SPECIALIST CORE SERVICES AT THE CENTRE
Antenatal Care 
Antenatal care is usually shared between the Midwife, GP and local NHS hospital services.
Baby Clinic
This is run by the Health Visitor (a specially trained nurse) with another member of the clinical team every week. She also offers immunisation, developmental checks and advice.
Geographical walk-in baby clinic
The geographical Walk-in Clinic is currently being run at the Marylebone Health Centre on Tuesdays between 2-4pm
Contraceptive Services
These are available through your doctor or practice nurse.
District nurses
These nurses are specially trained to care for people who are housebound due to serious illness, age or chronic disability. They offer a service 7 days a week, liaising closely with the GPs and practice nurses.
SPECIALIST NON CORE ADDITIONAL SERVICES
Counselling
A counselling service is available following a suitability assessment by one of the counsellors. Please make an appointment with one of the GPs if you feel you may benefit from counselling.
Complementary Therapists
The practice offers additional services including osteopathy, massage therapy, homeopathy, acupuncture and Herbal Medicine. Suitability is assessed by the appropriate therapist following a GP referral.
More information about these approaches is available on request.
HEALTH CHECKS 
All patients have a routine health check with a nurse on registration (‘New Patient Health Check’). This includes your Medical History, Height, Weight, Blood Pressure, Urine Test and other tests if clinically indicated. For patients over 50 we recommend a health promotion consultation and those over 75 we advise annual checks.
Women from 25 to 65 should have a Cervical Smear test, for early detection and prevention of cervical cancer, from a nurse or doctor every 3 to 5 years.
Women over 50 should have a Mammogram every 3 years, for early detection of Breast cancer, your doctor or nurse will advise you how to go about this.
All babies and children are subject to routine checks at 6-8 weeks, 6-8 months, 18-24 months and 3-5 years (pre-school) arranged by our Health Visitor.
Anti-Coagulation Service 
If you live in westminster and are taking Warfarin, you can now be seen closer to home at the Marylebone Health Centre rather than a hospital. The Health Centre is now offering services for people who need to take Warfarin on a regular basis. Warfarin is a prescribed drug available in tablet form. If you are taking this drug you need regular blood tests to monitor how thin your blood is. Westminster PCT and the health centre are working closely with st Mary's Hospital consultants to ensure staff providing this service in General practice do so to the highest standards, that are as good as any hospital based service. Following your confirmation that you would like to attend the clinic at the Marylebone Health Centre, a practice nurse will advise you when you can be seen and arrange an appointment for you. the appointment will ensure a smooth transition from hospital care so there is no gap in your treatment. The clinics will take place usually on Tuesdays 8.30 - 11.30am and on Thursdays 9.00 - 11.00am.
You will be seen by a trained nurse or GP who will be responsible for deciding your Warfarin dose and the monitoring of your treatment. your blood will be tested, your Warfarin dose decided and a new appointment given. You will also have the opportunity to discuss any worries that you might have about your anti-coagulation treatment.
Alcohol Health Assessment Service
New Service At Marylebone Health Centre
Do you like a few drinks at the weekend? Do you drink alcohol socially
or at home?
If you drink to get drunk, or drink more heavily than you’re used to, you can’t be sure what the effects could be.
Regularly drinking more than the recommended amount of daily units or rapidly drinking too much in one go both have their risks.
It is recommend that you should not regularly drink more than–4 units of alcohol a day for men, 2–3 units of alcohol a day for women.
’Regularly’ means drinking every day or most days of the week.
If you drink more than this, the risks to your health and personal safety start to increase – especially if you regularly drink large amounts over a short period of time.
Pregnant women and women trying to conceive should avoid alcohol altogether and never drink more than 1–2 units once or twice a week.
At the practice we can now assess your drinking habits with you and offer support through our new specialist
assessment nurse, Jahanera
Noor
, who will be working at the practice
every Friday morning.
If you would like a Health Assessment please make an initial
appointment with the practice nurse or Health Care Assistant.
Non-NHS Services
Items for which there is a charge (fee) include completions of private medical sickness certificates, health insurance claim forms, resident parking permits, insurance medical reports and examinations, medico-legal reports, medical examinations for employment, travel or sporting activities, copying of medical notes and reports, and arranging access to your records. A list of charges is available at reception. It is not currently possible to be seen as a private patient at this centre.
Practice nurses
At Marylebone Health Centre the practice nurses offer vaccinations, and travel advice. All services provided have to be made by appoinment. For telephone advice, contact them between 12.00- 12.30 pm.
The nurses see patients for:
- Minor complaints
- Minor injuries
- Dressings
- Suture removal
- Blood pressure
- Urine checks
- Blood tests
- Regular injections
- Ear syringing
- Cervical smears
- Contraceptive advice
- Sexual health advice
- Dietary advice
- Quiting smoking
They also run a monitoring program for:
- Asthma
- Diabetes
- High blood pressure
- Heart disease
- Epilapsy
- Active Health promotions