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We are recruiting! For more information, click here!

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Bradford on Avon & Melksham Health Partnership


Salaried GP (up to 8 sessions – part time available) - permanent vacancy

21,500 patients, situated in beautiful Bradford on Avon & Melksham - a stone’s throw from Bath


We have an opening for you to join our ‘outstanding’ CQC & award winning team.


Ideal for both experienced GPs and for those who are just starting out:


  • Flexible supportive GP Training practice, with mentorship and appraisal guidance available
  • Weekly practice meetings for education (CPD), communication & support
  • Strong team ethos
  • 100% QOF results
  • Excellent support via Emergency Nurses, ECP, Paramedic & Practice Pharmacist
  • Career progression opportunities
  • Social prescribing model – including leg club, dementia café and  a  demonstrator site for integrated health and social care
  • Dispensary & Clinical Research
  • Competitive sessional rates
  • Closing date will be:  (4 weeks)   But will close sooner if enough suitable applicants apply.


Phone and come and visit us anytime!


Michelle Coleman, Practice Manager – 01225 866611 





Practice News from Dr Nigel Gough & Dr James Heffer


Dear Patients


After nearly 70 years (between us) in General Practice at the Health Centre, we are writing to let you know that we are both retiring as Partners at the end of March 2018. Although we will each still be undertaking some medical work, we will no longer be acting as regular doctors in the surgery.


It has been a privilege and a most fulfilling and rewarding way to spend our working lives and we have enjoyed seeing the generations pass through the Practice and watching the community change over those years. We recognise that our retirement will represent a big change for ourselves and for our patients, but we are sure that all parties will adapt successfully to that change.


The Practice will be writing to you in a few weeks to set out what this will mean for our patients and patient services, but in the meantime we would like to thank you for keeping us interested and enthusiastic over the last three-and-a-half decades.


With best wishes,


Dr Nigel Gough and Dr James Heffer


 Stay Wellstaywell


‘Stay Well Pharmacy’ is a new campaign from NHS England which encourages people, especially parents and carers of children under the age of 5, to visit their local pharmacy team first for minor health concerns such as sore throats, coughs, colds, tummy troubles, teething and aches and pains.

Community pharmacists and pharmacy technicians are qualified healthcare professionals, and are the right people to see if you need clinical advice, reassurance, over the counter medicines and even a private consultation room, should it be requested, to help safely manage a range of minor health concerns. The campaign reminds people that local pharmacy teams offer fast and convenient clinical support with no appointment needed.


Search for more information and to help you find your nearest NHS pharmacy services and opening hours.


Practice Newsletter


February 2018 newsletter  - please click here


Dr Nell Wyatt - Clipper Round the world update





healthy logo 

Please click here

28th February - Raynaud’s Awareness month 

Raynaud’s Phenomenon is a condition thought to affect up to ten million people in the UK and it can be incredibly painful.  With Raynaud’s, the small blood vessels in the extremities are over-sensitive to changes in temperature, which can cause a Raynaud’s attack. February is Raynaud’s Awareness Month in which they aim to highlight Raynaud’s and the work of the RSA by asking you to "LOVEyourGLOVES!” February is statistically the coldest month of the year and it is vital to wrap up warm and protect your extremities.

For more information please click here

4th February 2018 - World Cancer Day

Cancer affects so many people across the world and currently 8.2 million people die from cancer worldwide each year. World Cancer Day is the ideal opportunity to spread the word and raise awareness of cancer in people’s minds and the world media. This global event takes place every year on 4 February and aims to save millions of preventable deaths each year by encouraging individuals to take action.

For more information please click here

 5th February 2018 Sexual Abuse & Sexual Violene Awareness Week

Abuse includes domestic violence, rape and sexual assault. Find out where to get help, how you can support a friend and how to recognise the signs of abuse. 

Please click here

Reduce your risk’ of cervical cancer

Women across Wiltshire have been urged by local health bosses to do their best to prevent cervical cancer.

National charity Jo’s Cervical Cancer Trust has today (Monday jo cervial cancer22 January 2018) launched Cervical Cancer Prevention Week, with the theme of ‘reduce your risk’.

And doctors across Wiltshire have joined the call for women in the area to:

  • Attend cervical screening when invited;
  • Know the symptoms of cervical cancer and seek medical advice if experiencing any;
  • Take up the HPV vaccination if aged 11 to 18;
  • Talk to friends and family to ensure they know how they can reduce their risk;
  • Know where to find support and further information.

For more information on cervical screening, visit

Stop Smoking services available in Wiltshire

Free, proven support to help you quit!

Join the millions of people who have used Smokefree support to help them stop smoking. We’ve got loads of support to help you quit, so choose what's right for you.

Smokers will also find useful information at



Wiltshire IAPT Service (Improving Access to Psychological Therapy) Lift logo


The Wiltshire IAPT Service is an NHS provider of psychological support to patients over the age of 16 years registered with a Wiltshire GP practice.


The service provides a wide range of support through GP surgeries to people experiencing common mental health difficulties, primarily those associated with anxiety and depression.  The Wiltshire IAPT services range from self-help therapies, to psycho-educational courses, online and one to one support.


Assessment appointments with a Psychology Practitioner can be arranged by calling the Wiltshire IAPT Service administration team on 01380 731 335.


For more information please visit the following link



Act F.A.S.T. campaign returns to empower people to call 999 at any sign of a stroke


On 1st February 2018, Public Health England, working closely with Stroke Association, will relaunch the national “Act F.A.S.T.” stroke campaign.


The campaign raises awareness for the signs of stroke and reinforces the importance of acting F.A.S.T. and calling 999 if you notice any single one of the signs in themselves or others. All three signs are not needed in order to make a 999 call, one is enough. Therefore, the campaign urges individuals to act without hesitation, upon spotting any sign, for both themselves and on behalf of others.


The campaign is built around the ‘Act F.A.S.T.’ (Face, Arms, Speech, Time) acronym to highlight the key signs of stroke and emphasise the importance of acting quickly by calling 999:


  • Face – has their face fallen on one side? Can they smile?
  • Arms – can they raise both arms and keep them there?
  • Speech – is their speech slurred?
  • Time to call 999


A stroke is known as a ‘brain attack’. There are over 100,000 strokes a year in the UK, causing over 40,000 deaths. It is a medical emergency that requires immediate attention as every minute is vital. That is why calling 999 is so crucial. An ambulance can give stroke patients those extra precious minutes, through faster and more specialist treatment via their knowledge of the nearest appropriate Hyper Acute Stroke Unit.

For more information please click here


If you use the services of Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) your welcome.


Come have a coffee and a chat.

T.U.G will be available from 15.01.18 for 1pm to 5pm for the next month, times may change in February.

Sessions will run:

1pm to 4pm free drop-in for coffee, chat Advice on Benefits/Services etc.

4pm to 4.45pm Mindfulness/Mediation and wellness sessions come for relaxing meditation and share your tips for keeping well.

For more information please click here


Helping you to help yourself Helping you to help yourself

A dedicated health trainer can assist you every step of the way to achieving and maintaining your goals. They can also help you find other services and activities. This service is for people aged 18 + and is free.

If you work with people in Wiltshire and would like to know more about the service and how we can work together you can email or phone us.

Contact us

Health trainers
Public health
County hall
Bythesea Road
BA14 8JN

0300 0034566



Young Carers Awareness Day - 25 January 2018


carers awareness 2018


For more information please click here



Public Health England advice regarding Flu/Influenza:


There are still opportunities to protect vulnerable people through vaccination. It is important to remember that the seasonal flu immunisation programme runs until March each year and so the offer of the vaccine is available to eligible individuals, especially newly pregnant women, throughout this period. 


Influenza (Flu) is most infectious when symptoms start until about 3-5 days later, therefore, patients are advised to avoid attending the practice or a health care setting while symptomatic, if at all possible.


Most cases of flu can be treated effectively at home. Patients are encouraged to self-care, seek advice on treating symptoms via reputable on line resources such as NHS Choices, or to seek advice from a local Pharmacist before contacting the GP


Patients are advised to:

  • rest and sleep.
  • keep warm.
  • take paracetamol or ibuprofen to lower your temperature and treat aches and pains.
  • drink plenty of water to avoid dehydration

(More info for patients can be found on or via 111)


Patients who have severe/prolonged flu or other complicating factors particularly children, pregnant women, those with chronic conditions and the elderly (or where symptoms have not improved after 7 days) should be reviewed by the GP.


Anyone with symptoms of flu should be advised to stay away from work/school until they have recovered and for at least 24 hours after the resolution of any fever. There are no recommended times for exclusion from school for an infected child; a child should return when they have recovered. A sick note is note required until you have been off work for more than 7 calendar days.




New Change4Life campaign encourages parents to 'look for 100-calorie snacks, two a day max' to cut children’s sugar intake.


Public Health England (PHE) is helping parents take control of their children’s snacking by launching the first Change4Life campaign promoting healthier snacks.

This is because half of children’s sugar intake, currently around 7 sugar cubes a day, comes from unhealthy snacks and sugary drinks, leading to obesity and dental decay.

Each year children are consuming almost 400 biscuits; more than 120 cakes, buns and pastries; around 100 portions of sweets; nearly 70 of both chocolate bars and ice creams; washed down with over 150 juice drink pouches and cans of fizzy drink.


Carer’s café

Get support   share information    Relax

The Kings Arms, 20 market Place, Melksham

1st Thursday of every month

10.30am – 12.00pm

For anyone aged 18 or over who help another person in their day to day life, usually a relative or friend, who could not manage without that support

For more information, please contact Carers Support Wiltshire on Freephone 0800 181 4118 or email

Or you can visit


Practice newsletter - December 2017

please click here

Could you be a LINK?  Co-ordinator

People in the community need help to get to hospital or their GP surgery.

BUT they need transport. Melksham Link can provide transport BUT we need volunteers to arrange it.

You would take the phone messages, arrange a driver answer the caller know what time the driver will collect them. You could do one week at a time, probably every four weeks, or you might do 2 or 3 regularly per month.   A mobile phone is provided & is handed over along with the paperwork to whoever is next on duty

 Phone or email for more details

07979 129052


Antibiotic resistance is one of the biggest threats facing us today.

Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.

What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.

For more information please click here


World Antibiotic Awareness Week

Antibiotics are important medicines for treating bacterial infections in both humans and animals. However, bacteria can adapt and find ways to survive the effects of an antibiotic.

This means antibiotics are losing their effectiveness at an increasing rate. The more we use antibiotics, the greater the chance bacteria will become resistant to them and they can no longer be used to treat infections. 

Antibiotic resistance is one of the most significant threats to patients' safety in Europe. It is driven by overusing antibiotics and prescribing them inappropriately. 

To slow down the development of antibiotic resistance, it is important to use antibiotics in the right way – to use the right drug, at the right dose, at the right time, for the right duration. Antibiotics should be taken as prescribed and never saved for later or shared with others.




From Monday 6th November, we will be improving our appointments system and how you book an appointment to see your GP.


“Call First” New telephone system

Call First” is an appointments booking system whereby all patients requesting an appointment speak to a doctor who decides whether their problem can be dealt with by phone or requires a face to face consultation with a doctor or a nurse.

GP’s will telephone the patient at / or as close to possible to the time allocated and after the initial discussion if the doctor is unable to provide care or advice over the phone the patient will be offered an appointment.  The patient will then be booked with a GP or a nurse.  If a patient is required to attend elsewhere for tests, or requires a referral or a prescription, they will be advised by the GP at that time and the necessary arrangements will be made after the call has ended. 

What are the benefits?

  • Speak to a GP sooner
  • See their GP sooner when appropriate
  • Increase number of patients dealt with daily
  • Save time by avoiding unnecessary appointments.  

For more information please click the following links:


Patients FAQ fact sheet 


Accessing Appropriate Healthcare


BOA & Winsley Health Centre Appointments leaflet


St Damian's Surgery Appointments leaflet





Keep a well-stocked medicine cabinet at home this winter recommends NHS Wiltshire CCG


Wiltshire Clinical Commissioning Group is advising local residents to be prepared this winter with their own well-stocked medicine cabinet, so they can treat themselves at the first signs of coughs, colds, sore throats or stomach bugs.


What to keep in your medicine cabinet


  • Painkillers– Aspirin, paracetamol and ibuprofen are highly effective at relieving most minor aches, pains, coughs and cold
  • Oral rehydration salts– can help restore your body’s natural balance of minerals and fluid lost through diarrhoea, fever, vomiting – if you can’t continue your normal diet
  • Anti-diarrhoea tablets– it’s a good idea to keep anti-diarrhoea medicine at home as diarrhoea can happen without warning. Causes include food poisoning and a stomach virus
  • Antihistamines– Useful for dealing with allergies, insect bites and hay fever
  • Indigestion treatment– If you have stomach ache, heartburn or trapped wind, a simple antacid will reduce stomach acidity and bring relief
  • Suncream– Sunburn can happen at any time of year, so keep some suncream of at least factor 15, with UVA protection. Exposure to the sun can cause sunburn and increase your risk of cancer




Why have I been referred?


Your GP will discuss with you and, if appropriate, your carer, about why a referral is being recommended. It is usually because your GP wants a specialist’s help in deciding on the best way to treat your condition.

For more information please click here



Shortage of Pneumococcal polysaccharide vaccine


There is a current shortage of the PPV23 vaccine which is likely to continue for the foreseeable future. There is only one licensed vaccine available and although the company are expecting more stock deliveries during October, the volume anticipated is unlikely to be sufficient to vaccinate the whole 65 year old cohort this winter.


The vaccine covers the 23 most common serotypes of Streptococcus pneumoniae (the pneumococcus) that are responsible for a range of diseases including meningitis, septicaemia and pneumonia.


Pneumococcal infection occurs in the extremes of age with the highest incidence in infants and the elderly, particularly those over the age of 75 years.


For those at high risk, it is important to ensure that other preventive measures, including influenza vaccination, are implemented ,We will flag such patients so that they can be called for vaccine once the stock situation improves. There are no major concerns about deferring vaccination in over 65 year olds for several months or until next year.



 Dr Nell Wyatt - Clipper Round the world update


For more information please click here



Stoptober – the 28-day quit smoking campaign – is back.

Stoptober has driven over 1 million quit attempts to date and is the biggest mass quit attempt in the country. If you can make it to 28 days smokefree, you’re 5 times more likely to stay quit for good.

Stoptober offers a range of free support to help you including an app, daily emails, Facebook Messenger and lots of encouragement from the Stoptober online community on Facebook. In addition, you can get expert face-to-face advice from local stop smoking services. Those who use stop smoking aids and who get face-to-face support from their local stop smoking service are up to four times more likely to quit successfully.

Visit the Stoptober website to find out more


The Breast Centre provides routine breast screening to all women aged 50-70 who are registered with a GP in the area.

All appointment booking & queries are dealt with at Great Western Hospital please call 01793 604036

They are also part of the age expansion trial - offering some appointments to women aged 47-74.

They also run a symptomatic service for women and men who are referred by their GP.


  • Great Western Hospital - ground floor
  • Two mobile units travel to various sites in Wiltshire

Please click here for more information


Melksham Falls & Balance class Every Thursday    

                Spencer Sports & Social Club Beanacre Rd, Melksham

2:45 pm– 3:45 pm

Classes are specially designed to help people who have concerns regarding their balance, have had a fall or who are afraid they may fall. The class involves a variety of standing exercises supported by a chair which improve strength and balance and help participants to increase their confidence.

£3.00 per session

Starting this Thursday the fabulous falls and balance exercise class hosted by Claire Webber will be coming to Melksham Leg & well-being clinic at The Spencers Club. We run this class at Boa and it is very popular with an approx. 50 people attending per week!



Flu vaccination appointments - stocks are running low!

Winter Flu Campaign 2017



Flu vaccination is available every year on the NHS to help protect adults and children at risk of flu and its complications. 

Drop-in flu clinics will be held  on Saturday’s.  If you are unable to attend at these times we can make alternative arrangements at a later date.


All about flu and how to stop getting it

NHS Public Health England - Who should have it and why leaflet please click here

Please click here to download the 2017 Practice Information leaflet 

Easy read version for people with learning disabilities click here

What is flu?

Influenza or flu is a viral infection that usually strikes between December and March. It can affect people of all ages.

You can catch flu by inhaling the virus or by handling items touched by an infected person. The symptoms start to develop one to four days later.



Check below:


If you are in any of the following categories:

  • Everyone aged 65 and over
  • Everyone under 65 years of age who has the following medical condition including children and babies over 6 months: a heart problem, a chest complaint or breathing difficulties including bronchitis, emphysema or severe asthma, kidney disease, lowered immunity due to disease or treatment (such as steriod medication or cancer treatment) liver disease, stroke or TIA, Diabetes, neurological conditions eg MS, Cerebral palsy or learning disability, problem with spleen including removal or sickle cell disease, BMI of 40 and over.
  • Pregnant women at any stage of pregnancy
  • Living in a residential home or nursing home
  • Carer for an older or disabled person
  • Household contacts of anyone who is immunocompromised
  • Frontline social and healthcare workers
  • All 2 and 3 year olds born between 1.9.2013 and 31.8.2015)

This year all Reception and school years 1,2,3 and 4 throughout England will be offered the flu vaccine in School (ie born between 1.9.2008 and 31.8.2013)

For more information please click here



Eligibility for the shingles vaccine:

AGE: The age you will be on the 1st September 2016


Dates of Birth


Are You eligible Yes/No


On or after 2 September 1946



Between 2nd September 1945 and 1st September 1946

Yes √


Between 2nd September 1944 and 1 September 1945

Yes √


Between 2nd September 1943 and 1st September 1944

Yes √

74 to 77

Between 2nd September 1939 and 1st September 1942

No  X


Between 2nd September 1937 and 1st September 1938

Yes √


Between 2nd September 1936 and 1st September 1937

Yes √

80 or over

Born on or before 1st September 1936

No  X


Victim Support - Not ready to go to the police?

If you have been a victim of any crime or have been affected by a crime committed against someone you know, we can give emotional and practice support to help you find the strength to deal with what you have through.

For more information contact 0808 281 0113 or email



 Ear Wax Prevention

What can I do to prevent earwax build up?


If you are prone to lots of earwax it will help to regularly use ear drops to prevent build up.

There are various options including olive oil, almond oil and sodium bicarbonate drops. These are all found in your local chemist. Evidence shows that these options are equally effective so it’s important to find what works for you.

Everyone’s ears are different and will need a different frequency but in general to pre-vent build up of ear wax drops should be applied on a regular basis throughout the year.

An ear syringe should ONLY be performed if absolutely necessary and only after the     self-treatment plan below has been followed:


  • READ: Ear Wax Prevention & Treatment Leaflet
  • ENSURE: Ears are oiled for at least 14 days
  • USE: A bulb syringe, which can be bought from most Pharmacies and online (see leaflet for more details)
  • ONLY THEN: Can an appointment be made in the ‘ear check clinic’ (if all of the above has been done and there is no improvement

Please click here for Practice in-house leaflet

click here for additional fact sheet



2017 - Surgery receives Gold Award

Since 2011 the Surgery has been working closely with Carer Support Wiltshire & Wiltshire Council to help raise awareness of Carers and to create a new Wiltshire Investors in Carers Award. We believe that supporting Carers is an important part of general medical services as Carers are three times more likely to suffer ill health compared to non-carers.

This is a wonderful achievement for the practice, a huge well done to Hayley Holland (Carers Representative) and the team who provide the carers health checks.  



Men ACWY vaccine

Teenagers and "fresher" students going to university for the first time are advised to have a vaccination to prevent meningitis and septicaemia, which can be deadly.

Please click here for more information





                      Healthy Me - a fun approach to wellbeing


Fun sessions designed to help young people and their families adopt healthier lifestyles which become lifelong habits are beginning in Wiltshire this September.
Healthy Me is a 10 week programme for children aged seven to 11 years who may be less active than recommended and above their healthy weight range. 

Young people and their families can attend the ten 90-minute sessions based in health and wellbeing centres and leisure centres across the county to find out about nutrition, food groups, portion sizes, food labelling, physical activity and making healthier choices a habit.

For more information please click here



Young People Friendly Award


Public Health have awarded the Practice with the national quality mark for Young People Friendly.

Huge congratulations to Kirsty Tripp, our Young People Friendly Representative, for achieving this award and for all those that helped Kirsty with this project.


The assessors were pleased to see that the Practice is making every effort to ensure young people receive an accessible and supportive service.


For more details on the services we offer, please refer to our Young People Friendly Practice leaflet or ask for Kirsty at reception!




 Dr Nell Wyatt - Sabbatical News

The Practice would like to announce that Dr Nell Wyatt will be taking a years’ sabbatical from early August 2017 to take part as Crew Member and boat Medic in the Round the World Clipper Race.

The Race starts on August 20th 2017 setting sail from Liverpool and whilst sailing 40,000 miles across all the major oceans of the world, Dr Wyatt expects to encounter every type of weather and sailing conditions from storms and huge waves to calm seas and (hopefully) a bit of sunshine!  She aims to cross the finish line on 28th July 2018 planning to return to work as full time Partner in Mid-August 2018.  

Whilst Dr Wyatt is away on the high seas, Dr Paul Thorne and Dr Brian Devlin will be looking after her patients giving continuity of care to all her patients including those with Diabetes.


Dr Janice Patrick will be embracing the Research role and the Clinical Research team will remain unchanged.  The practice will continue to actively participate in Clinical Research.


The Partners and staff would like to wish Dr Wyatt a safe adventure and look forward to seeing her back at the Practice in August 2018.



 Important Information About Your Diabetic Eye Screening Programme


Eye screening is a key part of your diabetic care checking for diabetic retinopathy, a condition that can lead to sight loss if it's not detected early and treated. Everyone aged 12 and over with diabetes receives an invitation to this service once a year.

For more information please click here


Melksham Leg & wellbeing club

From Thursday 6th April 2017 all patients registered with a Doctor in Melksham and who would usually attend St Damian’s Surgery for their leg ulcer dressing, will now be able to attend the new weekly Leg & Wellness Club. 

At the Leg & Wellness Club patients will find a friendly,  welcoming atmosphere which     enables patients with lower leg problems to benefit from mutual encouragement, have fun and enjoy refreshments  together in a social setting.

The service is drop-in which means patients do not have to make an             appointment, just come along to be seen by one of leg ulcer team.

For more information please click here


Carers Patient Survey - May 2017


We would be grateful if you would complete the following Carers survey by clicking here.




“All GP practices are required to declare the mean earnings (e.g. average pay) for GPs working to deliver NHS services to patients at each practice.


The average pay for GPs working in Bradford on Avon and Melksham Health Partnership in the last financial year was £56,090 before tax and National Insurance. This is for 4 full time GPs, 8 part time GPs, and no locum GPs who worked in the practice for more than six months.”







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