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ADVICE FROM NHS ENGLAND - Wuhan Novel Coronavirus

Wuhan Novel Coronavirus (WN-CoV) is a new respiratory illness that has not previously been seen in humans. The symptoms of the virus are very similar to that of most flu-like illnesses and usually include:

  • Feeling tired
  • Difficulty breathing
  • A high temperature
  • A cough

 Advice to travellers returning from China and specified areas

Travellers returning from Wuhan and Hubei Province, China

 If you have returned from Wuhan or Hubei Province in the last 14 days:

  • Stay indoors and avoid contact with other people
  • Call NHS 111 to tell them of your recent travel

 Please follow this advice even if you do not have symptoms of the virus

 If you get a cough, high temperature or you feel short of breath, continue to follow this advice. Do not leave your house.

Travellers returning from other parts of China and specified areas

 If you get a cough, high temperature or feel short of breath within 14 days of returning from:

  • Other parts of China, including Macao and Hong Kong
  • Thailand
  • Japan
  • Republic of Korea
  • Taiwan
  • Singapore
  • Malaysia

 You should:

  • Stay indoors and avoid contact with other people
  • Call NHS 111 to tell them of your recent travel

Please DO NOT attend the practice. Our reception team have been instructed to ask patients who contact the practice requesting an appointment with these symptoms about their recent travel history to ascertain whether or not it is appropriate for them to be invited into the practice.

Further information and advice about Wuhan coronavirus can be found at:

  • Flu Clinics 2019 - visit Flu Clinics for more information

Livi - new video consultation service - visit LIVI for more information

EMERADE Fact Sheet for patients October 2019 - see Medication Information

Sepsis Awareness - visit Sepsis Awareness

New Registrars at Courtyard Surgery

We are pleased to welcome Dr Hitesh Gadhia and Dr Saif Ali  as our new placement ST3 GP Registrars, they started training at Courtyard Surgery in August 2019. Dr Gadhia will be with us for 6 months and Dr Ali for 12 months.  Both will have the support of the full clinical and administrative team whilst at the surgery. 

Courtyard Surgery has been approved as a Training practice for GP registrars from the Mid Sussex GP Training Scheme.

Important Announcement

Following our announcement in 2017 regarding Riverside Surgery moving premises to Courtyard Surgery, this is no longer taking place and Riverside will be remaining at their current premises on Worthing Road.

As such, Courtyard Surgery will no longer be joining with Riverside Surgery. Although this is a change in the original plans, we have, as part of future proofing, 7 new rooms that will be for our patients. 

We are continuing all of the services that we currently offer and will be employing more doctors and other health care professionals to make the most of the additional capacity and strengthen our clinical team.

With more rooms and staff available, we anticipate improving our services with the capacity and ability to look after our patients.

We would like to thank you for your patience.

New Physician Associate at Courtyard Surgery

We are delighted to be welcoming a new healthcare professional to our primary care (GP) team.

Shannon Rosine is a US trained Physician Associate (PA) with considerable clinical experience, working in both emergency departments and a health centre linked with a correctional facility. Shannon is also a Teaching Fellow in Physician Associate Studies at Brighton and Sussex Medical School, training PAs for the future.

For more information, visit Latest News on our website.

Physiotherapy Self-Referral for Patients
Did you know you can now refer yourself to physiotherapy at Horsham Hospital for musculoskeletal conditions? Please refer yourself by clicking here or alternatively pick up a paper form from the surgery reception.

Horsham Hospital Blood Service
Please click here to see change in opening times for the above blood test service from 01 June 2017. Click here for more information.

Gardasil – the new Cervical Cancer Vaccine

Courtyard Surgery fee per course of vaccination: £405 

Courtyard Surgery is now able to offer the HPV Vaccination to private female patients i.e. any female member of the public who is not a patient of Courtyard Surgery. Courtyard Surgery patients may instead contact Park Surgery in Albion Way where we have a reciprocal arrangement, and where they will be offered the vaccination for the same fee. 

To book at Courtyard Surgery tel: 01403 330320
To book at Park Surgery email 
or tel: 01403 330320
There is no doubt that the vaccine is effective and works with no or minimal side effects, (no more than any other vaccine) but it is expensive and some private clinics are currently charging £450 for the course of 3 injections.

Gardasil – Anti Cervical Cancer Vaccine

Gardasil is a revolutionary new vaccine that has been specifically developed to prevent most types of cervical cancer, which is caused by the Human Papilloma Virus (HPV). Cervical cancer is the second most common cause of death from cancer (after breast cancer) among young women (15 to 44 years) in Europe. 

In susceptible individuals, infection can cause abnormalities in the cells of the lining of the cervix such that they begin to multiply out of control to form pre-cancerous warts, which can then develop into tumours. Gardasil provides effective protection against 70% of cervical cancers. 

HPV is extremely commonplace and whilst not everyone suffers adverse reactions, more than 50% of the UK population carry or have at some time been infected by an HPV. Sexual contact is the primary method of transmission. 

Other symptoms of HPV infection can include genital warts, which are usually benign, but on rare occasions can turn malignant, causing, vulval, vaginal, penile and anal cancer. Benign genital warts can cause discomfort and bleeding during intercourse, and treatment by laser can be difficult and painful. Gardasil protects against 90% of genital warts. 

For maximum protection, the optimum time to administer the vaccination is before commencement of sexual activity, although risk of infection persists for as long as a woman remains sexually active. 

Gardasil’s manufacturer, Sanofi Pasteur, has licensed it for use in 9 to 26 year old females.

Here are the answers to the most commonly asked questions:

How many injections do I need? 
The vaccination course is for three doses, the second and third injection being given at two and six months after the first injection. 

Does the vaccine stop all forms of cervical cancer? 
The Human Papilloma Virus has more than 100 different types. Gardasil protects against types 6, 11, 16 and 18. These are the four most common types, accounting for approximately 70% of cervical cancers (types 16 and 18) and 90% of genital warts cases (type 6 and 11). 

Will I still need to have cervical smears? 
Yes. Gardasil prevents around 70% of cervical cancers. However, about 30% of cervical cancers are caused by HPV types not covered by Gardasil, which reinforces the importance of regular smear tests for early detection and cure. 

If I have already been exposed to one of the four types of HPV covered by Gardasil, will I still benefit from vaccination? 
Yes. Immunity will develop against the other three HPV types. 

Will Gardasil help if I have developed cervical cancer already? 
No. Vaccination is designed to protect your cells against initial HPV infection which ultimately can lead to abnormal pre-malignant cells and cancer. 

Can I pass the virus to other people I come into contact with after I have been vaccinated? 
No. Gardasil is a non infectious recombinant vaccine. In other words, it does not contain any live virus, but consists of virus like particles which stimulate the same immune response as the live virus. 

What are the side effects? 
About 1 in 10 people suffer minor side effects, which can include discomfort, swelling and redness at the injection site, and a fever. Occasionally, there can be some itching. Rarely, allergic skin rashes and a wheezy chest have occurred. 

Are there any contra-indications to vaccination? 
Gardasil should not be administered to anyone with a weakened immune system, any bleeding disorder, any allergy to Gardasil’s ingredients or a previous allergic reaction after Gardasil injection. 

Gardasil should not be given to anyone with a high fever. Please note that a mild fever, cough or cold are not valid reasons to delay vaccination. 

It is inadvisable to administer Gardasil during pregnancy and we will decline to treat anyone who is known to be pregnant or trying to conceive. It can be given in breast feeding women.


Gardasil was licensed in the USA and Australia in June 2006 and received UK approval in September 2006. The licence is for use in 9 – 26 year olds as this is the age group in which clinical trials were performed. 

The trend in the USA and Australia has been for the government to introduce vaccination for all 11 and 12 year olds. As yet, the NHS has not made any announcements on whether it will offer the vaccine and to whom.

Vaccination of Gardasil at Courtyard Surgery

Courtyard Surgery is able to vaccinate anyone who is not registered at Courtyard Surgery, even if they live outside of Horsham or indeed abroad. 

Registered patients at Courtyard may contact Park Surgery in Albion Way where we have a reciprocal arrangement, and where they will be offered the vaccination for the same fee. 

To book at Park Surgery telephone 01403 330320. The cost for vaccination at Courtyard Surgery and Park Surgery is £405 for the course. The cost includes a reasonable amount for the running of the service, disposables, nurse’s time, and we think it is appropriate. 

The vaccination course is for three doses, the second and third injection being given at two and six months after the first injection. 

We would insist on full payment to be made before the first vaccination by cash or cheque since we have to order the 3 doses and store the vaccine on an individual patient basis. 

If you would like to make further enquiries, please contact us on 01403 330320. 

Links to: Park Surgery Website: 
General information:

Consent Forms for Download

Please click the links below to download consent forms   

pdfGardasil: Parental Consent Form - For Persons under 16

pdfGardasil: Consent Form – For Persons 16 and Over

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