Clinics & Self-Referrals

Here you’ll be able find out more on the Services available to you on a Self Referral basis.

Select your preferred language

We are improving the way we work with patients with long-term conditions

Patients living with certain long-term conditions will be encouraged to attend a yearly health check. Long-term conditions are those that impact over a long period of time, such as diabetes and heart diseases.

Patients will receive personalised care and support from healthcare professionals from their general practice. This will cover things that patients say matter most to their health and wellbeing, from the best treatment for their condition, to wider things like employment, housing, and mental health.

Our goal is that by planning care together with care, patients will have the confidence to manage their health, reduce their risk of being admitted to hospital, and have a better quality of life.

Who is this for?
Initially, we will cover nine long-term conditions:
 – Diabetes (Type 1 and Type 2)
 – Cardiovascular disease (for example, strokes, health failure, ischaemic heart disease, and peripheral artery disease)
 – Hypertension (High blood pressure)
 – Hyperlipidaemia (High cholesterol)
 – Non-alcoholic fatty liver disease
 – Atrial fibrillation
 – Chronic kidney disease
 – Asthma
 – Chronic obstructive pulmonary disease.

In the future, we will look to expand this to cover more long-term conditions.

What can you expect?
If you have one of the long-term conditions listed above, you will be encouraged to have at least three check-ins per year. Each stage is described below for you:

Attend your Check and Test Appointment
In your Check and Test Appointment, a health professional will carry out all the checks and tests you need to monitor and manage your long-term condition. You may be sent for a blood test and have other checks like a blood pressure check and weight check. We may discuss lifestyle factors such as smoking and exercise with you too.

Receive your test results and your Care Plan
After two to four weeks, you will receive your test results (by post, text, or email, however you prefer).
We will also send a blank document called a Care Plan.

A Care Plan is an agreement between you and your healthcare professional to help manage your health and support day to day. In your Care Plan, you can record things that are important to your health and wellbeing. This can include anything from your life, like employment, housing, or mental health.

A Care Plan covers:
What is important to you and the goals you have
How to get the most out of your medication
The care and support you need from others

A healthcare professional will review your Care Plan with you in your Discussion Appointment. You can start filling out your Care Plan before your appointment or you can fill it during your appointment.

Attend your Discussion Appointment
You will then be invited to a Discussion Appointment with a healthcare professional. This may be another team member (such as a nurse, health care assistant, pharmacist, social prescriber link worker) who is best placed to support your care and can spend more time with you. This appointment will take around 30 minutes.

You can discuss your long-term conditions, test results, treatment, and anything else that is affecting your health, from housing to employment. Together we will look at what matters most to you and agree some goals. Your Care Plan will be updated with what has been agreed.

Attend your Follow-Up Appointment
Three to six months later, you will be invited to a Follow-Up Appointment. This will last up to 15 minutes and is an opportunity to update your Care Plan with a healthcare professional, considering what is going well and where you may need more support. You may have more than one Follow-Up Appointment in a year.

How will I be contacted if this is for me?
We will contact you via text, phone call, or letter to organise your appointments. We will contact patients over the year so please do not worry if you do not hear from us right away. If you are concerned or have questions, please contact us.

Alcohol dependence

Cutting down on alcohol can have its rewards. Not only will it mean a reduced risk to your health, but you could lose weight, feel better and have more time and cash to spend on doing other things. For advice and support to cut down on alcohol call Haringey Advisory Group On Alcohol (HAGA) on 020 8800 6999.


Every year we offer asthmatics an asthma review. This usually involves a discussion about how well symptoms are controlled, as well as checking peak flow and inhaler technique. If it is difficult for you to attend for a review, the asthma questionnaire can be downloaded and once completed hand in at reception.

Blood tests

Blood tests can be done in the surgery but only on Saturday in the morning. If you are unable to attend you can have a blood test at the Laurels Healthy Living Centre, opposite St Ann’s Hospital main entrance. Blood tests at the Laurels Healthy Living Centre are just off the reception area, opposite the centre’s cafeteria. You need to take a ticket and wait to be called.

You can also have a blood test at The North Middlesex Hospital and book an appointment online. Booking online saves time and reduces your waiting time considerably as you can book an appointment at a time of your choice and you only need turn up five minutes before to check in. Walk-in patients may have to queue for up to two hours at busy times of day. The blood test itself usually takes around five minutes.

Alternatively, if you are unable to book online, please call 020 8887 2366 (Mon–Fri, 9am–5pm).

We can arrange for blood tests to be carried out at home for those who are housebound, frail and elderly. Please call us for more details.

Breast screening

Routine breast screening is available to all women aged 50-70. Women are routinely called every three years and the screening programme calls all women registered with the High Road Surgery at the same time. Women are sent an appointment with the option to telephone and re-arrange the time if necessary. Women over 70 can be screened but only if they telephone to arrange an appointment.

The Breast Screening website allows you to access more information about screening, changing appointments and checking when your GP practice is due next to be screened.

Certificates & disability benefits forms

To apply for some permits and benefits, your doctor needs to fill in and sign the forms as for those claiming incapacity and disability. For Freedom pass permits for the disabled, forms will only be filled by the doctor if it is requested by the local authority.

Changes to a form already filled in by one of our doctors should be made by the same doctor, but renewals can be made by any other doctor at our practice, who is familiar with you.

We do not complete naturalisation forms for patients applying to become British Citizens or countersign passport application forms.

Chaperone policy

If you need to have a chaperone present for any consultation, please make this request when you book your appointment. A chaperone may be a family member, a friend or a member of our staff.


Our nearest chemist is Crescent Pharmacy Express and they are open 09.00 to 18.30 hrs Monday to Friday. Your local pharmacist can give you friendly, expert advice about over-the-counter medicines that can help with lots of common conditions, and there is no need for an appointment.

As well as dispensing prescriptions, pharmacists provide a range of services related to specific health issues and can advise on minor ailments such as colds, skin conditions and allergies. Other services include emergency contraception and incontinence supplies.

Additional information on pharmacies.

Childhood immunisations

Childhood immunisations are administered in the nurses’ clinics. Currently they are given to babies at 2, 3, 4, 12, and 13 months and to preschool children between the ages of 3 and 5. However, some immunisations may be given at the hospital soon after birth or at school. Please check the UK immunisation schedule for more information on immunisations. Your child may be eligible for the flu vaccine, so please ask any of our clinicians.

Please remember to respond to our reminder letters when a vaccination is due. If you have any worries or concerns about the immunisations, please speak to your doctor or nurse who will be happy to discuss this with you.

Diabetic clinic

The diabetic clinics are run by our nurse practitioners. For information on all aspects of diabetic care, please visit Diabetes UK and this site includes a useful guide to Type 2 diabetes.

Disabled access

A ramp, handrails and wide doors allow easy access to the surgery. All the clinical rooms are wheelchaifriendly and there is a toilet for the disabled.

There is an audio loop in the waiting room for those with hearing aids. Please tell the receptionist when you arrive and switch to your ‘T’ setting.

Dressings and ulcer management

Our nurses do change dressings for wounds and ulcers, but for long term management of these, you will be referred to the hospital. Additional dressings will be prescribed to those who are able to self-manage or have district nurses reviewing them.

Family planning and contraception

All our doctors and nurses give advice on family planning and contraception issues. Emergency contraception is available from any pharmacy and should be taken as soon as possible within 72 hours. 

Flu vaccines

Flu vaccines are administered by all our clinicians. They are offered to those who are over 65 and to those with chronic diseases such as diabetes, asthma, heart disease, kidney or liver disease or cancer.

Flu vaccines for the year tend to become available in the late autumn and are only effective for that season. So, every year we run special flu clinics to vaccinate all those who need it during this season. Your doctor might also give you this during your routine appointment.

To find out if you are eligible for any other vaccines please see (NHS flu vaccination).


As soon as you’re pregnant, tell a midwife or your GP.

The earlier you do this, the better, so that you can be booked in for your first scan. You don’t have to tell your friends and family at this stage if you don’t want to, but you should tell a midwife or your GP. You can self-refer directly to a midwife by ringing your local antenatal clinic or by visiting the hospital’s website (use links below) and filling in the self-referral form:

You can get a full pregnancy guide on NHS Choices and Emma’s Diary and they cover all aspects of getting pregnant, pregnancy, labour and birth, your newborn, babies and toddlers.

You can also search for other local hospitals for maternity care.

Mental health

You can now refer yourself directly to a psychologist at Let’s talk – Haringey and do not need to go through your doctor. Alternatively, you can get a referral form from the surgery and once completed hand it over at reception. There are also other useful online mental health services.

Mental Health Resource Hub | Haringey Council – more here

Social and emotional mental health support is available locally – find out more.

Parenting Programmes – these are specific courses run to support parents of children with autism, other special educational needs or are having difficulties managing/understanding their children or teenagers – click here for more information.

Minor surgery

Minor surgery is offered at this surgery. Inform the reception that you may require minor surgery and your appointment will be booked with the appropriate GP to review this first. 

Non-NHS fees & medical examinations

Some services provided are not covered under our contract with the NHS and therefore attract charges. Examples include the following:

  • Insurance claim forms
  • Medicals for pre-employment, sports and driving (HGV, PSV etc.)
  • Prescriptions for taking medication abroad
  • Private sick notes
  • Vaccination certificates

Pain management clinic

All our clinicians prescribe pain relief for chronic pain. We also give injections in the joints.

Removal of stitches

Please book to see a nurse for the removal of stitches. Generally stitches should be removed after 5-7 days on the face, 10-14 days for skin over a joint and 7-10 days for all other skin. These times may vary according to the advice given by the clinicians and absorbable stitches do not need to be removed.

Sexual health services

Free sexual health services are available at a number of clinics across Haringey.

Sick notes or medical certificates

You do not need to see the doctor or have a sick note for any illness lasting less than 7 days.

If you are in hospital as a patient then please ask the doctors there to give you a medical certificate. For more information on sick notes and related certificates, gives a good overview.

Smear tests & swabs

To pick up early signs of cervical cancer, we carry out routine smear tests once every 3 years on our female patients aged between 25 and 49 years. For those between 50 and 65 years smears will be done once every 5 years. However, tests will be performed more frequently if the results call for this. Vaginal swabs and tests for Chlamydia are not routinely carried out during cervical screening, but you can ask for separate appointments to have this done.

Please read the Cervical screening for more information. Women who have read all the facts and wish to withdraw from the screening programme, can download and complete the form below. Please ensure you have read the “cervical screening – the facts” leaflet prior to completing the withdrawal form. Please post the completed form to the practice for our records.

Cervical screening withdrawal form.

Smoking cessation advice

Smoking has a major impact on health and can significantly reduce your life expectancy. One You Haringey offers free support to help you stop.

Substance misuse

To register with the substance misuse service please contact – The Grove drug treatment service.

Teenage services

Our doctors and nurses are happy to discuss contraception, sexual health and other issues relevant to teenagers. Anything you tell them will be confidential just as they would for an adult. There are counselling services available within the borough for parents and teenagers.

Travel advice

We offer a comprehensive service to help you plan your travel requirements including vaccinations. Please consult our nurse at least 6 weeks before travelling, as some destinations require a complicated schedule of vaccination. Before you come to see us you can access the Fit for Travel website where you can print out your personal requirements.

Women’s health

Our doctors and nurses give advice on any issues affecting women and this includes contraception, menopause, prenatal counselling or any other problems. You can request to see a female doctor if you prefer this.


Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. It can help with back pain, sudden injury and long-term medical conditions as well as childbirth and sporting injuries.
You can self-refer yourself directly by filling in this form, and do not need to go through your doctor.

For more information please visit the MSK physiotherapy website.

Podiatry and foot

A podiatrist can assess a patient’s foot problem and provide them with treatment and self-care advice as appropriate to their individual needs. The service strives to support patients to self-manage their foot problems in order to improve and increase control over their foot health and you can self-refer for this service by downloading and filling in the form.

Podiatry self-referral