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Sickness Certificates

The first 7 days of sickness do not require a certificate from your GP. If your employer insists on a sickness form, complete a Self-Certification form, which can be found here

Please ask staff to issue the usual sick notes, NOT the GP's.

We do NOT do sick notes for suspected Covid.

Sick Notes do NOT need to be SIGNED. We will text them to you. You can print them or email them to your employer.

Keep Your Details up to Date
Please do update your contact details ("Your Contact Details" box at the bottom of screen) with home & mobile & email. You will receive appointment reminders and occasional requests for information by text.


Primary Care Networks

GP practices are working together with community, mental health, social care, pharmacy, hospital and voluntary services in their local areas in groups of practices known as primary care networks (PCNs). To find out more, click here and here. So far, being part of the PCN has allowed us to to have an in-house pharmacist, social prescriber, health coach and physiotherapist!



websites  various self help leaflets  Local Helplines
Directory, lots of sites/numbers        leaflets    On-Line Support

General Info    LocalDirectory    Useful Info  drop-in drop-in 2

Rape  Rape2   ChildAbuseMale Rape      Mind        14y-25y counselling

Suicidal Thoughts?    Coping after Suicide

Samaritans 08457 909090        CrisisLine 08000 28 8000  (5pm-8am)

Depression can be defined as persisting sadness which begins to affect our everyday living and work and relationships.

Anxiety is a natural response to things that threaten us,  but when a person is getting anxious about things that an average person would not, then it is a problem and needs help.

There is certainly a place for use of medicines in both conditions, but getting the right kind of self-help and counselling is the most useful path to recovery.



We can all feel depressed sometimes.
Perhaps when a problem comes our way that depresses us, lowers our mood.
Perhaps, we can feel blue for a while, even if we have no particular new problems.
Perhaps, we just feel negative about certain things without actually being sad.

The question is, when does being depressed, miserable, negative, sad  turn into Depressive Illness.

It is difficult to diagnose sometimes, for patients and also for doctors, and even for expert psychiatrists. We are increasingly using a  Scoring test in General Practice.

I have been recommending Overcoming Depression for several years and patients bring back to me, underlining points for discussion. CBT help

depression   more on depression

The truth of the matter is that if a happy person develops the disease of depression, whether for no particular reason or as a reaction to problems that come along in life, then that illness causes chemical imbalances in the brain which need to be re-balanced by taking AntiDepressant medications.  Self-help is important, with books. Support from friends and family. Friends that are not afraid to support you to be motivated and push you when necessary!  The problem with depressive illness is that lack of motivation is part of the problem, and one needs friends to motivate you.  Being signed off sick for too long can make the problem worse, as you will lose self esteem from not working. Work and feeling useful is essential to recovery, as long as you don't feel too much pressure.
Antidepressant medication doesnt usually kick-in for 2-3weeks, and is usually continued for 4-6months, then gradually reduced.

Unfortunately, lots of us have a Negative Personality. This means that we have been trained from childhood to look on the negative side of things. This isn't so much depression, but just negativity. It is harder to deal with, and needs Cognitive Behavioural Therapy.     CBT programs

There are unfortunately some people who expect us to 'sort it all out by referring them to a counsellor', with no effort on their side. They won't get better. Counselling is important, but self motivation and a true will to change and get better is vital. We will always be happy to help you to help yourself get better. Even if time seems short in surgery, we can see you more regularly, even every week, to ensure that you get back to being the positive person that you were.

Primary Care Therapies counselling service. IAPT
There will be a telephone interview first, in which they will make suggestions for computer-aided counselling, work in groups, and occasionally individual counselling. Please, they will have expected you to look at the Directory at the top of the page, to see if there is anything appropriate that may help you. It is expected that you make an effort to help yourself, or to have those close to you to help motivate you to get help.

You can also self refer by internet, or ring 0800 032 1411 or 020 3513 4044
There may be a waiting list of a few months.
Sutton Counselling is sometimes open to referrals  also.

Some patients find that an individual private counsellor is well worth the investment.




useful book: Overcoming Anxiety
Info     More Info Covid




Debt         ObsessiveCompulsive  OCD         Panic    Panic2      
Anger  Anger2  

EatingDisorders         PostTraumatic            Stress          Bipolar  


ALCOHOL & drugs

local self referral Inspire    020 8773 9393

AA                                0800 917 7650
Family Friends support    020 7403 0888
ParentLine                     0808 800 2222
Drugs Anonymous          0300 999 1212
Drugs Advice                 0300 123 6600



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