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Baby Immunisations

Baby immunisations are carried out by our Practice Nurse, who has a clinic on a Tuesday afternoon. We write to all mums offering then an appointment when their baby is due an immunisation. These immunisations are extremely important so if you are unable to keep your appointment please let the receptionist know so we can rearrange this for you.

If you have any queries regarding your baby's immunisations please call and speak with our nurse.

Blood Tests

We have a phlebotomist here each morning.  Please ask for an early appointment if you need a fasting blood test.  For those with a new problem you will be asked to see the doctor before booking in for any tests.

Carers Health Check 

If you are a Carer we would like to invite you for a health check.  Please phone reception and book an appointment with one of our Practice Nurses.  Appointments could last up to 30 minutes.

Chronic Disease

If you suffer with a chronic disease and would like a review please book a double appointment with one of the doctors.  Please try and have any tests required, blood or urine, before seeing the GP,


If you know you will be having a procedure which will require dressings please make sure you book in with our practice nurse as soon as possible.  Please try not to leave it until you are discharged from hospital. 

Ear Syringing

Please let the doctor check your ears before booking an appointment to have them syringed.  The wax in your ears need to be softened for at least one week before syringing. 

Family Planning

All our clinicians provide family planning advice, just make an appointment during normal surgery hours. We do not provide a coil fitting service.

Foreign Travel Advice

Please check on the travel website to check which immunisations you will require then book your appointment with our practice nurse.  Please allow plenty of time to complete any course of treatment you may need before you leave on your travels. 

If you require a vaccination appointment for Travel Vaccines with our Practice Nurses, please allow at least 6 weeks to do so before travelling.

Flu Clinics (2018-19)

Click on the following links for this years flu clinics and eligibility.  

Flu Vaccinations times and dates

Eligibility for a flu vaccination

Health Visitor

To contact the Health Visitor please call 0208 359 8520.  The baby clinic is held on Monday morning 9:30am to 11:30am at First Place Nursery in Falconer Road, Bushey. 


To book in with the midwife please download a form from the West Herts Hospital website.  The form can then be posted to the central booking office.  Please try and do this early, around 8 weeks, so appointments with the midwife and for scans can be made at the appropriate times.

West Herts maternity self referral form

Royal Free maternity self referral form

Northwick Park maternity self referral form

Forms are also available from reception.

New Patient / NHS Health Check

If you are between the ages of 40 and 75 years, who do not suffer from a chronic illness, are invited for a NHS health check.  Please make an appointement with one of the Practice Nurses.


Six weeks after the birth of your baby you will need to make an appointment for yourself and your baby to be checked so please book in the one of the GPs.  This will be for 30 minutes and it is helpful for us if you book an afternoon appointment.

Referrals to Hospital/Community Care

Click on the following link to read a leaflet regarding what a patient can expect to happen if they are referred by their GP to see a specialist or consultant at a hospital or a community health centre.

Patient Leaflet for Referral to Hospital/Community Care

Yellow Fever Centre

Little Bushey Surgery is accredited to give Yellow Fever Vaccinations, book a private appointment with the nurse, there is a fee charged for these vaccinations. Click here for more information.

Private Medicals, Health Forms & Letters

The Doctors are happy to undertake medical examinations, complete private health insurance forms and write letters for such things as:

  •     Life Insurance
  •     Black Cab Drivers
  •     HGV/PSV Drivers
  •     Israel trip
  •     Fitness to drive
  •     Fitness to travel/fly
  •     Adoptions
  •     PPP
  •     Holiday Schools
  •     TWMC letters

To arrange a medical and for information regarding appointment times and fees please telephone Hilary on 020 8386 8888.  All Fees for completion of private work are payable in advance. Please allow at least 14 working days for the writing of private letters and completion of all forms. Please note we are unable to fax letters and forms to consultants and companies.

Sick Notes

The law says that you may self-certify your illness for seven days before any need for an official document.

The Statement of Fitness for Work, or 'fit note', is a Medical Statement that GPs issue after a period of absence from work of greater then seven day. It replaced the old 'sick note' and aims to focus on what an employee may be able to do at work rather than what they cannot do.

If you require a fit note please see a doctor.

If you require a 'sick note' for an illness of fewer than seven days duration, a private doctor's statement may be requested. The fee for this is £15, which is a set BMA rate, to be met either by you or your employer.

Stop Smoking Service

Our HCA runs stop smoking clinics at the surgery. Please call reception to book an appointment if you wish to have a consultation with our adviser.  The local pharmacies also provide a smoking cessation service.

Well Woman

The Practice Nurse runs this clinic, appointments should be made mid cycle.

Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Donna Karpel
Little Bushey Surgery, California Lane, Bushey, Herts, WD23 1EZ
  • Telephone 020 8386 8888
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Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home? Donna Karpel
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