We offer a range of clinics and services here at Pitshanger Family Practice to help manage chronic diseases.
Helping you to manage your health
Self Help
Find out more about
symptoms and conditions.
A to Z of Health:
Who do I see?
For information on how best to be seen at the Surgery, select the service or condition you require.
Abdominal Pain
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment, routine appointments within 1-4 weeks.
Acute Asthma
Who do I see: Practice Nurse or Clinical Pharmacist
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment, routine appointments within 1-4 weeks.
Alcohol Advice
Who do I see: RISE/AA
Advice: Please visit ealingrise.org.uk or alcoholics-anonymous.org.uk for self referrals.
Anxiety
Who do I see: IAPT Service/GP
Advice: Visit ealingiapt.co.uk for IAPT services, or please book an appointment online/ contact reception on 020 8997 4747 to make an appointment.
Back Pain
Who do I see: Community Pharmacy/GP after 7 days
Advice: Search for your nearest community pharmacist. For GP appointments, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Blood Pressure Monitoring
Who do I see: Health Care Assistant
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment, routine appointments within 1-4 weeks.
Blood Tests
Who do I see: Phlebotomist
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Appointments for blood tests MUST have been requested by your doctor or other health care professional.
Blue Badge Forms
Who do I see: Contact Ealing London Borough Council
Advice: Ealing Blue Badge Scheme, Tel: 020 8825 5000
Boils
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Breathlessness
Who do I see: Practice Nurse/GP or A&E for severe symptoms
Advice: Telephone 999 or 111 if symptoms are severe. For less serious breathing issues such as COPD or chest infections, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Breastfeeding Advice
Who do I see: Self Help/Health Visitor/GP
Advice: Visit NHS advice pages, or search for a breastfeeding support service near you. You can also book an appointment online, or contact reception on 020 8997 4747 to make an appointment with the GP.
Bruised Ribs
Who do I see: Community Pharmacist/GP
Advice: For pain relief, please search for your nearest community pharmacy. For difficulty breathing, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Burns
Who do I see: Practice Nurse/ Urgent Care Centre if severe
Advice: If severe, please search for your nearest Urgent Care Centre. If not, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Cellulitis
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Cervical Smears
Who do I see: Practice Nurse
Advice: Once you are invited, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment, on a day that you are not bleeding or on your period.
Chest Infections
Who do I see: GP if persists for more than 1 week, or other chest issues (asthma)
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Chest Pain
Who do I see: GP or A&E for severe symptoms
Advice: Telephone 999 or 111 if symptoms are severe. If not severe and has lasted for more than a few days, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Children’s Immunisations
Who do I see: Practice Nurse
Advice: Baby Clinic is run by our Practice Nurses, appointments needed for immunisations; please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Find out more at NHS Choices.
Chronic Heart Disease
Who do I see: Practice Nurse or GP
Advice: Annual clinic appointments will be sent to all CHD patients, please ask for an earlier appointment if worried.
Coils or Implants
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment with the correct GP.
Cold Sores
Who do I see: Community Pharmacy
Advice: Search for your nearest community pharmacist.
Colds
Who do I see: Community Pharmacy
Advice: Search for your nearest community pharmacist. Antibiotics are NOT needed for the common colds, as colds are caused by a virus. Find out more at NHS choices.
Constipation or Piles
Who do I see: Community Pharmacy/GP if persists more than 1 week
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1- 4 weeks.
Contraception and Family Planning
Who do I see: Family Planning Clinic/GP/Practice Nurse
Advice: Find out more information about Ealing Family Planning Clinics. Contraception and family planning appointments are available at various times every day. For a GP or a Practice Nurse, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Cough
Who do I see: Community Pharmacy/GP if persists for more than 3 weeks
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Cystitis
Who do I see: Community Pharmacy/GP if persists for more than 3 days
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Dementia Screening
Who do I see: Healthcare Assistant/Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Dental Problems
Who do I see: Dentist/GP for dental abscess if no emergency dentist available
Advice: Please book an appointment with your dentist or find a dentist near you: NHS Find Dentist Services. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Depot Injection (other)
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Depot Injection (contraception)
Who do I see: Family Planning Clinic/GP/Practice Nurse
Advice: Find out more information about Ealing Family Planning Clinics. Contraception and family planning appointments are available at various times every day. For a GP or a Practice Nurse, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Depression
Who do I see: IAPT Service/GP
Advice: Visit ealingiapt.co.uk for IAPT services, or please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Diabetes Monitoring
Who do I see:Healthcare Assistant/Practice Nurse (full annual)/Clinical Pharmacist (medication)
Advice: Routine annual clinic appointments reminders will be sent to all our patients with diabetes. Reception staff will direct you to the most appropriate health care professional. For the surgery, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Diarrhoea
Who do I see: Community Pharmacist/GP if persists longer than 7 days or in a career dealing with food or caring for others
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Diet/Lifestyle Changes
Who do I see: ONE YOU Ealing, Heath Care Assistant
Advice: Please visit oneyouealing.org, Tel: 0300 4560556, or for a Health Care Assistant, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Dizziness
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Dressings
Who do I see: Health Care Assistant/Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Drug Addiction
Who do I see: RISE, AA, FRANK
Advice: Please visit ealingrise.org.uk, Tel: 0800 1958100, or alcoholics-anonymous.org.uk, or talktofrank.com, Tel: 0300 1236600, for self referral help.
Ear Care/Ear Wax
Who do I see: Community Pharmacy/Heath Care Assistant
Advice: Search for your nearest community pharmacist. If you think you may need ear irrigation (‘syringing’ ) please speak to one of our Health Care Assistants who will advise you by booking an appointment online, or contacting reception on 020 8997 4747 to make an appointment. Also please check the following information on NHS Choices.
Earache
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
ECG
Who do I see: Health Care Assistant/Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. This must have been approved by the GP prior to booking.
Eczema
Who do I see: Community Pharmacy/GP if persists for more than 4 weeks or is infected
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Emergency Contraception
Who do I see: Community Pharmacy/Family Planning Clinic/GP
Advice: Search for your nearest community pharmacist, or for your nearest Family Planning Clinic. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Find out more information.
Eye Infection
Who do I see: Optometrist/Community Pharmacy/GP if persists for more than 7 day or vision is impaired
Advice: Search for your nearest community pharmacist, or for your nearest opticians. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Eye Injuries
Who do I see: Urgent Care Centre/A&E if severe
Advice: Please search for your nearest Urgent Care Centre. If severe, please go to Moorfields or Western Eye Hospital’s A&E departments.
Fit Note (Sick note)
Who do I see: Self certify first 7 days, then routine GP appointment
Advice: For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments are usually within 1 to 4 weeks. If you have been discharged from hospital, your hospital team will issue any fit notes for the entire period of your recovery. Please contact the ward staff (even after discharge). Schools should not request a GP letter to confirm absence, this can be written by a parent or guardian.
Flu
Who do I see: Community Pharmacy/GP if persists for more than 7 days or difficulty breathing
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Flu Vaccine
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Forms, certificates and medicals
Who do I see: Administrator
Advice: A medial examination will be booked if necessary. Completion of forms, certificates and medicals are not covered under the NHS. Payment for reports must accompany the request or appointment booking (i.e. in advance). Charges are aligned with the BMA’s guidelines. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. Allow up to 28 days for the process to be completed, you will be contacted by phone when your form is ready for collection. Please note we do not sign passport forms.
Fungal Infections
Who do I see: Community Pharmacy/GP if it persists
Advice: Search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
General Advice
Who do I see: Self-Care/111/Community Pharmacy
Advice: Please visit the NHS information home pages. You can also telephone 111 for any non-urgent medical issues or you can search for your nearest community pharmacist.
Genital Infections including Herpes
Who do I see: Genitourinary (GUM) Clinic/GP
Advice: Please visit either Ealing Hospital GUM clinic, or West Middlesex Hospital GUM Clinic. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Hay Fever
Who do I see: Community Pharmacy
Advice: Search for your nearest community pharmacist. For a clinical pharmacist, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Find out more information.
Head Injuries
Who do I see: Community Pharmacy/GP/Urgent Care Centre if severe
Advice: Please search for your nearest Urgent Care Centre, or search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Head Lice
Who do I see: Community Pharmacy/School Nurse
Advice: Please search for your nearest community pharmacist. For a Practice Nurse, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Find out more information at NHS Choices.
Headaches
Who do I see: GP
Advice: For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Holiday Cancellation Certificate
Who do I see: GP Surgery Receptionist
Advice: Please attend in person or post the documentation and payment. Holiday Cancellation forms are not covered by the NHS, there will be a charge for this service. Payment for reports must accompany the request or booking (i.e. in advance). Charges are aligned with the BMA’s guidelines. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 28 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Hyperventilation
Who do I see: IAPT Service/GP
Advice: Please visit ealingiapt.co.uk or for a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Indigestion
Who do I see: Community Pharmacy/GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Infected Wounds
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Ingrowing Toenail
Who do I see: Community Pharmacy/Podiatrist/Practice Nurse (dressing)/GP (infected)
Advice: Please search for your nearest podiatrist, or search for your nearest community pharmacist. For a GP or a Practice Nurse, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Insect Bites
Who do I see: Community Pharmacy/GP if severely infected
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Insomnia
Who do I see: Community Pharmacy/IAPT Service/GP
Advice: Please visit ealingiapt.co.uk for IAPT services, or search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Insurance Reports
Who do I see: GP Surgery Receptionist
Advice: Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Medical Reports
Who do I see: GP Surgery Receptionist
Advice: Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Medication Reviews
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Missed Contraceptive/Emergency Contraception
Who do I see: Family Planning Clinic/Community Pharmacy/Practice Nurse/GP
Advice: For emergency contraception, please find your nearest community pharmacy. For other issues please search for your nearest family planning clinic, or please book an appointment online at the surgery, or contact reception on 020 8997 4747 to make an appointment.
Moles
Who do I see: GP
Advice: For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Mouth Problems
Who do I see: Community Pharmacy/Dentist/GP for Dental abscess if not emergency dentist available
Advice: Please book an appointment with your dentist or find a dentist near you: NHS Find Dentist Services, or you may find your nearest community pharmacy. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Nappy Rash
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Neck Pain
Who do I see: Community Pharmacy/GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Nosebleeds
Who do I see: 111/Urgent Care if severe/GP if several episodes
Advice: Pinch nose (do not lean head back) and apply ice pack. Find out more information about nose bleeds. If concerned, you can ring 111, or search for your nearest Urgent Care Centre. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Panic Attacks
Who do I see: IAPT Service/GP
Advice: Visit ealingiapt.co.uk for IAPT services, or please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Passport Forms
Who do I see: We do not sign passport forms
Advice: Passport forms are not covered by the NHS. Find Out More here.
Period Problems
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Phobias
Who do I see: IAPT Service/GP
Advice: Visit ealingiapt.co.uk for IAPT services, or please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Pneumoccocal Vaccine
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Prescription Queries
Who do I see: GP/Clinical Pharmacist
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Rashes
Who do I see: Community Pharmacy/GP if persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Rectal Problems
Who do I see: Community Pharmacy/GP if persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Removal of Stitches
Who do I see: Practice Nurse/Health Care Assistant
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Ring Pessary
Who do I see: GP
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Shingles Vaccine
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Sick Note (Fit Note)
Who do I see: Self certify first 7 days, then routine GP appointment
Advice: For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments are usually within 1-4 weeks. If you have been discharged from hospital, your hospital team will issue any fit notes for the entire period of your recovery. Please contact the ward staff (even after discharge). Schools should not request a GP letter to confirm absence, this can be written by a parent or guardian.
Sinusitis
Who do I see: Community Pharmacy/GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Skin Conditions
Who do I see: Community Pharmacy/GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 1 – 4 weeks.
Smoking Cessation
Who do I see: OneYou Ealing/SmokeFree Clinics Ealing
Advice: You can visit oneyouealing.org, Tel: 0300 4560556, or phone SmokeFree Clinics Ealing on 0800 8766683 or 02007 5798622. Find out more from the NHS advice page.
Sore Eyes
Who do I see: Optician/Community Pharmacy/GP if it persists
Advice: If severe, please go to Moorfields or Western Eye Hospital’s A&E departments. Please search for your nearest opticians or search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Sore Penis
Who do I see: Sexual Health Clinics/GP if it persists
Advice: Please visit either Ealing Hospital GUM clinic, or West Middlesex Hospital GUM Clinic. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Sore Throat
Who do I see: Community Pharmacy/GP if it persists
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. Routine appointments within 2 – 4 weeks.
Sprains
Who do I see: Community Pharmacy/GP if it persists over 7 days/Urgent Care Centre
Advice: Please search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment. If it is a suspected serious injury, please search for your nearest Urgent Care Centre.
Spirometry Testing
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Stings
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Styes
Who do I see: Community Pharmacy/Optician/GP if it persists
Advice: Please search for your nearest opticians or search for your nearest community pharmacist. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Sunburn
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist.
Tetanus Injection
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Threadworm
Who do I see: Community Pharmacy
Advice: Please search for your nearest community pharmacist. You can also use NHS Choices page for more information.
Thrush (Vaginal)
Who do I see: Self-Help Advice/Community Pharmacy/Sexual Health Clinic
Advice: You find information on the NHS choices help page. You can also search for your nearest community pharmacist. If you are sexually active, you can also visit either Ealing Hospital GUM clinic, or West Middlesex Hospital GUM Clinic.
Travel Vaccinations
Who do I see: Practice Nurse
Advice: Please book at least 1 month before travelling and either book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Urine Infections
Who do I see: GP
Advice: Please bring a urine sample into the consultation; sterile pots available at reception. Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Vaginal Discharge
Who do I see: Sexual Health Clinic/Practice Nurse/GP
Advice: You can search for your nearest community pharmacist. If you are sexually active, you can also visit either Ealing Hospital GUM clinic, or West Middlesex Hospital GUM Clinic. For a GP, please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Verrucae
Who do I see: Community Pharmacy/GP if longer than 3 months
Advice: Please search for your nearest community pharmacist. You can book an appointment with a GP for cryotherapy by booking an appointment online, or contacting reception on 020 8997 4747 to make an appointment.
Vitamin B12 Injection
Who do I see: Practice Nurse
Advice: Please book an appointment online, or contact reception on 020 8997 4747 to make an appointment.
Vomiting
Who do I see: Community Pharmacy/GP
Advice: Please search for your nearest community pharmacist. For babies and toddlers, or if it persists longer than 1 week in children and adults, please see the GP by booking an appointment online, or contacting reception on 020 8997 4747 to make an appointment.
Warfarin Monitoring
Who do I see: Health Care Assistant/Practice Nurse
Advice: Please book an appointment online,or contact reception on 020 8997 4747 to make an appointment.
Warts
Who do I see: Community Pharmacy/GP
Advice: Please search for your nearest community pharmacist. You can book an appointment with a GP for cryotherapy by booking an appointment online, or contacting reception on 020 8997 4747 to make an appointment.
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