Brockwood Medical Practice
TANNERS MEADOW SURGERY
Tanners Meadow, Brockham, Betchworth, Surrey RH3
Tel: 01737 843259
Rusper Road, Newdigate, Surrey RH5 5BE
Tel: 01306 631242
NORTH HOLMWOOD SURGERY
1 Bentsbrook Close, North Holmwood, Surrey RH5 4HY 01306
The Surgery, Tanners Meadow, Brockham, Betchworth, Surrey RH3
For emergencies, general calls and appointments - Telephone 01737
The Surgery, Rusper Road, Newdigate, Surrey RH5 5BE
For general calls and appointments - Telephone 01306 631242
For emergencies when the surgery is closed - Telephone 01737
We are a training practice and offer a wide variety of services in
a modern and friendly environment.
|Dr Peter H Kober
||MB, ChB (Dundee 1975), DRCOG
|Dr Justin Thompson
|Dr Jonathan D Richards
||MB, BS (London 1986), DRCOG, MRCGP, DPD
|Dr Lucy E Rawson
||BSc, MB, BS (London 1989), DRCOG, DCH, MRCGP
|Dr Tamsin A Sevenoaks
||MB, BS (London 1989), DFFP, RCOG
|Surgery Opening Hours
|Monday, Tuesday, Thursday and Friday
||8.00am to 6.30pm
||8.00am to 5.00pm
|Monday Tuesday, Wednesday and Friday
||8.00am to 6.30pm
||8.00am to 5.00pm
Our Primary Health Care Team
When one of our five partners is on leave their duties will be
covered by the remaining partners and occasionally by a locum. The
practice employs Dr Jacqui Mayer a qualified GP, for four sessions
Surgery Manager ( Brockham)
Surgery Manager ( Newdigate)
Both Sue and Judi are responsible for the day to day running of
their surgery and staff
We are delighted that Julie Hampshire, who has worked with us
since 1990, has undergone additional studies and now holds a
recognized Nurse Practitioner BSc (Hons) qualification. This means
that she has advanced clinical nurse skills and can therefore offer
an alternative to the doctors as a first point of contact for
patients. She can manage minor illnesses, infections, injuries,
chronic conditions (like diabetes and asthma), health education and
family planning. Julie can be seen within booked routine or same
day emergency appointments.
Amanda Oakes-Smith, Jane Ferguson and Sheila Jenkins
are available by appointment for general advice and routine
procedures. They offer appointments for well man, well woman
(including cervical smears), immunisations, travel vaccinations and
advice, family planning, HRT, warfarin monitoring, diabetes,
asthma, coronary heart disease monitoring, diet, weight counselling
Pauline Fowler and Janyne Hodgson, (at Brockham) and Sue
Gauntlett (at Newdigate) offer appointments to take blood, blood
pressures and ECGs.
Our district nursing team, led by Jennifer Brightwell, offers care
for the house-bound in their homes (ring Medwyns Centre 01306
743363 if you wish to leave a message or speak to a District
The Health Visitor team can be contacted between 9am and
5pm from Monday to Friday on 01306 743341. They are available to
give advice and support to families with young children. They also
run an 8 week baby immunisation clinic at Brockham and a monthly 8
week immunisation clinic at the Newdigate Surgery.
Our midwifery team, led by Liz Barrow, provide help and
advice throughout the pregnancy and postnatal period.
Our receptionists will assist you to make the best use of
the services available.
We are pleased to accept any new patients living within our
practice area. We cover an area with boundaries including parts of
Reigate and Dorking in the north, extending to Capel, Rusper,
Faygate, Ifield and Charlwood in the south. We therefore include
North and South Holmwood, Beare Green, Newdigate, Betchworth, Leigh
and Norwood Hill. Please check with either surgery if you are
unsure whether your address is included. We register patients
either at the Newdigate or the Brockham surgery depending on their
address. All new patients are requested to attend for an initial
health check with the practice nurse.
You may request to be registered with a particular GP, but this
does not affect the service we provide for you. We do not choice to
only their registered GP, which means patients can choose to see
any of our doctors and may even choose to see different doctors for
Consultations with the doctors and nurses are always by
appointment only. Appointments can be made by telephoning Brockham
surgery on 01737 843259 or Newdigate surgery on 01306 631242.
Patients with urgent medical problems will always be seen the same
day by the duty doctor. We cannot offer appointments the same day
for patients� social convenience. As you are in the best position
to make an initial judgement, please let our receptionist know if
you feel that your medical problem means that you need to be seen
the same day. If you are unable to keep your appointment please let
us know so that we can offer it to someone else.
If you need some advice from the doctor over the
telephone then the best time to ring is between 11.00 and 11.30am.
You may be asked to ring back at a later time if the doctor is
still in morning surgery.
A doctor is available 24 hours a day to help you. If the
surgery is closed telephone 01737 843259 and your call will be
transferred to the out-of-hours service. Our out-of-hours service
is provided by an organization called Thamesdoc and is arranged by
the Surrey Primary Care Trust.
Other than in an emergency, please request your home
visit before 10.30am. If at all possible please make every effort
to attend the surgery, as our practice covers a large area and the
doctor can see several patients in the time it takes for one visit.
Home visits are only available for the house-bound or those too ill
to attend surgery.
If you are on a repeat prescription then you can deliver
or post your computer print-out (please tick the drugs you need) or
written request to the surgery. If you want your prescription
returned by post then you must include a stamped, addressed
envelope. Unless you indicate otherwise we will assume that
requests sent to Brockham should be forwarded to the chemist in
Brockham to be prepared for collection (from the chemist) and that
requests sent to Newdigate are to be prepared at the surgery.
Please allow four working days for your prescription to be
prepared. Patients at Brockham can also have their prescriptions
posted to Medwyn Pharmacy in Dorking for collection. The pharmacy
offers late and weekend collection by the patient). Please
allow seven days for this service to allow for the
The doctors cannot assess results until after morning
surgery, so please telephone between 3.00pm and 5.00pm for your
result. In order to maintain confidentiality, results will only be
given to the person to whom they refer. Except for children under
16 years old.
Your medical records are held in strictest confidence.
Information is only passed on with your consent, within the
confines of the NHS, by law, or in the public interest. The
practice is computerised and all details of your medical records
are kept on computer. These are strictly confidential and the
practice is registered with the Data Protection Act
Freedom Of Information - Publication Scheme
The Freedom of Information Act 2000 obliges the practice
to produce a Publication Scheme. A Publication Scheme is a guide to
the classes of information the practice intends to routinely make
available. This scheme is available from reception.
Both of our surgeries have easy access for disabled
patients and all our consulting rooms are on the ground floor. Both
surgeries have toilets specially designed for disabled
The practice has been accredited since August 1997 as
being suitable for the training of those doctors intending to
become general practitioners. This means that the practice and
doctors have had to achieve a number of standards which have been
assessed by the GP Deanery for Kent, Surrey and Sussex, acting on
behalf of The Joint Committee for Postgraduate Training in General
Practice. Dr Richards and Dr Rawson are approved trainers.
Information About GP Registrars
Doctors training to become GPs are called GP
The GP Registrar is a fully qualified doctor who is likely to
have a lot of experience of hospital medicine.
Any doctor who wishes to become a GP must undergo specific
training. Usually this training takes three years, including one
year in general practice and four six-month sessions in different
specialities at the local hospital.
You can expect to receive from the GP Registrar the same quality
of service you would receive from your own GP.
In order for the GP Registrars to successfully complete their
training, they need to be assessed on their consulting skills. This
is done by the appointed assessors viewing a video of the
Registrar's consultations. You may be asked for your permission to
have your consultation recorded in this way. If you agree, you will
need to give your written permission. You will be offered a consent
form, available at reception. If the doctor appears to be recording
your consultation and you have not signed a consent form, then you
should indicate this to him or her immediately. The recording will
be used for educational purposes only. Further information about
this process, and the confidentiality of it, can be obtained from
the reception staff.
To ensure that the practice continues to meet the standards for
training in the KSS Deanery, the practice and the doctors will be
subject to regular inspection visits (normally every three years).
At this inspection another doctor will assess the quality of the
patients� records. If you do not want your own record to be
available for inspection then please inform the practice of your
wishes and they will be respected. Please ask any member of the
reception staff for further information if needed.
If you wish to make any comments about our service then
please approach either one of the doctors or the manager. We have a
practice-based complaints system, so if you want to make a
complaint then please put it in writing and we will reply promptly.
We wish to continue to improve the service we offer, so we are
always pleased to hear your views.
All diabetic patients are asked to see the nurse practitioner,
Julie Hampshire, who is specifically trained in diabetic care. Dr
Jenner and Julie Hampshire both run a diabetic clinic on Monday
mornings at Brockham.
All asthma patients are advised to see the practice nurse for
an annual review.
A booking clinic (Wednesday afternoon) and a routine follow
up clinic (Monday afternoon) are available by appointment weekly at
the Brockham surgery.
Child And Baby Clinic
There is a weekly clinic for immunisations, developmental checks
and advice on Tuesdays at Brockham and monthly at Newdigate
Many minor operations are easily and more conveniently performed
at the surgery by the doctors. Dr Jenner and Dr Richards have
undergone training to perform more advanced minor surgery.
We provide a full range of family planning including the pill,
coil, cap and post-coital contraception. Our practice nurses are
trained in family planning and will see patients by
appointment. Dr Sevenoaks runs a family planning clinic on a
Thursday afternoon from 2 - 3.30 p.m.
Advice for travellers is provided by the practice nurses who
are specially trained. They can provide all vaccinations including
yellow fever. If possible please make an appointment at least six
weeks before departure. You can also ring the surgery and leave a
message for one of our practice nurses if you have any query
regarding your vaccinations. One of the nurses will then
telephone you to discuss your travel enquiry.
A physiotherapist from Dorking Hospital comes to Brockham each
Wednesday. Patients need a referral from a GP to see the
We have two counsellors who come to Brockham for three sessions
per week. Patients need a referral from a GP to see a
Mr Paul Whiteman, an optician from Reigate, offers
appointments at Brockham surgery on every third Wednesday afternoon
- these can be booked directly by patients through the surgery (no
referral is necessary).
PRIMARY CARE TRUST
Our contract with the NHS to provide general medical
services and enhanced services is held by the Surrey Primary Care
Trust, Cedar Court, Guildford Road, Fetcham, Leatherhead, KT22 9RX,
Telephone 01372 227300. It commissions services on our behalf at
the local hospitals. They can be contacted for details of primary
care services in the area.
DORKING HEALTHCARE LLP
WHAT IS DORKING HEALTHCARE?
Dorking Healthcare Limited Liability Partnership is a new
organisation formed by local GPs to provide high quality, local and
timely outpatient appointments for patients of the Dorking
practices. These services are provided in the outpatients
department at Dorking Hospital.
The aims are to:
- increase the range of services provided at Dorking
- make sure that Dorking patients are seen at Dorking Hospital
rather than at East Surrey or Epsom Hospitals,
- reduce waiting times for appointments,
- ensure that almost all appointments are with a consultant,
- attract experienced and dynamic consultants to work in
- develop a close working arrangement between the Dorking GPs and
- make savings to re-invest to develop more services in
HOW IS DORKING HEALTHCARE FUNDED?
The Surrey Primary Care Trust has responsibility for the
commissioning (purchasing) of services for Dorking patients. The
PCT has decided to purchase some of the outpatient services for
Dorking patients from Dorking Healthcare.
THE RELATIONSHIP BETWEEN YOUR GP AND DORKING HEALTHCARE
One of the main reasons for developing Dorking Healthcare is to
create a closer working relationship between GPs and consultants.
We will develop a new understanding over how patient care should
happen in each speciality. This will have many benefits,
- GPs organising more investigations (eg. x-rays or laboratory
tests) so these are available when a patient sees a consultant.
This should mean that decisions on treatment can be taken at the
first appointment and not need the delay and cost of a second
- An increased understanding amongst GPs about when to refer
patients to a specialist for certain conditions.
- GPs increasingly following up patients under care plans drawn
up by consultants or after operations.
WILL MY GP REFER ME TO DORKING HEALTHCARE SERVICES?
Your GP will always refer you to the best service for your
individual needs. Who you are referred to is always a joint
decision between you and your GP.
We expect many referrals will be made to Dorking Healthcare
consultants because in these cases the best option for the patient
will be to see a well respected consultant, with a short waiting
time, in a local facility.
WHO SHOULD I CONTACT IF I HAVE A QUESTION?
If you have a general enquiry or question about an appointment
then you need to speak to the receptionists at Dorking Hospital
Outpatients Department : phone 01306 887150. If you have a specific
question about Dorking Healthcare then please contact the manager,
Mrs Linda Edwards, on 01306 887150.
Further information is available on our website www.dorkinghealthcare.co.uk
This includes a list of Dorking Healthcare clinicians and current
waiting times for appointments.
Self Treatment of Common Illnesses and Accidents
Many common aches and pains can be simply treated at home
without the need to consult a doctor.
Ear wax can often be cleared by lubricating the affected ear
( s) with 1-2 drops of olive oil once or twice a day for a week. If
this does not work, please make an appointment to see a nurse to
have your ears checked and possibly syringed.
Back pain causes 13 million working days to be lost in Britain
each year. The spine supports the whole weight of the upper body so
it is understandable that it sometimes goes wrong.
Because of the complex nature of the spine it is advisable to
consult your doctor if back pain persists for more than a few days.
If, as is usual, the pain has been caused by abuse ie lifting too
heavy weights etc, be sensible and take things easy. Take care to
sit as upright as possible with a support for the small of the
Take aspirin or paracetamol which will not only relieve the pain
but will help to relieve inflammation. Your doctor may well
prescribe stronger drugs, heat treatment, gentle exercise or some
kind of supportive corset. Aspirin should not be given to children
under 16 years of age.
Apply large quantities of cold water to the affected area as
soon as possible and maintain this until the pain subsides. This
may take as long as 15 minutes! If the skin is unbroken but
blistered, apply a loose, dry dressing.
If the burn is larger than four or five inches in diameter or if
the skin is broken, consult your doctor as soon as possible.
Even in this day and age there is still no magic cure for the
common cold. Go to bed, take plenty of drinks. If you have a
headache or are feverish, take aspirin or paracetamol. Do not
bother to take antibiotics as these will have no effect! Aspirin
should not be given to children under 16 years of age.
In an adult, diarrhoea is usually caused by a viral infection
and is therefore unable to be treated directly. The symptoms can
usually be eased by the traditional kaolin and morphine mixture or
by medicines containing codeine.
Holiday diarrhoea is often due to bacteria. Again, kaolin and
morphine can be taken.
Consult a doctor if the symptoms persist for more than a few
Diarrhoea in very young children and babies need careful
attention. Most babies have loose bowel action during their first
six month due to their predominantly liquid diet. Sudden bouts of
unusually watery diarrhoea should be treated by taking the baby off
solids and feeding them a cooled solution of boiled water with a
teaspoon of sugar and half a teaspoon of salt to the pint. If the
symptoms persist for more than 24 hours, or are accompanied by
vomiting or weakness, consult a doctor.
Sit in a chair, lean forward with your mouth open, and pinch
your nose just below the bone for approximately 10 minutes, by
which time the bleeding should have stopped. Avoid hot drinks or
hot food for 24 hours. If the symptoms persist, consult your
Minor Cuts And Grazes
Wash the wound thoroughly with water and a little soap. To
stop bleeding apply a clean handkerchief or dressing firmly to the
wound for about five minutes. Cover with a clean dry dressing.
Treat as for other burns with cold water to remove the heat.
Calamine lotion will relieve the irritation whilst paracetamol will
also help. Children are particularly susceptible to sunburn and
great care should be taken to avoid over-exposure to the harmful
effects of the sun.
Insect Bites And Stings
Antihistamine tablets can be obtained from the chemist
without prescription and will usually relieve most syptoms. Note:
bee stings should be scraped away rather than plucked in order to
avoid squeezing the contents of the venom sac into the wound.
The Family Medicine Chest
Here is a list of useful medicines and dressings with a
description of their uses. All are quite cheap and worth stocking
at home in readiness for minor illnesses. Keep them in a box or
cupboard with a lock - or store them well out of reach of
Soluble Aspirin Tablets
For adults and children over 16 years old. Good for
headaches, colds, sores throats and painful bruises.
For relief of pain or fever in young children.
Sedative Cough Linctus
For dry or painful coughs - but not coughs caused by common
Add to hot water to make steam inhalations for treating
catarrh and dry or painful coughs.
Again for steam inhalations. Also useful for children with
stuffy noses or dry coughs. Rub on the chest and nose.
One teaspoon diluted in warm water for cleaning cuts and
For treating septic spots, sores in the nose and grazes.
For dabbing (not rubbing) on insect bites, stings and
For minor cuts - 3" Wide Crepe Bandage. To keep dressings in
place. To support sprained or bruised joints.
For cleaning cuts and grazes.
For removing splinters. Remember that your local chemist can
give you advice about medicines.
Why Give Up?
- Over 100,000 people die each year in the UK from
- Every cigarette you smoke can shorten your life by an average
of five and a half minutes.
- Babies of smokers are, on average, 200 grammes smaller than
those of non smokers.
- Smokers smell!
How To Give Up
Stopping smoking is all about motivation. Without the real
desire to give up you are unable to succeed. You must want to give
up rather than feel you should give up.
Set a date a week or so in the future when you intent to
Tell all your friends, relations and work colleagues that you�re
giving up on that day and ask for their support and encouragement.
If at all possible, find someone to give up with you.
When the big day comes, plan it carefully with plenty to keep
you occupied. Avoid situations where the desire to smoke will be
strongest such as whilst drinking.
Finally, carefully put the money you would have spent on
cigarettes on one side, each day, to save up for some special treat
as a reward.
If you�ve tried everything and failed but are still keen to give
up, seek help from your doctor.
Preventing A Relapse
Whenever you feel the need for a cigarette, go back to the
procedure which helped you give up in the first place. Avoid
complacency and remember that you�re a non smoker! Think how
unpleasant smokers smell now that you�ve given up.
Do you want to smell like them?
A Little Of What You Fancy....
Alcohol is a depressant which has the affect of dulling the
brain and nervous system.
In small quantities, alcohol can actually be beneficial to
health. In large quantities, on a regular basis, it can have a very
serious negative effect on health. At one extreme it can kill.
CIRRHOSIS of the liver, for instance, is killing an increasing
number of people, as are drivers who are over the limit. At the
other end of the scale, excess consumption of alcohol can lead to
poor co-ordination, impaired vision, a weakening of the immune
system, impotence and obesity.
What Is A Safe Limit?
An accepted safe limit is 28 units a week for men and 21 units for
women, a unit being approximately a glass of wine, half a pint of
beer or a single measure of spirit. The recommended maximum
presumes that the consumption is spread throughout the week and not
consumed all at once in a 'binge'.
A man's liver can process only eight units of alcohol within a
24 hour period and can take 72 hours to recover fully. It is easy
to see how easy it is to damage this vital organ.
How To Cut Down
How about a bottle of mineral water instead of wine with your
lunch? Always drink water alongside wine with a meal and try a
spritzer (wine mixed with mineral water) instead of a straight
glass of wine.
How To Avoid A Hangover
The most effective way to avoid a hangover is not to drink too
much! Failing that, if you have overindulged, drinking large
quantities of water before going to bed is very effective in
warding off the worst effects.
A Healthy Diet
You Are What You Eat...
If your diet is lacking, your body has ways of letting you know.
For example, you may be overweight or underweight or you may have a
spotty complexion or constipation. Ultimately, a bad diet can lead
to serious problems such as heart disease. A good diet helps fight
off disease and makes you look and feel good.
Eight Steps To A Healthier Diet 1. Reduce your consumption of
refined carbohydrates such as white flour and white sugar. Your
daily consumption of sugar should not exceed two ounces - and that
includes all the sugar already present in food, particularly
2. Eat plenty of fresh fruit and vegetables. Aim to make them over
80% of your daily intake of food.
3. Cut down on your fat intake. Choose lean meats or trim off fat.
Use low fat spreads and cooking oil which is low in
4. Choose wholemeal bread in preference to white.
5. Try nuts and dried fruit as a treat instead of sweets and
6. Drink at least two pints of water every day.
7. Avoid the British habit of overcooking vegetables. It causes a
massive loss of minerals and vitamins. Steaming or microwaving is a
much better way of cooking vegetables. than boiling them.
8. Cut down on your salt intake. Never, for example, add salt to
your food before tasting to see whether it is needed.
It helps to reduce weight
It helps to reduce strokes
It makes you feel and look better
Once you have found a form of exercise you enjoy, do it:
Often enough - two or three times a week for 20 - 30 minutes
Hard enough - to make you fairly breathless
Long enough - it must become part of your life for good
Remember: if you are not used to exercise start slowly and build
Both doctors and nurses will be happy to advise you and your
family about these important factors in achieving and maintaining a
This timetable changes when the doctors are on leave.
|Monday Morning 8.30 - 11.00
||Drs Kober, Jenner, Mayer, Rawson & Registrar
|Monday Evening 4.00 - 6.30
||Drs Kober, Jenner, & Registrar
|Tuesday Morning 8.30 - 11.00
||Drs Kober, Rawson & Sevenoaks & Registrar
|Tuesday Evening 4.00 - 6.30
||Drs Richards, Rawson & Registrar
|Wednesday Morning 8.30 - 11.00
||Drs Kober, Jenner, Mayer
|Wednesday Afternoon 2.00 - 4.00
||Drs Kober & Mayer
|Thursday Morning 8.30 - 11.00
||Drs Richards, Rawson, Sevenoaks & Registrar
|Thursday Evening 4.00 - 6.30
||Drs Richards, Sevenoaks & Registrar
|Friday Morning 8.30 - 11.00
||Drs Jenner, Richards & Registrar
|Friday Afternoon 2.30 - 4.30
||Drs Kober/Jenner, Richards in rotation)
|Friday Evening 4.00 - 6.30
||Drs Kober/ Jenner Richards (in rotation)
|This timetable changes when the doctors or practice nurses are
|Monday Morning 8.30 - 11.00
|Monday Evening 4.00 - 6.00
||Drs Rawson & Registrar
|Tuesday Morning 8.30 - 11.00
|Tuesday Evening 4.00 - 6.30
|Wednesday Morning 8.30 - 11.00
|Wednesday Evening 4.00 - 6.30
|Thursday Morning 8.30 - 11.00
|Thursday Evening 2.00 - 3.30
|Friday Morning 8.30 - 11.0
|Friday Evening 4.00 - 6.30
USEFUL TELEPHONE NUMBERS
Dorking Hospital Outpatients 01306 887150
East Surrey Hospital 01737 768511
Epsom General Hospital 01372 735735
Crawley Hospital 01293 600300
NHS Direct 0845 46 47
Social Services (Dorking Locality) 01306 888033
Department of Social Security 01483 442400
Police 0845 125 2222
Dental Emergency Service 01737 768511
Registrar of Births, Deaths & Marriages (Mole Valley) 01 372
Relate Marriage Guidance 0845 1304010
Relate (Reigate Branch) 01 737 245212
National Drugs Helpline 0800 776600
Cruse Bereavement Care 0870 1671677
Samaritans 0845 7909090
NHS Direct also has a useful website (http://www.nhsdirect.nhs.uk)
for health information and on-line advice.
Please check with either surgery if you are unsure whether you
live within our practice area.