Clinics & Services

Practice Nurse Services

The Practice Nurses offer the following services:

Foreign travel (vaccines and advice)

Practice nurse: Fiona Rivers

If you are travelling abroad and need advice about immunisations, simply click on the link below and fill out a quick form with all the information about your trip. The practice nurse will then look over your details and we will be in touch to let you know whether or not you require any immunisations before you go. Travel vaccinations work best when administered 6-8 weeks before you travel.

Fill in our Travel Vaccinations form

Travel vaccinations are important to protect you from the following diseases when abroad:

Hepatitis A Hepatitis B
Typhoid Rabies
Japanese Encephalitis Tick-Borne Encephalitis
Meningitis ACWY Cholera

All vaccines and injections

Practice Nurses: Fiona Rivers, Joanne Gosling, Eucharia Oranugo, Gemma Allen and Stacey Fixter.

Immunisations are important for patients of all ages to protect against:

Diphtheria Tetanus
Polio Haemophilus Influezae (Hib)
Pertussis (Whooping Cough) Meningitis B
Meningitis C Measles
Mumps Rubella
Rotavirus Shingles
Flu Pneumococaal
Hepatitis B  


Practice Nurse: Fiona Rivers, Joanne Gosling, Eucharia Oranugo and Gemma Allen.

Early immunisation and subsequent boosters will offer your children the best protection against some of the above diseases. Routine vaccinations are free on the NHS and are both safe and very effective.

New born babies are seen by the GP at 8 weeks old. After this they will begin the UK's immunisation schedule (see below):

When to immunise What vaccine is given How it is given
8 weeks old

Diphtheria/Tetanus/Pertussis/Polio/Hib and Hepatitis B


One injection
Meningococcal B (MenB) One injection
Rotavirus One oral application
12 weeks old

Diphtheria/Tetanus/Pertussis/Polio/Hib and Hepatitis B


One injection
Rotavirus One oral application

Pneumococcal conjugate vaccine


One injection
16 weeks old

Diphtheria/Tetanus/Pertussis/Polio/Hib and Heptatits B


One injection
Meningococcal B (MenB) One injection
One year old (on or after the child's first birthday) Hib/Meningitis C  One injection
Pneumococcal conjugate vaccine (PCV) One injection
Measles, Mumps & Rubella (MMR) One injection
Meningococcal B (MenB) One injection
Primary school age children (school years reception to six) Live attenuated influenza vaccine (LAIV) Nasal spray, single application in each nostril
3 years 4 months old or soon after

Diphtheria/Tetanus/Pertussis and Polio


One injection
Measles, Mumps & Rubella (MMR) One injection
12 to 13 years old Human Papillomavirus (HPV) Course of two injections at least six months apart
14 years old (school year 9)

Tetanus/Diphtheria and Polio


One injection

Meningococcal ACWY conjugate


One injection
65 years old Pneumococcal polysaccharide (PPV) One injection
65 years old and older annually Inactivated influenza vaccine One injection annually
70 years old Shingles vaccine One injection

Baby clinics are held on Tuesday mornings by appointment only. You should receive a letter in the post with a time and date for your childs appointment approximately two weeks before they are due to come in.

Nasal Flu vaccinations are offered on an annual basis to patients aged between 2-17 years. This will mostly be administered in schools.

If you have any questions regarding immunisations, please call the surgery and ask for Fiona, Sally or Sarah.

Health promotion

Practice Nurses: Fiona Rivers, Joanne Gosling, Eucharia Oranugo and Gemma Allen

Lifestyle advice, weight reduction.

All patient health checks

Practice Nurses: Joanne Gosling, Fiona Rivers, Eucharia Oranugo and Gemma Allen

Over 75, Well Woman, Well Man

Family Planning/ Sexual Health Clinic

Practice Nurse: Fiona Rivers.
Speciality: Contraception and Sexual Health

Fiona has been nursing since 1991 and has had a varied career; from Accident and Emergency to School Nursing. She has always had an interest in sexual health and contraception, deciding to specialise in this area.

Fiona works four days a week (Mon, Tues, Weds + Fri).

Sexual Health Services available in Greyfriars Surgery:

  • Chlamydia & Gonorrhoea testing 15-24 years (NCS) self-testing, diagnosis and treatment. Chlamydia or Gonorrhoea can affect fertillity if left untreated.
  • HIV and Blood Born virus testing including Hepatitis and Syphillis (some may need specialist referral)
  • Sexual health advice and information.

Not all infections are sexually transmitted, if you have any concerns, please contact the surgery and Fiona will be more than happy to have a confidential chat with you. Alternatively, you can visit our A-Z Health Checker on the home page for more information on the above infections.

Contraception available in Greyfriars Surgery:

Short Acting

Combined pills

Progesterone only pills

99% effective if taken correctly. Prevents ovulation or by preventing sperm from entering the womb.
Patch 99% effective if used correctly. Applied x1 per week for 3 weeks each month.
Vaginal Ring 99% effective if used correctly. Replace once a month.
Implant Over 99% effective. Last for three years. (Appointment is with both Fiona and Dr Niemotko to fit)
IUD Copper Coil 98-99% effective (Appointment is with both Fiona and Dr Niemotko to fit)
IUS Hormonal Coil Over 99% effective. Lasts 5 years. (Appointment is with both Fiona and Dr Niemotko to fit)
Projesterone Injection Over 99% effective. Given every 12 weeks.

All the above methods of contraception are available at Greyfriars Surgery however, an assessment with Fiona will be required to enable the best and most appropriate method is offered.

As well as contraception, natural methods and steralisation can be discussed. Menopausal support and advice is available along with General Womens Health.

Cervical Screening (Smears)

Practice Nurses: Fiona Rivers and Joanne Gosling

Cervical screening is available on the NHS for women aged between 25-50 years and are offered routinely every three years.

Please ask to speak with Nurse Fiona if you have any concerns or worries regarding this screening, she is available for both early and late appointments.

Anticoagulation Clinic

Practice Nurses: Fiona Rivers and Sharon Tointon

For patients on warfarin, clinics are run on Wednesday afternoons by a Practice Nurse and Doctor. For patients unable to get to the clinic, because of immobility, arrangements can be made to test your blood at home. Home visits will be made by Fiona Pywowariw and Kim Keightley.

Young People

Nurse: Fiona Rivers

Greyfriars Surgery is a registered C-Card Centre. This enables people aged between 13-19 years to receive confidential and friendly advice as well as free condoms.

If you wish to register for the C-Card scheme, simply make an appointment at the surgery with Fiona, who will issue you with a credit like card allowing you to access condoms free from any organisation where the C-Card sign is displayed (as below). You do not need to be a registered patient with Greyfriars to collect C-Cards from us.

c-card mobile

If you are aged 14 years and above and need advice about Sexual Health, Contraception, Periods or Relationships, Fiona will try to help or she can signpost you to the appropriate person.


Midwife: Annie Fletcher

This clinic is run by the midwife on Monday and Tuesday each week.

If you are pregnant, you must book to see your midwife BEFORE 12 weeks. Please contact a member of reception on (01205) 311133 if you wish to discuss.

Health Visitors

For a wealth of information on Health Visitors, Breast Feeding and Maternal Mental Health etc, visit

Non NHS Services

Medicals such as for HGV/LGV/Taxi/Elderly driving medicals etc. are not covered by the NHS and a fee will be charged for them to be completed.

Medical examinations for the above and for Insurance companies etc. are arranged by appointment only.

The fees charged for these services are in accordance with the British Medical Association recommended scale of fees.

A list of our fees are available as below, if the fee you require is not listed, please speak to a member of reception:

HGV/PSV and Taxi Medical

HGV Medical £96.00
Hackney Carriage Medical (Taxi) £50.00
Driving Licence Fitness to Drive Taxi/Racing Driver £96.00 subsequent £36.00

List of Medical Fees 2014/15

Shotgun/Fire Arms application form £51.00
Shotgun/Fire Arms Character Reference £30.00
Child Minder Health Form £87.50

Please ensure you allow sufficient time for booking your medical.

Self Help

Diarrhoea and Sickness

Diarrhoea and sickness are often caused by a virus. The best treatment is to rest your digestive system by taking only water by mouth. Do this for 24 hours, having little and often. During the next 24 hours, have water, plus dry toast or plain biscuits i.e. crackers.

High Temperatures

Illnesses with high temperatures in which you "burn up" are also usually caused by a virus. You will feel better quicker if you lower your body temperature by removing most of your clothes and by taking paracetamol. If you are still hot, a tepid bath will help.

'Sweating out' the infection by going to bed with extra blankets often prolongs these infections because, if your body is overheated, it cannot resist them so well.

Bad colds causing coughs at night

If phlegm runs down the back of your throat and causes coughing at night, take Actifed 5-10mls, at night, which dries it up well.

These medicines may be used for children aged 2 and over, as well as for adults. They can be bought from the Chemist, who will advise on the correct dose for children.


Smoking makes colds more likely to settle on your chest, and of course, causes cancer, heart disease, ulcers and bronchitis.

Children living in homes where people smoke have more coughs and colds than in homes in which no-one smokes.

Chaplaincy Service

Our Chaplaincy Service is being offered to those who are in need of someone to talk to.

This can range from loneliness or bereavement to troubles in day to day life.  Our Chaplain, Julie, is here to offer advice or guidance to anyone in need.

The clinics will be taking place on Wednesday afternoons.

Please speak to any member of staff for more information or to book in with Julie.

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