- How to register
- Urgent Care Clinics
- Repeat prescriptions
- Sick certificates
- Test results
- Non-NHS services
How to register
We have an open list and welcome requests for registration from patients living in or moving to the practice area.
You can register by bringing along your NHS medical card or completing a form available from reception. If you do not have your medical card, you will need to bring evidence of your identity. This can be in the form of a passport, photo driving licence or student card. We recommend that new patients undertake a health check with a practice nurse.
We run all our surgeries by an appointment only system. Appointments can be booked by telephoning the surgery before or on the day you wish to be seen. If you would like to be able to book a doctors appointment via the internet, please speak to reception.
We try to make sure you see the doctor of your choice but if they are not available we may ask you to see another doctor.
Home visits - If you are too ill to come to the surgery and you require a visit at home, please call the surgery before 10am. The doctor may contact you first to check how urgent your call is. Home visits take up much more of a doctor’s time than a consultation in the surgery, so if you are mobile please come into the surgery to be seen.
Telephoning the doctor - Doctors are available to give advice over the phone. Please call the normal surgery number (01885 483412) and speak to reception. The receptionist will normally take your details and the doctor will call you back.
Online access - If you have registered for online access you can make an appointment by following this link and entering your log in details : http://www.patient.co.uk/patient-access. If you would like more information or would like to register for this service you can either go online at http://www.patient.co.uk/patient-access or contact reception who can arrange for you to collect unique log in details. You will be asked to provide evidence of identity to register for this service, either a passport, photo driving licence, student card or a household bill over 6 months old.
Urgent Care Clinic
NHS England is attempting to tackle the increasing problem of provision of urgent and emergency care across England and Wales and is due publish its national review in due course. Demand is increasing, people are living longer, patients have more complex needs and expectation is at its highest, all in the current climate of budget deficit, austerity measures and efficiency savings across the public sector. The problem is felt most acutely in A&E Departments, both by patients and staff, and this often spills over to other NHS services including primary care.
Nunwell Surgery is playing its part in providing an effective urgent care service to the local community. We have already established a Nurse Practitioner clinic that provides rapid telephone triage and advice as well as same day access for many patients with minor illness or injury. A longstanding problem experienced by many GP practices is not just the provision of urgent care appointments but access to bookable appointments days or weeks in advance where high demand for these appointments forces many patients to utilise same-day appointments for what are non-urgent problems. What we all want is for the right patient, being managed by the right healthcare professional, in the right place, at the right time.
To best meet the needs of our patients, we are significantly increasing the availability of bookable appointments to a minimum of four weeks in advance and developed new same-day booked Urgent Care Clinics. If a problem requires assessment and/or treatment on the same day then it needs urgent care. All other problems should be able to be managed either by telephone or with an appointment within days or routinely. We have retained both our on-call Duty Doctor to deal with emergencies including home visits and the Nurse Practitioner service as well as continuing to provide on-line appointment booking and extended hours pre-booked clinics on Monday evenings and Saturday mornings specifically for those who have difficulty in accessing appointments during working hours. Nunwell Surgery is one of the few practices in Herefordshire who currently provide this service.
Access to the Urgent Care Clinics will be following assessment of the nature and urgency of your problem by a healthcare professional usually by telephone. The most appropriate service will be offered which may be telephone advice, prescription, soon or routine appointment, urgent care appointment or emergency attendance. The surgery does not also offer a walk-in service but patients attending the surgery without an appointment will be managed appropriately based on clinical need. We encourage patients with emergency or urgent care problems, especially where a home visit may be required, to telephone before 10am.
We hope that you will be understanding and help us to help you during this period of change.
|Nurse Practitioner||For patients who wish to see a health care professional about their condition. Appointments are available on the day.||Monday, Wednesday, Thursday and Friday mornings|
|Asthma||Regular check-ups and advice from practice nurses on lifestyle, inhaler techniques and medication.||Monday afternoon|
|Diabetic||Regular check-ups and advice from our practice nurses on lifestyle, diet, blood sugar, foot and eye care and medication.||Monday afternoon|
|Coronary Heart Disease||Regular check-ups and advice from our practice nurses on lifestyle, blood pressure and medication.||Tuesday morning|
|Stop Smoking||Advice, techniques and support from our practice nurses to help you to give up smoking.|
|Vaccinations||Routine and travel vaccinations for all ages are available during surgery times by appointment with our nurses. If you are travelling and require vaccinations you will need to fill in a form before your appointment - these are available from reception.
We run a flu vaccination clinic in late October.
Ask at dispensary or reception for further information.
|Warfarin||A 'one-stop shop' clinic for patients on warfarin treatment.||Wednesday morning|
|Counselling||A counselling service run by our in-house counsellor. Appointments are normally arranged after consultation with a health care professional.||Wednesday and/or Friday|
|Midwife||Antenatal check ups performed by one of the community midwives.||Tuesday afternoon|
|Postnatal Care||Postnatal advice and support from a health visitor at The Hope Centre, Hereford Road||
Thursday, 10.30am -12.30pm
|Childrens clinic||Run by a health visitor at The Hope Centre, Hereford Road. Provides advice on issues such as feeding, growth, development and behaviour.||
Every Thursday 10.30am - 12.30pm
|Minor Operations||The doctors perform minor operative procedures in the surgery including freezing warts, mole removal etc. Please discuss your condition with a doctor first.||Surgery hours|
The dispensary phone lines are open from 9.00 am - 11.00 am and 3.00 pm - 5.00 pm, Monday to Friday.
The dispensary hatch for collecting prescriptions is closed between 12.00 mid-day - 2.00 pm every day. If you have an appointment with a GP during this time, please see reception staff and we will dispense your urgent medication for you.
You may continue to order your regular medication via the internet or by posting your repeat slip back to us in the collection box provided .
If you need your medication in an emergency when the dispensary is closed, you can receive an emergency supply at the discretion of a Pharmacist for 3 days (5 days over a bank holiday). You will need to provide proof of identity and of your repeat medications eg your repeat ordering slip. A list of Herefordshire Community Pharmacies and their opening times is below.
Emergency Hormonal Contraception advice and supply is also available from Herefordshire Community Pharmacies, details below.
To order your repeat prescription please leave your request in the box in the surgery porch, the box at Rowlands pharmacy in Bromyard or drop it into dispensary. On the repeat prescription order form tick the box alongside the items that you need. Alternatively you can telephone the dispensary with your request on 01885 488785 between the hours of 9.00am to 11.00am and 3.00pm to 5.00pm, Monday to Friday.
Your prescription will be ready for collection 48 hours after we recieve the request.
If you live in Bromyard town, or within 1 mile of the town, your repeat prescription will be sent to Rowlands Pharmacy for you to collect, unless you tell us otherwise. Patients who live further than a mile out of town should collect their prescriptions from the dispensary.
We are keen to ensure that patients with ongoing medical problems are monitored regularly. If the date for your next review with a doctor or nurse has passed you will be asked to make an appointment, and a note will appear on your repeat presciption order form.
Online access - If you have registered for online access you can order your repeat prescription by following this link and entering your log in details : http://www.patient.co.uk/patient-access. If you would like more information or would like to register for this service you can either go online at http://www.patient.co.uk/patient-access or contact reception who can arrange for you to collect unique log in details. You will be asked to provide evidence of identity to register for this service, either a passport, photo driving licence, student card or a household bill over 6 months old.
You only need a doctors note if you are unable to work and are ill for longer than seven calendar days. Your employer will provide you with an SC2 self-certificate form for shorter periods of illness.
You will normally be required to ring the surgery to check if your test results are available. If so, the doctor will usually call you back to discuss these, or alternatively you may need to make an appointment to discuss them.
The NHS does not pay for some of the services we provide. These include private sick notes, insurance forms, holiday cancellation forms, medical reports, fitness to travel certificates, HGV and other driving licence medical examinations, private prescriptions, passport signing and some vaccination services. Our fees for these services, which are in line with BMA approved national guidelines, are available at reception.