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The practice provides full general medical services and also some national and local enhanced services under the new GP contract. This PMS practice also offers a number of service initiatives including elderly annual screening (for all patients aged over 75 years), osteoporosis screening, alcohol misuse and avoidance initiatives and is a teenage friendly practice. These are just a few examples of these initiatives. The practice continues to achieve high quality framework points and encourages patients to attend repeat medication reviews and health checks on a regular basis. The ethos of the practice is disease prevention and the healthcare team is strongly committed to this ethos. We undertake annual reviews for patients over 75 and offer three-yearly reviews to all other patients over the age of 16. Details are available at reception.


The practice provides antenatal and postnatal care. When you first book maternity care you will be provided with an antenatal schedule indicating where and when you will be assessed. When booking an appointment for a doctor at the surgery, please clearly indicate to the receptionist the expected dates for antenatal care so that an appropriate appointment can be given. The practice provides joint care with midwives and the local hospitals.

Medical Examinations

Medical examinations for special purposes such as fitness to travel, pre-employment, insurance, driving medicals etc, are undertaken outside normal medical hours by Dr Winayak. A fee is payable: check at reception regarding appropriate fees. Please note that if you arrange for a fee-paying medical and do not attend you will automatically be charged a non-attendance fee of £50.00. Special medical examinations will not be taken during medical sessions. To make an appointment contact Dr Winayak's PA.

Family Planning

The Practice offers Family planning services to all patients. Doctors and Nurses will be happy to help with Contraceptive needs and advise appropriately. If you require Emergency Contraception please ask for an ‘on the day appointment’ with the Practice Nurse. We no longer undertake IUCD, (coil) or IUS (Mirena) fittings within this Practice. There are a number of local Family Planning Clinics who provide this service. The Practice staff will be able to provide details on request.

Health Promotion

The aim of promoting health is to try to identify risk factors at an early stage and prevent them from causing ill health. For this reason we will ask you about drinking and smoking habits and measure your blood pressure and weight from time to time. This is especially advisable in people with a family history of heart disease, diabetes or stroke.

Preventative Measures

You can improve your health by:

  • Not Smoking
  • Not becoming overweight
  • Eating a healthy diet
  • Drinking alcohol in moderation
  • Taking regular exercise
  • Having your blood pressure checked regularly

Influenza And Pneumonia Vaccine

In accordance with Department of Health guidelines, we recommend influenza plus pneumonia vaccination for patients with diabetes, chronic heart, lung or kidney disease, residents of nursing and rest homes and carers of elderly or disabled patients. The vaccination is available in October; please contact the receptionists for further details. Influenza vaccination is available from late September. The practice hopes to complete this vaccination programme by early December. Please contact the receptionists for further details.

Travel Advice

Our practice nurses will be pleased to give advice to those patients going abroad. The practice is a yellow fever centre. We offer travel vaccinations to both practice patients and non-patients. Allow adequate time in order for the vaccine(s) to be effective. Certain vaccines are chargeable - please ask at the time of booking.

Before You Go
Well before travelling abroad, check with your travel agent or the tourist board/embassy of the country you intend to visit for any special precautions you may need to take. At least two months before departure discuss any vaccination requirements with the practice nurse. Pack a small first aid kit containing adhesive dressings, insect repellent, antiseptic cream and water purification tablets etc; ask at the pharmacy.

When Abroad
Check on the quality of the drinking water. If in any doubt either drink only bottled water or use water purification tablets.

Avoid ice in drinks as this may well have been made from suspect water. If in doubt stick to freshly cooked food. Beware of the sun! Use a high factor sunscreen particularly in the first few days of exposure. Children in particular should be closely monitored in this respect. In hot climates drink plenty of non-alcoholic drinks. If you are not passing water regularly you are not drinking enough.

On Your Return
If you fall ill, don’t forget to tell your doctor that you have travelled abroad. If you have received treatment abroad, tell your own doctor on return. When donating blood, tell the transfusion staff which countries you have visited.

Your Neighbourhood Professionals. Just a Click Away! The Richmond Practice 2
© Neighbourhood Direct Ltd 2018
192 Twickenham Road, Hanworth, Middlesex, TW13 6HD
  • Telephone 020 8481 7989
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! The Richmond Practice 2
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