All posts by Peter Barker

Covid-19 Vaccination programme

COVID-19 Vaccine: All patients over 18 years can now book a Covid vaccination.

Use the NHS website at Book a coronavirus vaccination – NHS (

You may also be contacted directly by The Bromley GP Alliance (BGPA) who are the Community Provider in Bromley at their sites in Orpington. West Wickham or Mottingham.

Patients who received their first dose at our Practice will be contacted individually with an appointment for your second dose.

Having a vaccine is the best way to protect you from coronavirus and will save thousands of live

See this leaflet explaining the priority groups.

If you are in a priority group, when it is the right time, you will receive an invitation to come forward for your vaccination.  For most people this will be a letter, (some might receive a text from their GP practice), the practice or the national NHS.  This letter will include all the information you will need to book appointments, including your NHS number. 

This is going to be a long-term programme and it will likely take until at least Spring before all high-risk groups have been offered a COVID-19 vaccine.

Please do not ring or contact the Medical Centre about Covid Vaccinations. The NHS will contact you when it’s your turn.  

There seems to be some confusion and misunderstanding about the NHS Covid-19 vaccination programme. We have put these notes together to answer some of the questions we are being asked.

At the moment GPs are starting to provide some Covid vaccinations to patients in priority groups who have ‘missed out’ on the initial call or who are in clinically extremely vulnerable groups.

In the UK The Government has decided that initially vaccinations will be facilitated by Primary Care Networks (PCNs) which are groups of GP Practices. Green Street Green Medical Centre is part of Orpington PCN. The Vaccinations for Orpington PCN are being provided by the Bromley GP Alliance (BGPA). Initially these are being carried out at a number of designated sites because of the transport and storage issues with the Covid vaccines. Since Mid-December many of our patients aged over 80 have already been vaccinated at the Orpington Health and Wellbeing Centre (OHWBC) in the Walnuts, Orpington and there is ongoing call and recall system.

The Princess Royal University Hospital (PRUH) is also independently calling patients for vaccinations who they have on their out-patient books who are in the designated priority groups.

Vaccinations are now taking place across Bromley with several thousand vaccines being administered each week. In addition the Government has just announced the opening of Mass Vaccination Centres.

So please, be patient and you will be contacted by the NHS when it is your turn.

Priority Groups for Covid vaccination

 JCVI advises that the first priorities for the COVID-19 vaccination programme should be the prevention of mortality and the maintenance of the health and social care systems. As the risk of mortality from COVID-19 increases with age, prioritisation is primarily based on age. The order of priority for each group in the population corresponds with data on the number of individuals who would need to be vaccinated to prevent one death, estimated from UK data obtained from March to June 2020

  1. residents in a care home for older adults and their carers
  2. all those 80 years of age and over and frontline health and social care workers
  3. all those 75 years of age and over
  4. all those 70 years of age and over and clinically extremely vulnerable individuals
  5. all those 65 years of age and over
  6. all individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality[footnote 3]
  7. all those 60 years of age and over
  8. all those 55 years of age and over
  9. all those 50 years of age and over

It is estimated that taken together, these groups represent around 99% of preventable mortality from COVID-19.

Flu Vaccination for patients aged 50-64 years **NOW AVAILABLE**

Patients may be aware that the Government promised Flu vaccines this year for those aged 50-64 years.

We now have supplies of the flu vaccine  and hope to offer all our patients who are aged 50-64 (including those who will be 50 by 31st March 2021) the opportunity of a flu vaccination. Full details of the flu vaccination can be found here.  Flu Vaccination is strongly recommended during the Covid Pandemic because of the additional risks for patients who could suffer Flu and Covid infection at the same time.

Please telephone for an appointment on 01689 850012


Community Phlebotomy – Book online

The community phlebotomy walk-in is changing

As part of ongoing work to restart services safely, the walk-in phlebotomy (blood taking) service that is run by King’s College Hospital NHS Foundation Trust at Beckenham Beacon and Orpington Hospital will move to a booked appointments service. From 10 August 2020, the service will no longer accept walk-ins for GP referred blood taking. Instead you will need to call 020 3930 0245 (9am -5pm Monday to Friday) to book an appointmentAlternatively you can book easily online at 

The new appointments system will be run by the Bromley GP Alliance (BGPA).

These changes will limit the number of people visiting clinic areas at any given time. This will protect patients and staff by helping to maintain social distancing measures, which are an important part of reducing the risk of COVID-19.

Remember you can also book appointments at several local GP Surgeries which may be more convenient for you and avoid the need to visit hospital. Full details are on the form that your GP will give you when blood tests are required.

Flu Vaccination 2020

Our flu clinics are now open and available to book. Please see details below.

Patients aged 65 years and over

A Flu Vaccination is recommended for all patients aged 65 and over,  those who are living in a long stay residential care home, are a Main Carer for an elderly or disabled person or live with someone who is at high risk.

For a full list see of those eligible click here

To book an appointment please either book  online where possible as you will find it simple and convenient. You need to be registered for online services to this. If you are not registered you can find out more information here. Alternatively you can ring the Medical Centre on 01689 850012.

Patients aged under 65 years with risk factors

Flu vaccination It is also recommended for  Patients who are pregnant or under 65 years who have specific risk factors such as Asthma, Diabetes, COPD, Chronic Kidney Disease, Neurological problems or other conditions that impair your immune system.  Such patients may be aware of their risks and been vaccinated in the past. We will be contacting you but you can make an appointment now by contacting Reception on 01689 850012. At the moment appointments for this age group cannot be booked online.

Aged between 50 and 65 years?

Some patients have heard in the media that the Government intends to extend the flu vaccination programme to the over 50s (rather than over 65s or younger with certain risk factors). We are still awaiting confirmation about this from NHS England but have been told that such patients will not be vaccinated until all the over 65s have been done and that is likely to be December at the earliest. Please check our website for latest details.


Covid-19 update: Please DO NOT VISIT the Medical Centre unless you have an appointment

For full latest details of how the Covid-19 Pandemic is affecting our services please visit our Covid-19 support page

As all Patients will be aware the cases of Covid-19 are rising again. Can we please make it clear that you should NOT visit the Medical Centre in person unless you have an appointment with a Doctor or Nurse or are collecting  a blood form or other document.

We cannot deal with routine queries at the Reception Desk as these can only be done by phone. This is to protect you and our staff.

If you need an appointment please ring in the morning or use our online system.

We would continue to remind you:

  • If you do visit please ensure you wear a face mask.
  • Please use our online services and eConsult where possible. Full details of what you can do with these services can be found here and how you can consult with a Doctor online using eConsult here. 
  • From October 28th you can now book a limited number of  GP Telephone appointments online.  Please note that they are all Telephone consultations and you should not attend the Medical Centre.

Covid-19 National ‘Principle’ Trial

Our Medical Centre is participating in a National Trial to look at the effectiveness of certain medications when given early to patients with symptoms of Covid-19 infection.

Those patients who are eligible to participate will have received a text message from us. This is legitimate and if you develop symptoms even if very mild and are willing to participate please follow the instructions in the text message. If you have any queries please contact Reception.