Clinics & Services

Flu Clinics 2020 

We have completed all 5 of the big flu clinics at Rothamsted Conference Centre. They were a great success and all went very smoothly and we really appreciate the kind messages of support and thanks from our patients. We will of course still be having smaller flu clinics at the surgery as and when we receive the next batch of flu vaccine.

THANK YOU TO ALL THE PATIENTS WHO CAME TO HAVE THEIR FLU JABS. Sadly over half those invited did not turn up which may mean that there will not be a vaccine for those that did not come for their appointment and will have to find other sources to have their flu jabs.

Flu clinics at The Elms will follow social distancing and strict infection control procedures. to ensure your safety and the safety of The Elms team. If inclement weather we will use the back door as the entrance (rear carpark) allowing for 2m queuing along the corridor inside. The vaccinations will be given in the waiting room area and the exit will be through the front door.  These clinics will be invite only and The Elms patients will only be admitted with their invite letter. This ensures the patient is registered at the Elms, is eligible and confirms consent. Face masks will be requisite. Infrared distance temperature checks will be taken at the entrances. Patients with any Covid symptoms or a temperature will not be permitted. All our nursing homes have been done and nurses have been out to patients who are still extremely vulnerable and shielding. Children having Nasoflu spray will be invited to the practice into designated nurse slots. Please be aware that we are completely reliant on NHSE supplies and can only have clinics as and when we receive the vaccine. As an alternative please try one of our local pharmacy for your flu vaccination. Please let us know if you have a flu jab elsewhere so that we can allocate your flu vaccine to another patient. 

NHS England have not give Primary Care any information for the 50 - 64 year old flu vaccines that they said would be available by November. We await notification.

Nasal flu jabs are available for children with a date of birth between 01/09/2016 and 31/08/2018 and for all children in one of the at risk groups up to and including 17 years old.

There are special designated slots for the nasal flu vaccine to enable the practice to continue to operate safely within high infection control guidelines which need to be observed at this time to ensure our patient's safety. Please call the surgery to book a slot and we thank you in advance for your co-operation.

Please click on link for details on the different types of flu vaccine:  FLU VACCINE TYPES

The Elms Flu Plan 2020

We have made all our plans as to how we will deliver the flu vaccinations in this COVID Pandemic difficult climate. We have hired the Rothamsted Conference Centre this year at various weekends from the 26th September. This is because it is a larger location allowing for a high volume of patients, social distancing, plenty of parking and overall safe care. Seeing such vast numbers could not be done safely at the practice. These clinics will be invite only and the Elms patients will only be admitted with the barcoded letter. This ensures the patient is registered at the Elms, is eligible and confirms consent. Face masks will be requisite. Infrared distance temperature checks will be taken at the entrances.Patients with any Covid symptoms or a temperature will not be permitted. We are looking to invite our extremely at risk shielding patients to the surgery in our protected shielding room. Children having Nasoflu spray will be invited to the practice into designated nurse slots, we hope to have these bookable online

There will be a huge demand for the flu vaccination this year and we have managed to order a few more flu vaccines than previous years however surgeries have to make their bulk order the year before (Oct/Nov 2019) and not having the knowledge about COVID at the time of ordering we will not have enough for this new huge demand.

Year on year we usually have vaccine left over as the uptake is low, however if the demand is so great this year we will simply not have enough.

As an alternative you are free to go to a local pharmacy for your flu vaccination, all are booking now particularly for those at risk. Please let us know if you do, as we can offer your flu vaccination to someone else. Also if you do not wish to have the flu vaccination please inform us as we can offer that vaccine to another patient. Many thanks in advance.

The vaccine is free to all in the categories below: Get Your Free Flu Jab - click to read more

  • adults 65 and over
  • adults aged 50 - 64 (only available in November/December and when government vaccine delivered)
  • people with certain medical conditions (including children in at-risk groups from 6 months of age)
  • pregnant women
  • children aged 2 and 3
  • children in reception class and school years 1, 2, 3, 4 and 5

There are 3 types of flu vaccine:

  • a live quadrivalent vaccine (which protects against 4 strains of flu), given as a nasal spray – this is for children and young people aged 2 to 17 years eligible for the flu vaccine
  • a quadrivalent injected vaccine – this is for adults aged 18 and over but below the age of 65 who are at increased risk from flu because of a long-term health condition and for children 6 months and above in an eligible group who cannot receive the live vaccine
  • an adjuvanted trivalent injected vaccine (FLUAD) – this is for people aged 65 and over as it has been shown to be more effective in this age group

If your child is aged between 6 months and 2 years old and is in a high-risk group for flu, they will be offered an injected flu vaccine as the nasal spray is not licensed for children under 2.

The ‘Protecting your child from flu’ leaflet is now available to download in audio from:Protecting Your Child From Flu

And also in braille – on demand from the Health Publications website.

And the same leaflet is available on GOV.UK in Arabic, Bengali, Chinese, German, Gujarati, Hindi, Italian, Polish, Romani, Romanian, Somali, Tagalog, Tamil, Turkish and Urdu Leaflets and Posters in Other Languages

NHS England Briefing for Patients on Flu Eligibility Please read if aged 50 - 64 years old


Who needs the Flu Vaccination and Why

Management of Chronic Disease

This encompasses a wide range of conditions which require long term treatment and care. Our priority is to ensure this care is on-going and appropriate; to this end we shall endeavour to review patients’ medication on an annual basis. When and where appropriate we request patients, in writing, to make an appointment with the health care assistant, a nurse, or a doctor - it is also important that patients read and take note of any comment we might attach to a prescription. Failure to respond to a request to contact the surgery may result in an increase in the frequency of prescriptions and the resulting prescription charge or prescription requests being refused.

Please note that we do run certain Specialist Clinics.

General Nursing Care

Our nurses provide wound care, contraceptive services, minor illness, smoking cessation advice, well person checks, new patient checks, blood pressure monitoring and travel advice; they also perform vaccinations, ear syringing and smear tests. Please note that there is a charge for some travel vaccinations.

Blood Tests

Our Receptionists coordinate appointments for blood tests which can be done by our own Health Care Assistant Teresa or can be done at The Harpenden Memorial Hospital. Patients will need a form signed by a doctor which they will take with them to the booked appointment.

If you are asked to have a blood test at the Arndale House Blood Test Facility at the Luton and Dunstable Hospital then please click on this link to get further information. 

Maternity Services

Midwife clinics are held regularly at the surgery. The doctors also provide ante-natal and postnatal care. For information on the roles of GPs, community midwives, health visitors, hospital clinics and provision of ante-natal and post-natal care please ask for the handout available at the practice reception.

Cervical Screening

This service is provided by specially trained nurses.

Bowel Cancer Screening

Information on the Bowel Screening Programme

Letter from a Patient who did return the bowel screening kit

Contraceptive Services

This is provided by doctors and nurses. Nurses are able to provide follow up monitoring for all methods initiated by the doctor.

Important Pre - Coil Fitting Information. Please read before your appointment.

Child Health Surveillance

Baby clinics, coordinated by our health visitors, are held weekly at the surgery by our nurse team with support from a doctor.

Vaccinations and Immunisations

All routine childhood immunisations are performed at the surgery by a nurse following an automatic invitation from the Local Health Authority.

Minor Surgery

This service is provided by the doctors following an initial consultation to determine the need for surgery.

General Medical Support to the Covid Hub at The Stewarts

Specialist Clinics

All of these clinics are led by specially trained nurses in association with the doctors and usually only require an annual appointment


As a patient you will be sent a form to have a blood and urine test 2 weeks prior to attending the clinic. When you attend the clinic you will be seen by a nurse and a doctor.

Heart and Stroke

As a patient you will be sent a form to have a fasting blood test 2 weeks prior to attending the clinic. When you attend the clinic you will be seen by a nurse and a doctor.


Patients will be asked to bring in their inhalers and to perform breathing tests. The nurse will advise on further management.

Spirometry COPD Patient Information Leaflet

Spirometry (reversible) Patient information leaflet 2018


Patients will be asked to bring in their inhalers and to perform a peak flow test. The nurse will provide a full assessment and advise on further management

Opportunistic Health Advice Services Available


The Elms supports the Herts Stop Smoking Service. Quit today and ring 0800 389 3998 or txt SMOKEFREE to 80818, alternatively for full support ring the surgery or use the online consult tool on our home page and request or make an appointment with our smoking cessation nurse Karen.

Blood Pressure Checks: 

Are usually done by our health care assistant. This service is available to those not known to have high blood pressure, as well as those who do.

Flu vaccinations: 

This annual vaccination is recommended for patients over the age of 65, Carers and those older than 6 months of age who have one of the following conditions:

  • Chronic respiratory disease
  • Chronic heart disease
  • Chronic renal disease
  • Diabetes mellitus
  • Immuno-suppression owing to disease or treatment, including those with spleen problems

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