Clinics and Services

We offer a range of clinics and services including those below. For more information, please visit our Health Review and Assessment Clinic.

If you would like to attend any of the below clinics, please visit our Consulting Room.

Our practice can provide the following services.

Long Term Medical Conditions

Diabetic Clinic

Dr Sheila Fitzgerald and Dr Rupal Shah lead our diabetic clinic, but all doctors see patients with diabetes. All patients with type 1 or type 2 diabetes should have an annual review. This consists of an appointment with a healthcare assistant to do basic health checks and blood tests, followed by an appointment with a GP or practice nurse if the condition is stable.

The practice also initiates and monitors insulin therapy in type 2 diabetic patients, supported by specialist community diabetes nurses who run joint clinics with us at Bridge Lane. All diabetic patients need annual retinal screening and this is arranged locally at St Georges’ Hospital.

Asthma/COPD Reviews

All patients with asthma or chronic obstructive pulmonary disease (COPD), even if they feel well, should have an annual review with one of our practice nurses. Please bring your inhalers when you come for your review.

If you have been advised by the surgery to do so, please submit our Asthma Review form.

If you have COPD you will also need a lung function test (spirometry) test each year. Spirometry is also needed to confirm a diagnosis of asthma. If you need regular medication for your asthma or you have a COPD diagnosis, then it is very important that you also book in for an annual flu vaccine.

If you have been advised by the surgery to do so, please submit our COPD Assessment form.

Hypertension (High Blood Pressure) Reviews

High blood pressure (hypertension) can lead to heart disease, stroke, kidney disease and other serious conditions. If you have high blood pressure it is very important to have regular health checks to make sure that your blood pressure is controlled and that there are no signs of developing any complications.

Once a year you will need a thorough review by a practice nurse or GP, including a blood pressure check, medication review and blood tests to check your cholesterol, kidney function, and blood sugar. If weight control is an issue then you can be referred to exercise and weight loss services.

You may also need further reviews during the year if your blood pressure is too high or other health conditions are being treated.

If you have been advised by the surgery to do so, please submit our Blood Pressure Review form.

Heart Disease Reviews

Patients with heart disease such as angina, heart failure, or a history of heart attack, should be reviewed at least once a year, to monitor their health, review their medications and check for any symptoms.

You should make a review appointment with your GP. Patients with heart failure, particularly if they are housebound, may receive additional support from the Wandsworth community heart failure Nurses.

Women’s Health and Maternity Services

Smear Tests

Cervical screening (smear tests) are offered every 3 years to women over the age of 25 (every 5 years between age 50-64) in the UK.

You will need to make an appointment with a practice nurse; you can do this by completing our Request and Appointment with a Nurse or Healthcare Assistant form.  A smear test involves looking at the cervix using a vaginal speculum and taking a sample of cells with a small brush. The cells are looked at under a microscope in the laboratory.

If abnormal cells are found then you may be offered a hospital gynaecology clinic appointment (colposcopy) to examine the cervix in more detail and see if treatment is needed.

Smear tests help to prevent abnormal cells in the cervix from developing into cervical cancer in the future. Please book your smear test when you are not menstruating.

Contraception

The practice offers a wide range of family planning services. There are many options available including combined pills, progesterone-only pills, patches, condoms, implants, injections and coils; your doctor or nurse will help you choose the right contraceptive for you. If you are starting or changing your contraception, please complete our Contraceptive Pill Review form.

For repeat contraceptive prescriptions (including new patients already taking a contraceptive pill) please book a nurse appointment.

Dr Gillian Ostrowski offers coil fitting (IUD or IUS). If you are considering having a coil fitted please make an appointment with her to discuss.

Contraceptive implants and a full range of family planning services are also available at the Doddington Health Centre (details). Our GPs can also refer patients for sterilisation or vasectomy procedures.

If you think you need emergency contraception you should consult a health professional as soon as possible. Emergency contraceptive pills are available from pharmacies without a prescription.

Planning a Pregnancy?

You may wish to consult with a doctor approximately three months prior to trying, particularly if you have any pre-existing medical conditions or are taking medications that might not be advisable in pregnancy. You should also start taking folic acid supplements.

Newly Pregnant?

Please make an appointment to see a GP at your earliest convenience to discuss your medical history and give you health advice, check your weight and blood pressure and arrange referral to your preferred hospital antenatal department. You can do this by completing our Get help for any health problem form. Our local hospitals are Chelsea and Westminster Hospital, St George’s Hospital and St Thomas’ hospital.

You will have a ‘booking’ appointment with a hospital midwife and an ultrasound scan at approximately 12 weeks pregnant. Following this in most cases your antenatal care will be shared between the hospital and your GP. If you are thinking about not continuing with your pregnancy, we can offer supportive advice and referral to termination services if necessary.

Please bring a urine sample to all your antenatal appointments (you can ask for a urine specimen pot on arrival from reception).

Postnatal Appointments

We run a postnatal clinic offering postnatal checks for both mother and baby eight weeks after the birth of your baby. You will be seen first by a GP and then by a practice nurse for your baby’s first immunisations. You will be contacted to arrange this appointment. If you have not heard from us by the time your baby is six weeks old, please complete our Contact the Practice form and direct your form to Sandra or Michelle.

You can make a GP appointment at any time if you have a concern regarding your health or that of your new baby.

Postnatal depression is common. If you feel unable to cope or are experiencing low mood, please make an appointment to see either a GP or health visitor as soon as possible.

Smoking Cessation Services

Joyce leads our Stop Smoking Clinic and her results are excellent, with over 6 years of experience in this role. Stopping smoking is not easy, but is the single most effective thing you can do to improve your life expectancy and decrease the likelihood of developing a serious illness such as heart disease, chronic obstructive pulmonary disease (COPD), or lung cancer.

Please ask reception or discuss with your GP or nurse if you would like more details or wish to make an appointment.