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Clinics & Services


Antenatal & Postnatal Care

Women who become pregnant often visit their GP at around six weeks. It may be necessary to confirm the pregnancy with a laboratory test. Women will then be invited to see the midwife when they are eight weeks pregnant. The midwife will perform the booking investigations, describe the routine procedures and discuss options for delivery.

The midwife holds two clinics each week, one at Bourton and one at Northleach. Women are welcome to see them at either surgery. Other midwives in the local team will provide cover during any absence.

The community midwife will then continue to provide care to the patient throughout her pregnancy, referring to the GP where necessary. During a normal pregnancy women are seen at least every three months, but more often towards the end of the pregnancy or if there are problems.

Women can choose to have a home delivery or to deliver in hospital, usually Cheltenham General.

The midwife will visit the mother at home for up to 10 days following the birth of the baby. Thereafter the health visitor is the first point of contact for advice on breastfeeding, childcare and development.


Art Lift Project

There is a growing body of evidence that participation in arts activities can be very effective in improving patient wellbeing. Depression and anxiety has been shown to improve significantly after working with an artist and participants often find new avenues of expression and social interaction outside of the clinical environment.

The Art-Lift project responds to this evidence by bringing together artists with patients in 15 health care settings across the county, including our practice. The artist will work with participants on a one-to-one or group basis, across a range of art forms – including poetry, textiles, painting and ceramics. The project is kindly sponsored by Moore Friends.

Please contact reception or a GP if you would like to participate.


Asthma & Chronic Obstructive Pulmonary Disease (COPD)

We have nurses who specialise in asthma and respiratory care. If you suffer from asthma or a chronic breathing problem, you will be invited to see a nurse on a regular basis, where she may review your peak flow monitoring, inhaler technique and discuss your medication.


Baby Clinic

The baby clinics are run by doctors, practice nurses and health visitors. At these clinics we undertake child developmental checks and immunisations. There is also an opportunity to discuss other problems e.g. sleeping, feeding and child health worries, with a doctor or health visitor.

The childhood vaccinations are given according to the current recommended guidelines at two, three and four months to protect small babies from whooping cough, diphtheria, tetanus, polio, hib, meningitis C and pneumonia.  A doctor is available to check that your child is fit to have the appropriate immunisation.


Cervical Screening

All women aged between 25 and 64 are invited for a cervical smear every three to five years. This test is designed to detect changes in the cervix which appear before cancer develops. There are many early stages of cervical cancer which can be cured by simple treatment if picked up by this test. This check is carried out by the nurse as part of the national screening programme.


Citizens Advice

Citizens Advice hold a regular surgery at the Bourton surgery. Please telephone reception for details.


Community Connectors (Formerly Village Agents & Social Prescribing)

Community connectors hold regular clinics at both Bourton & Northleach surgeries. The service offers one to one support for individuals and can also signpost or refer people to activities and groups available in their area. 

It can be helpful for people:

  • in times of change, for example after redundancy, health issues or retirement
  • in times of emotional hardship, such as after a bereavement
  • who are worried about debt or financial issues
  • who don’t know where to turn for support
  • who would like to volunteer in their community

Please telephone reception to make an appointment.


Coronary Heart Disease

We invite patients who have heart disease, angina or who have had a stroke or transient ischaemic attack to have an annual review of their condition with one of the nurses.



Nurses who specialise in Diabetes will invite diabetic patients to attend the surgery every six or 12 months for a review of their diabetes. This review includes blood sugar measurement, urine testing, advice on diet, eye examinations, foot care and blood pressure measurement.  Annual eye screening for diabetics is also available at the surgeries.


Emergency Contraception & Sexual Health

We provide free emergency contraception help and advice. Please ask to see either a Doctor or practice nurse as soon as possible after failed or forgotten contraception.

Emergency contraception is also available from Family Planning clinics and Community pharmacies.

We also provide screening for some sexually transmitted infections. Please make an appointment with a practice nurse.   


Family Planning

We provide a full family planning service. All doctors can offer advice about this. Dr Caroline Bennett fits coils and contraceptive implants.  


Fit Notes (Formerly sick note)

If you are off work for seven days or less, your employer shouldn't ask for medical evidence that you've been ill. If you are off for more than seven days, you may need to provide a fit note. If you require a fit note, a GP will need to assess you and if they decide your health affects your fitness to work, they can issue a fit note. Should you require further fit notes on expiry of the previous one, please advise the surgery well in advance as this is something that will not be able to be provided on the day of request.   

Health Promotion

All new patients to our practice are offered a general health check-up. They are run by the health care assistant and practice nurses.


Health Visitors 

The Health Visitors hold drop in clinics on the following days and locations:

Bourton on the Water Community Hub, Moore Road, Bourton on the Water

Every Thursday 2pm-3pm

Springboard Childrens Centre, Mill End, Northleach

2nd Wednesday in the month, 2pm-3.30pm

Community Centre, Upper Rissington

1st Thursday in the month, 10am-11am (Term time only)


Hearing Aid Clinic

A hearing aid clinic is held at the Northleach surgery every two months. You can get your hearing aid checked and serviced in this clinic. They also can provide advice and guidance. You can make an appointment by contacting the Northleach surgery. 


Mental Health Services

Please make an appointment with a doctor if you have any worries about your mental health. A mental health nurse also holds a clinic at each surgery every other week. Appointments are available on referral from a GP.


Minor Surgery

Some of our GPs are also able to remove benign cysts and lumps and perform joint injections. Please see a GP if you think you may require minor surgery.  


NHS Health Check

Patients aged between 40-74 with no pre-existing cardio vascular conditions may be invited for a 5 yearly check.


Patients Over 75 Years 

If you are aged 75 years or over, you can be seen annually either by your doctor, the practice nurse, district nurse or health visitor. This can be arranged at the surgery or, if that is not possible, a home visit will be arranged.

Skin Camouflage

Skin camouflage is available at the surgery. It is used to minimise skin abnormalities including birthmarks, scarring, vitiligo and many more. A qualified practitioner will advise and demonstrate the application of the most suitable products for each individual. This service is not available on the NHS, but the products may be prescribed if the Doctor feels that their use is appropriate for a medical reason. If you are interested in skin camouflage, please speak to your Doctor or ask at reception.   


Stopping Smoking

Stopping smoking is the single most effective way for a smoker to improve their health. We offer a comprehensive service to support our patients who wish to quit. All of our nurses have specialist training in smoking cessation and we are able to prescribe pharmaceutical aids for patients who sign up for our practice-based service. Please book an appointment at reception.

Healthy Lifestyles also provides support in the North Cotswolds You can be referred by your nurse or doctor, or self-refer.


Vaccinations (Adult)

All adults should ensure that they have adequate cover against tetanus and polio. If in doubt, please check with the nurse.


Vaccination (Flu)

An influenza vaccination is particularly recommended for patients aged 65 or over and younger patients with heart, lung, kidney or liver disease, diabetes and residents of nursing and rest homes, and patients who are carers of the elderly or disabled. These patients should also have a one off vaccination against pneumococcal Infection

Please contact the reception staff in September for details of the vaccination dates and to make an appointment.

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