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Maternity Services

Initially, all pregnant women should see one of the doctors at a routine surgery appointment. You will then be asked to make a 1 hour booking appointment with the midwife at 8-10 weeks of pregnancy.

This appointment is designed to assess your needs and enable an appropriate plan of care to be devised. Discussions include tests available, diet, parent education classes etc, and is an opportunity to address questions and concerns that you may have. Women may choose to have their baby at home, in our local midwifery led unit in Wallingford (St Georges Ward) or in the Consultant Unit at the John Radcliffe Hospital, Oxford.

The antenatal clinics are on a Monday afternoon at Mill Stream Surgery, otherwise the midwife is contactable at St Georges Ward, Wallingford on 01491 826037 or 07795 152909.

Emergency Contraception

The morning after pill is effective up to 72 hours (3 days) after unprotected intercourse but the earlier it is obtained the more effective it is. A coil can be fitted up to 5 days after unprotected intercourse for emergency protection.


This service is to offer psychological help to people with common mental health problems at the Mill Stream Surgery. The service is run by Tracy Avis, a CBT therapist offering a range of interventions including recommending self-help literature and brief one-to-one therapy sessions. The service is based on the evidence that many people can solve their own problems if they are given appropriate advice and support, without needing to get involved with formal psychiatric services.

Who is it for?

The service is aimed for people with mild to moderate mental health problems. People with more complicated problems may need to be referred to other services such as the local Community Mental Health Team. Your GP will be able to advise you about whether your particular problems might be helped by this approach, but some examples include

· Any form of anxiety and worry, including panic attacks, social anxiety and agoraphobia

· Obsessional problems (e.g. washing or checking too much) 

· Depression and low mood

· Eating disorders

This is not a complete list, so talk to your GP if you have a different problem which you think might benefit from attending this service.

What kind of treatment?

The main intervention offered is based on a form of treatment called cognitive behaviour therapy, or CBT for short. The basic idea behind CBT is that you can overcome mental health problems by making changes in the way you think and behave. Research has shown that CBT is probably the most effective form of treatment for many common mental health problems.

People benefit from this form of therapy in different ways; reading self-help literature, attending therapeutic groups or seeing a therapist for one-to-one sessions. Research has shown that many people can do CBT for themselves, without needing to have full-blown therapy, if they have the necessary advice and support.

Who will I see?

The service is run by Tracy Avis, a therapist who also works for Oxford Health.  She is an experienced CBT therapist and is professionally accredited by the British Association of Behavioural and Cognitive Psychotherapies (BABCP).

What happens in the Service?

You will be seen initially for an assessment session of approximately forty minutes, where Tracy will find out more about your problems, check that they are likely to be helped by this service, and answer any questions you have. If you both agree that this looks like a promising approach, then you will discuss options that may be of help for you. These options would range from reading self-help literature, accessing other community services (such as therapeutic groups) or attending a number of one-to-one therapy sessions with Tracy. The length and/or frequency of further appointments would be set according to your needs. A typical follow up session is approximately twenty minutes. There is no pre-set limit to how many times you can see Tracy, but most people typically need 2 – 3 sessions.

What next?

If it sounds like this service might help you, please discuss it with your GP who would be able to advise you on how to book for an appointment.

The service runs on Thursday mornings.

Volunteer services

These services will try to find a volunteer to help with certain jobs; shopping, transport, gardening etc., for people who require it.

Benson Volunteers which is available for people living in Benson and Ewelme, may be contacted between 9.00am and 11.00am Monday to Friday on 01491 825992.

Wallingford Volunteers cover the whole practice area; they may be contacted between 9.30am and 11.30am, Monday to Friday on 01491 836345.

Foot Care

We often get asked for information about chiropodists or podiatrists. We do not suggest anyone in particular but would recommend you use a podiatrist who is state registered.

Health Walks in Benson & Ewelme

Walking is the sure safe way to health and fitness. It is a chance to meet people and make friends. Regular walks run throughout the year, and they are free. Pick up a leaflet from the surgery to find out more about Health Walks, or telephone Margaret Wiggall 01865 890730. There is also a website where you can read about Health Walks - Walking for Health.

Private Medicals

The doctors will carry out private medical examinations (e.g. for Life Assurance, the DVLA) upon request. Please speak to the receptionists.

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