Annual Review Clinics
Practice runs clinics on a regular basis for patients with long term conditions (Diabetes, Asthma, COPD, Heart Failure, Hypertension, Learning disability, Mental health, Dementia), who will be invited for annual reviews with the Doctor / Practice Nurse / Health Care Assistants. The annual reviews are carried out so your condition and medication can be reviewed.
Newly pregnant patients can refer themselves for midwife / maternity care:
Northwick Park Hospital
Queen Charlotte / Chelsea / St Mary’s Hospital
All of our doctors can provide antenatal and postnatal care.
Giving Birth in North West London
Maternity Unit Locations
Seasonal Flu Vaccination
All pregnant women are entitled to seasonal flu vaccination - Please check with the surgery for the times.
Whooping Cough Vaccination
As part of your ante-natal care all pregnant women are now offered vaccination against whooping cough when they are 16-38 weeks pregnant. This is due to the sharp rise in the number of whooping cough cases in the UK. Please book a vaccination appointment with the nurse when you are between 16-38 weeks pregnant. Please click the below link for more information on Whopping cough.
Whooping Cough Information
16-35 year olds - TB Screening
If you are aged between 16 - 35 years old, born in a country where TB is prevalent, and have been in the UK for <5 years, we recommend getting a blood test to rule out TB
16 years old and born after 1957 - Measles Mumps and Rubella
Since early 2016, cases of measles have been confirmed across London and the East of England, This programme was introduced in April 2013 to immunise patients over the age of 16 years who are not fully vaccinated. Measles is a highly infectious viral illness that can be very unpleasant and sometimes lead to serious complications. The MMR vaccine also protects you against Mumps and Rubella (2 other conditions that can have serious complications and health issues).
18-25 year olds - Meningitis ACWY vaccination
If you are born between 18-25 years old, we highly recommend having the Meningitis ACWY vaccination which will protect you against 4 of the 12 strains of Meningitis. Meningococcal disease is a life-threatening infection. Most people will make a good recovery but at worst meningococcal disease causes very severe illness that can rapidly result in death.
65 years old or <65years old and have a long term condition - Seasonal Influenza Vaccination
This is a vaccination that is given every winter and protects you against Influenza. It is a common infectious viral illness spread by coughs and sneezes. We recommend it as the illness can be very unpleasant, and most will make a full recovery, but it can last for a week or two.
70- 78 years old - Shingles Vaccination
This is a vaccine that is given to patients aged between 70-78.
A vaccine to prevent shingles, a common, painful skin disease is available on the NHS to people in their 70s.
The shingles vaccine is given as a single injection into the upper arm. Unlike the flu jab, you'll only need to have the vaccination once and you can have it at any time of the year.
The shingles vaccine is expected to reduce your risk of getting shingles. If you do go on to have the disease, your symptoms may be milder and the illness shorter.
Shingles can be very painful and uncomfortable. Some people are left with pain lasting for years after the initial rash has healed. Shingles is also fatal for around 1 in 1,000 over-70s who develop it.
It's fine to have the shingles vaccine if you've already had shingles. The shingles vaccine works very well in people who have had shingles before and it will boost your immunity against further shingles attacks.
The pneumococcal vaccine protects against serious and potentially fatal pneumococcal infections. It's also known as the pneumonia vaccine.
Pneumococcal infections are caused by the bacterium Streptococcus pneumonia and can lead to pneumonia, septicaemia (a kind of blood poisoning) and meningitis.
At their worst, they can cause permanent brain damage, or even kill.
Who should have the pneumococcal vaccine?
A pneumococcal infection can affect anyone. But some people are at higher risk of serious illness, so it's recommended they're given the pneumococcal vaccination on the NHS.
· Adults aged 65 or over
· Children and adults with certain long-term health conditions, such as a serious heart or kidney condition
In recognition of the increasing prevalence of asthma in our community we ask patients to book a appointment with the practice nurse who will ensure that treatment is effective by checking inhaler technique and measuring lung function regularly.
REMINDER: We would advise all patients attending for asthma appointments please remember to always bring along their inhalers.
Acute asthma problems and emergencies should be seen within normal surgery consultations - appointments can be made with our reception staff.
Smear tests for women involve an examination of the cervix (neck of the womb) to check for changes which occur before cancer develops. These changes can then be treated. Please click the link below for more information.
Cervical Smear Information
We recommend that women between the ages of 25 and 49 years are encouraged to have a smear every three years and those aged between 50 and 64 every five years, unless advised otherwise by a doctor.
Smear tests are usually performed by the Practice Nurse. We have a recall system in place to advise women in advance of their next smear test.
If you are newly registered with the practice, please inform us of the approximate date of your last cervical smear in order so we can put you into our recall system.
Patients wishing to check their results (and it is always wise to do this) should wait between four to five weeks before doing so - the approximate time taken by the laboratory to process the tests.
Child Health Clinic and Vaccinations
Nurse Castledine runs a baby clinic on Tuesdays at Kings Road Medical Centre to give immunisations after the initial schedule of immunisations has been discussed.
The practice urges all parents to have their children fully immunised. If you require to see the doctor or the practice nurse, please make an appointment with either.
Routine Immunisation Schedule
Routine Immunisation Schedule
Community Child Health
Our practice does not have health visitors attached but patients are welcome to use the 'walk in' centres shown here.
Alexandra Avenue Health & Social
Tel: 0208 966 6300
EVERY THURSDAY 1:30 – 3:30 PM
Cedars Children’s Centre
Tel: 0208 736 6222
Buses H18, H14
EVERY WEDNESDAY 9:30 – 11:30 AM
Hillview Children’s Centre
2 Grange Road
Tel: 0208 422 4692
Buses H10, 114, 140, 258
EVERY MONDAY 1:00 – 2.30PM
Pinner Children’s Centre
Chapel Lane (Car Park)
Tel: 0208 424 1460
Buses H11, H12, H13
EVERY WEDNESDAY 2:00 – 4:00PM
Gange Children’s Centre
68 Canning Road
Tel: 0208 427 0134
EVERY TUESDAY 1:00 – 3:00 PM
Kenmore Park Children’s Centre
Tel: 0208 416 8400
Buses 114, 79
EVERY TUESDAY 9:30 – 11:30 AM
Certain small surgical operations can be performed at the surgery. With minor surgery the recovery time is usually short and you will be back to your usual activities fairly quickly (depending on your procedure).
Before attending for minor surgery you will need to see a doctor for the diagnosis and then you will be given an appointment to attend for your procedure.
Please note we do not offer minor surgery for cosmetic purposes.
We provide various joint injections services in our surgery. These are carried out by Dr Michael Eddington and Dr Dinesh Jayesinghe.
Please ask reception for more details.
NHS Health Check
Working together to improve your health
Everyone is at risk of developing heart disease, stroke, diabetes, kidney disease and some forms of dementia. The good news is that these conditions can often be prevented – even if you have a history of them in your family. Have your free NHS Health Check and you will be better prepared for the future and be able to take steps to maintain or improve your health.
Visit NHS Choices – Health Checks for further information.
Why do I need an NHS Health Check?
We know that your risk of developing heart disease, stroke, type 2 diabetes, kidney disease and dementia increases with age. There are also certain things that will put you at even greater risk. These are:
· being overweight
· being physically inactive
· not eating healthily
· drinking too much alcohol
· high blood pressure
· high cholesterol
Both men and women can develop these conditions, and having once could increase your risk of developing another in the future.
· In the brain a blocked artery or a bleed can cause a stroke.
· In the heart a blocked artery can cause a heart attack or angina.
· The kidneys can be damaged by high blood pressure or diabetes, causing chronic kidney disease and increasing your risk of having a heart attack.
· Being overweight and physically inactive can lead to type 2 diabetes.
· If unrecognised or unmanaged, type 2 diabetes could increase your risk of further health problems, including heart disease, kidney disease and stroke.
What happens at the check?
This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease, and stroke.
· The check will take about 20–30 minutes.
· You’ll be asked some simple questions. For example, about your family history and choices which may put your health at risk
· We’ll record your height, weight, age, sex, and ethnicity.
· We’ll take your blood pressure.
· We’ll do a simple blood test to check your cholesterol level.
What happens after the check?
We will discuss how you can reduce your risk and stay healthy
· You’ll be taken through your results and told what they mean. Some people may be asked to return at a later date for their results.
· You’ll be given personalised advice on how to lower your risk and maintain a healthy lifestyle.
· Some people with raised blood pressure will have their kidneys checked through a blood test.
· Some people may need to have another blood test to check for type 2 diabetes. Your health professional will be able to tell you more.
· Treatment or medication may be prescribed to help you maintain your health.
We do not offer a separate clinic for family planning but would be happy to advise on all aspects including the coil. If you are on the pill we must see you to check your blood pressure every 6 months. If you run out and are not able to see us immediately we will allow you one month’s additional supply after that you must find the time to come in. You may see the Practice Nurse for this.
If you are at risk of pregnancy, perhaps a condom split or came off , you missed the pill or you were not using contraception at all ,then you need emergency contraception. Emergency contraception can be obtained in several ways and there are two types of emergency contraception.
The first type is a form of the pill and is effective if taken up to 72 hours after unprotected intercourse. The second type is to insert an intrauterine device (coil) and this is effective for up to 5 days after unprotected sex. The pill can be obtained from
· The Practice. If you come within 72 hours then we will be able to prescribe it for you but you will need to see the doctor. All consultations are confidential Prescriptions from us are free.
· From a Family Planning Clinic. The nearest one is at the Caryl Thomas Clinic in Headstone Drive 0208 861 5924. Prescriptions from them are free
It’s worth remembering that emergency contraception can fail and it does not stop pregnancies outside of the womb known as ectopic pregnancy. It is therefore vital that if you miss a period you must come back.
Emergency contraception is no substitute for regular family planning and you should discuss this with us as well.
The intrauterine contraceptive device (IUCD) is an effective method of contraception which is also known as 'the coil'. You might have heard these being referred to as the Copper Coil, Copper T or Mirena coil.
Dr Ranjini Kudli Nagaraja performs IUCD Fitting in the practice. Please book an appointment at reception with her.