All Services

Non-NHS Work

Not all services at the practice are available under the NHS; where patients request non-NHS items or services, a private fee may be payable in accordance with British Medical Association (BMA) guidance and in line with charges applied by other General Practice surgeries.

Fees and charges for these services are shown below which may be payable in advance (we accept cash and card payments only). Any questions in regards to these services, you can contact us on Florence Road Surgery 020 8567 2111.

Please allow up to 20 working days for all requests.

Non-NHS Work Policy

Private Services List & Fees

Fees Payable By Patients
Medical ExaminationsFee
Full Medical Examination and Report
Drivers or Pilots vocational licences (e.g. LGV, PCV, Taxi, Pilots, etc.)
Employment or Pre-Employment medicals (e.g. Army, Police)		 £175.50
£130
Full Medical Examination with report and opinions
Legal aid report		 £80
Please note we no longer provide reports for marathon or cycling competitions
Accident &/or Sickness Insurance Medical Examination
Includes Loan, Income and Mortgage Protection
Certificates, Forms & ReportsFee
Copies of insurance medical reports
(Requested by patient)
Freedom from infection certificate £30
Claim Forms
Gym membership cancellation
Holiday insurance cancellation
Housing benefits report
Life/Health insurance claims forms (BUPA, PPP etc.)
Police witness report
School fees insurance form
Fitness certificate (including Fit to Fly) 		 £40
Ofsted report
Private sick certificate for employer, college etc. £20
Public Carriage office form £85
Fitness to attend school/holiday camps, etc £30
MiscellaneousFee
Any simple letter to support Non–NHS information
(e.g. To whom it may concern, registered as a practice letter, housing, social services etc.)		 £20
Complex letter requiring extracts from medical records £40
COVID recovery letter for travel£63 per patient
Photocopying charges
Private prescription for travel aboard £17.50
Witnessing Power of Attorney to be advised
Other private extracts from notes to be advised
Private tests (this include HIV testing, counselling & taking a blood sample)
Additional saliva test/blood samples (upon examination)		 to be advised
Access to Medical RecordsFee
 Access to health records charge (whether copies are required or not)
Viewing records only – no copies required
(If records have been added to in the last 40 days, viewing is free)		 Fee 
 Records held only on computer No Fee
 Records held part on computer and part manually (paper) No Fee
 Records held manually (paper) No Fee
 Copies of health records required Fee
Records held only on computer  No Fee
Private consultations and testsFee
Private appointment with doctor £97
Private appointment with nurse £39
Any tests required (fee is in addition to private consultation fee) £39
Private prescriptions (fee is in addition to private consultation fee) £17.50
Hep B Course of 3 (£30 per vaccination) £90
Nimenrix £40
Fees Normally Payable by Other Authority/Organisation
Insurance Medical Reports / DVLAFee
Insurance General Practitioners report £104
Insurance Company – supplementary reports £17.50
Report on proforma, no examination (e.g 20 mins)Vitality Insurance Forms (patient pays this charge)Written Report without Examination, providing a detailed opinion and statement on the condition of the patient (e.g. 30 mins) £89.50
£55
£133 
Solicitors – Forms & Reports / Copies of Medical RecordsFee
Copies of medical records – as per access to medical records No Fee
Letter providing information from patient records
(Fee depending on complexity of letter)		 £40
Local Authority (apart from Brent)Fee
Adoption medical £87
Department of Works and Pensions (DWP)Fee
Disability living allowance formsDSA 1550 formsupto £35.00

Passport Applications

Please note we do not counter sign passport passport applications; passport forms are not covered by the NHS.

Learn more

Doctor’s Letter

You may require a doctor’s letter for various reasons e.g. statement of fact or confirmation of medical conditions.

Please make your request in writing via askmyGP, email to admin.florenceroad@nhs.net or by letter and it will be dealt with in the most appropriate way; this may take up to 10 working days to process.

If you are pregnant and require a doctor’s letter as proof of ‘permission to travel’ please be aware that many airlines require your doctor’s letter to be signed within 48 hours of international travel.

Please note that you will not be provided with a doctor’s ‘permission to travel’ letter if you are due in less than 30 days or if your pregnancy is considered high-risk.

Surgery Clinics

Below lists the clinics and services that we provide here at Florence Road Surgery with our nurses and health care assistants.

If you would like to book one of these clinics, please book your appointment online, or contact us on Florence Road Surgery 020 8567 2111.

Clinics/Services
Antenatal Care
Asthma and COPD Clinics
Blood Pressure Tests
Child Vaccinations
Chronic Heart Disease Clinic
Contraceptive Services
Diabetic Clinic
ECG
General Health Checks
Heart Disease Monitoring
Hypertension Monitoring
Phlebotomy
Sexual Health
Stroke Monitoring
Travel Vaccination and Advice
Well Woman Clinic (Cervical Smears)
Wound Management

Anti-Coagulation

Anti-Coagulation is a drug which can prevent life threatening conditions. However, it can be dangerous if people taking it are not monitored regularly and advised which dose to take. Recent changes have been made to the way we prescribe it.

When a patient requests a prescription for anti-coagulation, the doctor must check that the necessary monitoring has been carried out. We can no longer prescribe a anti-coagulation drug “as directed” and the specific dose must be stated on the prescription.

Nurse led Anti-Coagulation clinics

We run Nurse led anti-coagulation clinics for patients who are already classed as being stable on the drug.

Cancer Screening

We offer a range of clinics and services here at Florence Road Surgery to help with cancer screening.

Bowel Cancer

Bowel cancer is a term used to describe cancer in the colon, rectum or the small bowel.

The symptoms of bowel cancer can include:

  • Bleeding from the back passage (rectum) or blood in your stools
  • A change in normal bowel habits to diarrhoea or looser stools, lasting longer than 4 to 6 weeks
  • A lump that your doctor can feel in your back passage or abdomen (more commonly on the right side)
  • A feeling of needing to strain in your back passage (as if you needed to pass a bowel motion)
  • Losing weight
  • Pain in your abdomen or back passage
  • A lower than normal level of red blood cells (anaemia)

Because bowel tumours can bleed, cancer of the bowel often causes a shortage of red blood cells. This is called anaemia and may cause tiredness and sometimes breathlessness.

Bowel cancer screening

How do I get a screening kit?

If you are aged 60-69 years, you will be sent your screening invitation automatically through the post. All you need to do is make sure that your GP has your correct address.

‘People aged 70 years and over or under the age of 60, who wish to be screened, should request a kit. Simply telephone the free helpline on 0800 707 60 60.’

Macmillan cancer support

Have questions about cancer? Visit www.macmillan.org.uk or call 0808 808 000 free (Monday to Friday 9am – 8pm).

Breast Screening

The National Breast Screening Programme was introduced in 1988 as an early detection service for breast cancer. It states that all women who are aged between 50 – 70 years of age will be routinely invited for free breast screening every three years. The programme is very successful and currently saves around 1,400 lives per year.

Breast screening aims to find breast cancer at an early stage, often before there are any symptoms. To do this, an x-ray is taken of each breast (mammogram). Early detection may often mean simpler and more successful treatment. When women are invited for their mammogram depends on which GP they are registered with, not when their birthday is.

The screening office runs a rolling programme which invites women by area. The requirement is that all women will receive their first invitation before their 53rd birthday, but ideally when they are 50.  If you are under 50 and concerned about any aspect of breast care, please contact the surgery to make an appointment with your GP.

Cervical Screening

Cervical screening, or smear test, is a method of detecting abnormal (pre-cancerous) cells in the cervix in order to prevent cervical cancer. The cervix is the entrance to the womb from the vagina. Cervical screening is recommended every three years for women aged 25 to 49 and every five years for women aged 50 to 64 or more frequently if smear results indicates abnormal changes.

Cervical screening is not a test for cancer; it is a test to check the health of the cells of the cervix. Most women’s test results show that everything is normal, but for 1 in 20 women the test will show some abnormal changes in the cells of the cervix.

Most of these changes will not lead to cervical cancer and the cells may go back to normal on their own. However, in some cases, the abnormal cells need to be treated to prevent them becoming cancerous.

Our nurses are qualified to carry out cervical screening and tests in the form of cervical smears. In order to have a cervical smear the patient must have received a letter requesting that they have a cervical smear and the appointment must please be made for when the patient is not menstruating.

These appointments typically take around 10 minutes. For any further information or to book an appointment, please call the surgery.

Useful links

Men’s Health

We offer a range of clinics and services here at Florence Road Surgery to support men’s health and help maintain a healthy lifestyle.

Male Pattern Baldness

Male-pattern baldness is the most common type of hair loss, affecting 6.5 million men in the UK.

It generally starts with a little thinning of the hair, followed by wider hair loss, allowing more of the scalp to become visible.

For a few men, this process starts as early as the late teens. By the age of 60, most men have some degree of hair loss.

Some men aren’t troubled by this at all. Others, however, suffer great emotional distress associated with a lack of self-esteem and, in some cases, depression.

Useful links

Men’s Sexual Health

Sexual Health

Information regarding contraception, testing and treatment for sexually transmitted infection (STI), HIV and blood-borne viruses is available North West London Sexual Health and Conraception Services. 

Ejaculation Problems

For further information visit NHS Choices.

Prostate Cancer

Prostate cancer is the most common cancer in men in the UK, with over 40,000 new cases diagnosed every year.

Prostate cancer usually develops slowly, so there may be no signs you have it for many years.

Symptoms often only become apparent when your prostate is large enough to affect the urethra (the tube that carries urine from the bladder to the penis).

When this happens, you may notice things like an increased need to urinate, straining while urinating and a feeling your bladder has not fully emptied.

However, these signs do not mean you have prostate cancer. It is more likely they are caused by something else, such as benign prostatic hyperplasia (also known as BPH or prostate enlargement).

If you are concerned about any of the symptoms above please book an appointment with a GP either online or contact reception on 0208 567 0447.

What is the prostate?

The prostate is a small gland in the pelvis found only in men. About the size of a Satsuma, it is located between the penis and the bladder. It surrounds the urethra, the tube that carries urine from the bladder to the penis.

The main function of the prostate is to help in the production of semen. It produces a thick white fluid that is mixed with the sperm produced by the testicles, to create semen.

Testicular Cancer

Although still rare compared to other cancers, testicular cancer is the most common cancer in men aged between 15-45 years with around 2,200-2,300 men being diagnosed each year. It is more common in Caucasian males.

If found at an early stage a cure rate of 98% is usually possible and even when testicular cancer has spread to other areas of the body cure can still be achieved. In fact according to recent research overall 96% of men diagnosed with any stage testicular cancer will be alive 10 years after treatment.

It is important to visit your GP as soon as you notice any lump or swelling on your testicle. Your GP will examine your testicles to help determine whether or not the lump is cancerous.

Symptoms

The earliest warning signs of testicular cancer usually include the following:

  • A change in size or shape of a testicle.
  • Swelling or thickening of a testicle.
  • A firm, smooth, initially painless, slow-growing lump or hardness in a testicle.
  • A feeling of testicular heaviness.
Useful links

NHS Health Checks

Working together to improve your health

Everyone is at risk of developing heart disease, stroke, diabetes, kidney disease and some forms of dementia. The good news is that these conditions can often be prevented – even if you have a history of them in your family. Have your free NHS Health Check and you will be better prepared for the future and be able to take steps to maintain or improve your health.

Visit NHS Choices – Health Checks for further information.

Why do I need an NHS Health Check?

We know that your risk of developing heart disease, stroke, type 2 diabetes, kidney disease and dementia increases with age. There are also certain things that will put you at even greater risk.

These are:

  • being overweight
  • being physically inactive
  • not eating healthily
  • smoking
  • drinking too much alcohol
  • high blood pressure
  • high cholesterol

Both men and women can develop these conditions, and having once could increase your risk of developing another in the future.

  • In the brain a blocked artery or a bleed can cause a stroke.
  • In the heart a blocked artery can cause a heart attack or angina.
  • The kidneys can be damaged by high blood pressure or diabetes, causing chronic kidney disease and increasing your risk of having a heart attack.
  • Being overweight and physically inactive can lead to type 2 diabetes.
  • If unrecognised or unmanaged, type 2 diabetes could increase your risk of further health problems, including heart disease, kidney disease and stroke.

What happens at the check?

  • This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease, and stroke.
  • The check will take about 20–30 minutes.
  • You’ll be asked some simple questions. For example, about your family history and choices which may put your health at risk
  • We’ll record your height, weight, age, sex, and ethnicity.
  • We’ll take your blood pressure.
  • We’ll do a simple blood test to check your cholesterol level.

What happens after the check?

  • We will discuss how you can reduce your risk and stay healthy
  • You’ll be taken through your results and told what they mean. Some people may be asked to return at a later date for their results.
  • You’ll be given personalised advice on how to lower your risk and maintain a healthy lifestyle.
  • Some people with raised blood pressure will have their kidneys checked through a blood test.
  • Some people may need to have another blood test to check for type 2 diabetes. Your health professional will be able to tell you more.
  • Treatment or medication may be prescribed to help you maintain your health.

Questions you may have

Why do I need this check? I feel fine!

The NHS Health Check helps to identify potential risks early. By having this check and following the advice of your health professional, you improve your chances of living a healthier life.

But don’t these conditions run in the family?

If you have a history of heart disease, stroke, type 2 diabetes, or kidney disease in your family then you may be more at risk. Taking action now can help you to prevent the onset of these conditions.

I know what I’m doing wrong, how can the doctor help me?

If you would like help, we will work with you to find ways to eat healthily, reach your healthy weight, be more active, cut down your drinking, or stop smoking.

If I am assessed as being at ‘low risk’, does this mean I won’t develop these conditions?

It is impossible to say that someone will or won’t go on to develop one of these conditions. But taking action now can help you lower your potential risk.

Will everyone has this check?

This check is part of a national scheme to help prevent the onset of these health problems. Everyone between the ages of 40 and 74 who has not been diagnosed with the conditions mentioned will be invited for a check once every five years. If you are outside the age range and concerned about your health, you should contact your GP.

Planning a Family

We offer a range of clinics and services here at Florence Road Surgery to support you when planning a family, from preconception advice to postnatal care.

Antenatal Care

Your Pregnancy, Your Choice

When you first learn that you’re pregnant you can either contact your GP, Midwife or self-refer to a maternity unit of your choice. Each maternity unit has a website with details on how to self-refer, advice and further information.

Useful Information, Advice, Resources and Contact Details:

Maternity Units in NW London

Community Midwifery Contact Details

  • West Middlesex University Hospital (WMUH)
    Address: Community Midwifery Office, Queen Mary Maternity Unit, West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex TW7 6AF
    Tel: 020 8321 2581
    Fax: 020 8321 6823
  • The Hillingdon Hospital (THH)
    Address: Community Midwifery Office, Queen Mary Maternity Unit, West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex TW7 6AF
    Tel: 01895 279472
    Fax: 01895 279 589
  • London North West Healthcare NHS Trust – Northwick Park Hospital (LNWHT – NPH)
    Address: Community Midwifery Office, 5th Floor, Maternity Unit, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ
    Tel: 020 8869 2871 or 020 8235 4252
    Fax: 020 8869 5153
  • Imperial College Healthcare Trust (ICHT) – Queen Charlotte’s
    Address: Community Midwifery Office, Queen Charlotte’s and Chelsea Hospital, Du Cane Road, London W12 0HS
    Tel: 020 3313 5185
  • Imperial College Healthcare Trust (ICHT) – St Mary’s Hospital
    Address: Community Midwifery Office, Maternity Unit, St. Mary’s Hospital, Praed Street, London W2 1NY
    Tel: 02033126605 (Antenatal) or 02033121158 (Post-natal)

Family Planning

Our family planning clinics offer free, confidential advice and information about contraception and sexual health.

We provide a range of services including:

  • Confidential advice about contraception
  • The combined oral contraceptive pill
  • The Progestogen-only pill
  • Progestogen injections
  • Limited supplies of free condoms
  • Free emergency contraception
  • Confidential advice about STIs
  • Cervical screening
  • Unplanned pregnancy advice
  • Free pregnancy tests
  • Pre-conception advice and fertility awareness information
  • Fitting and checking of caps, diaphragms, and coils (intrauterine devices, or IUDs)

Please book an appointment (through reception or via our online services) with your GP to discuss any of the above in more detail.

Useful links

Emergency Contraception

If you’ve forgotten to take your pill, your condom split or you’ve had unprotected sex and you don’t wish to be pregnant we would advise emergency contraception. The sooner you take it the better; ideally within 3 days of unprotected sex but sometimes up to 5 days after ovulation.

Emergency contraception is available free even if you’re under 16 from

If you’ve had unprotected sex or your condom failed, it is also really important to consider your risk for sexually transmitted infections and to think about your long-term contraception needs.

Please attend the local Sexual Health/Contraceptive Clinics.

Emergency contraception is available as a tablet or a ‘coil’ (Intrauterine Device – IUD). The IUD is more effective. The healthcare professional you see will be able to advise you, depending on your preference, risk or pregnancy, medical conditions, medication and when your last period was.

More information about your choices is available from:

Neo-natal Care

Some newborn babies are released from hospital without a detailed examination. If this is the case, our GPs are happy to perform the relevant checks in the surgery. Please make an appointment online, or contact reception on 0208 567 0447.

In most cases, the Practice will contact new mums to arrange for this to happen, on rare occasions where we are unaware of the birth, please feel free to give us a call and arrange an appointment or visit.

Postnatal Care

Postnatal care extends for between 6-8 weeks after the birth of your baby. During this period, routine checks are carried out by the health visitor and you and your baby’s recovery is monitored. This is in the form of a 6-8 week baby check and a 6 week postnatal check for the mum. Please make appointments to see the Doctor for these. ​Once completed, you can book appointments with the nurse for your baby’s vaccinations. Please read our childhood immunisations page for more information.

During your postnatal care you will find out about feeding, potty training, illnesses, safety and more. You will be able to ask your health visitor questions and request advice.

Useful links

Preconception Advice

If you are planning to have a baby or you need to know more information about how to look after yourself and your unborn baby, please book an appointment with your GP.

We can provide you with all the information you need to know to have a happy and healthy pregnancy.

Useful links

Supporting a Healthy Lifestyle

We offer a range of clinics and services here at Florence Road Surgery to support and maintain a healthy lifestyle.

Alcohol Advice

NHS Advice on drinking recommends that men should not regularly drink more than 3-4 units of alcohol a day and women should not regularly drink more than 2-3 units a day, “Regularly” means drinking every day or most days of the week.

Useful links

Chlamydia Screening

Chlamydia screening is available from the surgery.

Simply ask at reception for a kit. It is a completely confidential service where you can send a urine sample in the envelope provided and receive the results easily.

Sexual Health

A range of sexual health services are offered at the surgery including:

  • Contraception and contraception advice
  • Emergency contraception and emergency contraception advice
  • Testing and treatment for sexually transmitted infections (STIs), such as chlamydia, syphilis, gonorrhoea and genital warts
  • Testing and counselling for HIV and AIDS

If you need advice and support with a sexual health matter or you think you have a problem you would like to discuss, please call the surgery to make an appointment with your GP.

Sexual health services are freely available for everyone.

Useful links

Smoking Cessation

If you’re trying to give up smoking, we can help. Studies show that your chances of success will be greatly improved if you get advice and support from health care professionals to help you stop smoking and if you don’t pay for your prescriptions then giving up is free.

  • The services we offer from the Practice can:
  • Boost your willpower to stop smoking
  • Concentrate your efforts by getting advice from someone who knows your medical background
  • Help you feel that you’re not doing it alone
  • Help you to cope when you are tempted to smoke
  • Monitor improvements to your health so that you can see the benefits

Please call the surgery to arrange an appointment with our smoking cessation advisers.

Useful links

Weight Loss

If you would like to know more about weight and diet advice, we offer a weight management clinic giving you advice on how to lose weight and stay healthy.

A range of options are available to support people with weight loss. To understand which of them may be the best fit for you please arrange an appointment with your GP who will be happy to discuss them with you.

One suitable option may be our Health Trainers who offer 1:1 sessions for people wanting to improve their health and change their behaviour. They can support individuals with healthy eating, weight management and getting physically active.

Many doctors now believe that when it comes to your health, your waist measurement is important.

While knowing your body mass index (BMI) is a good way to decide if you’re overweight, it doesn’t tell the whole story.

BMI is a measure of how healthy your weight is for your height. You can work out what your BMI is by using the NHS Choices BMI healthy weight calculator.

If you have a high BMI, you’re likely to be carrying extra fat. But your health could be at greater risk depending on where you store that fat.

Having a large amount of tummy fat (compared to fat around your bottom or thighs) makes you more likely to develop diabetes and heart problems.

A healthy waist circumference for men is less than 94cm (37 inches), and for women it’s less than 80cm (32 inches).

Losing weight and keeping it off isn’t easy, but it has many benefits. You may only need to make small changes to your lifestyle to maintain a healthy weight.

If you’d like to find out more about how you can lose weight in a healthy way please book an appointment with one of our nurses.

Useful links

Vaccinations

We offer a range of clinics and services here at Florence Road Surgery for all your vaccination needs and advice.

Childhood Immunisations

One of the most important things that a parent can do for their child is to make sure that they have all their routine childhood vaccinations. It’s the most effective way of keeping them protected against infectious diseases.

Ideally, children should have their jabs at the right age to protect them as early as possible and minimise the risk of infection.

Find out which jabs your child needs, when they need them, and what the benefits of each jab are.

Please call the surgery on 0208 567 0447 to make an appointment.

Useful links

Flu Vaccination

Seasonal flu is a highly infectious illness caused by a flu virus.

The virus infects your lungs and upper airways, causing a sudden high temperature and general aches and pains.

You could also lose your appetite, feel nauseous and have a dry cough. Symptoms can last for up to a week.

We offer ‘at risk’ groups the flu vaccine at a certain time each year to protect you against the flu virus.

You may be invited for a flu jab if you are:

  • over 65 years of age
  • pregnant

or have:

  • a serious heart or chest complaint, including asthma
  • serious kidney disease
  • diabetes
  • lowered immunity due to disease or treatment such as steroid medication or cancer treatment
  • if you have ever had a stroke
  • If you have any queries please contact the surgery.

For more information please visit the websites below:

Useful Links

Pneumococcal Vaccination

The pneumococcal vaccine (or ‘pneumo jab’ or pneumonia vaccine as it’s also known) protects against pneumococcal infections.

Pneumococcal infections are caused by the bacterium Streptococcus pneumoniae and can lead to pneumonia, septicaemia (a kind of blood poisoning) and meningitis.

Read more about why the pneumococcal vaccination is needed.

Who should have the pneumococcal vaccine?

A pneumococcal infection can affect anyone. However, some people need the pneumococcal vaccination because they are at higher risk of complications. These include:

  • all children under the age of two
  • adults aged 65 or over
  • children and adults with certain long-term health conditions, such as a serious heart or kidney condition

Read more about who should have the pneumo jab.

How often is the pneumococcal vaccine given?

Babies receive the pneumococcal vaccine as three separate injections, at 2 months, 4 months and 12-13 months.

People over-65 only need a single pneumococcal vaccination which will protect for life. It is not given annually like the flu jab.

People with a long term health condition may need just a single one-off pneumococcal vaccination or five-yearly vaccination depending on their underlying health problem.

Travel Advice & Vaccinations

In order to assist us to make a full assessment of the potential risks to your health from your planned travel, we would ask that you make a Travel Clinic appointment with our Practice Nurse. Ideally, this appointment should be made around the time of booking your holiday, at least 6 weeks before you travel.

At your appointment we may ask the following questions to help us plan for your trip:-

  • When are you departing and for how long?
  • Where are you going, including the destinations within a country?
  • Where are you staying, e.g. backpacking, camping, hotels?
  • Are you planning to undertake any high risk activities?
  • Have you taken out travel insurance and have you informed the company of any existing medical condition?
  • If female and of child bearing age, is there any possibility you could be pregnant, or are you planning a pregnancy?
  • Do you have any medical conditions, or a history of significant medical illness? (these can influence the choice of malaria tablets we recommend)

It would help us greatly if you had some awareness of the travel problems that you may be at risk from on your trip before you come for your appointment.

Useful links