Clinics & Services


From 7th May 2022, Oviva in Partnership with Slimming World, have been delivering Hertfordshire’s Tier 2 adult weight management service. Click HERE for details and QR Code

Management of Chronic Disease

This encompasses a wide range of conditions which require long term treatment and care. Our priority is to ensure this care is on-going and appropriate; to this end we shall endeavour to review patients’ medication on an annual basis. When and where appropriate we request patients, in writing, to make an appointment with the health care assistant, a nurse, or a doctor - it is also important that patients read and take note of any comment we might attach to a prescription. Failure to respond to a request to contact the surgery may result in an increase in the frequency of prescriptions and the resulting prescription charge or prescription requests being refused.

Please note that we do run certain Specialist Clinics.

General Nursing Care

Our nurses provide wound care, contraceptive services, minor illness, smoking cessation advice, well person checks, new patient checks, blood pressure monitoring and travel advice; they also perform vaccinations, ear syringing and smear tests. Please note that there is a charge for some travel vaccinations.

Blood Tests

Our Receptionists coordinate appointments for blood tests. These are predominantly done through our phlebotomy service based at the old Harpenden Memorial Hospital next door to the practice or can be done at the ST Albans Hospital or if a GP requests a more urgent blood test they can be done by our own Health Care Assistant Kerry. Patients will need a form signed by a doctor which they will take with them to the booked appointment. Each test varies in how long the pathology lab can process them so please be aware that results can take between 3 - 7 days to return and then get processed within the practice. Receptionists are able to give you the results but they will not be able to translate the findings. If patients wish details of their results they can themselves either collect in person from the practice or the receptionist, with the patients full consent, can email to the registered address on their medical record.

If you are asked to have a blood test at the Arndale House Blood Test Facility at the Luton and Dunstable Hospital then please click on this link to get further information. 

Maternity Services

To register with a midwife, please visit the website of your chosen hospital and register online with their midwife services. Once registered, they will contact you directly regarding the next steps.  

Cervical Screening

This service is provided by specially trained nurses. 

Please follow this link to watch a short video explaining what to expect at your appointment- click here for video

Bowel Cancer Screening

Information on the Bowel Screening Programme

Letter from a Patient who did return the bowel screening kit

Contraceptive Services

This is provided by doctors and nurses. Nurses are able to provide follow up monitoring for all methods initiated by the doctor.

Important Pre - Coil Fitting Information. Please read before your appointment.

Child Health Surveillance

Baby clinics, coordinated by our health visitors, are held weekly at the surgery by our nurse team with support from a doctor.

Vaccinations and Immunisations

All routine childhood immunisations are performed at the surgery by a nurse following an automatic invitation from the Local Health Authority.

Minor Surgery

This service is provided by the doctors following an initial consultation to determine the need for surgery.

Specialist Clinics

All of these clinics are led by specially trained nurses in association with the doctors and usually only require an annual appointment


As a patient you will be sent a form to have a blood and urine test 2 weeks prior to attending the clinic. When you attend the clinic you will be seen by a nurse and a doctor.

Heart and Stroke

As a patient you will be sent a form to have a fasting blood test 2 weeks prior to attending the clinic. When you attend the clinic you will be seen by a nurse and a doctor.


Patients will be asked to bring in their inhalers and to perform breathing tests. The nurse will advise on further management.

Spirometry COPD Patient Information Leaflet

Spirometry (reversible) Patient information leaflet 2018


Patients will be asked to bring in their inhalers and to perform a peak flow test. The nurse will provide a full assessment and advise on further management

Opportunistic Health Advice Services Available


The Elms supports the Herts Stop Smoking Service. Quit today and ring 0800 389 3998 or txt SMOKEFREE to 80818, alternatively for full support ring the surgery or use the online consult tool on our home page and request or make an appointment with our smoking cessation health care nurse Kerry.

Blood Pressure Checks: 

Are usually done by our health care assistant. This service is available to those not known to have high blood pressure, as well as those who do.

Flu vaccinations: 

This annual vaccination is recommended for patients over the age of 65, Carers and those older than 6 months of age who have one of the following conditions:

  • Chronic respiratory disease
  • Chronic heart disease
  • Chronic renal disease
  • Diabetes mellitus
  • Immuno-suppression owing to disease or treatment, including those with spleen problems

    Flu Clinics 2021 

    We have been running many flu clinics at Harpenden Public Halls in partnership with both Davenport House and The Village Surgery.  All at risk, over 65s have been invited at least twice and all over 50's have now been invited at least once. The last clinic was a walk in clinic for anyone over 50 on Thursday 2nd December 2021. We also invited over 5,000 people to our last Saturday clinic and had a very large team of GPs and nurses to vaccinate, however only 15% attended. If you have an appointment at the surgery, and have still not had your flu vaccine, please ask the clinician if you can have a flu vaccine at the same time. If you have had your flu jab elsewhere please let us know so we can add this to your record. 

    All clinics use a one way system, social distancing, face masks and strict infection control procedures to ensure your safety and the safety of our surgery teams.  Patients are being invited to attend an appointment by text and letters according to NHS guidance. If you are due to attend but have Covid symptoms or a temperature please let the surgery know so we can rearrange your appointment. All our nursing homes have been given their flu vaccine and many of our housebound patients have been vaccinated and our plan is on target to complete those by the end of November. Children having Nasoflu spray will be invited to the practice into designated nurse slots. Please be aware that we are completely reliant on NHSE supplies and can only have clinics as and when we receive the vaccine. As an alternative please try one of our local pharmacy for your flu vaccination. Pharmacies will also be able to offer Covid vaccines. Please let us know if you have a flu jab vaccine elsewhere so that we can allocate your flu vaccine to another patient. 

    Nasal flu jabs are available for children with a date of birth between 01/09/2017 and 31/08/2019 and for all children in one of the at risk groups up to and including 17 years old.

    There are special designated slots for the nasal flu vaccine to enable the practice to continue to operate safely within high infection control guidelines which still need to be observed at this time to ensure our patient's safety.  We will keep you up to date with details here. Once we have the vaccine dates and clinics, please call, email or respond to your text to book a slot. We thank you in advance for your co-operation.

    Please click on link for details on the different types of flu vaccine:  FLU VACCINE TYPES

    The vaccine is free to all in the categories below:Get Your Free Flu Jab - click to read more

    • adults 65 and over
    • adults aged 50 - 64 (only available in November/December and when government vaccine delivered)
    • people with certain medical conditions (including children in at-risk groups from 6 months of age)
    • pregnant women
    • children aged 2 and 3
    • children in reception class and school years 1, 2, 3, 4 and 5

    There are 3 types of flu vaccine:

    • a live quadrivalent vaccine (which protects against 4 strains of flu), given as a nasal spray – this is for children and young people aged 2 to 17 years eligible for the flu vaccine
    • a quadrivalent injected vaccine – this is for adults aged 18 and over but below the age of 65 who are at increased risk from flu because of a long-term health condition and for children 6 months and above in an eligible group who cannot receive the live vaccine
    • an adjuvanted trivalent injected vaccine (FLUAD) – this is for people aged 65 and over as it has been shown to be more effective in this age group

    If your child is aged between 6 months and 2 years old and is in a high-risk group for flu, they will be offered an injected flu vaccine as the nasal spray is not licensed for children under 2.

    The ‘Protecting your child from flu’ leaflet is now available to download in audio from:Protecting Your Child From Flu

    And also in braille – on demand from the Health Publications website.

    And the same leaflet is available on GOV.UK in Arabic, Bengali, Chinese, German, Gujarati, Hindi, Italian, Polish, Romani, Romanian, Somali, Tagalog, Tamil, Turkish and Urdu Leaflets and Posters in Other Languages

    NHS England Briefing for Patients on Flu Eligibility Please read if aged 50 - 64 years old


    Who needs the Flu Vaccination and Why

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