Asthma Care
Increasing numbers of people of all ages are suffering from asthma. Your doctor will make the initial diagnosis and explain your treatment. Our specially trained practice nurses and health care clinician will the ensure that the treatment is effective by checking inhaler techniques and measuring lung function regularly, referring to your doctor if necessary.

Cancer Patients
Patients with cancer are managed by the practice liasing with the hospital specialists, the Outreach Team and the Greenwich and Bexley Community Hospice.

Cervical Smears
Cervical smears for women involve a simple quick test to check for changes which occur before cancer develops. We recommend that all women should have regular smear tests every three years or more often if required for medical reasons. All patients who are eligible for the test are sent a letter. If you think that you are due a test and have not heard from us, please contact us and let us know. Our Practice Nurse carries out the test in the surgery.

Chronic Obstructive Pulmonary Disease (COPD)
Patients with COPD are advised to have a checkup at least annually to make sure they get the best treatment or their breathing problems.

Coronary Heart Disease
Patients with a history of heart disease need to be monitored on at least an annual basis to ensure their risk factors are minimised and treatment optimal.

Diabetic Care
The diabetic review is done by our practice nurse and health care clinician for the care of all diabetics. Patients are reviewed on a recall system and are invited to attend annually. Dr Roy oversees the care management of all our Diabetic patients. We monitor blood and urine testing, diet, weight, blood pressure, medication, foot care and education. We also monitor kidney function and cholesterol levels regularly.

Patients with epilepsy should have a check up in the surgery and/or in hospital outpatients to ensure the control of their condition is optimal.

Patients with high blood pressure need to have their blood pressure checked 6 monthly and blood tests done annually.

Patients with under-active thyroid should have blood tests annually.

Mental Health
Patients with mental health problems are advised to be reviewed at least annually to ensure their mental and physical health problems are taken care of.

Sexual Health Clinics
Sexual health screening is done at GUM clinics, and patients can self-refer at:

The Trafalgar Clinic
Bexley Contraceptive and Sexual Health (CASH) Clinics (For under 25’s)
Greenwich Contraception and Sexual Health (CASH) Clinics

Smoking Cessation
For help and advice on stopping smoking, please visit Smokefree Bexley.

Strokes/Mini Strokes
Patients with a history of strokes or mini-strokes should be monitored at least annually to reduce risk factors for further recurrence.

Vaccination against the flu is advisable for patients with chronic heart disease, lung diseases, diabetes, stroke history and patients over 65 years of age.
The pneumonia vaccine is indicated for over 65 and for younger patients with chronic heart and lung diseases, the immunocompromised and patients without a spleen.
Please also check your tetanus and polio vaccinations are up to date.
The practice nurses provide a service for these and other travel vaccinations. Please allow adequate time for travel vaccinations and many need to be administered some weeks ahead of the date of travel in order to be effective.

Childhood immunisations

Childhood vaccinations and baby checks are undertaken at the surgery by nurses. Please remember to bring your child’s red book with you to any appointment. Vaccinations cannot be given without it. Click here for more information about the
vaccination schedule

NHS Health Checks

Please book these with the Nursing Team via Reception. Checks include blood pressure monitoring, weight/height/BMI measurement, smoking cessation/alcohol advice, and arrangement of blood tests for cholesterol, glucose and other relevant tests including PSA for men if appropriate. You will also receive a cardiovascular disease risk assessment. The surgery runs flexible NHS Health Checks.