Roxbourne Medical Centre
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Who do I see?
For information on how best to be seen at the Surgery, select the service or condition you require:
Acute Asthma
Who do I see: Practice Nurse
Advice: Please book an appointment online via PATCHS. Please ensure you have your inhaler(s) to hand
Alcohol Advice
Who do I see: RISE / AA
Advice: If you’re concerned about your drinking or someone else’s, a good first step is to visit your GP. They’ll be able to discuss the services and treatment available. In Harrow, you may be directed to Compass or WDP depending on your age. Other national groups include:
Alcohol Concern – runs the national drink helpline, Drinkline on 0300 123 1110
Alcoholics Anonymous – helpline 0845 769 7555
Al-Anon Family Groups – helpline 020 7403 0888
Anxiety
Who do I see: IAPT Service / GP
Advice: You can self-refer to this service by visiting Harrow Talking Therapies for IAPT services. You may wish to book an appointment online via PATCHS
Back Pain
Who do I see: Community Pharmacy / GP after 7 days
Advice: Search for your nearest community pharmacist or book an appointment with a GP online via PATCHS if your symptoms persist.
Blood Pressure Monitoring
Who do I see: Health Care Assistant or Practice Nurse
Advice: Please book an appointment online via PATCHS You may be asked to complete a ‘home blood pressure diary.’
Blood Test
Who do I see: Health Care Assistant
Advice: Please book an appointment online via PATCHS. Appointments for blood tests MUST have been requested by your doctor or other health care professionals.
Blue Badge Forms
Who do I see: Contact Harrow Council
Advice: Please visit the Harrow Council site for further information, or call them on 020 8863 5611.
Breathlessness
Who do I see: Practice Nurse / GP or A&E for severe symptoms.
Advice: Telephone 999 or 111 if symptoms are severe. For less serious breathing issues such as COPD or chest infections, please book an appointment online via PATCHS.
Breastfeeding
Who do I see: Self Help / Health Visitor
Advice: Visit NHS advice pages, or search for a breastfeeding support service near you.
Bruised Ribs
Who do I see: Community Pharmacist / GP
Advice: For pain relief, please search for your nearest community pharmacy. For difficulty breathing, please book an appointment online via PATCHS.
Burns
Who do I see: Practice Nurse / Urgent Care Centre if severe.
Advice: If severe, please search for your nearest Urgent Care Centre. If not, please book an appointment online via Patchs.
Cervical Smear
Who do I see: Practice Nurse
Advice: Once you are invited, please book an appointment online via PATCHS, on a day that you are not bleeding or on your period.
Chest Infections
Who do I see: Pharmacist/GP if it persists for more than 1 week, or other chest issues (asthma).
Advice: Please book an appointment online via PATCHS
Chest Pain
Who do I see: GP if it has lasted a few days, or A&E
Advice: Telephone 999 or 111 if symptoms are severe. If not severe and has lasted for more than a few days, please book an appointment online via PATCHS.
Childhood Immunisations
Who do I see: Practice Nurse
Advice: Baby Clinic is run by our Practice Nurses, appointments needed for immunisations, please book an appointment online via PATCHS. Find out more at NHS Choices.
Chronic Heart Disease
Who do I see: Practice Nurse / GP
Advice: Annual clinic appointments will be sent to all CHD patients, please book an appointment online via PATCHS if you have any concerns.
Colds
Who do I see: Community Pharmacy
Advice: Search for your nearest community pharmacist. Antibiotics are NOT needed for the common colds, as colds are caused by a virus. Find out more at NHS Choices.
Constipation or Piles
Who do I see: Community Pharmacy / GP if persists more than 1 week.
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS.
Contraception and Family Planning
Who do I see: Family Planning Clinic / GP / Practice Nurse.
Advice: Visit the North West London Sexual Health website for more information about Family Planning Clinics. Contraception and family planning appointments are available at various times every day – please book an appointment online via PATCHS.
Cough
Who do I see: Community Pharmacy / GP if persists for more than 3 weeks.
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS. Routine appointments within 2-4 weeks.
Cystitis
Who do I see: GP if persists for more than 3 days / Community Pharmacist
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS.
Dementia Screening
Who do I see: Healthcare Assistant / Practice Nurse.
Advice: please book an appointment online via PATCHS. For further information please visit Harrow Memory Services.
Dental Problems
Who do I see: Dentist
Advice: Please book an appointment online with your dentist or find a dentist near you: NHS Find Dentist Services.
Depot Injections (Contraception)
Who do I see: Practice Nurse / Family Planning Clinic / GP
Advice: Find out more information here about Family Planning Clinics. Contraception and family planning appointments are available at various times each day – please book an appointment online via PATCHS.
Depression
Who do I see: GP / IAPT Services
Advice: Visit Harrow Talking Therapies for IAPT Services, or please book an appointment online via PATCHS.
Diabetes Monitoring
Who do I see: Practice Nurse
Advice: Routine annual clinic appointments reminders will be sent to all our patients with diabetes. Reception staff will direct you to the most appropriate health care professional. Please book an appointment online via PATCHS.
Diarrhoea
Who do I see: Community Pharmacist / GP if persists longer than 7 days or in a career dealing with food or caring for others.
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS.
Diet / Life Style Changes
Who do I see: Practice Nurse
Advice: Please book an appointment online via PATCHS.
Dressings
Who do I see: Health Care Assistant / Practice Nurse
Advice: Please book an appointment online via PATCHS.
Drug Addiction
Who do I see: Turning Point, Talk to Frank, AA
Advice: Please visit either Westminster drug project Harrow, alcoholics-anonymous.org.uk, or talktofrank.com, Tel: 0300 1236600, for self-referral help.
Ear Care / Ear Wax/ Earache
Who do I see: Community Pharmacy / Practice Nurse
Advice: Search for your nearest community pharmacist. If you think you may need ear irrigation (‘syringing’), please speak to your local chemist. Roxbourne medical centre is not providing this service.
Also please check the following information on NHS Choices.
Eczema
Who do I see: Community Pharmacy / GP if persists for more than 4 weeks or is infected.
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Emergency Contraception
Who do I see: Community Pharmacy / Family Planning Clinic /
Advice: Search for your nearest community pharmacist. To search for your nearest Family Planning/GUM Clinic, please visit the NHS website. Find out more information.
Eye Infection
Who do I see: Optometrist / Community Pharmacy / GP if persists for more than 7 days or vision is impaired.
Advice: Search for your nearest community pharmacist, or for your nearest opticians. For a GP, please book an appointment online via PATCHS.
Eye Injuries
Who do I see: Urgent Care Centre / A&E if severe.
Advice: Please search for your nearest Urgent Care Centre. If severe, please go to Moorfields or Western Eye Hospital’s A&E departments.
Fit Notes (Sick Notes)
Who do I see: Self certify first 7 days, then use Patchs for GP to review your request.
Advice: For a GP, request a sick note online via PATCHS. If you have been discharged from hospital, your hospital team will issue any fit notes for the entire period of your recovery. Please contact the ward staff (even after discharge). Schools should not request a GP letter to confirm absence, this can be written by a parent or guardian.
Flu
Who do I see: Community Pharmacy / GP if persists for more than 7 days or difficulty breathing.
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Flu Vaccine
Who do I see: Practice Nurse / Healthcare Assistant
Advice: During the Flu season, we usually run a walk in service – further details are provided nearer the time. To book an appointment during the flu season please go online to PATCHS
Forms, Certificates and Medical
Who do I see: GP
Advice: A medical examination will be booked if necessary. Completion of forms, certificates and medicals are not covered under the NHS. Payment for reports must accompany the request or appointment booking (i.e. in advance). Charges are aligned with the BMA’s guidelines. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. Allow up to 10 working days for the process to be completed, you will be contacted by phone when your form is ready for collection. Please note we do not sign passport forms, Home Office forms or any other Identification documents.
Fungal Infections
Who do I see: Community Pharmacy / GP if it persists
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
General Advice
Who do I see: Self-Care / Community Pharmacy / 111 (if outside practice opening hours).
Advice: Please visit the NHS information home pages. You can also telephone 111 for any non-urgent medical issues or you can search for your nearest community pharmacist.
Genital Infections Including Herpes
Who do I see: Sexual Health Clinic .
Advice: Please visit North West London Sexual Health for further information.
Head Injuries
Who do I see: Community Pharmacy / GP / Urgent Care Centre if severe.
Advice: Please search for your nearest Urgent Care Centre, or search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Headlice
Who do I see: Community Pharmacy / School Nurse
Advice: Please search for your nearest community pharmacist. Find out more information at NHS Choices.
Headaches
Who do I see: Pharmacist/ GP
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS. Find out more information at NHS Choices.
Hyperventilation
Who do I see: GP / IAPT Service
Advice: Please visit Harrow Talking Therapies for IAPT services. For a GP, book an appointment online via PATCHS.
Indigestion
Who do I see: Community Pharmacy / GP if it persists.
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS. Find out more information at NHS Choices. Routine appointments within 2-4 weeks.
Infected Wounds
Who do I see: Practice Nurse.
Advice: Please book an appointment online via PATCHS. Find out more information at NHS Choices.
Ingrowing Toenail
Who do I see: Community Pharmacy / Practice Nurse (dressing) / GP (infected).
Advice: Please search for your nearest podiatrist, or search for your nearest community pharmacist. For a GP or a Practice Nurse, please book an appointment online via PATCHS. Find out more information at NHS Choices.
Insect Bites
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Insomnia
Who do I see: Community Pharmacy / GP / IAPT Services
Advice: Please visit Talking Therapies for IAPT services. If you are experiencing insomnia symptoms for the first time, please see for your nearest community pharmacist or to see a GP, please book an appointment online via PATCHS
Insurance Reports
Who do I see: GP Surgery Administrator
Advice: Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Medical Reports
Who do I see: GP Surgery Administrator
Advice: Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Medication Reviews
Who do I see: Clinical Pharmacist/ GP
Advice: Please book an appointment online via PATCHS
Missed Contraception / Emergency Contraception
Who do I see: Community Pharmacy / Practice Nurse / Family Planning Clinic
Advice: For emergency contraception, contraception, please find your nearest community pharmacy. For other issues please search for your nearest family planning clinic, or please book an appointment online via PATCHS
Mouth Problems
Who do I see: Community Pharmacy / Dentist / GP for Dental abscess if emergency dentist not available.
Advice: Please book an appointment with your dentist or find a dentist near you: NHS Find Dentist Services, or you may find your nearest community pharmacy. For a GP, please book an appointment online via PATCHS
Nappy Rash
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Neck Pain
Who do I see: Community Pharmacy / GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Nose Bleeds
Who do I see: Urgent Care Centre / 111 Service if severe / GP if several episodes
Advice: Pinch nose (do not lean head back) and apply ice pack. Find out more information about nose bleeds. If concerned, you can ring 111, or search for your nearest Urgent Care Centre. For a GP, please book an appointment online via PATCHS
Panic Attacks
Who do I see: GP / Back on Track
Advice: Please visit Harrow Talking Therapies for IAPT services, or please book an appointment either online or book an appointment online via PATCHS
Passport Forms
Who do I see: We do not sign passport forms
Advice: Passport forms are not covered by the NHS. Find out more here.
Phobias
Who do I see: Talking therapies
Advice: Please visit Harrow Talking Therapies for IAPT services.
Pneumococcal Vaccine
Who do I see: Practice Nurse
Advice: Please book an appointment online via PATCHS
Prescription Queries
Who do I see: Clinical pharmacist
Advice: Please submit your request using nonclinical request on PATCHS
Rashes
Who do I see: Community Pharmacy / GP if persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Rectal Problems
Who do I see: Community Pharmacy / GP if persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Removal of Stitches
Who do I see: Please contact your discharging team as these should be done by the team who did your operation. This is not a GP contract service.
Advice: Please contact the hospital where you had he procedure as they normally have a dressing/wound/stitch removal clinic
Sick Note / Fit Note
Who do I see: Self certify first 7 days, then submit your request via Patchs for the GP to review.
Advice: For a GP, please submit your request using the ‘sick note’ tile on PATCHS. If you have been discharged from hospital, your hospital team will issue any fit notes for the entire period of your recovery. Please contact the ward staff (even after discharge). Schools should not request a GP letter to confirm absence, this can be written by a parent or guardian.
Sinisitus
Who do I see: Community Pharmacy / GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Skin Conditions
Who do I see: Community Pharmacy / GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS. Routine appointments within 2-4 weeks.
Smoking Cessation
Who do I see: Kick it Stop Smoking Service
Advice: You can visit Harrow Stop Smoking Service. Find out more from the NHS advice page.
Sore Eyes
Who do I see: Optician / Community Pharmacy / GP if it persists
Advice: If severe, please go to Moorfields or Western Eye Hospital’s A&E departments. Please search for your nearest opticians or search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Sore Penis
Who do I see: GP / Sexual Health Clinics
Advice: Please visit either Northwick Park clinic, or book an appointment online via PATCHS
Sore Throat
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS. Routine appointments within 2-4 weeks.
Sprains
Who do I see: Community Pharmacy / First contact physiotherapist if it persists over 7 days / Urgent Care Centre
Advice: Please search for your nearest community pharmacist. For a GP, book an appointment online via PATCHS. If it is a suspected serious injury, please search for your nearest Urgent Care Centre.
Stings
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Styes
Who do I see: Community Pharmacy / Optician / GP if it persists
Advice: Please search for for your nearest opticians or search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Sunburn
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Threadworm
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist. You can also use NHS Choices page for more information.
Thrush (Vaginal)
Who do I see: Self-Help Advice / Community Pharmacy / Practice Nurse / Sexual Health Clinic / 10 Hammersmith Broadway
Advice: Please find information on the NHS choices help page. You can also search for your nearest community pharmacist. If you are sexually active, please visit Northwick Park website.
Travel Vaccinations
Who do I see: Practice Nurse / Fit for travel
Advice: Please book an appointment at least 1 month before travelling. Patients are required to complete and return the Travel Screening Form. The Practice Nurse will review the flight details along with your medical history and will contact you to book the appointment.
Urine Infections
Who do I see: GP
Advice: Please bring a urine sample into the consultation; sterile pots available at reception. Please book an appointment online via PATCHS
Vaginal Discharge
Who do I see: Practice Nurse / Sexual Health Clinic / GP
Advice: You can search for your nearest Community Pharmacist. If you are sexually active you can also visit Northwick Park, or for an appointment please book an appointment online via PATCHS
Verruca
Who do I see: Community Pharmacy / GP if painful or it is a recurring issue
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online via PATCHS
Vomiting
Who do I see: Community Pharmacy / GP
Advice: Please search for your nearest community pharmacist. For babies and toddlers, or if it persists longer than 1 week in children and adults, please see the GP by booking an appointment online via PATCHS
Warfarin Monitoring
Who do I see: Health Care Assistant
Advice: Please book an appointment online via PATCHS
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Roxbourne Medical Centre
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