nav_plain_green.png Nurse Practitioner

We have a Nurse Practitioner - Sarah Butler working with us.

They specialise in minor illnesses and will see patients with a wide range of problems which fit into this category.

The partners have been aiming to provide this service for some time and are fortunate to be able to offer their expertise and experience to our patients.

 nav_plain_green.pngContraceptive Services

We provide a range of contraceptive and family planning services including advice for teenagers.  In the first instance, please make an appointment with a Doctor.  Follow-up care including repeat prescriptions is normally managed by the nursing team.

nav_plain_green.pngSexual Health Clinics

Please click on the link below for information on the Aneurin Bevan University Health Board Sexual Health services and clinics :

nav_plain_green.pngCervical Cytology (Smears)

Women are invited to attend for screening by the Cervical Screening Wales Service.  On receipt of the invite letter please phone:

Risca  -  01633 613131

Cwm  -  01495 200343

The nursing staff are responsible for carrying out cervical smear tests.

Cervical Screening Wales

Cervical Screening Wales (CSW) invites women aged between 20 and 64 who live in Wales for a test every 3 years.  If you have had a hysterectomy or are over 65, you may not need to have the test and should ask your doctor or nurse for advice.  All women who live in Wales receive their test results by post.  They aim to provide you with your result within 4 to 6 weeks of the test being taken, but sometimes it takes a little longer.  Regular cervical screening can prevent up to 90% of cancers developing, but like other screening tests it is not perfect.  It does not always detect early cell changes that may lead to cancer.

If  you have any unusal symptoms such as bleeding after sex or between periods, you should see your doctor, even if you have had a recent negative test.

nav_plain_green.pngBreast Screening

Breast screening looks for breast cancer before symptoms show.  This involves x-rays (mammograms) of the breast.  At least two x-rays of each breast are taken.

Breast cancer can affect any woman but is more common in women aged over 50.  The risk of developing breast cancer is realted to age - the older you are the higher the risk.  It affects 1 in 9 women in Wales at sometime in their lives.  If we find breast cancer at an early stage, treatment has the greatest chance of being successful.  The best way of screening for breast cancer is having regular mammograms, as you may not be able to see or feel early changes.

Breast screening is for women between 50 - 70 years of age and are automatically called for screening every 3 years.  All eligible women should receive their first invitation before their 53rd birthday.  Women over 70 are screened on request at intervals of no less than 3 years.

Most women will have normal results.  About 1 in 20 women that are screened are called back for more tests.  Most of these women will not have cancer.

Contact:  South East Wales Breast screening centre, 18 Cathedral Road, Cardiff, CF11 9LJ.  Tel: 02920397222.

  nav_plain_green.pngChild Health

The Well Baby Clinics and Immunisations are held on Monday afternoon at Risca Health Centre. 

General advice from the Health Visitors can be obtained by telephoning 01633 619090.

nav_plain_green.pngImmunisations / Foreign Travel

Flu immunisation is offered every Autumn.  Priority is given to patients over 65 and those at risk with Asthma, Diabetes, Heart or Kidney disease.  The 'flu jab' needs to be repeated every year.  Arrangements will be advertised prior to October every year.

For advice about other immunisations and foreign travel, please contact our 01633 613131.

Plan well in advance as some immunisation schedules take 6 to 8 weeks.

For some vaccinations you may need to attend a private travel clinic.  Details will be given to you at your appointment with the nurse.

Hepatitis B Vaccination

This vaccination is usually required at the request of your employer if you are working in an at risk occupation e.g. nurses, doctors, dental nurses, dentists, sewage workers, etc.  All NHS staff should use their own Occupational Health Service.  The following options are available to employers outside the NHS.


It is the employer’s responsibility to arrange a suitable risk assessment and contact a provider of Occupational Services to arrange vaccination and appropriate blood tests.  This is not NHS work and vaccination for occupational purposes is not offered as part of our routine NHS services.



 nav_plain_green.pngBlood Clinics

Blood clinics as follows:

Risca Surgery  -  ring  reception - 01633 613131

Cwmfelinfach Surgery  -  ring reception  -  01495 200343

Monday to Friday - varying times available please telephone to enquire.       

 nav_plain_green.pngDiabetic Clinic

Diabetic clinics at Risca Surgery are mainly held on Tuesdays and Wednesdays, where patients are seen by practice nurses with a special interest in diabetes. Patients are requested to have their bloods and urine sent to the laboratory 2 weeks before their clinic appointment so that the results are back in time. Medication reviews can be carried out at this appointment to update repeat prescriptions, so no doctor"s appointment is necessary unless the nurses are concerned. With regular checkups booked depending on patient results,they will become familiar with the nursing team.

We also have a podiatrist that runs a clinic alongside the diabetic clinic, in order for the annual diabetic foot checks to be carried out.

The retinal screening programme is also carried out at the surgery, for the annual diabetic eye test to be performed. Patients needing this service will be contacted by letter.

The above services are also available at our branch surgery in Cwmfelinfach, with the exception of the retinal screening programme,which is always based in Risca.

To book any of these clinics please ring 01633 613131


Asthma patients are required to be monitored in asthma clinic every 6 months. This is to ensure that patients are taking inhalers appropriately,and the dosage of medication. Patients are taught how to manage their asthma themselves with a management plan, so they are in control. The clinics are run by practice nurses who have a special interest in asthma. At the appointment, repeat prescriptions will be updated to last until the next appointment, which will be given according to the control of symptoms.

The clinics are run at Risca and Cwmfelinfach Surgeries over a number of days.

For an appointment please ring:

Risca Surgery 01633 613131

Cwmfelinfach Surgery 01495 200343

 nav_plain_green.pngChronic Obstructive Airways Disease

We run Chronic Obstructive Airways Disease clinics at both Risca and Cwmfelinfach Surgeries. The clinics are run by nurses with a special interest in Chronic Obstructive Airways Disease, and are run on a selection of days. The aims of these clinics are to give support, and advice about inhalers or symptoms that patients would like to discuss. At this appointment repeat prescriptions will be updated if there are no problems.

For an appointment please ring:

Risca Surgery 01633 613131 

Cwmfelinfach Surgery 01495 200343.

nav_plain_green.pngMental Health Services

 Psychological Wellbeing Practitioner Service


Are you currently struggling with your mental health or wellbeing?

Have you been feeling lower in mood, more anxious or stressed recently?

Has COVID-19 increased your isolation, left you feeling panicked when leaving the house or mean you have lost someone that you care about?

If any of the above applies to you, then please consider reaching out to Risca Surgery and booking an appointment to speak with a professional. Reception staff may ask you to briefly summarise the nature of your concerns, you will then be directed to either speak with either a GP or your local PWP*.

Psychological Wellbeing Practitioners (PWPs) are trained mental health professionals, who help support adults (over 18’s) with low-moderate mental health difficulties. They will complete a 45 minute mental health assessment with you. In this assessment, you can expect the following; a brief mental health questionnaire, followed by a more in-depth conversation about your current wellbeing and ending with some support options* that fit your individual needs.

  *Please note: If you are not interested in accessing alternative support for your wellbeing but would like to discuss medication, or get a fit note for work, please book in to see a GP.

*Please note: this is not a counselling service. Your PWP will have a conversation with you about available support options and the steps you can start taking to live the life you want to live. Counselling is just one of many possible support options available but alternatives will also be discussed.


Maybe you are not quite ready to take that first step and book an appointment?

 It is completely normal to feel nervous, anxious or scared when taking that first step in talking about your mental health. Whilst we would love to support you, you may prefer reading a bit about mental health yourself, to understand the problems you are experiencing. Please see the below resources:

Melo (Melo Cymru - Mental Wellbeing Resources, Courses + Advice Gwent Wales): Resources to help you develop knowledge and skills around your mental health.

Self Help Leaflets (Aneurin Bevan University Health Board - Self Help Guides ( More in-depth reading specific to your mental health difficulties, not just explaining why we might be feeling a particular way but also giving you some ideas on how to manage this.

Books on Mental Health (Mental health | Reading Well booklists | Books | Reading Well ( If you have read the self-help leaflets and would like to continue learning more by yourself, please see this reading list. These books are all available in your local library.

MIND (Information & Support | Mind, the mental health charity - help for mental health problems): MIND are the UK’s leading mental health charity. Their website has lots of information on understanding and managing your mental health.

Dewis Cymru ( Directory of all the wellbeing services across Wales. When we talk about your well-being, we don’t just mean your health. We mean things like where you live, how safe and secure you feel, getting out and about, and keeping in touch with family and friends. No two people are the same and well-being means different things to different people. If you are interested in a specific service but not sure how to find it, try looking on Dewis Cymru.

Feeling like you have no one to talk to right now? Need some more immediate support and a confidential space to talk openly? Pick up the phone and call:

Samaritans (Samaritans | Every life lost to suicide is a tragedy | Here to listen) - If you are really struggling to cope with your mental health, pick up the phone and call Samaritans.

A.L.L. (C.A.L.L. Mental Health Helpline - Community Advice and Listening Line ( - Anyone concerned about their own mental health or someone else’s, please call C.A.L.L. They are a Welsh Listening Service, who can be here when you just need that person to talk to.

SHOUT 24/7 Texting Service (Free, 24/7 mental health text support in the UK | Shout 85258 ( - If you are not comfortable speaking over the phone, text SHOUT to 85258. This will start a text conversation with a trained volunteer, to give you space to talk.


Counselling is "talking therapy".  You can talk in confidence, without being judged, to someone who is trained to help and is not part of your everyday life. It gives you time to explore your thoughts and feelings about whatever is troubling you.

Counselling can help with a wide range of problems - from general feelings of dissatisfaction with life, to major life crises. These might include depression, anxiety, low self-esteem, bereavement and other losses, family and relationship difficulties, problems at work, or worries about illness.

People often visit the doctor with physical symptoms caused by these kinds of stresses.  Your doctor may feel that referring you to the counsellor might be more helpful than just giving you medication.

You will be given an appointment as soon as possible after seeing the doctor. If there is a significant waiting list your counsellor will let you know straight away.

As this is an adult service, the counsellor will usually see people over 18, but 16-18 year olds may be given appointments in certain circumstances.

Practice counsellors are qualified professionals employed by the Gwent Healthcare Trust as part of the Psychology Service. Our Practice Counsellor is Lyz Jones, although in certain circumstances you may be seen by a different member of the counselling team.


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