Chronic Disease Management 

From April 2022 patients with certain health conditions will be contacted in the month of their birth to have a health review. The practices aim is to reduce wasting patient time and becoming more efficient whist still providing excellent health care to our practice population. You will be contacted by Letter or Text and advised to contact the surgery (please avoid contacting at the busy times 8am and 2pm). The reception team can advise you of the appointments that are required and book your appointments.

This does not prevent you from being seen again for management of your health conditions at any time needed.

Health Conditions include;

Asthma - Review with Nurse (Annually)

COPD - Review with Nurse (Annually)

Atrial Fibrillation - Review of Medication (Annually)

Cancer - Review with GP after new diagnosis

Chronic Heart Disease -  Review with HCA/Nurse and review with GP (Annually)

Dementia - Blood test and review with GP  (Annually)

Depression - Review with GP after new diagnosis

Diabetes - Review with HCA/Nurse and review of medications (Annually)

Heart Failure - Review with GP (Annually)

Hypertension -  Review with HCA/Nurse (Annually)

Learning Disabilities - Health Check with Nurse (Annually)

Mental Health - Blood test and Health Check (Annually)

Osteoporosis - Review with GP (Annually)

Rheumatoid Arthritis - Review with GP (Annually)

Stroke and TIA - Review with HCA/Nurse and GP (Annually)




Clinics and Services

The practice nurses are available by appointment from Monday to Friday.

They provide:

  • First aid to minor injuries
  • Dressing of wounds
  • Removal of sutures
  • Immunisation
  • Baby immunisation clinic
  • Blood pressure checks
  • Routine injections (vitamins, hormones, etc)
  • ECG and other referrals from your doctor
  • Blood tests and other clinic tests (after seeing your doctor)
  • General health advice

Our nurses also provide regular health promotion advice which includes:

  • Travel advice and vaccinations
  • Asthma management advice
  • Diabetes management advice
  • Spirometry
  • Well person routine health checks
  • Cervical cytology
  • Hypertension management advice
  • Cholesterol level tests
  • Smoking cessation advice
  • Alcohol consumption management
  • Diet and weight reduction
  • HRT checks
  • Osteoporosis prevention
  • Well woman
  • Family planning advice

The practice nurses are assisted by our health care assistant, whose services include new patient and blood pressure checks and electrocardiograph (ECG).


Influenza Vaccinations

We offer free flu vaccinations, commencing in October, to all our patients, including those at particular risk from heart and diabetic conditions and breathing difficulties. All patients over the age of 65 are recommended to have a flu vaccination each year. 




Medical Examinations

Private medicals (which can be requested by a third party) including electrocardiograph and blood tests, insurance, HGV and PSV are carried out at specific times and are not covered by the NHS. Medicals and other non-NHS work will incur a charge. A copy of these fees is available in the reception area.


child immunisation

Immunisation Clinics


Invitations will be sent to parents of all children in the practice when immunisations are due. No child should now be denied full immunisation without a true contraindication, which is rare.

Child Health and Vaccination

The following is a guide to the recommended age of your child's health checks:

Age of Child

8 weeks 
Development and well baby check
1st diptheria, whooping cough, tetanus, polio, Hib, pneumococcal vaccination and rotavirus
Please note from 1st Sept 2015 Men B will be included.

3 months 
2nd diptheria, whooping cough, tetanus, polio, Hib, Men C and rotavirus vaccinations

4 months 
3rd diptheria,whooping cough, tetanus, polio,Hib and pneumococcal vaccinations
Please note from 1st Sept 2015 Men B will be included.

12 to 13 months
Hib and Men C, pneumococcal and MMR vaccinations
Please note from 1st September Men B will be included.

3 to 4 years
Diptheria, whooping cough, tetanus and polio and MMR

12 to 13 years (girls only)

14 years
Diptheria, tetanus, polio and Men ACWY

All the doctors in the practice strongly recommend that parents have their children immunised.


The Child With A Temperature

We are aware how worrying it can be to have a sick child. If you are concerned about your child we will always see the child the same day at the surgery.

It is always wise to keep a supply of children's paracetamol (Calpol or Disprol) at home. Paracetamol reduces a child's temperature, so should be given four hourly whenever a child has a temperature. In most minor illness in childhood this is the only treatment required. However, if you are worried about your child, or if the child fails to improve in two to three days, it is worth bringing them to the surgery for a check.


Services Included In Our Health Care


Antenatal Clinic

All of the doctors provide antenatal and postnatal care. We do not provide a home delivery service as we believe a hospital delivery is safer. Our antenatal clinic is run by our attached community midwife and is by appointment on Wednesday mornings at Greggs Wood Road, and by appointment at The Southborough & High Brooms Clinic in Broomhill Park Road, Southborough (Tel 01892 619568).



Postnatal Clinic

By appointment with a GP.


Family Planning

All the doctors and nurses at the surgery are trained and advise on all methods of family planning, including pre-conception advice and the 'morning after' pill and coil. The practice nurses see patients for pill, cap or coil checks every six months.


Child Development Clinic

We provide development checks for babies aged eight weeks. These are by appointment.


Registration Medicals

Anyone wishing to register with the practice must live within the practice area, as has been agreed with NHS England. Applicants will be asked to complete a new patient form and attend a short registration medical, if they are on medication. The review usually with doctor is an opportunity to find out about the practice, meet the staff and doctor and a chance to check your general health ie height, weight, blood pressure, urine and medication. This is invaluable as it sometimes takes several months for your notes to arrive from your previous doctor.


travel clinic

Travel Immunisations

If you are intending to travel abroad you will almost certainly have taken out travel insurance. You should contact us to discuss another form of insurance, ie immunisation against various infections. The practice nurses will be able to advise you on which vaccinations you need to have depending on where you are travelling, therefore please make an appointment in plenty of time, preferably two months before travel. Malaria tablets are obtainable without a prescription from the dispensary at Speldhurst.


Adult Immunisations

We advise all adults to be covered against tetanus and polio.

Services Included In Our Health Service

Health Screening

Screening involves picking up the earliest signs of an illness before it has a chance to damage your health. There is a variety of ways in which this is offered in our practice.

All of our adult patients are invited to make an appointment with one of the practice nurses for a health check. Checks will be made of your height, weight and blood pressure. The nurse can advise you on diet, smoking and other aspects of your lifestyle that may affect your health. If necessary she will carry out various blood tests or refer you to the doctor for specific problems.

Women up to the age of 49 should have a cervical smear every three years, then every five years up to the age of 65. This is a simple, quick test that picks up changes in the womb which may lead to cancer. If these are treated it can prevent cancer from ever happening. All patients who are eligible for this test are called for by telephone or letter. If you think you are due for a test but have not been called, please let us know. If you are worried about the test or would like to know more please ask for a copy of our leaflet, which explains the procedure in greater detail, or speak to the nurse.


Health Promotion

We encourage all our patients to share the responsibility for their health, both in the prevention and treatment of disease.