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With patient’s needs at the heart of everything we do, our website has been designed to make it easy for you to gain instant access to the information you need. As well as specific practice details such as opening hours and how to register, you’ll find a wealth of useful pages covering a wide range of health issues along with links to other relevant medical organisations.

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For more information on the NHS App

Please keep your mobile phone number up to date  

You may be contacted by text message in regards to Covid-19 vaccinations, and other health matters so it is important to keep your number up to date.

Face Masks

Following the announcement from the Prime Minister on July 12th 2021, we want to emphasise that Health and Care organisations are still required to ensure that infection control measures remain in place, particularly with increasing COVID numbers nationally and locally.

We will continue to ask patients and staff to wear face masks at both the Howdale and Marham Surgeries after July 19th 2021, while COVID-19 levels remain high. This is to protect vulnerable patients and staff who may not have been able to have the vaccine. We will continue with social distancing in the waiting room for the same reason.

Thank you for your co-operation.

COVID-19 vaccination clinics now under way

If you are aged 18 or over and have not yet had your first Covid vaccination but would like one, please contact the National Covid Vaccination Booking Service on 119 to arrange an appointment.

A catch up system is being used for any patients that had their first Covid vaccination at our central vaccination centre located at the Manor Farm Medical Centre in Swaffham but are yet to have their second vaccination. 

Please remember that when contacted to book a Covid vaccination you will not be asked for payment or your bank details. If you are asked for this information please do not give it out as it will not be a contact from the NHS. 

Please remember to do all you can all to protect yourselves, your families and your communities - Hands, Face, Space.

Protection against Covid - 19 

Help to keep you and your family safe by washing your hands regularly, use face coverings to cover your nose and mouth especially when indoors and other confined spaces, and keeping your distance from the people around you.

All these measures will help stop Covid from spreading. We can all do our bit to help protect our families and communities. Keep up to date with the latest guidance:

Coronavirus Advice

For the latest Coronavirus advice, please use the link below to the government information page. 

Government Corona Virus Advice

For information on:

Changes to our clinical team from October 2020

There will be some changes to our clinical team from the 1st October 2020. Dr Heighton will be reducing the number of sessions he carries out and will now normally be working on Mondays and Tuesdays only.

At the same time we are also welcoming Dr Priti to our GP team. She will be carrying out 6 sessions per week.  

Thank you!

We are very grateful for the community support we have received through local voluntary services, such as Covid 19 Mutual AID, help from individuals, and donations from local businesses. We greatly appreciate your contributions that have helped our patients and staff through this difficult time.

Dispensary changes from 23 March 2020

Due to the high demand on our dispensary at this difficult time, we are asking that you allow 5 days from when you request a routine prescription to when you are able to pick up your medication. Also to allow our staff to get through their workload we have changed the opening time to 10 am, as a temporary measure. In regards to queueing at the dispensary, we would be grateful if you could observe the social distancing recommendations, and stay 2 metres apart from each other.

Routine appointments from 13 March 2020

For patients who do not have any coronavirus symptoms, to protect our patients and staff, we ask if you could consider avoiding any routine non-urgent appointments. You may be called by a member of staff to discuss the urgency of your problem, and if possible, deal with your problem over the telephone or by video chat. If your problem cannot be dealt with in this way, then we will still be able to see you in a face-to-face consultation.

Improved GP Access Appointments

You may have heard in the news the GP surgeries across the country are launching a new service to offer additional appointments to patients across the evenings and weekends.

The Howdale and Marham surgeries are excited to announce that we are now one of the 21 local GP surgeries who are working together to offer additional appointments to our patients.

The additional appointments will be offered in the evenings up until 8pm and on weekends between the hours of 8am and 1pm.  They will be offered at one of eight hubs across West Norfolk. 

For more information see the Appointments page for more details.

Improved GP Access Appointments Survey

We want your opinions about the West Norfolk wide Improved Access to GP Appointments service. Complete the short free survey in under ten minutes by following the link:

Prescription Delivery Services

The Howdale and Marham surgeries would like to inform our patients that we have no links to private companies such as Echo, Pharmacy 2U and +Well.

Text and App Appointment Messaging Service 

The Howdale and Marham surgeries now offer a free app and text messaging service to our patients. For patient access to this service we must have the patients mobile telephone number recorded on their medical records. This service will send reminders for booked appointments, the ability to cancel an appointment directly from the message if the patient cannot attend, automatic access to complete the Friends and Family Test after an appointment and for the surgery to be able to contact patients in relation to health campaigns relevant to that individual.

If you do not wish to use this free service then please follow the instructions on the welcoming text message to decline.

If you wish to be included in the service but have not received the welcoming text, then please contact the surgery and ensure that we have your current mobile telephone number recorded on your patient notes.  

Patient Contact Details 

We would like to remind our patients to contact the surgery if there are any changes to personal contact details such as address or landline and mobile telephone numbers. This is to ensure that we can keep patient records up to date.  

Howdale Surgery dispensary direct dial line

The Howdale Surgery dispensary now has its own direct dial telephone number, 01366 381717. This is available from 9:00 AM - 6:30 PM Mon, Tue, Thur & Fri, and 9:00 AM - 12:30 PM on Wed. Please note that this line is for dispensary queries only.  

Get Well, Keep Well

Of course we’re not just here for when you are unwell. Our team of healthcare professionals and back-up staff offer a number of clinics and services to promote good health and wellbeing whatever your medical condition.

Howdale Surgery access

We do have a parking space near the door specifically assigned for disabled patients.  If you are able bodied, please DO NOT park here.

Online Access for patients

Patients can now register for online access to the Howdale Surgery. Simply go to the bottom of this home page and click on the circular appointments button and follow the prompts or visit the surgery and ask at reception. Online access allows you to book and cancel appointments, order repeat medications and view a summary of your medical files.

Every patient has an allocated GP. When you book for your appointment, please ensure that you book with your allocated GP if possible and that the appointment is at the correct surgery site (ie. Howdale or Marham). Patients are only to book appointments at the surgery that they are registered with, please ensure that when you book an appointment online you check on screen which surgery the appointment is for.

If you would like to know who your allocated GP is then please contact the surgery.

Further to these points the practice already provides an automated daily upload of any changes to a patient’s summary information to the Summary Care Record (SCR). The SCR information includes medications, allergies and adverse reactions, for which patient implied consent is required. The practice also utilises the GP2GP record transfer system.

Friends and Family Test

Please feel free to leave a comment. Just click on the menu on the right side of the screen.

Accessible Information Standard

If you, or a patient registered at this practice that you act as a carer for, have any communication / information needs relating to a disability, impairment or sensory loss then please let us know what the problem is and how we can help. This can be done via email to or by informing our reception team by telephone or during your next visit. 

Registration requires you to bring 2 forms of ID, 1 with a photo

The online pre-registration form is available to help us have your details before you register. However, it is important for you to note that you are not registered until you have brought 2 forms of ID to us, 1 with a photo, and have signed the registration form.
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