For alcohol related problems please contact Haringey Advisory Group On Alcohol (HAGA) on 020 8800 6999.
When you know you are pregnant please fix an appointment with a doctor who will then refer you to a hospital of your choice. Initial midwifery appointments are given after the 12th week of pregnancy and scans are performed after the 12th and 20th week.
After the 23rd week of your pregnancy, you should alternate antenatal clinics, between the midwifery team and your doctor at the 24th, 28th, 32nd, 34th, 36th and 38th week and weekly there after if labour is delayed. Please take a urine sample for testing whenever you visit the clinics. Blood pressure checks and foetal monitoring will also be performed at these clinics.
The website Emma's Diary gives an in-depth guide to before and after pregnancy and is also available as a booklet, so if you would like a copy please ask at reception. You can also refer yourself directly to the antenatal clinic at Whittington Hospital and to do this just fill in the referral form and send it to the address given on this page.
The asthma clinics are run by the nurse practitioners. The clinics make sure that patients are on the correct medication and have good inhaler techniques.
For those with high blood pressure, all our clinicians will carry out blood pressure checks. Please make sure that you are reviewed at least once a year regarding your blood pressure.
You can have a blood test at either the Laurels Healthy Living Centre which is across the road from St Ann's Hospital, Lordship Lane Health Centre or the North Middlesex Hospital. Please click on the links to find their location.
We can arrange for blood tests to be carried out at home for those who are housebound, frail and elderly. Please call us for more details.
Screening and mammography for breast cancer is part of the NHS screening practice for women aged between 50 and 70yrs. However, if you are not yet 50 but have a family history of breast cancer or any new suspicious features, then we will assess you and refer you appropriately. For more details please check the The North London Breast Screening Service.
To apply for some permits and benefits, your doctor needs to fill in and sign certain forms. These include forms for those claiming incapacity and disability benefits. Two forms need to be completed, one by the patient and the other by the doctor, which are then required to be sent off separately. From November the 1st 2008, application forms for the European Blue badge Parking Permits and Freedom pass permits for the disabled will no longer be filled in by your doctor. Instead, the department of social services will arrange for each applicant to have a medical examination by an independent doctor. Please click on the highlighted text to check if you are eligible for these benefits, as our doctors may refuse to fill in the forms if you are not entitled to them.
Changes to a form already filled in by one of our doctors should be made by the same doctor, but renewals can be made by any other doctor at our practice, who is familiar with you.
We may charge for letters supporting housing applications, but this support can only mirror what is in your medical records and a doctor's clinical judgement. For more information please visit the Haringey Council housing application website.
We do not complete naturalisation forms for patients applying to become British Citizens. To find out who can fill these forms please visit the Home Office website for British Citizenship.
If you need to have a chaperone present for any consultation, please make this request when you book your appointment. A chaperone may be a family member, a friend or a member of our staff.
Cadge pharmacy is located at the entrance of the surgery and is open the same hours as us Mondays to Fridays. In addition they are open on Saturdays from 9 am to 1 pm.
Childhood immunisations are administered in the nurses' clinics. Currently they are given to babies at 2, 3, 4, 12, and 13months and to preschool children between the ages of 3 and 5. However, some immunisations may be given in hospital soon after birth or at school between the ages of 10 and 14. Please check the UK immunisation schedule for more information on immunisations.
Please remember to respond to our reminder letters when a vaccination is due. If you have any worries or concerns about the immunisations, please speak to your doctor or nurse who will be happy to discuss this with you.
If you are under the age of 25 you can get the Chlamydia self-testing kit from one of our receptionists. You can also arrange for Chlamydia screening, when you have your routine smear test at our clinic or have it at St Ann's Sexual Health Clinic.
The diabetic clinic is run by the nurse practitioners and we try to look after most of our diabetics at the surgery but patients with complications are referred to the hospital. The blood pressure, blood sugar and medications of our diabetics are monitored regularly. Once a year their urine, pulse and sensations of the feet are also tested and their medications reviewed appropriately.
A dietician visits the surgery once a fortnight, so please ask to be referred, if you need any advice. The dietician gives specialist advice on cholesterol lowering, weight reducing and diabetic diets, and to those with nutritional disorders. Dietary advice is also given by all our clinicians.
A ramp, handrails and wide doors allow easy access to the surgery. All the practice rooms are on the ground floor and are wheel chair friendly. There is a toilet suitable for the disabled and 2 parking spaces with the wheelchair logo in front of the surgery.
Our nurses change dressings for wounds and ulcers. They prescribe additional dressings to those who are able to self-manage or have district nurses reviewing them.
If you have impacted ear wax, you can have your ears syringed by one of our nurses. However, before having them syringed, it is best to apply some suitable drops like olive oil for at least 5 days to help soften the ear wax. This will help reduce any discomfort when syringing.
All our doctors and nurses give advice on family planning and contraception issues. Emergency contraception is available from our doctors or nurses and is effective if taken within 72 hours. We also insert coils at the practice.
Flu and pneumococcal vaccines are administered in the nurses' clinic. They are offered to those who are over 65 and to those with chronic diseases such as diabetes, asthma, heart disease, kidney or liver disease or cancer.
Flu vaccines for the year tend to become available in the late autumn and are only effective for that season. So, every year we run special flu clinics to vaccinate all those who need it during this season. Your doctor might also give you this during your routine appointment.
Pneumococcal vaccinations are available all year round and are again offered to patients who are over 65 with chronic diseases.
Please see one of our doctors or nurses if you have any health concerns. If you feel more comfortable to be seen by a male doctor there will always be one available.
You can now refer yourself directly to a psychologist and do not need to go through your doctor. Please ask our receptionists for a referral form and once completed leave this at reception. Alternatively, you can download this form directly from the NHS haringey website in the mental health section.
Thursdays at 8.30 am is when Dr Macmillan removes moles, warts, sebaceous cysts and other lumps and bumps in her minor surgery clinic. Please speak to the receptionists if you would like to be assessed for minor surgery.
For the full range of services provided by haringey please go to www.haringeypct.nhs.uk/.
To cover our administrative costs we charge a fee for certificates, reports, letters, filling of forms or medical examinations for non NHS purposes. These include insurance claims, applying for mortgages, fitness to work and many more. The fees we charge are in line with the guidelines set by the BMA and for a full list of services please ask at reception.
All our clinicians prescribe pain relief for chronic pain. Our pain management clinic is for patients who have poorly controlled and complex pain.
Please book to see a nurse for the removal of stitches. Generally stitches should be removed after 5-7 days on the face, 10-14 days for skin over a joint and 7-10 days for all other skin. These times may vary according to the advice given by the clinicians and absorbable stitches do not need to be removed.
Free sexual health screening is performed at a number of clinics across London. St Ann's Sexual Health Clinic is the closest to our surgery and is at:
St Ann's Hospital,
You do not need to see the doctor or have a sick note from your doctor for any illness lasting less than 7 days.
If you are in hospital as a patient then please ask the doctors there to give you a medical certificate. Listed below is a summary of what type of sick notes you need to get when you are ill. For more information on sick notes patient.co.uk gives a good overview.
|Duration of illness||Sick notes|
|Less than 3 days||You do not need a sick note for your employer.|
|3-7 days||You should hand in a "self certificate" (SC1) and you do not need to see your doctor for this.|
|More than 7 days||You will need to see your doctor to get a "Med 3" sick note.|
|More than 7 days (but saw a different doctor, e.g. whilst away or at hospital)||You will need to see your doctor to get a "Med 5" sick note. Your doctor will need written evidence that you saw another doctor.|
|More than 28 weeks or 7 months||You will need to see your doctor to get a "Med 4" certificate which gives greater detail of what is wrong with you.|
To pick up early signs of cervical cancer, we carry out routine smear tests once every 3 years on our female patients aged between 25 and 49 years. For those between 50 and 65 years smears will be done once every 5 years. However, tests will be performed more frequently if the results call for this. Vaginal swabs and tests for Chlamydia are not routinely carried out during cervical screening. But, you can ask for separate appointments to have this done.
Smoking has a major impact on health and can significantly reduce your life expectancy. We have a nurse led 'stop smoking clinic' and all our clinicians will also offer you advice. We also prescribe nicotine replacement therapies and combined with regular counselling will most likely help you stop smoking.
Dr Rohan uses Methadone and buprenorphine maintenance treatment support for the management of opiate drug misuse.
Our doctors and nurses are happy to discuss contraception, sexual health and other issues relevant to teenagers. Anything you tell them will be confidential just as they would for an adult.
We offer a comprehensive service to help you plan your travel requirements including vaccinations. Please consult our nurse at least 6 weeks before travelling, as some destinations require a complicated schedule of vaccination. Before you come to see us you can access the Fit for Travel website where you can print out your personal requirements.
The surgery is a registered Yellow fever vaccination centre and this facility is available to both our patients and to those not registered with us. There is a charge per person for the vaccine and the paper work that goes with it. We also charge for the Hepatitis B vaccine. Please ask at reception for what we charge for this service.
Most of our clinicians can freeze warts using liquid nitrogen. For deep, large and multiple warts, please fix an appointment to see our doctor at the minor surgery clinic.
Our female doctors and nurses give advice on any issues affecting women and this includes contraception, the menopause, prenatal counselling or any other problems.
020 8801 6640
The links to the health information on this website is only intended as guidance and is not a replacement for our personal GP services.
© Lawrence House Surgery 2009-14