Asthma Care
Increasing numbers of people of all ages are suffering from asthma. Your clinician will make the initial diagnosis and explain your treatment.

Our specially trained practice nurses and health care clinician will the ensure that the treatment is effective by checking inhaler techniques and measuring lung function regularly, referring to your doctor if necessary.

Cancer Patients
Patients with cancer care for in association with the hospital specialists and St Claires Hospice.

Cervical Smears
Cervical smears for women involve a simple quick test to check for changes which occur before cancer develops. We recommend that all women should have regular smear tests every three years or more often if required for medical reasons.

All patients who are eligible for the test are sent for by letter. If you think that you are due a test and have not heard from us, please contact us and let us know.

Our Practice Nurse carries out the test in the surgery.

Chronic Obstructive Pulmonary Disease (COPD)
Patients with COPD are advised to have a checkup at least annually to make sure they get the best treatment or their breathing problems.

Coronary Heart Disease
Patients with a history of heart disease need to be monitored on at least an annual basis to ensure their risk factors are minimised and treatment optimal.

Diabetic Care
The diabetic review is done by our practice nurse and health care clinician for the care of all diabetics. Patients are reviewed on a recall system and are invited to attend annually. 

We monitor blood and urine testing, diet, weight, blood pressure, medication, foot care and education. We also monitor kidney function and cholesterol levels regularly.

Patients with epilepsy should have a check up in the surgery and/or in hospital outpatients to ensure the control of their condition is optimal.

Patients with high blood pressure ought to have their blood pressure checked 6 monthly and blood tests done annually.

Patients with under-active thyroid should have blood tests annually.

Mental Health
Patients with mental health problems are advised to be reviews at least annually to ensure their mental and physical health problems are taken care of.

Sexual Health Clinics
Sexual health screening is done at GUM clinics, and patients can self-refer at:

Sexual Health Test at home service

ssex Sexual Helath Service
0300 003 1212
Essex Sexual Health Service

Smoking Cessation
For help and advice on stopping smoking
Essex Lifestyle Service

Strokes/Mini Strokes
Patients with a history of strokes or mini-strokes should be monitored at least annually to reduce risk factors for further recurrence.

Vaccination against the flu is advisable for patients with chronic heart disease, lung diseases, diabetes, stroke history and patients over 65 years of age.
The pneumonia vaccine is indicated for over 65 and for younger patients with chronic heart and lung diseases, the immunocompromised and patients without a spleen.
The practice nurses provide a service for these and other travel vaccinations. Please allow adequate time for travel vaccinations and many need to be administered some weeks ahead of the date of travel in order to be effective.

Well-Baby Clinic
Vaccinations and baby checks are undertaken at the surgery by nurses and a doctor respectively.
Health Visitors hold a separate session clinics at Rectory Lane Health Centre, where they offer health advice for you and your child, and weight measurement.
Please remember to bring your child’s red book with you to any appointment.
Vaccinations cannot be given without it.
Click here for more information about the Childhood vaccination schedule


If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.

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

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


It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These 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. 


Vaccine  Price per dose (£)   Doses required
Hepatitis B - Adult 50 3 (total £150) 
Hepatitis B - Paediatric  50 3 (total £150)
Diphtheria, Tetanus, Polio  40 1


Travelling in Europe

If you are travelling to Europe the EU has published useful information for travellers on the European website .

The providers below are independent from the practice and Loughton surgery does not take any responsibiity for their service 

Physio services

Hale physio provide a discounted price for patients registered with Loughton surgery



GPs are contracted to provide a service for all people within a National Service Framework. Unfortunately, more and more of the workload consist of reports for solicitors, employers, the DSS, the police, insurance companies etc. Much of this cannot be done in normal working hours, and therefore, GPs are entitled to expect a fee for these duties. Sometimes the patient will be responsible for the fee. Please see table below for details of private fees. 



Private Sick note/ Fit to travel


Certificate for Meningitis


Passport / Driving license countersignature


Holiday cancellation form


Gun license


Taxi Medical


HGV Medical


Forms not listed above

Available on request