea and electrolytes)
This test measures your kidney function and the level of various salts in your body. Salts can become low if you take a water tablet (diuretic) and this test is carried out annually to check patients who take this sort of medication.
Some patients prefer to have a chaperone when being examined by a doctor or a nurse. You can bring someone with you, or we will provide a member of staff if you choose.
Childhood Immunisation and Development
Development checks are held by a GP on Wednesday afternoons by appointment followed by first baby immunisation clinic with a Practice Nurse. The Practice Nurses run follow-up baby immunisation clinics on Tuesday and Wednesday mornings; please make an appointment with reception. You will receive appointments for routine development checks (for example six week and eight month checks) at the appropriate times.
Our Practice Nurses run clinics throughout the week for optimal diabetic control. They liaise closely with the GPs, dietician and hospital diabetic nurses. Dr Nevin reviews diabetic patients at least on an annual basis.
Our Doctors provide a family planning service, which is also available to people temporarily staying in the area.
Should you be considering a pregnancy, your Doctor would be happy to discuss pre-conceptual care to give your pregnancy a healthy start.
These run in October to December. Patients who are in the clinical risk groups, all patients over 65 years of age, and patients living in long-stay residential homes, (but not including University halls of residence), who would like to have the flu vaccination should make an appointment. At risk patients include those over 6 months old with asthma or respiratory disease, diabetes on insulin or oral drugs, chronic heart disease, renal disease, liver disease or who are immuno-suppressed because of medication or disease.
These clinics are to monitor and help control high blood pressure and are run by the Practice Nurses.
Please make an appointment with the Practice Nurses.
The Practice initiates treatment for patients to take Warfarin and our nurses run INR clinics through the week.
Interpreter and translation
We can arrange the services of an interpreter or translator. Please try to give us as much notice as possible so that we can make the appropriate arrangements.
The Community Nurses run clinics for leg ulcers at the Surgery.
Care is provided by Doctors and the Community Midwife. The Midwife runs a clinic at the Surgery once a week; please make an appointment at Reception.
This can be arranged at the Surgery by your Doctor.
New Patient Health Check
Please make an appointment for a health check with a Practice Nurse when you register with the Practice.
Out of Hours Service
If you need medical advice when the Surgery is closed (between 6.30pm and 8pm weekdays, all weekend and Public Holidays), please dial 111 to access the NHS111 service. Calls are free from landlines and mobile phones and the service is available 24 hours per day, 365 days per year.
Please continue to call 999 for life-threatening emergencies that require an immediate response.
You can find a guide to choosing the right NHS service if you become ill or are injured on the Choose Well website: www.choosewell.org.uk
Over 75 Checks
To ensure that our elderly patients keep well, an annual health check is offered to patients over 75. They are seen by the Practice Nurses on most week days.
Please make an appointment with the Practice Nurse.
These appointments can be made with your Doctor during normal surgery times.
There are a number of services available outside the scope of the NHS for which fees will be charged. These include medicals for employment, private medical insurance claim forms, private certificates, driving or sports medicals and reports and reports to solicitors or employers. Receptionists can advise you about the charges.
There is an NHS physiotherapy service at the Practice run by a charity called, ‘Mobile Physiotherapy’. You need to be referred by a GP.
If you would like help and support to stop smoking, please make an appointment to see Sarah Weight, our Smoking Cessation Advisor. Alternatively, please contact:
Surrey NHS Stop smoking Service
Tel: 0845 602 3608
Travel Immunisation and Advice
Travel immunisations and advice are available from the Practice Nurses during their general clinics. We are a Yellow Fever Centre. Appointments are available daily. Please remember to organise your travel vaccinations in good time before you travel as some of them need time to take effect and appointments can be in short supply at busy times. Not all travel vaccinations are available on the NHS. The Practice Nurses will advise you of the cost of any vaccinations.
Please make an appointment to see the Practice Nurse for a well woman check and cervical screening. If you prefer to see a Doctor, please let us know. Breast examinations are carried out by a Doctor.
The Practice Nurses run appointments through the week for Well Man checks.