Clinics & Services

Our GP contract with the NHS covers medical care and treatment provided to NHS patients. However, GPs are often asked to complete additional, non-medical tasks for other organisations or individuals. These requests fall outside of NHS-funded work and may therefore incur a private fee.

Please note that GPs are not required to undertake non-NHS work, except in specific cases such as confirming that a patient is unable to attend jury service. While we aim to assist where possible, such services are not part of routine NHS care and may involve a separate fee.

If you need a form or report completed, please do NOT book a standard appointment. Please submit a request BELOW, once your request has been submitted, you will be contacted to arrange an out-of-hours appointment with Dr Raj, if appropriate.

Non-NHS Service Fees

If the pharmacist has prescribed regular medication then you can order a repeat prescription. If you are a new patient you will need to speak to the doctor first, so that your prescription can be added to our records. 

You can order your repeat medication through the following methods: 

• Complete the right hand side of your previous prescription. 

• Write out your request on the correct form available at reception and hand it over to the reception staff. You may also drop your repeat request in the letter box just outside the surgery doors 

• via the NHS App. 

• NHS – How to order a repeat prescription 

• using Patient Access. 
• Completing the forum below. 

Request for repeat prescriptions will not be accepted over the phone to avoid any errors. 

We will contact you by telephone, or by letter, only if a result is abnormal and you require treatment or further investigations. 

You will not be contacted if your result is normal. 

Once a doctor has viewed your test results, you may access them: 

• Through your NHS account, on the NHS app or website 

• Through your Patients Know Best account 

• Through your Patient Access account 

Please be aware that to view these records online, you must have an account created and verified for each application you wish to use. If you are having issues with account verification, please contact the surgery (01895 632410) and ask for reception to inform the IT support team to assist you.  

Pathology Samples 

If your doctor or other clinician has asked you to provide a pathology sample (e.g. urine, stool, or sputum), please drop it off at reception before 5:00 pm, Monday to Friday.

To ensure patient safety and accurate processing:

• Do NOT post samples or leave them in the letterbox, as this can lead to contamination or loss. There is a dedicated sample drop-off area at reception, with clear labeling. 

• Please complete a sample tracking ticket when handing in your sample, this is stationed right above the sample drop of box.  This helps us trace results and avoid any delays if a sample goes missing.

⚠️ Important:
All samples must be clearly labelled with the sticker label provided by your GP or clinician during your appointment. Unlabeled samples will NOT be processed and will be rejected by the laboratory.

If you’re off sick for seven days or less, your employer should not ask for medical evidence that you’ve been ill. Instead, they can ask you to confirm that you’ve been ill. You can do this by filling in a form yourself when you return to work. We call this self-certification. 

Find out more about sick notes on the NHS website. 

If you are sick and off work for more than seven days, your employer will normally ask you to provide a medical certificate from your GP. When you need a certificate will also depend on your employer’s company policy on sick leave (or sickness absence). This policy should tell you how many days you can be off sick before you need a note. 

To find out about your employer’s policy : 

• Ask your team leader or supervisor, or 

• Speak to someone from your human resources (HR) or personal department 

If your certificate runs out but you are still sick, you will need to consult the doctor again before you can get a further sick note. Renewal of an existing medical certificates cannot be completed until the current certificate runs out. 

Medical certificates can be back-dated so it is not necessary to make an emergency appointment to renew your certificate. If you attend an emergency appointment for the purpose of getting a medical certificate, you will be asked to re-book. 

Please note that St Martins Medical Centre does not provide examinations and sickness certificates for school children.

Please see the guidance below from the British Medical Association:

• • It should be noted that GPs do not provide sick notes for school children
  • When children are absent from school owning to illness, schools may request a letter from a parent or guardian, and this is no different during an exam period
  • However, children who have missed exams due to illness are frequently told by schools that a note from a doctor is required; but this cannot be provided by a GP
  • Aside from the fact that parents/guardians are responsible for excusing their children from school, GPs cannot provide retrospective sickness certification
  • When a child suffers from a long-term condition, any certification will be provided by the responsible specialist
  • GPC has sought and received confirmation from the Office of the Qualifications and Examinations Regulator that Awarding Organisations make no requirement for pupils to obtain a medical certificate in support of their application, but this may take the form of a statement by the school
  • The Joint Council for Qualifications has confirmed that as far as they are concerned, if a student was absent from an examination as a result of illness and has the support of the school or center to be absent, special consideration will be granted on that basis
  • Awarding Organisation do not insist that medical proof is provided

At our practice, we handle Subject Access Requests (SAR) and insurance reports with the utmost care and efficiency. To access your personal health information or obtain documentation for insurance purposes, please direct the request to the company to email nhsnwl.stmmcfax@nhs.net or via post. 

Please note that insurance reports incur a fee; contact reception to confirm the charges. All requests require a valid request and consent form and are processed within 28 working days. 

For further guidance, please contact our reception team. We are dedicated to processing your requests promptly and accurately. 

We will be introducing Virtual Group Consultations (VGCs) as a proactive way to educate and support patients with long-term conditions and promote prevention.

These sessions may cover topics such as:

• Asthma inhaler techniques

• Diabetes management

• Non-diabetic hyperglycaemia (NDH)

• And more

VGCs are run in two parts:

• Part 1: Education – patients receive information about the condition. Questions can be submitted via text on the Zoom/Teams portal.

• Part 2: Q&A – we answer the submitted questions and provide guidance.

Benefits of VGCs:

• Encourage patients to connect with others facing similar health challenges

• Provide education and practical advice

• Support prevention and better management of conditions, reducing the risk of complications

These sessions may be led by our GPs, Advanced Nurse Practitioners (ANPs), and HCAs, ensuring expert guidance and support in a convenient online format.

We will be sending out messages to capture your preferences for when you would like to join the sessions and will plan the sessions accordingly, sharing further information once details are finalised.

We believe VGCs are a great way to learn, share, and take control of your health from the comfort of your home.

Our annual flu vaccination clinics will be running from:

Wednesday 1st October 2025 – Saturday 4th October 2025
🕗 8:00 AM – 6:00 PM (Weekdays) and 08:00 AM – 11:00 AM (Weekend)

Eligible patients will receive a text message with a booking link to schedule their flu jab appointment.

Getting your flu vaccine is the best way to protect yourself, your loved ones, and the wider community this winter.

If you do not receive a text or need help booking, please contact the surgery for assistance.

We are pleased to announce that our Child Flu Nasal Spray Vaccination Programe will commence the week of 16th September.

Eligible patients have already received a text message with a link to book their appointment.

The first phase of the programme will focus on children aged 2-3 years who are registered with our practice.

School-aged children will receive their flu vaccinations directly at school. If we have additional capacity later in the year, we will offer a catch-up clinic.

Please contact the surgery for further information.

At our practice, we are dedicated to supporting the health and development of your baby from birth. Regular check-ups and immunisations are key to ensuring your child grows strong and healthy.

Developmental Checks

Our doctors are available to conduct regular developmental checks for your baby. These appointments are a vital part of monitoring your baby’s growth and development. The doctors will assess various milestones and provide guidance on nutrition, sleep, and overall well-being. If you have any concerns about your baby’s development, please feel free to discuss them during these visits.

Immunisations

Immunisations are an essential part of keeping your baby protected from serious diseases. Our practice nurse administers all vaccinations by appointment. We strongly encourage all parents to ensure their baby receives their immunisations on time.

While illnesses like diphtheria, tetanus, and polio have become rare due to widespread vaccination, they can still be dangerous and even fatal if contracted. Immunisations protect your baby from these potentially life-threatening diseases. Therefore, it is crucial that you keep your vaccination appointments and avoid cancelling where possible.

Why Immunisations are Important

Vaccination is a safe and effective way to protect your child from serious illnesses. By ensuring your baby receives all recommended immunisations, you are not only protecting their health but also contributing to the wider community’s immunity. This helps prevent outbreaks of vaccine-preventable diseases.

If you have any questions or concerns about your baby’s vaccinations, please don’t hesitate to speak to our practice nurse or your doctor.

We are here to guide and support you through the process.

Vaccination Information – Gypsy, Roma and Traveller Communities

Friends, Families and Travellers, in partnership with UKHSA and the Roma Support Group (RSG), have produced a series of short animations with key information on vaccinations. These resources focus on childhood and maternal vaccination as well as measles and whooping cough.

You can find the resources on YouTube using the following links:

• English playlist: Vaccination information for people from Gypsy, Roma and Traveller communities [English language version] – YouTube
• Polish playlist: https://www.youtube.com/playlist?list=PLi5BzAwcTPVjYOgGuYGpX3xkIhWGUFM94
• Romanian playlist: https://www.youtube.com/playlist?list=PLi5BzAwcTPVjgM3w4W4vVMaV3s3-oHh9r
• Slovak playlist: https://www.youtube.com/playlist?list=PLi5BzAwcTPViC-zWznYbgwZLPsF35P1XM

Additional Resources:

Vaccine Knowledge – https://vaccineknowledge.ox.ac.uk/home 

• Information about vaccinations based on age and risk group

Central and North West London – https://www.hillingdoncyp.cnwl.nhs.uk/0-4-years/health-visiting-service 

• Information about Well Baby Clinics in Hillingdon and Health Visiting Services

FAQ about the MMR Vaccine – https://www.cc4c.imperial.nhs.uk/-/media/cc4c/documents/mmr-questions-answered.pdf?rev=8e05618c739a4e749a09ec98bd3314fc&hash=C15AB62CDC69D6399C643FC8ED927F07

This service ensures that eligible patients are supported by a dedicated team of clinicians who are familiar with their medical history and ongoing health needs. By seeing the same core group of professionals over time, you’ll benefit from more consistent, joined-up, and personalised care.

Please note: This service is only available to patients who have been reviewed and identified by their GP as clinically eligible.

How It Works

If you have been selected, you will be assigned to one of our two dedicated care teams: Team Blue or Team Orange. This approach enables us to build stronger, long-term relationships with you and provide more personalised, responsive healthcare.

This is in addition to any routine appointments you may book through RapidHealth.

Based on your clinical needs, you will also be given a status: Green, Amber, or Red.

• Green: You will be invited for a proactive health assessment every 3 months, but only if clinically necessary.

• Amber: You will be invited for a proactive health assessment every 2 months.

• Red: You will be invited for a proactive health assessment monthly.

This model ensures that your care is tailored and timely, based on your individual health needs.

🔵 Blue Team

If you’ve been allocated to Team Blue, your dedicated team includes:

• Dr. Mohan– GP

• Ayanna – Advanced Nurse Practitioner

• Guste – Healthcare Assistant

• Keshav – Continuity Champion

• Valentina – Continuity of Care Coordinator

🟠 Orange Team

If you’ve been allocated to Team Orange, your dedicated team includes:

• Dr. Raj – GP

• Ayanna – Advanced Nurse Practitioner

• Honey – Healthcare Assistant

• Justina – Continuity Champion / Healthcare Assistant

• Valentina – Continuity of Care Coordinator

Supporting Your Care

• Ayanna, our Advanced Nurse Practitioner, supports both teams and plays a central role in delivering high-quality clinical care.

• Valentina, our Continuity of Care Coordinator, is also assigned to both teams.

What If Your Usual Clinician Is Away?

If a member of your team is absent (e.g. due to illness), you may be temporarily seen by a member of the opposite team. All clinicians have access to your full medical records and care plans, ensuring your care continues seamlessly.

Relevant Information Leaflet and FAQ’s

Continuity of Care Patient Leaflet

Continuity of Care FAQ

Why we’re recommending the test:

It’s called a FeNO test — it only takes a few minutes and involves gently blowing into a small device. That’s it! It’s completely safe, non-invasive, and child-friendly — no needles or discomfort at all.

Benefits explained in parent-friendly terms:

We recommend it because, this quick, non-invasive test is a proactive teat which gives us really valuable information about any inflammation in your child’s lungs. If your child has asthma or has had any recent coughing, wheezing, or breathing issues, this test can help us personalise their care — whether that’s adjusting treatment or confirming if inflammation is playing a part.

Reassurance:

We know asthma and breathing issues can be unpredictable, and this test is one of the best tools available to ensure your child is getting exactly the support they need.

Encouragement to book:

You will receive a call from the practice in due course. We encourage you to take up an appointment to proactively control, manage and treat your condition.

For more information visit:

https://www.asthmaandlung.org.uk/symptoms-tests-treatments/tests/feno-test 

https://www.niox.com/feno-test

What is Latent TB?

• Latent Tuberculosis (TB) is a state in which a person has been infected with the TB bacteria, but the infection is dormant and not actively causing disease. People with latent TB are not contagious but may develop active TB later if their immune system weakens.

Who Should Be Screened for Latent TB?

Screening for latent TB is recommended for individuals at increased risk, including:

• People with a history of close contact with someone with active TB
• Individuals born in or who have traveled to countries with high TB prevalence
• Immunocompromised individuals (e.g., HIV-positive, organ transplant recipients)
• People who have worked or lived in high-risk environments (e.g., healthcare settings, correctional facilities)

Screening Methods:

1. Interferon-Gamma Release Assays (IGRAs) – Blood tests that measure the immune response to TB bacteria. These are often preferred for people who have received the BCG vaccine.

For more information, please visit the attached website which provides information leaflet.

Information Leaflets from GOV.UK – https://www.gov.uk/government/publications/latent-tb-testing-and-treatment-leaflet 

The National Health Service (NHS) provides essential healthcare services free of charge; however, certain services fall outside the scope of NHS funding. General Practitioners (GPs) operate as self-employed professionals under contract to deliver NHS general medical services, but they are entitled to charge reasonable fees for additional private services.

Chargeable Private Medical Services

Our medical professionals provide a range of non-NHS services, which include but are not limited to:

• Insurance medical examinations (e.g., life or health insurance assessments)
• Driving medical assessments (e.g., HGV, PSV, taxi licenses)
• Private prescriptions for medication taken abroad
• Private sick notes
• Vaccination certificates
• Travel fitness certificates
• “To Whom It May Concern” letters
• Holiday cancellation claim forms
• Private referrals for specialist care

These services are subject to processing times of up to two weeks, unless urgent. Please contact our admin executive Guste for a detailed fee schedule and appointment availability.

For frequently asked questions (FAQ’s), please refer to the document below.

Non Nhs Service

We appreciate that the fear of flying is genuine and very frightening. In the past, doctors sometimes prescribed sedatives to help, but these medications can potentially make you agitated or aggressive and significantly delay reaction time.

These are therefore no longer advised in line with the doctor’s prescribing guidelines. A lower-risk approach is to tackle this properly and hopefully permanently, with a Fear of Flying course run by the airlines; I have listed a number of these below and there are also some free online courses:

• EasyJet – www.fearlessflyer.easyjet.com
  • Tel: 0203 8131633
• British Airways – www.flyingwithconfidence.com
  • Tel: 01252 793250
• Virgin Atlantic  – https://www.lovefly.co.uk
  • Tel: 01423 714900

The clinicians at St Martin’s Medical Centre no longer prescribe sedatives for flight anxiety. 

Fit to Fly Assessments

We provide ongoing care for a range of long-term conditions, including:
Diabetes, Asthma, Coronary Heart Disease, Hypertension, TIA/Stroke, COPD, Epilepsy, Mental Health conditions, Cancer, and Obesity.

Early detection and proper management of these conditions can help reduce the risk of complications and improve overall health and wellbeing.

We run regular clinics for long term conditions and proactively contact patients when it’s time for their annual review.

If you are due for a review, you can also book an appointment with a Practice Nurse or our Health Care Assistants.

The NHS e-Referral Service (e-RS) combines electronic booking with a choice of place, date and time for first hospital or clinic appointments. Patients can choose their initial hospital or clinic appointment, book it in the GP surgery at the point of referral, or later at home on the phone or online.

Please note the Surgery does not receive any update on your referral status, unless, it has been declined or further information has been requested. We recommend contacting the hospital directly via the provided contact details when you were first referred or contacting the hospital appointments line.

Using the Service

If you’re a patient, find out more about appointment booking on the NHS.UK website.

Whether you’re using e-RS for the first time, or an existing user wanting to make the most of the service, NHS Digital provides a range of material for referrers (such as a general practice), providers (a hospital or clinic) and commissioners.

We provide a range of contraceptive services, including emergency contraception, to help you make informed choices about your reproductive health.

Contraception initiation and routine reviews can also be arranged at the following local pharmacies for added convenience:

• Howlets Pharmacy

• Garners Pharmacy

• Boots Pharmacy

We also offer cervical smears, pre-conception advice, and hormone replacement therapy (HRT).

These services are available by appointment during normal surgery hours.

Patients are encouraged to share the responsibility for their health both in preventing diseases or complications.

Many serious diseases can be prevented by changing to a healthier lifestyle.

We offer annual health checks for patients with learning disabilities to help monitor overall health and wellbeing.

The health check provides an opportunity to:

• Review general health and any ongoing conditions

• Discuss medication and lifestyle support

• Access additional services or referrals if needed

These checks are carried out by appointment, and our team will contact patients directly to arrange a suitable time.

Please note that our surgery does not provide minor surgical procedures.

However, we do offer joint steroid injections for patients with conditions such as arthritis or joint inflammation. These injections can help:

• Reduce pain and swelling in affected joints

• Improve mobility and daily function

• Support ongoing treatment alongside physiotherapy or medication

Important: Patients must be assessed by a GP before receiving a joint injection. To arrange this, please complete a RapidHealth form prior to your appointment.

8-Week Postnatal Check for Mother and Baby

It’s important for both you and your baby to attend your postnatal check when your baby is around 8 weeks old.

During this appointment:

• Your baby will have a full health check to ensure they are developing well.

• You will also have a check-up to discuss your recovery, physical health, and emotional wellbeing after birth.

We schedule this appointment at 8 weeks so that your baby can receive their first set of vaccinations at the same time. This helps save you an extra trip to the surgery and ensures your baby’s immunisations are given on time.

Please contact the surgery at least 2 weeks before your baby reaches 8 weeks old to arrange your postnatal check and vaccinations.

Are you looking for more information and assistance to help you stop smoking?

This is the right page to find options open to you at no cost.

• Call 01895 632 410 for an appointment.
• For more options please visit the NHS ‘Stop Smoking’ Service.
• Quit smoking with your free Personal Quit Plan.

As part of our commitment to enhanced services, we now have dedicated staff available on weekends and after regular surgery hours to ensure you receive the care you need promptly.

During these extended hours, our team will proactively contact patients to schedule appointments and share information about our services. This initiative is part of our continuous effort to make healthcare more accessible and convenient for you.

Please note that you may receive calls from a “No Caller ID” number; there is no cause for concern. Our staff will always introduce themselves and confirm that they are calling from St Martins Medical Centre.