GP extended access hubs

GP extended access service

Extra GP appointments in the evenings and at weekends are available to Enfield patients

Urgent and routine appointments with a local GP or nurse, either same day or in advance are available at any one of four GP extended access hubs, making it much easier to get the care you need when you want it at a location that is convenient for you.

Who can access the service?
Patients registered with an Enfield GP practice (or those resident in Enfield but who have yet to register with an Enfield GP practice) can book an appointment at the service. 

What are the opening times?
Hub opening hours are 6.30pm - 8pm weekdays and 8am - 8pm weekends and public holidays. 

How do I book an appointment?
You can request an appointment with a local GP or nurse at any one of the hubs by either:

  • contacting your own GP practice directly during core opening hours (8am-6.30pm), or
  • calling NHS 111 weekday evenings, weekends and bank holidays when your GP practice is closed.

What does the service offer?
Our GP extended access hubs are staffed by experienced GPs and nurses and offer assessment and treatment for adults and children. Our GPs can help with the following (this is not an exhaustive list):

  • Urinary tract infections, earache and sore throats, headaches and rashes
  • Bruises
  • Stomach pain and nausea
  • Strains and sprains
  • Bites and stings
  • Minor head injuries
  • Minor limb injuries
  • Minor skin and tissue infections
  • Emergency contraception
  • Contraception – Oral contraceptive “Pill Checks”
  • Urgent / Emergency problems for which you would normally go to your own GP

The following services will be available in urgent cases. Patients will be signposted back to their registered GP practice if non-urgent.

  • Medication reviews
  • Issuing of repeat prescriptions

Our nurses can help with the following (this is not an exhaustive list):

  • Basic health status checks, BP, BMI, smoking/alcohol status
  • Urine dip tests
  • Dressing changes (please bring your dressing(s) with you)
  • Suture/clip removal
  • Post-operative wound care
  • Superficial burns and scalds
  • Care of minor accidental wounds which do no require wound closure
  • Vitamin B12 injections (you must bring the medication with you)
  • Cervical screening “smear test”
  • Vaccinations: Pneumonia | Childhood Immunisations | Pertussis/Whooping cough | Shingles

Please note that nurse appointments must be booked in advance via your GP practice or by contacting NHS 111.

We cannot treat the following issues:

  • Routine reviews of mental health problems (e.g. schizophrenia, depression, bipolar affective disorder, personality disorder) – patient best seen by registered/regular GP
  • Ear syringing
  • Dental problems
  • Minor surgery
  • Open wound injuries that require closure of wounds
  • Injuries where an object has gone all the way through a part of the body
  • Very heavy bleeding that is not stopping, including nose bleeds
  • Injuries where broken glass may have entered the wound
  • Sexual health screening
  • Contraceptive implant or coil fitting
  • HPV immunisation
  • Phlebotomy (blood test)
  • Travel vaccinations
  • Private letters
  • Forms such as fitness to work

What can I expect at a hub consultation with a GP or nurse?
One of the added benefits of the primary care access service is that the GP or nurse will have access to view a summary of your medical record during your visit to the primary care access hub. Having access to view your medical record means that the clinician will have a greater understanding of your medical history and health needs and can then choose the treatment that is right for you. The clinician will ask you for your consent before accessing your medical record.

Using this service will not affect your registration at your usual GP practice.

Who will have access to my medical record?
Authorised clinicians only, such as a GP, practice nurse or healthcare assistant, will have access to view your medical record. Clinicians can only review your medical record if you have given your expressed consent. The clinician will not be able to amend your medical records but will send a summary of the consultation and treatment provided to your registered GP.

Your medical information will be treated with the strictest of confidence.  All Enfield GP practices have agreed to sign up to a data sharing agreement which sets out what information will be shared, how and when.

What if I don’t want my medical records to be shared?
If you don’t want your medical records to be viewed by any other healthcare professional other than your GP or other GPs at your GP practice, then you have the right to opt out of having your medical record shared with other healthcare providers. Ask for further details at your GP practice.

Your views and feedback about the GP extended access service
At the end of the consultation with the GP or nurse, you will be asked to complete a patient experience survey. Your views and feedback are important and will help us to make improvements and shape the GP extended access service in future.

Please download the primary care access service evaluation report published in June 2018.