Autumn respiratory clinic now running Same-week assessment slots held back each morning Request a slot

MossQuill A small general practice
Daylight filling a quiet clinic corridor with wide windows and empty seating along one wall
Moss Quill Clinic

Thirty minutes, because ten was never enough

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.

The clinic in brief

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.

Consultations
Thirty minutes as standard; sixty for a first long-term condition review.
Results
Bloods and swabs taken in the room. Results explained by the clinician who ordered them, not by letter.
Who first
Unsure which lane fits? Ask for a general practice slot and we will route you internally at no extra visit.

Care lanes

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.

General practice

30 minutes · Mon to Fri

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.

  • Good for: new symptoms, recurring pain, fatigue, skin changes, minor injuries
  • Bring: current medicines, and dates if the problem comes and goes

Respiratory & allergy

45 minutes · Tue & Thu mornings

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.

  • Good for: long coughs, wheeze, seasonal reactions, inhaler that stopped working
  • Bring: every inhaler and antihistamine you currently use, including the empties

Women's health

45 minutes · Wed & Fri

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.

  • Good for: contraception changes, heavy or irregular cycles, perimenopause review
  • Bring: a rough cycle history if you have one; a note on your phone is plenty

Long-term condition reviews

60 minutes · Mon & Thu afternoons

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.

  • Good for: yearly reviews, medicine that needs rethinking, readings taken at home
  • Bring: your home monitor and its recent readings, if you keep them
A clinician in a white coat writing notes at a consulting room table beside a stethoscope
Notes are written with you in the room, so the plan you hear is the plan that gets recorded.

How a first visit runs

Step one

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.

Step two

We agree the slot

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.

Step three

The appointment itself

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.

Step four

What follows

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.

The clinicians

Dr Imre Fenwick

General practice · founding clinician

Takes the broad, unclear presentations — the ones that need time before they need a test. Also runs the Monday long-term condition afternoon.

Dr Saoirse Ladd

Respiratory & allergy

Leads the Tuesday and Thursday breathing clinic, including spirometry, inhaler technique and written action plans for seasonal flare-ups.

Dr Noor Vasey

Women's health

Contraception, cycle and perimenopause care across Wednesday and Friday, with the longer slots that those conversations genuinely need.

Wren Abaloe

Advanced nurse practitioner

Runs bloods, dressings, vaccinations and review bloods taken ahead of an appointment, so results are ready when you arrive.

A tidy consulting room desk with a stethoscope, notebook and patient charts
One shared list across four clinicians, so your history travels with you between lanes.

Weekly rhythm

Which lanes run when, and when the waiting room is at its quietest.

Monday 08:30 – 18:00 General practice all day; long-term condition reviews from 14:00.
Tuesday 08:00 – 17:00 Respiratory and allergy clinic until 12:30, then general practice.
Wednesday 09:00 – 19:00 Women's health across the day; late slots held for people who work.
Thursday 08:00 – 18:00 Breathing clinic in the morning; long-term condition reviews after 13:30.
Friday 08:30 – 16:00 Women's health and general practice; nurse-led bloods from 08:30.
Weekend Closed Requests sent over the weekend are read and answered on Monday morning.

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.

Questions people actually ask

Do I need a referral to be seen here?

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.

Can you take over my existing records?

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.

Do you see children?

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.

Can I bring someone, or ask for an interpreter?

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.

What happens if I need to cancel?

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.

Can repeat prescriptions be handled without an appointment?

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.

Request an appointment

Tell us what is going on and we will offer you a slot that fits it

A clinician reads every request. You will hear back with two or three options, including any assessment slot held back that week.

Please keep this brief and avoid anything you would not want in an email. If your symptoms are severe or getting worse quickly, seek urgent care rather than waiting for our reply.