Clinics are held at the surgery, the support staff can inform you which days these clinics are held. Patients with asthma should attend the clinic on a routine basis once a year although many will be seen more frequently. Patients will be taught a self-management plan so that they can deal with exacerbations of their condition before consulting their doctor. We have equipment to test lung function and in the event of an asthma attack during the working day, patients should attend the surgery promptly to receive nebuliser therapy, if appropriate.

Cervical smears are offered to all patients up to the age of 64 years.

Appointments are arranged either with the female partners or with the practice nurses in conjunction with the individual GP.

Smears are advised every three years in accordance with the National Screening Programme.

Cervical Screening: Smear Tests

Women aged between 24 and 64 should have a cervical screening every 3 to 5 years to help prevent cervical cancer.

The screening is quick and painless and can be done here in practice.

If you are aged over 24 and have never had a smear test, or if it has been more than 3 to 5 years since your last screening, you should arrange an appointment with our Practice Nurse.

You should not have the test while you are having a period or in the 4 days before or after your period as this can affect the sample. See the health zone for more information.

Find further information on the NHS Website:

• What is cervical screening?
• Why it's important?
• When you'll be invited
• How to book
• What happens at your appointment
• Your results

We offer protection for children against infectious diseases by a programme of immunisations. Notification is sent automatically when each immunization is due. A very high proportion of the children in our practice are being immunised (well over 90%).

The diseases against which we routinely immunise children are: whooping cough, tetanus, diphtheria, HIB meningitis, polio, measles, mumps and rubella. Immunisation against tuberculosis (TB) is offered separately by the Community Health Services and the age at which it is given depends on circumstances appropriate to individual families. We strongly recommend acceptance of the MMR vaccine but will be happy to discuss the issues arising from recent media publicity. The clinic are held by appointment.

Find more information:

• Booking your child's vaccination appointment
• NHS vaccinations and when to have them
• Vaccination tips for parents

Clinics are held on a regular basis for patients who have health problems and cannot carry out their own foot care. You may be referred to the chiropody clinic by a doctor or you may refer yourself by completing a form which can be requested from our support staff. All enquiries about clinic bookings should be made to Laurel Lodge on 01895 813861.

We have counsellors attached to our practice who will see patients with emotional or life-crisis problems. You should first see a doctor to outline your problems and they will refer you to our counsellors, if appropriate. there is a waiting list but you will be seen as soon as possible.

All diabetic patients of this practice are welcome to attend the diabetic clinic at the surgery; the support staff can inform you which days these clinics are held. It is supervised by one of the partners working with a practice nurse, a dietician and a chiropodist. The majority of our diabetic patients will have their needs met by this clinic. We are in regular contact with the community services (diabetic liaison sisters) as well as the Hillingdon Hospital Diabetic Clinic, and appropriate advice can be sought here if appropriate.

Find information about diabetes

Our district nurse team are based at the health centre. District nurses are qualified registered nurses, additionally trained to provide skilled nursing care and advice to people of all ages in the community in order to enable them to live as independently as possible with an acute or chronic illness/disability.

They help with rehabilitation following illness, care of the dying, wound care and care after surgery and will support carers by giving advice, teaching and information, or refer you to others who can help. They work closely with other specialist nurses, GPs, dieticians, physiotherapists, chiropodists, health visitors, midwives, psychiatric nurses, social services and hospitals.

Referrals to district nurses are usually made by GPs or by hospital staff. They can be contacted on 01895 488850 between 8am and 4:30pm Monday to Friday.

A full range of family planning services is offered by the practice or by referral to local providers. Appointments are by arrangement and should be discussed with a doctor.

The health visiting team are based at the health centre. Each health visitor is a qualified RGN & health visitor certified. Health visitors are registered nurses with further specialised training and their role is to help people stay healthy at home. They work with all age groups and have a holistic approach to health care, but are particularly involved with families with young children.

Health visitors will see you in the clinic, health centre or at home. They will attempt to help you with problems and help you find the services you need. They work in close co-operation with the doctors, the nursing team, midwives, social workers, school nurses and other helping agencies.The health visitors are informed on a weekly basis of all new under fives joining the practice. The health visitors may be contacted via our support staff or by ringing the health centre on 01895 252461.

Please make an appointment to see a doctor for advice regarding this treatment.

We have 24 hour blood pressure monitoring equipment and an ECG machine and can more completely investigate and appropriately treat patients with high blood pressure in the practice. Meanwhile, if you are on treatment for blood pressure, you should see a nurse every six months for a check-up unless your doctor wishes to see you.

• Send us your Blood Preassure Results

All patients aged between 50 and 64 years are invited through their GP surgery to take part in the National Breast Screening Programme.

Invitations are sent to patients on a regular basis every three years.

Any woman over 64 is welcome to continue with or join the screening programme and should consult their own doctor regarding this service.

Antenatal and postnatal clinics are run by three of the partners in conjunction with an attached midwife who is involved with both antenatal and postnatal care.

Though home confinements are not covered by this practice, there is a full postnatal visiting service for mothers who are discharged from the hospital shortly after delivery as well as those who require a slightly longer stay in hospital.

If you think that you are pregnant you should carry out a home pregnancy test and see a doctor as soon as possible so that they can make the necessary arrangements for your care.

Minor operations are carried out at the health centre. Removal of cysts, moles and toe nails are examples of procedures undertaken under local anaesthetic. Bookings for this clinic can only be made following a consultation with one of the doctors. The waiting list is currently two months but if you have a suspicious skin lesion requiring biopsy you will normally be seen within one week. Injections of joints is performed by several of the doctors during normal surgery hours.

Patients reaching the age of 75 years and annually thereafter are invited to attend the health centre for a health check by our elderly care liaison nurse, Carol Gumm or one of her colleagues. Patients who are housebound will be seen at home. the ECN collaborates closely with the local authority social services and housing departments, local hospitals and voluntary organisations. Any person concerned about the welfare of their elderly relatives or friends are welcome to speak to our elderly care liaison nurse.

Patients may be referred for musculoskeletal problems to our physiotherapists who are based at the health centre. For housebound patients we have access to a domiciliary physiotherapy service.

If you are looking for support services that are not included in this list please see our self-help centre for local and national support.

You may be asked by your doctor to have blood tests carried out. We have a trained phlebotomist present at the health centre every morning until 12 noon. You should make an appointment with our support staff. 

See the Tests and Results page for details.

We give advice and injections before travelling abroad. Please make your appointment at least 6 weeks before you travel. Please be aware that some of the recommended injections are a private service and are not available on the NHS. Please make a separate appointment for each person travelling. See our travel information page for more details.