HRT is initiated by the Nurse Practitioner or Practice Nurse.

The Nurse Practitioner or Practice Nurse also carry out the follow-up appointments.

All women between the ages of 25 and 64 are eligible for a free cervical screening test every three to five years. In the light of evidence published in 2003 the NHS Cervical Screening Programme now offers screening at different intervals depending on age.

The new intervals are:

Age group (years)	Frequency of screening
25	First invitation
25 – 49	3 yearly
50 – 64	5 yearly
65+	Patients will only be screened if they have not had a smear since the age of 50 or have had recent abnormal tests

You will receive an invitation by computer-typed letter. However, you need not wait for the invitation before making your appointment. We prefer to do these tests within the practice and either the practice nurse, nurse practitioner or a doctor can carry them out.

Please inform the receptionist, when making your appointment, that you will be having a smear test.

Emergency Contraception can be effective up to 72 hours after unprotected intercourse. A coil can be fitted up to five days later and continues to provide contraception.

If you require emergency contraception please contact the surgery for advice as soon as possible.

Comprehensive, confidential advice is available from all members of the practice during normal surgery times. The Practice Nurse or Nurse Practitioner will be able to provide a prescription for oral contraceptives (the pill and mini pill), and can administer contraceptive injections.

The fitting of coils and contraceptive implants (Nexplanon)is performed by prior arrangement with Practice Nurse Josie. Please ask at reception for an appointment.

Midwives come to the Health Centre providing antenatal care to our patients every week.