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Clinics & Services

Asthma & COPD

Nurse Lead: Alison Richardson

One of our nurses have a special interest in respiratory disease (Asthma and COPD). We recommend that all patients with a respiratory problems should be seen at least once a year to maintain optimum control.

Hypertension and Coronary Heart Disease

GP Lead: Dr Oliver Middleton

Hypertension (High Blood pressure) and Coronary Heart Disease is now recognised as a major health concern and clinics are held every week for anyone who has cardiovascular problems. It is recommended that all at-risk patients attend once a year. The clinic offers life style advice, a blood pressure check, blood tests and an ECG. The practice also offers preventative health checks aimed to prevent the development of both hypertension and Coronary Heart Disease.

Heart Failure

GP Lead: Dr Peter Speer

Heart Failure is a condition that some of our patients develop over a period of time. It has a number of causes and can be well controlled. Further Information from British Heart Foundation.

Vascular Checks (NHS Health Checks)

Nurse Lead: Anne Evans

Why not take advantage of the Free NHS Health Check now available to you and patients aged between 40 – 74 years who attend at this practice. The check is confidential and includes:

  • 30 minutes consultation
  • Blood pressure check and finger prick cholesterol test

Personalised advice about what simple steps you can take to stay healthy for the future.


Brief counselling usually of 1-hour duration, of up to 12 sessions, for patients of the practice, referred by the clinical team. The counsellor works from both surgeries.


One of the nurse practitioners provides Cryotherapy. This is a technique that involves “cold” burning an area of skin with liquid nitrogen. It is our treatment of choice for most warts, verrucas and solar keratoses (scaly sun induced thickenings of the forehead and scalp). It is also effective for seborrhoeic warts, skin tags and small rodent ulcers (basal cell carcinoma). We do not use this technique on pigmented moles.


The practice has over 500 patients with diabetes. We aim to provide the highest standards of care. We hold regular clinics at both surgeries:

GP Lead: Dr Tej Bansil

Nurse Lead: Niki Robinson

For access to health information on diabetes, contact Diabetes UK.

Family Planning

A complete contraceptive service is provided by individual doctors, including the fitting of coils and diaphragms. We also provide Long Acting Reversible Contraceptives (known as LARCS). These are the Mirena Coil and the Implanon hormonal implant, the copper containing coils and the contraceptive injection. In addition, the practice nurses can provide comprehensive information, advice and follow up care.

The Family Planning Association website is a good source of information on these issues.

Joint and soft tissue injections

Dr Peter Speer and two other GPs (Dr Tej Bansil and Dr Oliver Middleton undertake a variety of joint injections. Shoulders, knees and some joints of the hand can benefit from an injection of steroid into the joint. Tennis elbow (lateral epicondylitis), trigger finger and Policeman's Heel (Plantar Fasciitis) also benefit.

The type of conditions where injections might be useful include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gouty arthritis
  • Synovitis
  • Bursitis
  • Tendonitis
  • Muscle trigger points
  • Carpal tunnel syndrome 

Male Sexual Health

Erectile Dysfunction (ED) or Impotence is the inability to attain or maintain an erection satisfactory for sexual activity.

- It is more common than you think.

- It can also be successfully treated

- There are a number of different causes - but it affects all age groups.

Although we have traditionally divided the causes into "physical" or "psychological" - it is rarely as simple as that. Most men present a number of potential reasons why their erections are beginning to fail or become unreliable. Taking a good history (asking the right questions) will help in deciding what the causes might be. This is very useful, as it will help plan treatment. Most men with ED can try most of the treatments, but it is usually better to start with the simple treatments first.

In many men a combination of these causes act together to give rise to difficulties. Few investigations are necessary and rarely help in the assessment - and many men can be successfully helped.


Midwives attend the practice on a regular basis and offer the full range of antenatal and postnatal services. When you first attend your doctor will ask you a number of questions and will undertake a physical examination of your cardiovascular and respiratory system, take your blood pressure and record your weight. You will be referred to the midwife and or the hospital antenatal clinic depending upon your individual circumstances.

It's very important to see a midwife or a GP as soon as possible. You should have had your long 'booking' visit by 12 weeks, and you should also have been given your hand-held maternity records by this time. At the booking visit, you'll discuss your health and any other concerns so that an individual care plan can be developed. You may be offered an ultrasound scan. You will also be weighed, and given information on the screening tests available, and have an opportunity to discuss them.

Click here for more information about care during pregnancy.

Minor Surgery

GP Lead: Dr Andrew Foulkes

We have been providing a range of minor surgical procedures in the surgery since 1988. Procedures are undertaken at both the Yapton and Middleton surgery that have purpose built operating suites and are equipped with diathermy and cryotherapy equipment.

Click here for more information.

New Patient Checks

All new patients are offered a routine health check with one of the healthcare assistants. This allows us to gain information regarding recent or serious illnesses and any relevant family history. You will be asked to bring a specimen of urine to the appointment with you. Existing patients are more than welcome to book in for a lifestyle and health MOT.

Smoking Cessation

Appointments for smoking cessation advice are available with the Practice Nurse both who is a trained Smoking cessation adviser.

NRT (Nicotine replacement) is available on NHS Prescription – but only through our advisers. Evidence and our experience demonstrate that those people that enrol and complete the programme are the most successful.

Call the free NHS Smoking Helpline 0800 022 4 332 or West Sussex Stop Smoking Service on 01903 708000. For more information on NHS stop smoking services, follow this link.

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