Doctors’ Letters

You may require a doctor’s letter for various reasons eg fitness to travel or confirmation of medical conditions. Please contact reception to make your request which will be dealt with in the most appropriate way.

If you are pregnant and require a doctor’s letter as proof of ‘permission to travel’ please be aware that many airlines require your doctor’s letter to be signed within 48 hours of international travel.

Please note that you will not be provided with a doctor’s ‘permission to travel’ letter if you are due in less than 30 days or if your pregnancy is considered high-risk.

Dental Emergency

If you think you need urgent treatment, contact your usual dental practice and ask to be seen as an emergency. If you do not have a regular dentist, you can still get urgent care. Contact your NHS England Local Area Team or call NHS 111.

You may need urgent treatment if you have:

  • Toothache or swelling that suggests an infection of a tooth or gum.
  • Severe toothache or facial pain which is not controlled by taking over-the-counter painkillers.
  • Trauma of the face, mouth or teeth after a recent accident or injury.
  • A permanent tooth being knocked out.
  • Bleeding after tooth extraction that you cannot control.
  • Serious swelling of the mouth or face which is getting worse.

Childhood and Teenage Mental Health


While it is commonly believed that depression only effects adults, around 10% of children in Great Britain aged between 5 and 16 have a recognisable mental disorder; with about 4% of children suffering from an emotional disorder such as anxiety or depression.

The problem for many is that depression is difficult to spot and often regarded as teenage mood swings. However, if your child is appearing to have an extreme emotional response to a life event or has lost interest in activities which previously interested them they may be suffering from an emotional disorder.

If you are worried about your child’s mental health please visit your GP, who will be able to offer a range of support to help both you and your child. There are a range of talking therapies which are highly effective in dealing with both short term and long term depression, for more information on these therapies please view the NHS Talking Therapy Guide.


While it is commonly believed that depression only effects adults, around 10% of children in Great Britain aged between 5 and 16 have a recognisable mental disorder; with about 4% of children suffering from an emotional disorder such as anxiety or depression.

The problem for many is that depression is difficult to spot and often regarded as teenage mood swings. However, if your child is appearing to have an extreme emotional response to a life event or has lost interest in activities which previously interested them they may be suffering from an emotional disorder.

If you are worried about your child’s mental health please visit your GP, who will be able to offer a range of support to help both you and your child. There are a range of talking therapies which are highly effective in dealing with both short term and long term depression, for more information on these therapies please view the NHS Talking Therapy Guide.


External Links

ECG – Electrocardiography

Your GP may advise you to have an ECG test carried out here at Kensington Park Medical Centre. This test will be carried out by a trained nurse. An ECG is used to check the rhythm and electrical activity in your heart and is a painless procedure taking approximately 15 minutes to perform.

Please note that you must be referred by your GP to have an ECG done. Please ensure you wear loose fitting clothing and try not to wear tights to your appointment.

External Websites

Lung function testing

Spirometry (a type of breathing test) is a test a doctor may refer you for if he or she has any concerns about how well you are able to breathe in and out or if you are a smoker.

Please ensure you read the leaflet attached prior to your appointment to ensure you are prepared for your appointment

Download “Instructions for patients referred for Spirometry” leaflet.

External Websites

NHS choices – Spirometry

NHS Health Checks

Working together to improve your health

Everyone is at risk of developing heart disease, stroke, diabetes, kidney disease and some forms of dementia. The good news is that these conditions can often be prevented – even if you have a history of them in your family. Have your free NHS Health Check and you will be better prepared for the future and be able to take steps to maintain or improve your health. Download our NHS Health Checks leaflet.

Why do I need an NHS Health Check?

We know that your risk of developing heart disease, stroke, type 2 diabetes, kidney disease and dementia increases with age. There are also certain things that will put you at even greater risk. These are:

  • being overweight
  • being physically inactive
  • not eating healthily
  • smoking
  • drinking too much alcohol
  • high blood pressure
  • high cholesterol

Both men and women can develop these conditions, and having once could increase your risk of developing another in the future.

  • In the brain a blocked artery or a bleed can cause a stroke.
  • In the heart a blocked artery can cause a heart attack or angina.
  • The kidneys can be damaged by high blood pressure or diabetes, causing chronic kidney disease and increasing your risk of having a heart attack.
  • Being overweight and physically inactive can lead to type 2 diabetes.
  • If unrecognised or unmanaged, type 2 diabetes could increase your risk of further health problems, including heart disease, kidney disease and stroke.

What happens at the check?

  • This check is to assess your risk of developing heart disease, type 2 diabetes, kidney disease, and stroke.
  • The check will take about 20–30 minutes.
  • You’ll be asked some simple questions. For example, about your family history and choices which may put your health at risk
  • We’ll record your height, weight, age, sex, and ethnicity.
  • We’ll take your blood pressure.
  • We’ll do a simple blood test to check your cholesterol level.

What happens after the check?

  • We will discuss how you can reduce your risk and stay healthy.
  • You’ll be taken through your results and told what they mean. Some people may be asked to return at a later date for their results.
  • You’ll be given personalised advice on how to lower your risk and maintain a healthy lifestyle.
  • Some people with raised blood pressure will have their kidneys checked through a blood test.
  • Some people may need to have another blood test to check for type 2 diabetes. Your health professional will be able to tell you more.
  • Treatment or medication may be prescribed to help you maintain your health.

Questions you may have

  • Why do I need this check? I feel fine!
    The NHS Health Check helps to identify potential risks early. By having this check and following the advice of your health professional, you improve your chances of living a healthier life.
  • But don’t these conditions run in the family?
    If you have a history of heart disease, stroke, type 2 diabetes, or kidney disease in your family then you may be more at risk. Taking action now can help you to prevent the onset of these conditions.
  • I know what I’m doing wrong. How can the doctor help me?
    If you would like help, we will work with you to find ways to eat healthily, reach your healthy weight, be more active, cut down your drinking, or stop smoking.
  • If I am assessed as being at ‘low risk’, does this mean I won’t develop these conditions?
    It is impossible to say that someone will or won’t go on to develop one of these conditions. But taking action now can help you lower your potential risk.
  • Will everyone have this check?
    This check is part of a national scheme to help prevent the onset of these health problems. Everyone between the ages of 40 and 74 who has not been diagnosed with the conditions mentioned will be invited for a check once every five years. If you are outside the age range and concerned about your health, you should contact your GP.

Pneumococcal Vaccine

The pneumococcal vaccine (or ‘pneumo jab’ or pneumonia vaccine as it’s also known) protects against pneumococcal infections.

Pneumococcal infections are caused by the bacterium Streptococcus pneumoniae and can lead to pneumonia, septicaemia (a kind of blood poisoning) and meningitis.

Read more about why the pneumococcal vaccination is needed.

Who should have the pneumococcal vaccine?

A pneumococcal infection can affect anyone. However, some people need the pneumococcal vaccination because they are at higher risk of complications. These include:

  • all children under the age of two
  • adults aged 65 or over
  • children and adults with certain long-term health conditions, such as a serious heart or kidney condition

Read more about who should have the pneumo jab.

How often is the pneumococcal vaccine given?

Babies receive the pneumococcal vaccine as three separate injections, at 2 months, 4 months and 12-13 months.

People over-65 only need a single pneumococcal vaccination which will protect for life. It is not given annually like the flu jab.

People with a long term health condition may need just a single one-off pneumococcal vaccination or five-yearly vaccination depending on their underlying health problem.

Male Pattern Baldness

Male-pattern baldness is the most common type of hair loss, affecting 6.5 million men in the UK.

It generally starts with a little thinning of the hair, followed by wider hair loss, allowing more of the scalp to become visible.

For a few men, this process starts as early as the late teens. By the age of 60, most men have some degree of hair loss.

Some men aren’t troubled by this at all. Others, however, suffer great emotional distress associated with a lack of self-esteem and, in some cases, depression.

Find out more about potential treatments…

Weight Loss

If you would like to know more about weight and diet advice, we offer a weight management clinic giving you advice on how to lose weight and stay healthy.

A range of options are available to support people with weight loss. To understand which of them may be the best fit for you please arrange an appointment with your GP who will be happy to discuss them with you.

One suitable option may be our Health Trainers who offer 1:1 sessions for people wanting to improve their health and change their behaviour. They can support individuals with healthy eating, weight management and getting physically active.

Many doctors now believe that when it comes to your health, your waist measurement is important.

While knowing your body mass index (BMI) is a good way to decide if you’re overweight, it doesn’t tell the whole story.

BMI is a measure of how healthy your weight is for your height. You can work out what your BMI is by using the NHS Choices BMI healthy weight calculator.

If you have a high BMI, you’re likely to be carrying extra fat. But your health could be at greater risk depending on where you store that fat.

Having a large amount of tummy fat (compared to fat around your bottom or thighs) makes you more likely to develop diabetes and heart problems.

A healthy waist circumference for men is less than 94cm (37 inches), and for women it’s less than 80cm (32 inches).

Losing weight and keeping it off isn’t easy, but it has many benefits. You may only need to make small changes to your lifestyle to maintain a healthy weight.

If you’d like to find out more about how you can lose weight in a healthy way please book an appointment with one of our nurses.

For more general information about weight loss, please see the websites below:

External Websites

Check your BMI – NHS Choices

8 tips for healthy eating – NHS Choices

Bowel Cancer

Bowel cancer is a term used to describe cancer in the colon, rectum or the small bowel.

The symptoms of bowel cancer can include:

  • Bleeding from the back passage (rectum) or blood in your stools
  • A change in normal bowel habits to diarrhoea or looser stools, lasting longer than 4 to 6 weeks
  • A lump that your doctor can feel in your back passage or abdomen (more commonly on the right side)
  • A feeling of needing to strain in your back passage (as if you needed to pass a bowel motion)
  • Losing weight
  • Pain in your abdomen or back passage
  • A lower than normal level of red blood cells (anaemia)

Because bowel tumours can bleed, cancer of the bowel often causes a shortage of red blood cells. This is called anaemia and may cause tiredness and sometimes breathlessness.

Bowel cancer screening

How do I get a screening kit?

If you are aged 60-69 years, you will be sent your screening invitation automatically through the post. All you need to do is make sure that your GP has your correct address.

People aged 70 years and over who want to be screened before then should request a kit. Simply telephone the free helpline on 0800 707 60 60.

Macmillan cancer support

Have questions about cancer? Visit www.macmillan.org.uk or call 0808 808 000 free (Monday to Friday 9am – 8pm).