How to make an appointment

Our healthcare team comprises a wide range of professionals.

For day to day appointments you might be seen by either a nurse or a doctor depending on the nature of the problem. Our practice nurse team are specially trained to assess and treat a wide range of health conditions meaning that it will not always be necessary to see a doctor.

Booking an appointment for an Urgent Issue (Examples listed below):

  • If you need an urgent appointment at the surgery (i.e. needs to be managed within 48hrs), please call us between 8am-1pm to ask to be added to the duty doctor’s list for the day to be triaged. You will then receive an outcome of this triage within 4hrs (by telephone call or text).
  • If you develop an urgent issue (examples listed below) after 1pm there will still be as set number of ‘emergency slots’ for the day when you call however we encourage you to try contacting the surgery before 1pm where possible to allow us time to allocate resources effectively.

Booking an appointment for a Routine Issue (Examples listed below):

  • Routine Appointments: If you require an appointment for a non-urgent issue (examples listed below) then please try to book an appointment online where possible. If you are not able to do so or there are no available slots left and your issue can not wait past 2 weeks, then please call reception and they will try to book you in.
  • Evening or weekend appointments are available at St Charles Health Centre nearby. Please contact our reception staff if you would like to book one of these.
  • Nurse appointments – the Practice Nurses can help you with a range of issues from health management to vaccinations. Nurse appointments can be booked online or by calling the reception staff if you are unable to use online services.
  • Use your NHS account (through the NHS website or NHS App) to book a screening test or vaccination.

When you get in touch, we’ll ask what you need help with.

We will use the information you give us to choose the most suitable doctor, nurse or health professional to help you.

Monday: 8:00am to 12:30pm and 3:00pm to 8:00pm

Tuesday: 8:00am to 11:00am and 12:00pm to 6:00pm

Wednesday: 8:00am to 13:00pm and 4:00pm to 7:30pm

Thursday: 8:00am to12:30pm and 3:00pm to 6:00pm

Friday: 7:30am to 11:00am and 12:00pm to 6:45pm

Booking a Routine Appointment:

Please be aware that the total time for your appointment is 10 minutes. In this time the Doctor must deal with the presenting problem, write up the clinical notes, issue any prescriptions etc and call in the next patient – all in 10 minutes. The Doctors want to help you and are happy to deal with more than one problem at a time provided this can be managed within the 10 minute appointment slot.

> Dr Elizabeth Densham is available on Monday, Tuesday, Wednesday, Thursday and Friday

> Dr Richard Fotiadis is available on Thursday

> Dr Laura Reynolds is available on Wednesday

> Angela Feather (Nurse Practitioner) is available on Tuesdau and Friday

> Amanda Luscher (Practice Nurse) is available on Monday, Thursday and Friday

We acknowledge that in the case of urgent and unwell patients the consultation time will exceed 10 minutes. In these situations the patient will always be given the time required.

We  can also book appointments for you at the Extended Hours Hubs  – If you would like to book an appointment after 6:30 pm or on the weekend when we are closed, please contact the Practice during opening hours and ask for an appointment at the Extended Hours Hubs which are open Monday to Friday 6:30pm to 9:00pm and Weekends from 8:00 am to 8:00 pm.

Please note:

Appointments that overrun will impact on the running of the Surgery and therefore on patients waiting to be seen.

In exceptional circumstances the Doctor will always make the necessary time.

Double appointments are not bookable.

Do not be offended if all your problems cannot be resolved in one appointment, you can make another appointment.

Additional Extended Hours Hubs 

If you are registered with a local GP you can access evening, weekend and bank holiday GP and Nurse Appointments at West London’s extended hour’s Hubs.

Enhanced Access Hubs are staffed by local and experienced GPs and Nurses and offer assessment and treatment for adults and children.

Appointments are available after your registered GP has closed to ensure that patients have access to a GP during week day evenings up to 9pm and weekends when most local practices are closed

To access the service

Call your GP practice and ask for an extended access appointment

Call NHS 111 and they can book you an appointment at one of the hubs

The Extended Access Hubs locations and opening hours are:

Violet Melchett Clinic, 30 Flood Walk, London SW3 5RRR.

St Charles Centre for Health, Exmoor Street, London W10 6DZ.

Opening times: Monday to Friday 6:30pm to 9:00pm, Saturday 8:00am to 8:00pm, Sunday and Bank Holidays 8:00am to 8:00pm.

Triage service

Your name will be added to the duty doctor’s telephone list, with a brief description of your concern along with your best contact number.

The duty doctor will work through a list calling each patient and will prioritise urgent cases but will aim to return your call within 2 hours.

The duty doctor may call certain patients before others depending on the symptoms and the age of the person.

The triage system is in place to provide same day access to GP advice and if an appointment is required we will allocate you to the doctor best suited to your concern.

The duty doctor can also provide advice and/or a prescription which can be collected from the surgery reception.

Access the GP online appointment system

Manage your appointments via our online service. Please contact the practice if you wish to register for this service.

Login for Online Services

Non-urgent advice: Emergencies

What is an Emergency?

Whatever the time of day, if you or someone else experiences the symptoms below and you feel it is so serious that it cannot wait, go to the nearest Accident and Emergency Department or call 999.

Symptoms include;

Chest pain

Severe abdominal pain

Vomiting blood


Non-blanching rashes (the glass test)

Possible anaphylactic shock (swelling of mouth and throat)

Emergencies will be dealt with as a priority by a GP.

Your appointment

However you choose to contact us, we may offer you a consultation:

  • by phone
  • face to face at the surgery

Appointments by phone, can be more flexible and often means you get help sooner.

Cancelling or changing an appointment

To cancel your appointment:

Even cancelling your appointment with 10 minutes’ notice will enable us to see other patients in need.

If you need help now or when we are closed

If you need medical help now, use NHS 111 online or call 111.

NHS 111 online is for people aged 5 and over. Call 111 if you need help for a child under 5.

Call 999 in a medical or mental health emergency. This is when someone is seriously ill or injured and their life is at risk.

If you need help with your appointment

Please tell us:

  • if there’s a specific doctor, nurse or other health professional you would prefer to respond
  • if you would prefer to consult with the doctor or nurse by phone, or by face-to-face
  • if you need an interpreter
  • if you have any other access or communication needs.

Home visits

If you are housebound and need an appointment, we will do a home visit. We will phone you first to understand what you need.

To request a home visit, it’s helpful if you phone the practice as soon after 8am as possible.

Help from your pharmacy

Did you know that your local pharmacy can help you with a lot of minor ailments; and a lot of treatments are covered by the Pharmacies.

Additional information about your appointment with us
Can I bring someone to accompany me to the Appointment?

We are generally very happy for patients to bring with them a carer, relative or even a friend. This often helps, particularly when they know you well and it allows them to tell us any observations they would make about you, which can help us in undertaking our assessment. Ultimately this will lead us more quickly to make an accurate diagnosis and therefore help you more.

Also, having someone with you means they can prompt you to ask questions that you may have forgotten, and after the appointment they can help in reminding you what was discussed.

Occasionally we might ask for them to leave but this would be unusual.

If you require interpretation services please contact us in advance of you appointment and we will arrange this.

Chaperone Policy

We will always respect your privacy, dignity and your religious and cultural beliefs particularly when intimate examinations are advisable – these will only be carried out with your express agreement and you will be offered a chaperone to attend the examination if you so wish.

You may also request a chaperone when making the appointment or on arrival at the surgery (please let the receptionist know) or at any time during the consultation.

Giving Consent for Treatment

You have the right to accept or refuse treatment that is offered to you, and not to be given any physical examination or treatment unless you have given valid consent. If you do not have the capacity to do so, consent must be obtained from a person legally able to act on your behalf, or the treatment must be in your best interests.

Your valid consent (agreement to the course of action) is needed for the treatment that’s offered to you before any physical examinations or treatment can be given. If you haven’t given your consent, you can accept or refuse treatment that’s offered to you.

It’s important to be involved in decisions about your treatment and to be given information to help you choose the right treatment. When making treatment choices, you’ll often discuss the options with your doctor or another healthcare professional.

If you have a suspected infectious disease

Please inform reception if you suspect an infectious disease, as this will enable us to deal with it appropriately during your visit to protect you, other patients and staff. 


If you require an interpreter to attend with you when you see your Doctor please notify the receptionist and this will be arranged.

Intimate Examinations

During your care, a doctor may need to examine you in order to provide you with the best care. Occasionally this may involve an examination of intimate areas. We understand that this can be stressful and embarrassing. If this sort of examination is necessary:

  • We will explain to you why the examination is necessary and give you the opportunity to ask questions.
  • We will explain what the examination will involve, including whether you can expect it to be painful or uncomfortable.
  • We will obtain your permission before carrying out this examination You will be offered a chaperone.
  • At all times we will respect your privacy during the examination and while dressing and undressing.

Your doctor and the nursing staff will be happy to discuss any concerns you have about this.

Private Medical Examinations

Medical examinations for special purposes such as pre-employment, fitness to travel, elderly drivers, fitness to undertake sports etc, will require longer than a routine appointment.

These examinations do not form part of NHS Services, you will be charged for any such examination. Please check the fee chargeable when you require to arrange any such examination.