General Practitioner (GP)
Ten-minute appointments, including same-day urgent and routine appointments.
Appointments with patient’s named GP to promote continuity of care.
Two-week wait urgent referrals for suspected cancer.
Home visits for housebound patients (for urgent care cases with prior GP assessment).
Appointments for private specialist referrals, medical report completion (such as DVLA or Life Insurance), Fitness to work, and Fitness to fly.
Blood tests (Phlebotomy), injections, and ECG (Nurse and HealthCare Assistant)
Urgent blood tests and vulnerable patients will be prioritised if there is high demand.
Injections (such as Vitamin B12, Denosumab for osteoporosis, GnRH agonist for prostate cancer).
12-lead ECG offered to patients if medically required.
Advanced Nurse Practitoner (ANP)
Same-day urgent appointments for patients presenting with acute medical conditions.
Issue medications and/or refer to secondary care.
First contact Physiotherapist
All soft tissue injuries, sprains, strains or sports injuries.
Arthritis – any joint.
Possible problems with muscles, ligaments, tendons or bone, eg shoulder pain, tennis elbow, carpal tunnel syndrome, ankle sprains.
Spinal pain including lower back pain, mid-back pain and neck pain.
Post-orthopaedic surgery.
NHS Health check and chronic disease (Specialist Practice Nurse)
NHS health checks (40-74 years) to spot early signs of stroke, kidney disease, heart disease, diabetes or dementia.
Hypertension management.
Pre-diabetes, including referral to NHS Diabetes Prevention Programme.
Type 2 Diabetes, including training and initiation of GLP-1 receptor agonist such as ozempic.
Asthma and COPD, including spirometry lung function tests and peak flow checks.
Cardiovascular disease including hypercholesterolaemia and ischaemic heart disease.
Cerebrovascular disease including previous stroke or TIA.
Women’s Health, Contraception and Menopause (GP and Specialist Practice Nurse)
Cervical smear testing (Aged 25 to Age 64).
Contraceptive Pill check.
Contraceptive injections (Depo-provera or Sayana Press).
Contraceptive progestogen-only implant (Nexplanon).
Intrauterine device (‘Copper Coil’) and Intrauterine system (‘Mirena Coil’).
Antenatal clinics (Midwife-led, every Thursday).
Post-natal 6-week review of mother and baby (GP).
Menopause: specialist advice, counselling, and provision of HRT (including testosterone if indicated).
Treatment of vaginal prolapse symptoms with vaginal ring or shelf pessary individualised to the patient.
Vaccination and immunisation (Specialist Practice Nurse)
Routine childhood vaccinations (8, 12, 16 weeks and 1 year)
Adult immunisations (COVID-19, Pneumonia, Shingles)
Seasonal Influenza Programme
Meningococcal groups A, C, W and Y disease (age 14 to 24)
Measles, mumps and rubella
Travel vaccinations, such as yellow fever, typhoid and hepatitis A.
Wound dressing, skin ulcer, and Doppler assessment of leg circulation (Specialist Practice Nurse)
Dressing application and change.
Skin suture and staple removal.
Skin ulcer management and/or referral to Community Skin Ulcer service.
Assessment of ankle brachial pressure index (ABPI) measurement by Doppler to detect peripheral arterial disease in people with leg ulcers
Minor Surgery (GP)
Removal of skin lumps, bumps, moles, cysts that are benign (not cancerous) but causing functional impairment, pain, or repeated infections.
Treatment of Ganglions.
Joint Injections (GP)
Providing steroid injections for:
Osteoarthritis (shoulder, knee, base of thumb).
Bursitis (knee, elbow).
Tendonitis (Subacromial or Acromioclavicular shoulder, Elbow (Tennis/Golfer), Greater Trochanter Hip, De Quervain wrist).
Clinical Pharmacist
Hypertension management, including optimising medication in line with patient submitted blood pressure charts.
Structured medication reviews.
Reconciliation of medications following hospital discharge.
Monitoring patients taking high-risk medications such as immunosuppressants (e.g. methotrexate) or anticoagulants (e.g. edoxaban or rivaroxaban), polypharmacy or chronic kidney disease.
Optimising repeat medication frequency, synchronising medications, and resolving dosette box issues.
Responding to medication queries submitted by patients, GPs and community pharmacists.