Join the practice
If you wish to register with our practice please make sure you live within the practice catchment area (check your postcode here), complete and email these documents to email@example.com . You can also send by post or drop off to the surgery.
- New Patient Health Questionnaire
- GMS1 Form
- Proof of your address (e.g. utility bill, tenancy agreement)
- Identification (e.g. passport, driving licence, residence permit)
For children (under 16) please complete the following documents:
Please also send us a copy of your child's vaccination record (from UK or abroad).
New patients can call us to book an appointment: 0207 727 2222
The surgery boundaries include areas of part of W2, part of W8 and part of W11
Live within boundary area?
To be eligible to register at the practice, you must live within the practice catchment area. If below map is not working please click here.
Named Allocated GP
You may be aware that from April 2015 all practices are required to provide all their patients with a named GP who will have overall responsibility for the care and support that our surgery provides to them.
The named accountable GP is responsible for the co-ordination of all appropriate care and services required under the contract and ensures they are delivered to each of those patients where required, on the patient’s behalf.
This does not prevent you from seeing any GP in the practice as you currently do. You do not need to take any further action. If you wish to be told the name of your named GP, please ask the receptionists when you are next in the surgery or you can telephone reception.
If you are unhappy with the named doctor allocated to you and have a genuine concern that this doctor will not be best placed to undertake the responsibilities assigned, then you can ask to be reallocated to another doctor.
Patients do not have to see their named GP and should feel free to choose to see any GP or nurse in the practice in line with current arrangements. However, if their preferred choice of GP is not available, an alternative will be offered.
New patients registering from 1st April 2015 onwards will be allocated at point of registration.
All patients registered at The Pembridge Villas Surgery have a named accountable GP.
New Patient Policy
Patient registration is determined by the provisions of the practice GMS or PMS contract and terms of service.
Where a Practice has an “Open List” it is required to accept the registration of a new patient unless it has fair and reasonable grounds for not doing so.
Where a list is open, the Practice is also obliged to accept allocations by the Primary Care Organisation (PCO) to its list.
Practices are assumed to have open lists unless they have complied with the procedures for list closure as detailed in the General Medical Services Contracts Regulations 2004
There is the facility to have a “Full” list which is not officially closed, for example where staffing difficulties result in suspension of registrations being necessary.
Practices should discuss these situations with the PCO prior to taking action.
New Patient Acceptance / Refusal
New patients should complete a new style GMS1 Registration and Health Questionnaire form; both are available at reception or can be printed from our website (see pages 6–8).
There are also “under 16 years old” registration forms that need to be filled to register a child
Patients must complete the new style GMS1 form and those who are not ordinarily resident in the UK must complete the supplementary questions section on the reverse of the GMS1. The supplementary questions help determine an overseas patient’s eligibility for free NHS secondary healthcare. For patients who self declare that they hold either a non-UK issued EHIC, PRC or S1 form, the practice is required to manually record this information in the patients’ medical record and then send a copy of the GMS1 for to NHS Digital – NHSDigital-EHIC@nhs.net (for Non-UK issued EHIC/PRC details) or the Department of Work and Pensions (DWP) firstname.lastname@example.org (for S1 forms).
Patients are also required to produce evidence of their identity and address, e.g. photo driving licence, passport, utility bill etc.
New patients can register by sending us the above forms, copy of ID and proof of address to our practice registration email address. You will find the email address on the New Patient Health Questionnaire form.
The Practice will accept patients onto its list whilst it remains “Open” and they reside within the practice catchment area.
If the list is closed, the Practice will only accept registrations of immediate family members of patients who are already registered and only if such relatives reside permanently at the registered patient’s address. Proof of residence may be required; however there is no contractual obligation to request this.
Patients will not be unreasonably refused registration, and “unreasonable” includes refusal based on:
- Medical condition;
- Gender or sexual orientation;
- Religious group or religious beliefs;
- Political beliefs;
- Appearance or lifestyle.
The Practice will however refuse registration if:
- The list is officially “Closed” (see above);
The Practice will normally refuse registration (subject to a Partners’ discussion and agreement) if:
- The patient has been previously removed from the list;
- The patient has a known history of violence.
The reason for refusal will be in writing and recorded in a permanent record for that purpose. This excludes Temporary Residents, where no record is necessary. See sample refusal letter on page 16.
The permanent record will consist of the original GMS1 registration form endorsed with the reason for refusal, together with a copy of the refusal letter, filed in Surname order. Where a GMS1 has not been completed, a “dummy” GMS1 will be prepared and filed.
The record is subject to inspection by the PCO who may require the Practice to justify a refusal to register.
These are patients whose length of stay is less than 15 days (short stay); or more than 15 days but not exceeding 3 months (long stay), who require temporary registration.
A temporary patient can be treated for full medical services during that period.
Immediate & Necessary Treatment is for anyone (including foreign visitors) who is resident in the locality of the surgery for 24 hours or more (up to 15 days), but is not registered with another local GP, who requires urgent medical attention. The GP is then responsible for the treatment of that patient’s urgent condition only, for up to 15 days. The GP does not extend his/her services to provide full medical treatment for such patients. If the patient requires treatment for a longer period of time, or the patient requests more extensive medical care, then it is appropriate to register the patient as a temporary patient instead.
Emergency Patients: for those who are in the area for less than 24 hours, who require treatment due to an acute episode/accident which requires immediate attention.
The Temporary Registration Form (GMS3) must be filled-in and the form to the patient and make sure that all the components of the form are completed.
Non English Speakers
These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.
Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.
Open the leaflets in one of the following languages: