We offer the following clinics:
Asthma monitoring is carried out by 4 of our nurses who are all fully trained in asthma care. We write to our asthmatic patients inviting them to attend for an annual check. If you wish to book an appointment. Please mention that you require an asthma check and bring all your inhalers, devices, and peak flow charts with you.
A health care assistant can take blood pressures. They use electronic blood pressure meters and work strictly to protocols or GP instruction. You do not need to be referred for this service, please make an appointment at reception.
If your doctor recommends you have a blood test, you can either go to a hospital out patient phlebotomy clinic or make an appointment with one of our phlebotomists.
Our phlebotomists are: Trish Rogers, Lena Rooker,Dianne Rabey and Denise Smoothy.
We are dependant on the hospital collection service for transporting the samples to the laboratory for testing, therefore blood test appointments are only available weekdays before 2.30pm. Blood testing is not available at the surgery on a Saturday or during routine nurse clinics except at the request of a GP. Please note we do not do tests on young babies.
The hospital drop-in phlebotomy services are as follows:
Broomfield Hospital Monday – Friday 8.00am – 4.45pm - walk-in service
St Michael’s Hospital Monday – Friday 8.30am – 4.00pm - walk-in service
Christchurch Reform Church, 164 New London Rd, Chelmsford
By appointment only - 7am - 3.45pm - Tel: 01245 516963
Common Blood Tests
FBC Full blood Count -Probably the most widely used blood test. It is used to assess your general state of health and to screen for certain conditions, such as anaemia.
ESR - Erythrocyte Sedimentation Rate - Detects inflammation and is useful to help diagnose and monitor the activity of certain diseases.
Cholesterol test - Cholesterol is a fatty substance known as a lipid. Having too many lipids in your blood can have a serious effect on your health because it increases your risk of having a heart attack or stroke.
Liver function test - used to help diagnose liver conditions
Fasting Blood Glucose - used to diagnose diabetes. Do not eat or drink anything but water for 12 hours before the test.
When will my test results be ready? We ask patients to wait one week before phoning for test results. This allows time for the result to be received from the hospital, matched to your medical record and assigned to your GP. The GP then needs time to view the result and sometimes review your medical condition before commenting on the result. We receive hundreds of results every day and whilst the GPs try to comment on them in a timely manner it is not always possible to respond immediately we receive the result. You can be assured that your GP will contact you if your result indicate that urgent treatment is required.
The health authority sends reminders to patients when they are due to have a cervical smear test. Female patients aged between 25 and 50 are called every 3 years and patients aged between 50 and 65 every 5 years. These tests are performed by one of our nurses. A 10-minute appointment is required and you should be mid-cycle at the time of testing.
Child Health Checks
GPs carry out a child health check on babies at approximately 8 weeks of age. This is usually done at the same time as the Mother's post natal check prior to the first immunisations.
Contraception Advice & Pill Checks
Patients are asked to bear in mind that nurse appointments are available to book 3 weeks in advance. We recommend ringing to book an appointment when you start your last pack as there will be more appointments to choose from. Alternatively there are a number of clinics for family planning and sexual health advice which can provide contraceptive advice and medication. If you prefer to attend one of these instead of coming to our surgery, please phone 0300 003 12 12.
Health Visitors & Child Health Clinics
Child Health clinics are run by the health visiting team. Please contact them on the number below for details
Little Waltham Patients
Great Notley Patients
We have a small but experienced team that works closely with each other; therefore, we can offer a personal service with better continuity of care. Our Diabetes Team consists of:
Dr Wijekoon - GP with Special Interest in Diabetes
Dr King- GP with Special Interest in Diabetes
Tania Smith and Tracy Tully- Diabetes Nurses with additional training in Diabetes Care
We are able to support adult patients manage all types of Diabetes including those who are on newer injectable therapies or those who take insulin. We can effectively review treatment, monitor symptoms and offer lifestyle advice where appropriate.
We have introduced improved screening methods for diagnosing diabetes and identifying those at risk of diabetes in the future.
Patients requiring a coil fitting will need a 10 minute appointment for a swab to be taken. This can be done by a nurse and can be done at any time except during a menstrual period. Once the swab results have been returned to the surgery a 20 minute appointment will be needed with Nurse Lisa. Coils can only be fitted within the first 5 – 7 days of the menstrual cycle. If you require a coil change it is necessary to abstain from sexual intercourse or use a condom for 7 days prior to the change.
This is a tracing of the rhythm of your heart and can be carried out by a nurse or a health care assistant. You will need a referral from a GP before this can be done. Please book an appointment at reception
Advice can be sought from both the doctors and nurses. We provide the following services:
- emergency contraception
- combined contraceptive pill
- progesterone only pill (mini)
- IUCD and IUS (coils)
- depot contraception (depo-provera)
- general advice
For full details see NHS Choices Immunisations
Ischaemic Heart Disease
Sharron Murphy and Frances Tierney currently hold annual reviews for patients with ischaemic heart disease. All diabetic patients will have this check up incorporated into their diabetic check. If you have not had a recent check up with your GP you will be asked to attend a 20 minute appointment with one of the nurses. At least 2 weeks prior to this you will be asked to have a blood test (fasting glucose and lipids, renal and liver function tests).
Both surgeries offer a same day INR service – this is carried out by our health care assistants who work under close supervision of the doctors. Alternatively patients are able to attend the anticoagulation clinic at Broomfield Hospital.
The practice offers regular minor surgery clinics at Great Notley Surgery covering procedures such as removal of sebaceous cysts, suspicious moles and ingrowing toenails. Unfortunatley we are unable to carry out what may be considered cosmetic surgery, such as the removal of skin tags, except in special circumstances.
A first maternity appointment should take place approximately 8 weeks from the first day of your last menstrual period. You can be seen by your GP or you can contact your Midwife directly. We encourage patients to have shared care during their pregnancy , giving you the opportunity to alternate antenatal appointments between your GP and the midwives. If you contact the Midwife directly she will require the following information:
Date of Birth:
Your Doctors name
Your Doctors address
What was the first day of your last period?
Is this your first baby?
GREAT NOTLEY (Braintree Midwives)
01376 560010 or email email@example.com
LITTLE WALTHAM (Chelmsford Midwives)
01245 513040 or email mailto:firstname.lastname@example.org
Our nurse practitioner has a background of practice nursing with the addition of extended training for diagnosis and treatment of illnesses such as earache, sore throats, conjunctivitis, upper respiratory tract infections, gastro-enteritis, cystitis and urinary tract infections and minor injuries. She works closely alongside our GPs and is available to give telephone advice.
We have a number of nurses trained to give smoking cessation advide please contact reception for an appointment. Alternatively you can attend one of many other clinics - telephone 0800 082113 or visit www.quitnobutts.org.uk
We have 3 trained spirometry nurses. Spirometry is a test to assess breathing difficulties and is used in the diagnosis of Chronic Obstructive Airways Disease (COPD). The test takes about 40 minutes to carry out and you will need to be referred by your GP.
How is it done?
You breathe in fully and then seal your lips around the mouthpiece of the spirometer. You then blow out as fast and as far as you can until your lungs are completely empty. This can take several seconds. You may also be asked to breathe in fully and then breathe out slowly as far as you can.
A clip may be put onto your nose to make sure that no air escapes from your nose. The above routine may be done two or three times to check that the readings are much the same each time you blow into the machine.
Prior to testing you should avoid the following:
- Smoking for 24 hours
- Wearing restrictive clothing
- Vigorous exercise for 30 minutes
- Eating large meals for 2 hours
- Taking short-acting bronchodilators (inhalers) for 4 hours
- Taking long-acting B2-agonists for more than 12 hours
- Taking Anticholinergics for 6 hours or long acting anticholinergics for 24 hours
- Taking sustained release Theophylline for 24 hours
Patients must be clinically stable for 4 – 6 weeks prior to testing.
Some services provided are not covered under our contract with the NHS and therefore will be charged.
Examples include: Medicals (HGV/Taxi), Insurance claims, GP letters, and other forms.