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The Surgery
Much Birch

Drs Davies, Johnson,
England & Seftel

Welcome to Much Birch Surgery a rural dispensing practice in Herefordshire. We aim to provide our patients with an efficient, effective, quality medical service.
The Practice Partnership consists of four GPs and employs a team of doctors, nurses, dispensers, receptionists and administrators who work under the direction of the practice manager. There is access and parking for disabled patients.

Easter Newsletter: Easter newsletter 2014.pdf



Friday 18 April GOOD FRIDAY - CLOSED

Monday 21 April - EASTER MONDAY - CLOSED

Tuesday 22 April - NORMAL SURGERY OPENING 8:00 - 6:30

If you need medical advice whilst the surgery is closed please telephone NHS 111 on Freephone 111

If you require URGENT medical attention out of hours please dial 999 


Scarlet Fever
Signs and symptoms of scarlet fever
The symptoms are non-specific in early illness and may include sore throat, headache, fever, nausea and vomiting. After 12 to 48 hours the characteristic red, generalised pinhead rash develops, typically first appearing on the chest and stomach, rapidly spreading to other parts of the body, giving the skin a sandpaper-like texture. On more darkly-pigmented skin, the scarlet rash may be harder to spot, although the 'sandpaper' feel should be present. Patients typically have flushed cheeks and pallor around the mouth. This may be accompanied by a ‘strawberry tongue’.
If you think you may have scarlet fever please book an appointment to see the doctor. 
Please notify the receptionist of your symptoms in order that we may sit you in a side room when you arrive at the surgery.


There have been a number of reports yesterday (Thursday 13th March) of patients receiving e-mail messages that claim to be reporting blood test results, and which then go on to say that there is a suspicion of cancer.  Recipients are then asked to open an attachment which allegedly contains the test results. The messages claim to have been sent by the National Institute for Health and Care Excellence (NICE), but NICE have confirmed that the message is bogus and has not been sent by them.  The intention behind this e-mail is unclear, but it is possible that the attachment may contain some sort of computer virus. Patients may well be concerned about the tone and content of the message, but should be advised that the message is a hoax / scam and should be ignored.  They should also not open the attachment.Dr Francis Campbell,NHS England Area Team


INFORMATION: Please ensure that you read the leaflets and information about CARE.DATA sharing from the Health and Social care Information Centre.

IMPORTANT:  CARE.DATA further information.  As you may be aware the NHS is currently mailing all households in England with a leaflet detailing how it wishes to use information from patients medical records to plan and improve services for patients.  Information which includes your postcode and NHS number, but not your name, will then be used by researchers and those planning services.  If you wish to opt-out of this data sharing you need to inform the practice.  We have an opt-out form for you to complete, please ask at reception, and we will ensure that no information will be accessible through data sharing.
You can download the form here to complete and return to Much Birch Surgery caredata_opt-out_letter.pdf


 Chaperones: If you feel you would like a Chaperone present at your Consultation, please inform your Doctor/Nurse, who will be more than happy to arrange this for you.



Please help us by bringing in your repeat medication slip when requesting your medication.  We are not always able to print off repeat slips while you wait. Thank you for your help with this.


SHINGLES: There is a new national shingles immunisation programme for people aged 70 to 79 which has been introduced by the Department of Health from September to help protect those most at risk from shingles.  We will shortly be inviting those eligible to attend for vaccination.  Please note that from September 2013 the vaccine will only be offered to those aged 70 and 79.  Other age groups will be introuduced in the fuutre to ensure that all people aged 70 - 79 are offered vaccination.
SHINGLES VACCINATIONS - UPDATE - Due to an on-going delay in the supply of the Shingles vaccine Zostavax (R) into the UK we are only able to vaccinate a limited number of patients at this time.  We do apologise for any inconvenience caused and will contact patients unable to have the vaccination as soon as further supplies become available.  Drs Davies, Johnson, England and Seftel. 8.10.2013

MMR (Measles, Mumps and Rubella catch-up Service) - Outbreaks of measles in England have been increasing in the last two years with an annual total of 1,920 confirmed cases in 2012.  If you have children aged 10 - 16 who have not received any MMR vaccinations or only received a single dose and children over 16 who have not received any vaccinations please contact the surgery to arrange for them to have these vaccinations.


  • Dial 999 immediately if you suspect that you or someone you know is having a heart attack Symptoms include: chest pain; pain in other parts of the body-it can feel as if the pain is travelling from your chest to your arms; shortness of breath; feeling or being sick; an overwhelming sense of anxiety; feeling light headed; coughing; wheezing

    In an emergency please ring NHS 111 -
    Dial 111 if you urgently need medical help or advice but it's not a life-threatening situation.

    When you book appointments on line through your EMIS ACCESS - please make sure that you check that the appointment is with the doctor you would like to see - if the clinic session is covered by a locum doctor it will say so by the Partner's name.

  • Travel Information/Yellow Fever Information Download here the travel assessment/Pre-travel risk assessment form.pdf - for further leaflets and yellow fever assessment forms go to our practice information page
    Consent to text to your mobile - to remind you of longer than normal appointments (i.e. medicals) we like to contact you to remind you of your appointment.  if you would like us to have your mobile number to contact you or text you please contact reception and complete a consent to text form.

  • PRESCRIPTONS ORDERED VIA EMIS ACCESS ON LINE - Please note it takes 48 hours for all prescription orders to be ready to collect (if you order after 12.30 mid-day it is 48 hours from the NEXT DAY) Please note .. if your order is a 'special order' this can take up to 7-10 days to process.

 Urgent Healthcare Information Out of normal GP Surgery Hours: In an emergency please phone 999 as usual.  If you have any concerning health care problems please RING 111.  This service is now run by the West Midlands Ambulance Service who will be able to offer you very good advice.  If you have general health problems that would require a doctor's appointment then the Asda GP Access Centre will be open 8:00 - 8:00 every day including Bank Holidays.  Their telephone number is 0330 1239309. Drs Davies, Johnson, England & Seftel

VISITING HOSPITALS OVER THE WINTER PERIOD: If you are planning to visit someone in hospital in the county it is being advised to stay at home if you or family members have had diarrhoea, vomiting or 'flu like' symptoms in the last four days.  Symptoms of Norovirus include diarrhoea and vomiting and, just like flu, the virus can seriously affect vulnerable patients.  These stomach bugs are highly contagious and can spread rapidly anywhere that people are gathered, such as schools or offices.  If you are worried about prolonged symptoms ring your GP.  They will be able to provide advice for people who are at greater risk from dehydration from diarrhoea and vomiting, such as children under the age of five or the elderly. Good hand hygiene can help to limit the spread of the infection.



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