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Urgent Appointments


If you have an urgent  problem you will be seen on the day you request an appointment. The practice does specialise in providing an acute access system called the same day access where doctors and nurses work together to provide a high quality patient-centred service.
If your condition is non-urgent you also have the option to book up to 4 weeks in advance. Nurses based in our practice treat patients for a wide range of common conditions. You can expect to see a nurse within one working day.
We do provide some flexibility in our appointment system. If you find it difficult to get to surgery during our normal working hours please discuss this with our receptionist or practice manager

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Welcome to Dr Royle & Partners, Birchwood Medical Centre   

Practice news ....        


take our Friends & Family test now

The NHS wants to ensure that you have the best possible experience of care. The Friends and Family test is a way of gathering your feedback about this experience and helping to drive improvement in services. Take the Friends and Family test today by clicking on the image(left).Alternatively please complete a form at reception and pop it in the box in the waiting room. Finally you can complete a simple survey when you use your telephone or mobile to book an appointment. 

Your feedback is important to us as it helps us be more responsive to your needs.


Wirral measles outbreak prompts Summer MMR call

  • Cases of measles in Wirral continue to rise
  • Unimmunised children and young adults are at risk, particularly if travelling to parts of Europe where there are large ongoing measles outbreaks, or to other countries where measles vaccination coverage is low and measles is endemic
  • Teenagers and young adults should also be fully vaccinated before travelling and attending festivals and other summer events

Measles is a highly infectious viral illness, so anyone with symptoms is also being advised to stay at home and phone their GP or NHS 111 for advice, rather than visiting the surgery or A&E, to prevent the illness spreading further. It is possible for anyone at any age to get measles and the illness can be more severe in teenagers and adults than in young children.

As the summer months bring increased travel and public gatherings, PHE is warning that the figure could rise even further and are working with Wirral Council and the NHS to make sure anyone who needs an MMR vaccine is aware.

Check your child’s Red Book to see if they’ve received two MMR vaccinations as scheduled, or check with your GP surgery if you’re unsure. Your GP surgery can arrange for vaccination if needed.



Please see full details of this under Prescriptions Section.



We experience a large volume of requests for prescriptions every day. In order to safely and efficiently carry this out and to get routine prescriptions done as quickly as possible, we would like to make you aware of a change in policy of issuing "acute prescriptions".

Medications other than the ones in this list will not be routinely issued on an urgent or acute basis. Requests for routine prescription renewal would require 48 hours for the script to be processed for collection. In addition the pharmacy may require a further 3 days to prepare your medicines.


List of medication that would be issued urgently:

  • Reliever Inhalers for Asthma & COPD (Blue inhalers)
  • Oral anticoagulants
  • Epileptic Medication for Epilepsy only
  • Anti-psychotic medications
  • Parkinson’s medications
  • Long term oral steroids (which are taken every day, long term)
  • Anti-angina medication and GTN sprays
  • Anti-arrhythmic heart medication (for those with abnormal heart rhythms)
  • Palliative care/ End of Life medications
  • Insulin, Needles and Test strips for Type 1 diabetics only
  • Epipens for anaphylaxis                                                                    (A complete list is available on request for specific drug details)

In instances where patients request prescriptions urgently for medications other than the ones listed above, please reassure them that all routine prescriptions are issued within 48 hours and missing medications other ones listed above would not have any serious consequences to their health. In case of doubt please ask the doctor on call.

Patients should be reminded that requests for routine prescriptions should be made well in advance to avoid medication lapses. We will try to accommodate some requests on an individual basis after discussion with medical staff.

Formal written reminders of practice policy on routine prescription would be sent to patients where such requests are repetitive. Case notes of patients should also be coded where such instances are noted.


Across Warrington, GP's and other health professionals will no longer routinely prescribe medications for short term minor health problems - making you aware of CCG policy.

NHS Warrington CCG undertook a formal public consultation on these proposals which received overwhelming support.  On average. 75% of people agree that, unless there are exceptional circumstances, patients will be expected to buy the medicines listed below themselves over-the-counter at a local pharmacy or supermarket.

Medicines that can be purchased over-the-counter for the treatment of minor or short-term conditions:

Pain relief cream/ointment for short-term; Oral antihistamines for hay fever; Decongestant nasal sprays and tablets; Teething gels; Vaginal moisturisers (for example lubricant gels and creams); Warts and verrucae paints; Heparinoid gel/cream; Antiperspirants; Antifungal treatments (for example for athletes foot); Treatments for bites and stings; Treatments for cold sores; Antibacterial eye drops; Treatment for diarrhoea; Head lice treatments; Treatments for infant colic; Creams/ointments for nappy rash; Threadworm treatments; Vaginal thrush; Haemorrhoids treatment; Cough preparations; Eye care products (for example blepharitis wipes); Probiotics; Treatments for mild acne; Dandruff and Cradle cap treatments; Baby milks (unless a clinical need for a specialist milk.


NHS Warrington Clinical Commissioning Group (CCG) spends approximately £1 million per year on prescribing these medicines.

This money could be better spent on treating more serious conditions such as heart disease and diabetes.  Many of these products are readily available, along with advice, from local pharmacies.  Some are also available from local shops and supermarkets.

Patient Advice

Coughs and Colds    :     Fever in Children

Gastroenteritis in Children     :     Urinary Tract Infection

Allergy or intolerance to cows milk in babies    :   Hayfever   

Headlice    :    Mild Acne    :      Pain     :    Piles

Sore Eyes   :   Threadworms   :    Vaginal Thursh

For further information please contact


Birchwood Medical Centre is working with NHS Warrington Clinical Commissioning Group (CCG), the local commissioners, to evaluate the repeat ordering pilot we are taking part in.

We are looking for your views on the impact of the pilot - how it may have affected you and your family/carers. You can have your say by:

Going online and completing the survey by following this link:

Contacting the Communications and Engagement Team at NHS Warrington CCG on 01925 843745 or emailing

-   We are taking part in the repeat ordering pilot to contribute to a safer, more efficient service for patients and to help reduce stock piles of unused medicines.

-   This will also enable GPs to have a better ability to monitor what medicines you do and do not use - information that will help discussions about choosing the right medication for you.

-  Our NHS needs everyone to work together to make sure only medicines that are needed are requested.

-   The CCG has looked at areas around the country and has seen that when patients order their own prescriptions this is safer and reduces waste. 

-  Over-ordering, stockpiling and unused medicines cost the NHS hundreds of millions of pounds every year. This is money that we believe can, and should, go to provide vital health services.

-   The evaluation period runs from Monday 23rd April until Sunday 20th May 2018.

During this time, the pilot will be continuing and patients will

still be required to order


At Birchwood Medical Centre we now provide a specialist nursing service for patients with a Cancer or life limiting diagnosis.  Sister Ruth Nobes has 10 years post registration experience in palliative care.  She has undertaken the Macmillan Cancer Champion course to offer support to patients and relatives through initial diagnosis, treatment and palliative care.


NATIONAL DIABETES AUDIT: helping to improve diabetes care

This Practice is taking part in an important national project about diabetes care and treatment in the NHS.  The project is called the National Diabetes Audit (NDA)

To take part your GP practice will share information about your diabetes care and treatment with the NDA.  The type of information and how it is shared is controlled by law and enforced by strict rules of confidentiality and security.  Taking part in the NDA shows that this GP practice is committed to improving care for people with diabetes.


If you do not want your information to be used please inform the receptionist, your GP or nurse.  This will not affect your care.


Ask Ollie Website:  Ask Ollie is part of the Local Offer in Warrington.  It is a statutory element of the Children and Families Act 2014. To improve accessibility to relevant information which is crucial to empower families, children and young people, please visit the following websites:-                   



Birchwood Medical Centre has been established since 1976 and serves the 400px-Gorse_Covert_-_Encountercommunities of Birchwood (Oakwood, Locking Stumps & Gorse Covert) as well as Croft and Culcheth to the north together with Longbarn and Cinnamon Brow to the east. Our current list size is 11,375.

We operate from modern large purpose built premises near to the shopping centre in Birchwood.

Our team includes nine GPs, three senior nurses, three health care assistants, a practice manager with four secretaries, three reception staff and nine admin staff.

We offer full general medical practice services and additional and enhanced services from our team.

At  Birchwood Medical Centre, we aim to treat all our patients promptly, courteously and in complete confidence. We feel it is important you know who you are speaking to, so our practice staff will identify themselves on the telephone.

P1000450bmcBirchwood Medical Centre is a 'training practice'. This means hospital doctors wanting to enter general practice spend twelve months with us in order to gain the experience they need to become family doctors.We also have medical students from Liverpool and Manchester Universities. We also have F2 doctors who spend 4 months in general practice as part of postgraduate training.  As a training practice, your medical records may be used for educational purposes.

This website is for both existing patients and those considering registering with us. It tells you about our services, how to access them and some general information about how our practice operates. The practice is within the Warrington NHS area. 

SystmOne Online Services - Repeat Prescriptions and Appointments

If you have a SystmOne on-line user name and password, please use this link to order your repeat prescriptions or book your appointment onlinePlease Note that any controlled drugs cannot be sent electronically to your nominated pharmacy.

If you are interested in this on - line service, including access to a summary care record, please contact reception for a code.   


(Site updated 25/07/2018)
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