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The surgery has a large volume of telephone calls between 8:00 a.m. & 10:30 a.m., and between 12 noon & 3:30 p.m. Unless your call is for a home visit or an urgent problem please call outside these times. For home visits, please call before 11:00 a.m.

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The people caring for you need access to your health and care record in order to make the best decisions about your diagnosis and treatment. For this to happen more quickly and to improve the care you receive, a new process has been put in place. With your permission, My Care Record will provide health and care professionals directly involved in your care, access to the most up-to-date information about you. To find out more please see under My Care Record in Further Information on the right or go to

Friends & FamilyYou can now provide feedback on our services by clicking here to complete the 'Friends and Family Test', or ask at Practice Reception for a feedback form.

Choose the right care for your needs: Remember that Princess Alexandra Hospital’s Emergency Department is for urgent and life-threatening cases only. The A&E department at Princess Alexandra Hospital is NOT the right place to go to if you’re suffering from common ailments, such as coughs, colds, fever or diarrhoea and vomiting.

In most cases when you need medical help fast, but it’s not an emergency, you can get help and advice from professionals before attending A&E. For instance, you should consider visiting your local pharmacy or GP, or calling NHS 111. For general help, health information and advice, visit NHS Choices at

Top tips:
Keep a well-stocked medicine cabinet — many ailments can be dealt with at home
Speak to your local pharmacist — they can recognise and resolve many common health issues
Keep active to stay physically and mentally well
Be mindful that sometimes symptoms can last longer than you think — sore throats can last an average of eight days
Don’t forget, antibiotics don’t work on sore throats, coughs or colds

NB See our notice (above) about our new clinical system
If you have not yet registered for SystmOnline services to order your approved repeat prescriptions and book appointments, please download the registration form (click the following link) Online_Services_Registration_Form.pdf and return the completed form to the surgery in person, bringing your photo ID and proof of address.
OR you can complete the registration form at the surgery (forms are available at the reception desk). Remember to bring your photo ID with you!

Online access to summary information from your medical records.

Did you know that you can now ask your GP to enable you to have online access to your medical records from any computer 24/7 with a personal login?
Initially this will provide a complete list of your medications past and present, and a list of any allergies we have recorded for you; the service will in future be expanded to give full access to your medical history. You should discuss with your GP whether this is appropriate for you. See further information here. To register for our online services (SystmOne) see the section "Online Services" under Quick Links at the right of the Home page.

Named Accountable GP

All patients are allocated a named, accountable GP.

The named accountable GP takes responsibility for the co-ordination of all appropriate services and ensures they are delivered where required (based on the named GP's clinical judgement) but does not take on vicarious responsibility for the work of other doctors or health professionals. 

If you wish to be told the name of your accountable GP, please ask the receptionist when you are next in the surgery. To keep the lines free for patients needing treatment, kindly do not telephone the practice to ask for this information only. 

Having a named GP does not prevent you from seeing any other doctor in the practice, nor does it mean that you will always see your named GP, who will not be available at all times. Patients are entitled to choose to see any GP or nurse in the practice but if your needs are urgent, you may need to discuss them with an alternative doctor or nurse.

The latest GP appointments data for England was published on 4.11.2020, which shows that there were
6.5 million more appointments in September than in August and almost a million more appointments
than in September 2019. The data also shows that there were:
• 4.7 million more face-to-face appointment in September than in August
• 56% of appointments in September 2020 were face-to-face and 38% of appointments were
via telephone, compared to 81% and 13%, respectively, in September 2019.
• 1.8 million more same day appointments in September than in August, with 1.5 million more
same day appointments than in September 2019.
• Over 2 million more same or next day appointments in September this year compared to
August 2020 and September 2019.

This data clearly shows that despite the pandemic and what has been portrayed in the media,
general practice remains open and is delivering more appointments that we did at this time last year.

Our flu campaign will be running throughout October/November 2020. 

If you are over 65 years of age please contact the surgery to make your appointment.

If you are under 65 years of age  please wait to be contacted by the practice.  We are in the process of sending texts and letters.


Because of the threat of Coronavirus, and to reduce the pressure on the NHS, this year's free flu vaccination will be made available to a wider group of people in a phased approach.

This includes people who are on the shielded patient list and member of their household as well as all school year groups up to year 7.

People aged 50-64 who are not in a clinical risk group will also be vaccinated from November providing there is enough vaccine.

It is important that those at most risk from flu are vaccinated first, and we are working hard to get these groups protected from flu.

We will contact you once we are ready to offer you the vaccine

For more information about flu, visit the threat of Coronavirus, and to reduce pressure on the NHS, this year’s free flu v

Our doors are open – However you still must follow social distancing rules when coming to see us, therefore please ensure that you do the following;

• We only have limited space for patients to wait socially distanced in our waiting room. Please follow the guidance of our staff. At busy times you may be asked to wait outside, where the clinician will still call you.

• Attend your appointment alone if possible and just before your  appointment time to limit the wait you have at the practice
• Wear a face covering 
• Follow social distancing on the way to and whilst visiting the practice
• Ensure you follow any advice as displayed on posters or advised by our staff
• Use hand sanitiser on entry to the practice – automatic machine available in the entrance
• Try to use the toilet and wash your hands before leaving home – limited toilet facilities available
• Please do not attend if you or any member of your household have any symptoms of Covid-19

We also want to assure you we are doing everything we can to protect our staff during this period. More specifically: 

We have carried out a risk assessment our main actions are to ensure the safety of our staff and patients. Some of the things we have put in place are listed above for changes to patients entering the practice and the service we offer. We have also risk assessed our staff members following latest guidance and advice.

We already had a triage system (patient first) which we are able to continue using to speak to patients before they attend to ensure they do not have symptoms before being seen for treatments and continued care

We will see patients when necessary after triage and we follow guidelines with appropriate PPE

We have adopted video consultations where needed to reduce face to face contact

We follow Government and NHS advice and guidance and keep our staff updated With this - specifically adherence to social distancing, frequent hand washing, hand sanitiser readily available and sneeze screens up in reception.

We ensure that there is regular cleaning of frequently used areas and all staff have refreshed their infection control training

We have  wall mounted hand sanitising stations throughout the Practice to facilitate staff and patients with keeping hands sanitised

Take our patient survey


We have seen an increasing number of requests for GPs to write a letter  to exempt patients from wearing a mask in public.  Please see below the advice from the Local Medical Committee and note that it is not your GPs responsibility to provide exemption.

Exemption from wearing masks

The Government website clearly states that the public should not be asked to provide written evidence of their exemption from wearing a face covering and has now included templates for badges and cards that the public can download. 

Some people may feel more comfortable showing something that says they do not have to wear a face covering.  This could be in the form of an exemption card, badge or even a home-made sign.

This is a personal choice and is not necessary in law.

Those who have an age, health or disability reason for not wearing a face covering should not be routinely asked to give any written evidence of this. Written evidence includes exemption cards.

This guidance can be found at:


Thank you

Nuffield House Surgery was recently contacted by the Care Quality Commission (CQC) who were offering an engagement and support telephone call to practices.  Below is a summary of their findings of how we have coped and delivered services during the COVID pandemic. We hope you are as happy with the results as we were.

CQC COVID assessment and engagement call summary

If your employer asks for a medical certificate from you relating to COVID-19, please download the document below.


We thought these  links were really helpful - we hope you do too?

Dear Patient,


We have been inundated with requests from patients to issue a “Rescue Pack” of Antibiotics and Oral Steroids. Many of these requests come from false social media and facebook advice suggesting anyone with Asthma, COPD, Bronchitis or other lung conditions should contact their GP for the above medication.


The inappropriate use of Steroids and Antibiotics could be harmful to your health.


In our practice, Rescue Packs of antibiotics and steroids are only given to those select patients who have been seen by the Asthma Nurse Specialist or Respiratory Consultants. These patients have been trained on when and how to use their medication and have a Rescue Pack as part of their management plan. At present we are not issuing rescue packs to any other groups of individuals. If you feel that your chest symptoms are not under control and you are worried about COVID-19 symptoms then please go to either of the following websites. If it is not related to COVID-19 symptoms then only in exceptional circumstances contact your GP:

For COVID-19 Symptom checker

General information on COVID-19

Asthma UK support for COVID-19

British Lung Foundation support for COVID-19


We appreciate that you may be worried, scared and concerned. We understand that many people want to prepare in advance. However, making inappropriate requests takes away our clinicians time in trying to help the most vulnerable and in turn will lead to more people being unwell. Please help us to help you all.


Thank you for helping us to help you. Together we can all try our best to ensure that we all try and stay healthy and well in this time of national crisis.

Important information about the coronavirus (COVID-19)


You can find the latest information and advice from Public Health England available on NHS Website  or

List of diseases and conditions considered to be very high risk:

Solid organ transplant recipients

People with specific cancers

People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer

People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment

People having immunotherapy or other continuing antibody treatments for cancer

People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors

People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs

People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD

People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)

People on immunosuppression therapies sufficient to significantly increase risk of infection

People who are pregnant with significant heart disease, congenital or acquired

A growing reduction of staffing in the radiology department owing to self-isolation has prompted the temporary reduction in opening times for GP patients to attend for plain film radiographs

 The Princess Alexandra Hospital: Location:  Radiology Dept- Area B6, Hamstel Road, Harlow, Essex, CM20 1QX Monday-Friday 8am-9am & 2pm-4:45pm Saturday & Sunday 9am-1pm

 Herts & Essex Hospital: Location:  Radiology Dept- Haymeads Lane, Bishops Stortford, Hertfordshire, CM23 5JH Monday-Friday 8:30am-12:30pm & 1:30-4:30pm

 St Margarets’s Hospital: Location:  Radiology Dept- The Plain, Epping, Essex, CM16 6TN Monday-Friday 8am-4:30pm

You said...………..we did...………..

Our GP National Survey showed that those who responded were unhappy with some aspects of the practice.  We are continually reviewing our performance via Friends and Family test and our patient survey (both available on this site for you to take part in).  

We are delighted to report that we have improved in all areas.  Our most recent survey results are here.  

Patient questionnaire

Nuffield House Surgery

The surgery is accessible to patients using a wheelchair, and there are disabled toilets on the premises.

Car parking:

Please note that car parking on the premises is available for registered disabled people only (Blue Badge must be displayed).

There is public car parking nearby.

West Essex CCG Shutdown Dates

Below are a list of the dates that the Surgery will be closed at 13:00 as all Clinical Staff have to undertake mandatory training that is held by West Essex CCG.  


Thursday 25th February 2021

If you are not sure what you should do when you are feeling unwell, use the FREE NHS Health Help Now website or app to see available local services, get advice or find the best treatment for your symptoms.

Alternatively you can call NHS 111 for urgent health advice 24 hours a day.

In an emergency please call 999. 

Friends & Family


Please tell us whether or not you would recommend us to your friends and family by clicking here to rate us (just one quick multiple-choice question).

You can also provide more detailed feedback here (but please do also complete the 'Friends and Family Test').

Registration with Nuffield House Surgery and Usual GP

All patients registering, and who are registered, with Nuffield House Surgery, are allocated a usual GP.

If you wish to know your usual GP, please ask the receptionist.

However, it does not mean the practice will always be able to offer you an appointment to see your usual GP, as GPs are not available every day the practice is open.

Having a usual GP does not prevent you from choosing to see another GP for a pre-bookable appointment, but if your need is urgent you will be offered an appointment with an available GP.

NUFFIELD HOUSE SURGERY POLICY – We do not accept patient requests for change of their usual GP, as patients are able to choose to see another GP for pre-bookable appointments. 

Image result for cqc iconLatest CQC Rated Report - November 2019

CQC report 24.12.2019 

The practice was disappointed not to have achieved the areas highlighted for improvement.  Since this report was published, we have worked hard (with the support of West Essex Clinical Commissioning Committee) to ensure things are turned around.  Policies and procedures have been reviewed and improved across clinical and non-clinical areas, and more robust strategies have been put in place to ensure this remains focussed and that improvement continues.

Our Patient Satisfaction Questionnaire has gone from strength to strength, and our links with the Patient Participation Group - whilst slow at the beginning - is also growing.  Our next CQC visit is planned for some time later in the year due to COVID restrictions.


We are confident that our website will provide clear and concise help to give our patients the information they require in an easy and convenient format. It has been designed with the patients' needs at the forefront of everything, from checking surgery times to contacting us (please do NOT use this form for medical correspondence / issues / problems; it is only for general comments about the practice or website, and suggestions as to how we can improve our service to you. Medical matters and complaints cannot be dealt with via this form). If you have a query regarding a medical matter, or wish to make a complaint, please telephone Reception on 01279 213101.

(Site updated 16/11/2020)
For appointments and prescriptions please use the Online Services link above. Alternatively, just click here.
Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website