Counselling Services

Many people may be experiencing stress and mental health difficulties. Havering Talking Therapies can help with anxiety and depression for those experiencing difficulties.
We are also working with IESO Digital health as another treatment option. Click here to find out more
HOW A GP or PATIENT CAN MAKE A REFERRAL
Self-Referral: DIRECT LINK www.iaptportal.co.uk/nelhav.html   Contact: 0300 300 1554 (Option 2)  
Email: haveringtalkingtherapies@nelft.nhs.uk  
SELF REFERRAL FORM ON WEBSITE www.talkingtherapies.nelft.nhs.uk/havering   SELF REFERRAL LINK
Register, Screen & Triage in 48 hours which means patients will be contacted once the initial referral is made via Self referral or direct from GP’s
We provide a wide range of treatments which include Face to Face, Group Therapy, Telephone and Online-self help.

Travel Clinic

If you are travelling within the next 8 weeks:

  • Download a Travel Risk Assessment Form
    Download a Travel risk assessment form here or collect one from the surgery

    TO BE SUBMITTED BY 6 WEEKS BEFORE TRAVEL.

    Completed forms can be returned to reception or emailed to (practice email – nelondonicb.nsmc@nhs.net). Once completed and returned, your information will be reviewed by a nurse and you will be contacted. If required a travel appointment will also be booked.

We are pleased to be able to offer a comprehensive foreign travel advisory service which includes the supply and administration of most of the vaccines, medications and health related products you will need for your travel plans.

Some patients, especially back packers and those travelling to Far East countries, may be asked to attend our travel clinic once the travel clinic forms are completed. Our travel trained practice nurses runs this clinic with support from Dr Burack.

There will be a charge for the following vaccinations if required:

  • Rabies
  • Japanese Encephalitis
  • Cholera
  • Hepatitis B
  • Yellow Fever.

There will also be a charge for private prescriptions for travel drugs. We will advise you if any of these are required and inform you of the current prices for each vaccine. Payment must be made in full at the time of your appointment.

We accept cash, card or online payments. Please see the poster in waiting room for up to date prices and our website. All attendees of our travel clinic will receive an up to date health-related travel guide. We also offer a travel service to private patients. Details of fees are available from reception.

There is further information about countries and vaccinations required on the links below

 Europe & Russia North America
 Central America South America
 Carribean Africa
 Middle East Central Asia
 East Asia Australasia and Pacific

It is important to make this initial appointment as early as possible. Some vaccines have to be ordered as they are not a stock vaccine.  Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because not all travel vaccinations are included in the services provided by the NHS.

See below our Top Travel Tips Leaflet – 

Travel Advice Leaflet


Travel Vaccination Prices

Travel vaccinations for North Street patients. If you are not registered at the practice, there may be a charge for the NHS free vaccinations.

VaccinationNHS / PrivateDoses RequiredDose costCourse cost
Typhoid & Hepatitis ANHS1FreeFree
Hepatitis ANHS2FreeFree
TyphoidNHS1FreeFree
Tetanus/Diphtheria/ PolioNHS1FreeFree
Hepatitis A&BNHS3FreeFree
Hepatitis B
(Not available on NHS)
Private3£50£150
Japanese Encephalitis
(Not available on NHS)
Private2£100£200
Meningitis A,C,W&Y
(Not available on NHS)
Private1£65
Rabies
(Not available on NHS)
Private3£75£225
Tick Born Encephalitis
(Not available on NHS)
Private3£70£210
Yellow Fever & certification (Not available on NHS)Private1£70
Other services
Yellow fever exemption certificate£40
Prescription for anti-malarial treatment£35
Prescription for private/ holiday£35
Please note that once payment is completed, we are unable to issue refunds. We recommend ensuring you are fully satisfied with the price before finalising your purchase. After payment, stock is ordered and cannot be returned. Thank you for your understanding

Physiotherapy

Do you have a joint or muscle problem?

Please use the FREE getUBetter app designed and written by your local clinicians in North East London – BHR. It offers local? tips, advice, and exercises tailored to you and your stage of recovery.

Instant access
Easy to use
Safe and effective


Your healthcare professionals cannot be with you 24/7, but getUBetter can.

Why is self-care important?

Most musculoskeletal (MSK) injuries and conditions can be treated at home and get better without the need for a specialist appointment. getUBetter gives you the knowledge, skills, and confidence you need to improve your MSK health and lifestyle.

What is getUBetter?

getUBetter is a safe and effective way to help you self-manage your injury or

condition at home, work, and on the move.

The app covers a range of musculoskeletal injuries and conditions…

  • Back
  • Back & Leg
  • Neck
  • Shoulder
  • Elbow
  • Hip
  • Knee
  • Ankle
  • Sprains and strains – leg
  • Upper Limb Tendinopathy
  • Lower Limb Tendinopathy
  • …and is designed to help you trust your recovery, live and work well.

Who is getUBetter for?

Anyone 18 or over who needs help with a joint or muscle problem.

What will I get?

  • Instant and 24/7 access to a personalised programme
  • Easy-to-follow self-progression exercises
  • Daily tips and local guidance from day one
  • Advice on where to seek help when needed
  • Access to local treatments and services

What are the next steps?


Follow the link below to access your local health service, then select your GP practice, as well as the condition you’d like support with. Download the getUBetter app and sign up using your email address.

GetUBetter App

– Follow the instructions in the app to access your local support pathway.
– Log in and follow your programme regularly to improve your MSK health.
– If you need further help getting started, watch our videos (GetUBetter get started,
GetUBetter How it works) or get in touch with one of our team:
contact@getubetter.com

The app is not suitable for:

  • Under 18-year-olds
  • People with worsening neurological symptoms like numbness, weakness, or
  • problems with bowel or bladder.
  • People diagnosed with an infection, rheumatological problems, neurological issues,
  • cancer, kidney, fracture, and pelvic organ pain.
  • People that are requiring an ongoing close medical attention.
  • People with very severe, worsening symptoms
  • Pregnancy-related problems.

Nursing Home Services

North Street Medical Care is currently affiliated with 3 nursing homes in Romford:

Heatherbrook Care Home – 80 Como Street, Romford, Essex, RM7 7DT

Homes 40+ patients that are registered with the practice. Dr Haque undertakes a weekly round on Tuesday afternoons to review and manage patients that require input. This also includes care plans, admission avoidance, medication reviews and acute medical care.

Lodge Care Home – Lodge Lane, Collier Row, Romford RM5 2ES

Cares for 90+ patients that are registered with the practice. Dr Sura undertakes a weekly round on Thursday afternoons to review and manage patients that require medical input. This also includes care plans, medication reviews and all medical care. The home specialises in support for adults diagnosed with a form of dementia.

Kallar Lodge – 75 Gregory Road, Chadwell Heath, Romford RM6 5RU

Dr Evans cares for 37 patients that are registered with the practice. We undertake a weekly round to review and manage patients that require input. The home specialises in support for adults diagnosed with a form of dementia.

Nursing Clinics

Child Development and Immunisations

Drs Burack, Haque, Symon and Sura undertake the 8 week child development check. You will be contacted by the surgery with an appointment time. The practice nurses are available to give routine baby immunisations during normal surgery times, normally immediately after the 8 week check wherever possible. Please ring for an appointment if you are not contacted.

Cervical Cytology

Appointments can be booked with any of the practice nurses during normal surgery hours. We strongly recommend you respond when you receive an invitation to attend from the local laboratory

Occupational Health – Hepatitis B Vaccination

Hepatitis B Vaccination is not available for those who feel they need cover because of their occupation or other reasons. Patients should speak to their employer who is responsible for arranging vaccination.

Meningitis C Vaccination

If you are starting University this year, or intend to start, you should get the Meningitis C vaccination before you go.

Meningococcal group C disease is a rare but life threatening disease that occurs mainly in young children and young adults. You are more at risk of getting meningitis just after starting university as you will be mixing closely with lots of new people some of whom may unknowingly carry the meningococcal bacteria.

You may have received a MenC vaccination as a small child, but your immunity will have decreased and a further vaccination is recommended.

There is more information about the MenC vaccination on the NHS Choices website at www.nhs.uk/conditions/Meningitis/Pages/Introduction.aspx

Vaccination is available at the practice for a limited time. To book your appointment please call 01708 629733 and request a MenC vaccination appointment.

Flu Clinics

These are Walk-in clinics for eligible patients. You will receive a SMS message reminder or a letter if you are eligible.

Under 18 year olds MUST book an appointment as we are unable to see this cohort of patients during a Walk-in Clinic. Please await your invite letter/SMS message before telephoning for an appointment.

  • Please note our practice carpark at the North Street Site will not be open during Saturday flu clinics for health and safety reasons. There will only be disabled parking available for these clinics.
  • Please do not attend our flu clinic if you have any symptoms of COVID-19.

Who can have the flu vaccine?

The flu vaccine is given to people who:

  • are 65 and over 
  • have certain health conditions
  • are pregnant
  • are in long-stay residential care
  • receive a carer’s allowance, or are the main carer for an older or disabled person who may be at risk if you get sick
  • live with someone who’s at high risk from coronavirus (on the NHS shielded patient list)
  • frontline health or social care workers

Flu Clinics:

At our Romford siteAt our Ashton Gardens site
Saturday 5/10/2024 – 9:00am to 12:00pm. OVER 65 ONLY WALK-IN CLINICBooked Appointments Only
Saturday 19/10/2024 – 9:00am to 12:00pm. ALL INVITED PATIENTSBooked Appointments Only
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You qualify for an NHS flu jab if you are 65 or over, or if you have any of the following problems:

  • Heart disease
  • Asthma (on inhaled steroids)
  • Kidney failure
  • Any condition requiring steroids or cancer treatment
  • You are the main carer for an elderly or disabled person
  • Chronic bronchitis
  • Diabetes
  • Respiratory disease making you short of breath
  • Multiple sclerosis or hereditary and degenerative diseases of the Central Nervous System
  • Suffered a stroke

Children – All children aged between 2, 3 and 4 years of age are being offered a flu vaccination via a nasal spray unless otherwise indicated due to medical conditions.

This appointment is to be booked by invitation letter only, once you have received your child’s letter, please call 01708 629733 to book an appointment. Please note Primary school aged children will be receiving this vaccination as part of the school programme. If you require any further information about your child receiving this vaccine please call the surgery and make an appointment to see one of our nurses who will be happy to discuss with you any concerns or questions you may have.

Anti-pneumonia jab – In addition, if you are aged 65 or over or are in one of the ‘at risk’ groups outlined above you should have an anti-pneumonia jab. If you have not had an anti-pneumonia vaccination please ask the nurse about this.

Shingles vaccination – 

To check if you qualify for a Shingles vaccination please click here

Contraception – LARC

A full range of contraceptive services and methods are available at North Street for our patients. These include pills, injections, caps, emergency contraception, coils and implants. Patients can be referred to vasectomy services. There are three specially trained family planning nurses that you can see and also your own doctor.

Boys and girls under the age of 16 are very welcome to use these services and can do so without being accompanied by a parent. All patients, including under 16’s can be assured of absolute confidentiality when consulting with all problems, including contraception.

We currently offer several long acting reversible contraceptives:

  • Coil insertions & removals – copper coils & Mirena hormone coils
  • Nexplanon hormone implant insertions & removals
  • Depot injections – depot injections last 3 monthly and are given by the practice nurse
  • Sayana Press depot injections – Initiation of 13 weekly self administered injections

For external patient GP referrals – please use the form at the link below to refer patients for coil or nexplanon LARC services.

LARC Inter practice referral form

Minor Surgery Clinics

The practice undertakes specialised NHS community skin surgery clinics on a regular basis. Our minor operations suite homes our service, which provides essential treatments for both our Romford and Chadwell Heath patients. We are now also taking outside referrals from neighbouring GP practices from Havering – ask your GP if you are eligible.

North Street offers community surgery for appropriate conditions with Dr Sura, Dr Haque and Dr Burack, fully supported by our nursing team and specially trained theatres assistant HCAs.

We can also take advantage of Dr Haque specialised interest and experience in Dermatology and diagnostic skills.

These are some of the types of treatments offered for joints and symptomatic skin lesions:

  • Joint Injections
  • Actinic keratoses
  • Seborrhoeic warts
  • Skin tags
  • Lipomas
  • Sebaceous Cysts
  • In-grown toenails

For GP referrals – please use the form at the link below to refer patients for Community Surgery services and email to havccg.nsmc@nhs.net

Havering Minor Surgery Referral form

Chronic Disease Management Clinics

The practice is fully committed to the development of general practice into the twenty first century. We aim to provide the best possible preventive care for patients with diabetes and cardiovascular disease. We have a dedicated system for providing care for patients with these conditions offering regular comprehensive checks with experienced staff.

We are in the forefront in response to guidelines for good practice in the management of diabetes, high blood pressure and heart disease. Our aim is to help to decrease the impact of the complications which may arise from these diseases.

Asthma / COPD

Asthma is a medical condition that affects up to 1 in 8 children and adults in the UK and for most people with asthma, is best and most appropriately managed in the community setting, like General Practice, rather than the hospital one. We have nurses and doctors who run dedicated asthma clinics for our patients with asthma, ensuring that any medication required remains age and dose appropriate for the individual. We try to ensure that all our asthmatic patients are in control of their asthma 16 by helping them to develop the knowledge and confidence to self-manage their asthma on a day to day basis and to recognise when they need medical help.

Cancer prevention

Cancer is a local and national priority. There are several things you can do to reduce your risk of developing it. Firstly do not smoke. If you do, stop. This is the most important risk factor today. Secondly, eat a diet with plenty of fruit and fresh vegetables. This has been shown to reduce bowel cancer which is very common, in patients over the age of 65. Thirdly, try not to be overweight. Breast and prostate cancer is more common in overweight women and men respectively.

Diabetes

Diabetes affects between 3-4% of the population and is increasing as we all enjoy a wealthier lifestyle. It tends to run in families and is common in obese people. The condition increases the glucose level in the blood. It is another major risk factor for developing heart disease but can also affect eyesight, the kidneys, the feet and the nerves in the skin. It is treated by diet initially but adult patients may also need tablets or even insulin injections. Young people tend to need insulin injections immediately.

Patients are seen every 6 months to have their illness monitored and ensure that their diabetes is under good control. Checks are also undertaken for other heart disease risk factors and assessments made for other diabetic complications so that these can be treated appropriately.

Heart Disease

Heart disease is one of the major life threatening illnesses in modern society. Improving life expectancy in such patients is a local and national priority. Preventing it is better than curing it. Not smoking will immediately reduce your risk, as will regular physical exercise and healthy eating. Also, try not to put on too much weight. Those who already have heart disease have a much greater risk of further trouble. As a result, we have set up our Heart Disease Prevention Clinic. We call this secondary prevention which means we are trying to prevent further trouble for our heart disease patients.

It is very important to quit smoking and keep your weight down. If you have hypertension or diabetes, it needs to be correctly controlled. It is also important to reduce cholesterol and most heart disease patients, will need tablets to do this. If you have heart disease, you will be invited once yearly to see our nurses to have all the above checked. In this way, we hope to play our part in improving your life expectancy.

Hypertension

Hypertension or high blood pressure is a common problem as we age. Most patients have this diagnosis from the ages of 45-70. It produces no symptoms and is usually picked up because a health care professional decides to take the opportunity of checking a patient’s blood pressure. It is a risk factor for heart disease and stroke in the future. Treatment is very simple and straightforward and we follow the guidelines of the British Hypertension Society.

New patients will have a blood test and cardiograph. We are then in a position to calculate the 10 yearly risk of developing heart disease. If greater than 15%, we would recommend treatment. If less than 15%, we would recommend a period of observation. We tend to see patients every 6 months for this problem in order to monitor the condition, check other heart disease risk factors and make treatment adjustments if necessary. We hope to see a reduction in heart and stroke disease in the years to come.

Cancer Care

Around 1 in 2 people born after 1960 are likely develop some form of cancer in their lifetime. As if this isn’t worrying enough the Covid-19 pandemic has caused a significant disruption in the care of cancer patients throughout the UK. In October 2020 Macmillan Cancer Support published a report where it estimated there were 50,000 “missing” cancer diagnoses. This means compared to a similar time period in 2019 there have been 50,000 fewer people diagnosed with cancer. Additionally 22% of patients with confirmed cancer have experienced a disruption in their care.

Despite the above concerning statistics we would like reassure patients who have confirmed or possible cancer their care is incredibly important to us. Our clinicians are continuing to consult with patients, albeit using the nationally advocated telephone triage model. 

Those patients who are concerned they might have cancer will be booked in for a telephone or video consultation where a GP or nurse practitioner will obtain as much information as possible about their symptoms. The charity Cancer Research UK has listed a number of potentially worrying symptoms in its webpage below:

https://www.cancerresearchuk.org/about-cancer/cancer-symptoms

After a telephone triage or video consultation a GP or nurse practitioner may arrange an urgent face to face examination and/or investigations. In many instances patients will  reassured the symptoms they are experiencing are not cancer related. In some cases, however, the tending clincian may feel it would be sensible to refer urgently to a specialist for further investigation. This is done via a pathway designated as a “2 week wait referral” as the patient should  be assessed (face to face or by telephone) by a relevant specialist within 2 weeks. Further information on this pathway is provided below:

Suspected cancer referrals: patient information leaflets

https://www.healthylondon.org/suspected-cancer-referrals/patient-information-leaflets/embed/#?secret=pcRDiXWB1i

Many patients referred via the above urgent pathway will be diagnosed with a condition other than cancer. Sadly, some patients will receive a cancer diagnosis at which point the specialist team may take over this aspect of the patient’s care. Patients with a confirmed cancer diagnosis will continue to be cared for by their GP or nurse practitioner at North Street Medical Care. All should receive a “Cancer Care Review” by our Cancer Lead, Dr Baber Qadir, or the original referring GP within 6 months of diagnosis. If this has not happened for any reason please contact our reception staff and we will arrange one as soon as possible.

Further information and support on cancer care during the Covid-19 pandemic can be obtained by visiting the charities below:

Cancer Research UK Homepage

https://www.cancerresearchuk.org

https://www.macmillan.org.uk