You send the request
Use the form at the foot of this page and say in your own words what is going on. A clinician reads it, not a filter, and we reply with the lane and length of slot we think fits.
Autumn respiratory clinic now running Same-week assessment slots held back each morning Request a slot
A four-clinician general practice for adults and families. We run longer consultations, keep our own assessment slots open each morning, and tell you what happens next before you leave the room.
Most of what we do is listening properly the first time. The rest is knowing which of the four of us should pick it up from there.
Dr Imre Fenwick, founding clinician
Moss Quill is deliberately small. Four clinicians share one list, so whoever you see can read the whole thread of your care rather than the last ten minutes of it. We hold our own diagnostics on site for the everyday things and refer onward early when something needs a specialist eye.
Four lanes run through the week. Each one says who it is for, how long to set aside, and what actually happens in the room.
The default door into the clinic, for anything new, unexplained or simply nagging. Examination, any bedside tests we can run in the room, and a plan you leave holding.
Breathing assessed properly rather than guessed at. Spirometry and peak-flow technique on the day, inhaler review with the actual device you use, and a written action plan for bad weeks.
Unhurried appointments for contraception, cycle and perimenopause questions, and anything you have been told to live with. Longer slots exist so nothing gets deferred to a second visit.
Annual and half-yearly reviews for asthma, blood pressure, thyroid and diabetes, scheduled so bloods are done a week ahead and the results are already in front of us when you sit down.
Use the form at the foot of this page and say in your own words what is going on. A clinician reads it, not a filter, and we reply with the lane and length of slot we think fits.
You will be offered two or three options, including any assessment slot we have held back that week. If a lane is fully booked we say so plainly rather than leaving you waiting on a list.
Fifteen minutes of history, then examination and any tests we can do in the room. Nothing is rushed to fit a ten-minute grid, because the grid is not ten minutes.
You leave with a written plan: what we think, what we are ruling out, when results land and who to ask if something changes first. Follow-ups are booked before you go.
Takes the broad, unclear presentations — the ones that need time before they need a test. Also runs the Monday long-term condition afternoon.
Leads the Tuesday and Thursday breathing clinic, including spirometry, inhaler technique and written action plans for seasonal flare-ups.
Contraception, cycle and perimenopause care across Wednesday and Friday, with the longer slots that those conversations genuinely need.
Runs bloods, dressings, vaccinations and review bloods taken ahead of an appointment, so results are ready when you arrive.
Which lanes run when, and when the waiting room is at its quietest.
Quietest times are mid-morning on Thursday and the last hour on Friday. If you would rather not sit in a busy waiting room, say so in your request and we will aim for one of those.
No. You can request any of the four lanes directly. If what you describe would be better handled by a specialist, we will say so in our reply rather than using up an appointment to tell you.
Yes. Mention your previous practice in the request and we will send the transfer paperwork with your appointment details. You do not have to wait for records to arrive before being seen — bring what you have and we will work from that.
We see children from twelve upwards in general practice and in the breathing clinic. For younger children we will point you to a paediatric service rather than stretch our own remit.
Always welcome, and it often makes the appointment better. For interpreting, note the language in your request at least three working days ahead so we can arrange it for the slot rather than improvise on the day.
Reply to your appointment confirmation and the slot goes straight back into the same-week pool. Because our slots are long, an unused one is a real loss to someone else, so we would rather hear late than not at all.
Routine repeats are reviewed in writing within two working days. Anything that needs a dose change, a new medicine or a monitoring blood test will be turned into a short review slot instead, and we will tell you which is happening.
A clinician reads every request. You will hear back with two or three options, including any assessment slot held back that week.