Doctors Surgeries and Nurse Led Clinics
Both surgeries and clinics operate by appointment only. They run each day Monday to Friday at various times between 8.30am and 6.30pm with two late evening surgeries on Wednesday and Thursday until 8.00pm.
You can contact us at any time throughout the day to make an appointment and if you dont need one within 2 working days, you also have the option to book up to 2 weeks in advance if this is more convenient for you.
To book an appointment please telephone (01482) 492219, use our website link, or mobile APP or call in at the surgery but please avoid calling between 8.30 10.00 am for non-urgent matters.
If you find you no longer need the appointment or cannot attend for any reason, please contact us to cancel it in good time so that another patient has the opportunity to use it. This can be done online, over the phone, or via text message to 07840 077952 (please remember to include the date and time of your appointment).
Doctors Surgeries and Nurse Led Clinics
Our Services Available
Contraceptive advice, Family Planning and Sexual Health Clinic
Routine Cytology Clinic
Travel Vaccinations Clinic
Clinical Psychology Sessions
Stress Management/Counselling Clinic
Exam Stress Clinic
HIV & AIDS Counselling
Chronic Disease Management Clinics
Child Health Surveillance Clinic
Mumps Immunisation Flu Injections
This includes all aspects including, pregnancy testing, the Pill, provision of the 'morning after pill', advice on male barrier methods, sterilisation and in addition, advice and instructions on the use of the cap, diaphragm, intra-uterine devices and contraceptive implants. Doctors and nursing staff are happy to discuss the 'morning after pill'. Advice on contraception and family planning is given every day of the week. (NB The morning after pill if used should be commenced within 72 hours of intercourse. Please consult with the Doctors/Nurses for further information)
The family planning & sexual health clinics are run at varying times during the week by fully trained Family Planning nurses who are available for consultation. Ask at reception for times; although an appointment system is used these may be available on the day.
All Doctors carry out obstetric care. Please let the Receptionist know your appointment is for Antenatal/Postnatal care in order that you are given a slightly longer appointment time.
This clinic is a very important area in the health promotion of our female patients
Tests could be carried out any day by appointment with the nurse who will inform you as to how your results will be made available to you.
If you are planning an overseas trip for which you require vaccinations please make an appointment well in advance to see the practice nurse who will be pleased to advise you on your requirements. We carry stocks of most vaccines but if you could provide us with your exact route and destination beforehand this would enable us to ensure that the item you require is available. (See also Adult Immunisations)
Please note that some vaccines are not freely available under the NHS and separate fees will be charged
We are a Registered Centre for Yellow Fever Vaccinations.
By Appointment. Details available from Reception
By Appointment with qualified counsellor. Details available from Reception.
By Appointment with Psychologist. Details available from Reception
By Appointment. This is done on a confidential basis by a trained counsellor. One of the doctors will be happy to help you arrange an appointment.
These procedures are carried out in the Practice and we ask that you make an appointment to see one of the Doctors for this service.
(Asthma, Diabetes, Epilepsy, Thyroid problems, Hypertension)
Details of times available from Reception
(Including childhood vaccination/immunisation) You can see our Senior Nurse regarding vaccinations/immunisations for your children as they become due. Dr Nayar sees children by appointment in this Clinic for developmental assessment.
It is essential that all children complete their vaccination/immunisation programme and the doctors will be pleased to give advice as appropriate to all newly registered patients.
Details available from Reception
We recommend that all adults receive a tetanus vaccination once every 10 years. We also provide travel immunisations as required and a fee may be charged. Please discuss your travel plans with a Nurse well in advance as you may need a course of vaccinations over a period of six weeks or more. Confirm availability with reception.
An appointment is needed with your Doctor for a Yellow Fever injection. (A fee will be charged for this service)
If you are aged between 16 and 24, there is a good chance that you have only had one dose of the MMR (measles, mumps and rubella) vaccine. You need two doses to be fully immunised. A nurse can give you this vaccine but please confirm availability with reception before making an appointment.
Before the winter sets in and throughout the main winter months we offer flu injections each year to particular patients at risk. This includes the frail, the elderly and those with long standing chest complaints (e.g. asthma) and cardiac conditions. Please contact the receptionist to arrange your injection.
We encourage our patients to undergo a simple three-yearly health check in order that we can help prevent medical problems from developing. This usually includes height, weight, blood pressure check, urine analysis and assessment of immunisation status. (For women we also recommend a smear test). You can telephone the surgery to arrange an appointment.
These are usually performed by the nurse, although patients can see the doctor if preferred. We recommend a cervical smear every three years for women between the ages of 25 and 65 years (there are some exceptions to this rule). Ask reception for appointment details.
We offer annual health checks to all our patients over the age of 75 years. These are arranged by the surgery. If you are unable to attend the surgery, a home visit can be arranged.
Sickness certificates for six days or less are not provided by the doctor. If you need a special examination e.g. for fitness to undertake sports, pre-employment, HGV, PSV or elderly drivers, this will be carried out by appointment, usually outside normal surgery times and a fee will be charged. Completion of BUPA or similar forms will be available for collection from reception usually after 3-5 days. A Fee will be charged.
Minor Ailment Scheme
Minor Ailment/Pharmacy Scheme
If you are suffering from one of the following minor illnesses or conditions, you don’t need to wait to see the doctor; you can get advice and treatment from a participating pharmacy
- Athletes foot
- Cold sores
- Head Lice
- Indigestion / Heartburn
- Insect bites and stings
- Contact Dermatitis / Eczema
- Pain: Back / Dental / Period
- Cough / Cold
- Sore Throat
- Mouth Ulcers
- Nappy rash
- Diarrhoea / Vomiting
- Nasal Congestion
- Dry Eyes
- Dry / Itchy skin
- Thread worms
- Ear wax
- Vaginal Thrush
- Warts and Verrucae
- Oral Thrush
- Or is you child teething?
Health A-Z - Conditions & Treatments
NHS Choices provides a Health A-Z guide to treatments and conditions. You can search by body part, subject or by selecting from the A-Z menu.
To access the full guide please click here.
We have added links to some of the most popular subjects below:
- Back Pain
- Birth Control
- Breast Cancer
- Chicken Pox
- Common Cold
- Flu (Seasonal)
- Glandular Fever
- Kidney Infection
- Norovirus Infections
- Sexually Transmitted Infections
Treatments for Common Illnesses
Treaments for Common Illnesses
Many aches and pains can be simply treated at home without the need to consult a doctor. This page provides some useful information about these common problems. Click on a topic to read more.
The anatomy of the spine is very complex and has to support the whole weight of your body. It is therefore not surprising that poor posture, bad lifting habits, obesity and so on, can put strain on your back muscles and cause pain.
Common backache can be eased by taking pain killers and gentle exercise. The old fashioned remedy of taking to your bed and not moving can actually make the pain worse.
To avoid back pain, you must reduce excess stresses and strains on your back and ensure that your back is strong and supple. If you have persistent, recurring bouts of back pain, the following advice may be useful:
- Lose any excess weight
- Practise the Alexander technique.
- Wear flat shoes with cushioned soles, as these can reduce the stress on your back.
- Avoid sudden movements or muscle strain.
- Try and reduce any stress, anxiety and tension.
If the pain persists for more than a few days, or spreads to the legs (sciatica) consult your Doctor.
More about back pain - NHS Choices
- redness on the skin,
- blisters (pockets of fluid that form on the skin), or
- charred (black) skin.
Burns can be caused by:
- direct contact with something hot, such as fire,
- radiated heat from an external source, such as the sun,
- certain chemicals,
- electricity, or
- friction (when an object or surface rubs against something else).
A scald is a burn that is caused by hot liquid or steam. Scalds are managed in the same way as burns.
First aid for burns
First aid advice for burns and scalds caused by heat, such as flames, is outlined below.
- Stop the burning process as soon as possible. This may mean removing the person from the area, dousing flames with water or smothering flames with a blanket. Do not put yourself at risk of getting burnt as well.
- Remove any clothing or jewellery near the burnt area of skin, but do not attempt to remove anything that is stuck to the burnt skin because this could cause more damage.
- Cool the burn with cool or tepid (lukewarm) water for 10-30 minutes, ideally within 20 minutes of the injury occurring. Never use ice, iced water or any creams or greasy substances, such as butter.
- Make sure that the person keeps warm, using a blanket or layers of clothing (avoiding the injured area). This is to prevent hypothermia occurring, when a person’s body temperature drops below 35°C (95°F). This is a risk if you are cooling a large burnt area, particularly in children and the elderly.
- Cover the burn with cling film in a layer over the burn, rather than by wrapping it around a limb. A clean, clear plastic bag can be used for burns on your hand.
- The pain from a burn can be treated with paracetamol or ibuprofen. Always check the manufacturer’s instructions when using over-the-counter (OTC) medication. Children under 16 years of age should not be given aspirin.
Once you have taken these steps, you will need to decide whether further medical treatment is necessary. See NHS Choices for more details for advice about what to do next.
Most adults will get at least one cold each year and children may get several. Colds usually start to improve after 5-7 days in adults but can last longer in children. Symptoms include fever, headache, runny nose, sore throat and cough. It is caused by a virus infection and antibiotics have no effect on the course of the illness. Simple painkillers, decongestants and rest will help ease the symptoms.
Occasionally complications such as severe earache, tonsillitis or chest infection may develop. These may require treatment from your doctor.
The term 'flu' is over-used. It should refer to the specific infection influenza. This occurs in epidemics every few years and is a particular risk for the elderly or patients with chronic heart or lung problems. These patients should request flu vaccinations in October each year.
Chickenpox is a mild but highly infectious condition caused by a virus called the varicella-zoster virus (varicella is the medical name for chickenpox). It causes an itchy rash that blisters and then crusts over. There is no cure for chickenpox, and the virus usually clears up by itself without any treatment. However, there are some steps you can take to ease the symptoms. Children usually do not need to consult a Doctor.
Itching may be eased a little by calamine lotion and cool baths.
The most infectious period is from 2 or 3 days before the rash appears until the last spots have scabbed over. Children may then return to school.
Chicken pox in adults however, can be a more serious infection.
Cuts and grazes are some of the most common injuries.
Minor cuts and grazes (where only the surface layer of skin is cut or scraped off) may bleed and feel slightly painful, but the affected area will normally scab over and heal quickly.
However, if the cut is in an area that is constantly moving, such as your knee joint, it may take longer to heal.
Depending on how deep the cut is and where it is on your body, a scar may remain once the cut has healed.
Deeper cuts may damage important structures below the skin, such as nerves, blood vessels or tendons (see Complications). Grazes that remove the deeper layers of skin are rare.
Most cuts and grazes can be easily treated at home. More severe cases may need medical attention, such as stitches to close the wound
For most cuts and grazes, cleaning them thoroughly and covering them with a plaster or dressing is all that is needed.
Stopping the bleeding
If your cut or graze is bleeding heavily, or is on a particularly delicate area of your body, such as the palm of your hand, you should stop the bleeding before applying any kind of dressing.
Apply pressure to the area using a bandage or a towel. If the cut is to your hand or arm, raise it above your head. If the injury is to a lower limb, lie down and raise the affected area above the level of your heart so the bleeding slows down and stops.
To dress a cut or graze at home:
- wash and dry your hands thoroughly
- clean the wound under running tap water, but do not use antiseptic because it may damage the tissue and slow down healing
- pat the area dry with a clean towel
- apply a sterile, adhesive dressing, such as a plaster
Keep the dressing clean by changing it as often as necessary and keep the wound dry by using waterproof dressings, which allow light wetting (showering).
The wound should heal by itself in a few days. If the wound is painful, you can take painkillers, such as paracetamol or ibuprofen. However, you should not take ibuprofen if you have certain conditions, such as a stomach ulcer or asthma, and children under the age of 16 should not take aspirin. When taking medication, always check the packaging for recommendations regarding use and dose.
If you are unsure how serious your injury is, or if it has not healed after a few days, see your GP. Always seek medical advice if:
- your injury does not stop bleeding or is on a joint crease (go straight to an accident and emergency department if this is the case)
- your injury is very large or very deep
- your injury was caused by a bite
- there is something in your cut or graze, such as grit
Treating severe cuts & grazes - NHS Choices
There are two common causes for this illness - food poisoning and viral infections which can be passed from person to person and are very infectious. Careful hand washing will reduce the risk of transmission. In the majority of cases the illness will settle by itself within 2-3 days.
It is very important to replace lost fluid, initially with small frequent sips of clear fluid. An oral rehydration solution e.g. Dioralyte may be useful and can be brought from the chemist.
Babies are at most risk from dehydration and you should seek advise from your Doctor if vomiting continues for more than 24 hours.
This is a common condition and usually presents as an itchy scalp. Treatment shampoos and lotions can be bought from the chemist. Non chemical methods of control (wet combing) are also available. Your pharmacist or practice nurse can advise and teach you how to do this.
Don't worry, headlice are not a reflection of your personal hygiene, they prefer a clean head !
Nosebleeds are fairly common, particularly in children, and can usually be easily treated at home. The medical name for a nosebleed is epistaxis.
How do nosebleeds occur?
The inside of the nose is full of tiny blood vessels which can start bleeding if they are disturbed. This usually happens as the result of a minor injury that is caused by picking, or blowing, your nose.
Nosebleeds can also occur if the mucous membrane (the moist lining) inside the nose dries out and becomes crusty. This can be the result of an infection, cold weather, or the drying effect of central heating. The mucous membrane becomes inflamed (red and swollen) or cracked (the skin splits open) making it more likely to bleed, particularly if picked, or disturbed by a minor bump.
Sit in a chair (leaning forward with your mouth open) and pinch your nose just below the bone for approximately 10 minutes, by which time the bleeding should have stopped. Try to avoid blowing your nose as you may dislodge the clot and cause further bleeding.
Sprains and strains are a very common type of injury that affect the muscles and ligaments. Ligaments are strong bands of tissue around joints that connect one bone to another. They help to keep the bones together and stable.
Symptoms of sprains and strains include:
- swelling and inflammation
- loss of movement in the affected body part
The treatment for sprains is R.I.C.E - Rest, Ice (e.g. frozen peas), Compression (Crepe bandage) and Elevation.
Pain killers (e.g. paracetamol) will help reduce the pain and swelling.
When an insect bites, it releases a form of saliva that can cause symptoms such as:
- inflammation (redness and swelling)
The symptoms of insect bites vary according to the type of insects involved and the sensitivity of the person who is bitten.
For example, a bite may result in a small, itchy lump that lasts for just a few hours, or it can lead to a more serious reaction, such as papular urticaria (where a number of itchy red lumps and blisters develop on the skin). See Insect bites - symptoms for more information.
Antihistamine tablets and 1% hydrocortisone cream can be obtained from the chemist without prescription and will usually relieve most symptoms.
Note: Bee stings should be scraped away rather than 'plucked' in order to avoid squeezing the contents of the venom sac into the wound.
Sunburn is skin damage caused by ultraviolet (UV) rays in sunlight. With too much exposure to UV light, your skin overheats and becomes red and painful, and may later peel or blister.
When your skin is exposed to sunlight, it produces a pigment called melanin to help protect itself against the UV rays. This is what makes your skin go darker and is seen as a suntan.
Melanin stops you burning so easily but it doesn't prevent the other harmful effects of UV, such as premature ageing and cancer.
If a baby or small child has been sunburnt, or if blisters or fever occurs, seek medical advice from your GP or an NHS walk-in centre, or by phoning NHS Direct on 0845 4647.
General advice for treating sunburn is as follows.
Staying out of the sun
Avoid direct sunlight by covering up and staying in the shade until the sunburn has healed.
Cool the skin by sponging it with lukewarm water or by having a cool shower or bath.
Drink plenty of fluids to replace the water lost through sweating in the sun, and to cool down. Do not drink alcohol, because it will dehydrate you further.
For mild sunburn, apply a moisturising lotion or a special aftersun cream from a pharmacy. Aftersun helps to cool the skin as well as moisturising and relieving the feeling of tightness. Calamine lotion can also be used to relieve itching and soreness.
For adults, painkillers such as paracetamol or ibuprofen can help relieve pain and reduce swelling.
Treating severe sunburn
Severe burns may require special burn cream and burn dressings. Ask your pharmacist for advice. You may need to see your GP and have your burns dressed by a practice nurse.
In severe cases, you may need treatment at your local accident and emergency department.
A cough is the most common symptom presented to the doctor. If food or other foreign body enters the air passage in the throat, coughing acts as a protector. In the same way during a cold it also prevents mucus from entering the air passages and causing infection. To suppress the reflex action with cough mixture may cause more harm than good. The best treatment is steam inhalations. Removing the patient's pillow(s) at night may also help prevent mucus running into the air passages. Sometimes coughing may be caused by infection of the lower air passages. If it is a dry cough, steam inhalations will again help, as will a sedative linctus which can be bought from the chemist.
SEE DOCTOR if:-
Coughing continues for more than a week or two after a common cold has cleared up. Coughing produces yellow or green spit - this may mean that the lower air passages are infected. Breathing is accompanied by a pain in the chest, or shortness of breath. Coughing produces blood.
This is not a common illness and is caused by an infection involving the meninges or lining of the fluid surrounding the brain. The most infectious forms of meningitis are caused by one of three bacteria. The signs are general malaise, high fever, neck stiffness and sometimes a rash. The most striking feature about the more severe forms of meningitis is that people become ill quickly and rapidly deteriorate. The rash when present consists of small red areas which do not change colour when pressed with the finger. They most commonly occur on the backs of legs and thighs, but can occur anywhere. The rash cannot be relied upon as a physical sign. This disease can be dangerous and needs urgent attention. There is now an immunisation for one of the bacteria causing meningitis, particularly in young children, haemophilus influenza type B. This is now being routinely offered to all children along with the other immunisations and also to all those children under four who have not been previously immunised. It is unnecessary for those over four to have this immunisation. It protects against only one form of meningitis.
The rash appears during the first day and usually covers the body, arms and legs in small patches about 2-4mm and does not itch. No other symptoms are usually present, apart from occasional aching joints. It is infectious from 2 days before the rash appears, until the rash disappears in about 4 or 5 days from that date. The only danger is to unborn babies and therefore it is important that all contacts are informed in order that anyone who may be pregnant can contact their doctor
The rash is blotchy and red and appears on the face and body around the fourth day of illness. It is at its most infectious from 2-3 days before the rash appears until 8-10 days after that date. Immunisation can prevent this disease.
Symptoms are swelling of the glands in front of one or other ear often followed, after a couple of days, by swelling in front of the other ear. It is infectious from 2-3 days before the swelling appears and until 8-10 days after that date. If the pain is severe you should consult your doctor.
How to look after a child with a temperature
A child will develop a temperature because of an infection; usually the child will get over such an infection without the use of antibiotics. Most childhood infections are caused by viruses and these do not respond to antibiotics. The advice below is to help you bring down your child's temperature and make him or her feel better.
- Give your child Paracetamol (Calpol, Disprol, etc.) Give the maximum dose stated for a child of that age.
- Dress your child in cool clothes. Much heat is lost through a child's head, so leave it uncovered.
- Cool down the room by opening doors and windows.
- Give your child plenty of cool drinks as fluid is lost with a fever. If he or she is reluctant to drink encourage small amounts from a favourite cup.
- Sponging your child down, particularly the head, with a tepid flannel will make him or her feel better, as well as bringing the temperature down. Using tepid water is more effective then cold water.
- Repeat the dose of Paracetamol every four hours, if necessary.
- If you child does not improve after giving Paracetamol and sponging, or appears particularly ill, call the doctor.
As already stated, ill children will always be seen as soon as possible if brought to the surgery. You will not make your child worse by taking them in a pram or car to see the doctor. Sometimes the fresh air makes feverish children feel better. A child with a fever is likely to be restless at night. Offer cool drinks and sponge the child down if they wake.
Very rarely a child under five years will have a convulsion with a high temperature. The child suddenly shakes all over and then becomes very still. If your child does have a convulsion, it should subside in less than five minutes. Lay the child on his or her side and stay with them while it lasts. If there is another adult in the house, ask him or her to call doctor. If not, call the doctor when the convulsion has stopped.