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 Room.
If you would like to attend any of the below clinics, please visit our Consulting Room.
Our practice provides the following services:
The practice provides joint antenatal care alongside the community midwives. Our community midwives are based at West Chessington Children’s Centre.
To book appointments please call 020 8399 1098. Appointments are available on Tuesday afternoons, 13:00-16:00.
For more information about antenatal care, please visit our Antenatal Care Page.
Kate is our respiratory specialist nurse, and Dr Bimal Raja and Dr Haythem Naseef both have an interest in respiratory medicine.
To minimise the risk of complications of asthma, it is advisable to have regular reviews. You will either need to be seen by Kate, Barbara, Mariana. If you have been advised by the surgery to submit an annual review of your asthma symptoms, please complete an Asthma Review Form.
If your asthma is stable you may be able to see Mariana (one of our HCAs and part of our practice nursing team) in her HCA-led clinic which she runs under the supervision of a GP and our Respiratory Nurse, Kate Fairbairn.
If you do see Mariana you will not need to see a GP, Kate or Barbara as well for your asthma annual review unless Mariana advises you, or you have specific concerns with your medication or symptoms that the she cannot address. Should you have any concerns or require help for your asthma outside of your annual review, you should continue to see Kate or the GP as normal.
All first appointments post diagnosis or appointments for children are always with Kate.
The practice has an audiology clinic on the first Wednesday of every month for patients with hearing aids who are both registered and not registered at the practice.
It runs from13:30-15:00 on a first come first served basis.
In the clinic it is possible to:
- Get replacement batteries for their hearing aids (also available at any time from reception).
- Have a faulty hearing aid looked at (e.g. tubes cleaned or routine maintenance).
- Get advice about their hearing aid etc.
Replacement batteries can be collected at any time during our opening hours from reception.
We are also able to offer hearing tests for patients if you are concerned about your hearing on a Friday afternoon with Mariana. Please contact reception to book an appointment.
For more information about our baby clinics, please visit our Baby Clinics Page.
For most blood tests you do not need to do anything specific prior to coming in.
Our nursing team carries out cervical screening.
All women aged 25-64 are eligible for a smear test as part of the national screening programme. Cervical screening is offered because it can detect abnormal cell changes in the cervix that could potentially develop in to cancer. If significant abnormalities are detected at an early stage there is the option of having treatment to remove them before they have a chance to become cancerous.
You can watch a video about what to expect during your smear test at www.nhs.uk/video/Pages/cervical-screening.
As soon as you have received your invitation letter in the post from the national screening programme you can either book online or contact reception to make an appointment.
Our practice nurses carry out these appointments and will be happy to discuss your child’s vaccines with you. If you have any questions or concerns, they will be happy to talk to you about this.
You need to book an eight week check for your baby with Kate or Jan, where they will carry out a physical examination similar to that which is undertaken within 24 hours of birth. They will then be able to give the first set of immunisations at the same appointment. You can find the full childhood immunisation schedule and more information about each vaccine at www.nhs.uk/conditions/vaccinations.
To minimise the risks of COPD it is advisable to have regular reviews. Kate is our respiratory specialist nurse, Barbara carries out annual reviews and Dr Bimal Raja and Dr Haythem Naseef both have an interest in respiratory medicine.
You can find out more information about how you can manage your COPD at www.blf.org.uk/support-for-you/copd.
If you have been advised by the surgery to submit an annual review of your COPD symptoms, please complete a COPD Assessment Form.
The practice has 2 nurses who care for patients with diabetes, Barbara and Jan.
Barbara runs a diabetic clinic on a Tuesday morning, jointly with Mariana one of our HCAs. Mariana takes some initial measurements, such as BP, BMI and will perform your foot check. You will then see Barbara to discuss your diabetic care. If you cannot attend the Tuesday morning clinic, alternative times can be made available
Jan is a Tier 3 diabetic nurse and able to see patients with complex or uncontrolled diabetes. She is trained in insulin initiation and regularly meets with Mark Spring, Consultant Endocrinologist, to plan the care of her patients. Jan is at Orchard on a Thursday morning.
The Diabetes UK website has lots of useful information about your condition, and how to live well with diabetes.
For more information about our Hypertension clinics, please visit our Hypertension Clinics Page.
If you have been advised by the surgery to submit an annual review of your blood pressure symptoms, please complete a Blood Pressure Review Form.
Minor Operations And Joint Injections
The practice runs a monthly minor surgery clinic. These appointments are only available via internal referral from one of our GPs. If your condition is not suitable to for minor surgery in the practice, you will be referred to a local minor surgery clinic.
2 of our GPs, Dr Naseef and Dr Shivakumaran are able to do joint injections. There are 20 minute appointments and are only available once you have been assessed by a GP at the practice as requiring a joint injection.
When you have a joint injection you will need to rest the injected joint for a week afterwards. Returning to heavy manual work, or long distance driving, immediately afterwards impedes the improvement the injection can offer.
NHS Health Checks
We would like to invite you to attend a free NHS Health Check here at The Orchard Practice with one of our Health Care Assistants, Agata or Rebecca.
For more information about NHS health checks, please visit our NHS Health Checks Page.
Post Natal Care Clinics
Postnatal appointments can be booked with the doctor at any time. When making a postnatal appointment, please advise the receptionist at the time of booking as the appointment is longer in length.
You should have a postnatal check about six weeks after giving birth to make sure you are feeling well and are recovering properly.
If you would like more information on the postnatal check you can view information at www.nhs.uk/conditions/pregnancy-and-baby/postnatal-check/.
Sexual Health Clinics
Our practice is accredited by Kingston Integrated Sexual Health and provides a full range of contraceptive and sexual health services. We run a walk-in and pre-bookable sexual health clinic on a Tuesday evening between 16:30-19:30.
In this clinic you are able to discuss your contraceptive options, renew your contraceptive pill prescription and discuss sexual health screening.
We are able to fit and remove contraceptive coils and implants. If you would like to book an appointment to discuss this, please contact reception. You can find out about the different types of contraception available at www.sexualhealthkingston.co.uk.
If you have been advised by the surgery to complete a review of your contraception, you will need to complete our Contraception Review Form.
Smoking Cessation Clinics
These appointments are with our healthcare assistants who are able to offer advice and support on quitting.
Your first appointment with Mariana or Agata will be 30 minutes long and they will discuss with you the range of support measures available to you.
You can also visit www.nhs.uk/smokefree to find out how you can get free help today.
If you have been advised by the surgery to submit a smoking review on a regular basis, please use our Smoking Review Form.
For more information about our spirometry clinics, please visit our Spirometry Clinics Page.
If you have been advised by the surgery to submit a travel risk assessment, please use our Travel Risk Assessment Form.
Contact us 4-6 days after handing in your Travel Risk Assessment Form to find out what vaccines you need.
The nurses will look through your past vaccination history and check the vaccines you require for the country you are visiting before preparing your personal vaccination requirements.
Please try to contact us at least two months prior to departure to allow time for your vaccinations to take effect. Not all vaccinations are free on the NHS, please visit our Non-NHS Work Page.