Latest News

16th Jul

Face Masks


We need to continue to do what we can to keep people safe from catching Covid-19. One way we can all help with this is by continuing to wear a face-covering in our practice and we are asking all patients to do that, as well as our staff. Keeping our staff safe is essential to keep operating efficiently.

We are also continuing to make sure we don’t have large numbers of patients in our waiting areas and on the premises – again this is about reducing the chance of infection when there are rising rates in the community.

The various measures we have taken, including increased use of personal protective equipment, patients wearing face masks, holding more virtual consultations, social distancing and extra premises cleans have helped protect staff, patients and visitors over the past year. Taking these steps has also enabled us to continue providing many of the non-urgent services that would otherwise have been postponed.

We want to make sure you can all be confident about accessing or visiting local healthcare services safely.

Thank you for your understanding and your cooperation with this – it makes a huge difference.


15th Jul

New Telephone System

Thank you for feedback on our telephone system. I apologise for the difficulties you experienced. We started the process of having a new telephone system liaising with Herts Valleys CCG and various telephone providers. We have signed up for a new telephone system and we will be going live in the very near future. This will provide many advanced features including call queuing and call busting. We hope this will improve your experience and access to the practice on the telephone, in person and via the website. We had a 'Doctor First' appointment system on the same day to address our patients' medical needs during the pandemic. This was enhanced in October 2020 to include many pre bookable appointments for non-urgent problems. Thank you for your patience and understanding
Dr Rami Eliad Partner
Garston Medical Centre.
29th Apr

Update on Appointments

To keep patients and staff safe, during the COVID 19 pandemic, we had to suspend the morning highly valued walk-in surgery. This has been replaced with a Doctor First Triage between 8.30 am and 10.50 am and 2.30 pm and 4.00 pm to manage urgent problems on the day. Pre bookable call backs are available for routine appointments weekday and weekends. 
The telephone lines are busy during the Doctor First Triage times. If you can please, try and call at other times. The surgery telephone lines are open 8.00 am to 6.30 pm. 
Thank you for your patience and support.
13th Apr

Appointments update

Throughout the Covid pandemic, our goal has been to keep our patients and staff safe while still seeing and treating as many people as possible. To achieve this, we have had to change the way we do things, and this has also meant changes for you. Since we have to keep people socially distant apart on our premises, we have to limit the number of people coming to the practice buildings each day. This means that we are doing initial consultations by phone as far as possible, so that face-to-face consultations are available for those that really need them. We know it might feel a little odd to see the doctor this way, but it’s the only way we can offer the same level of care.

Our buildings were not built with Covid in mind, and we’re sorry that some of these changes have made things a little inconvenient. Some people may be asked to wait outside ahead of appointments if there isn’t enough space inside, and we ask people to come alone to appointments unless they must be accompanied. We want everyone to call to book an appointment. We very sorry that we unable allow anyone into the building without an appointment.

We remain dedicated to offering you the best possible service, support and care. We are doing things differently, but we are doing them to help you stay well, and to protect the health of our staff. Tell us if you are feeling unwell or are worried about your health.

Remember that there are many services you can access via this website that remove the need to visit the surgery. This includes registering new patients, change of address, wellbeing services and more.

  • Face-to-face appointments remain available to all patients, but will only be booked in a timed slot, if necessary, and after discussion with one of the GPs.If you are asked to come into the surgery for a face-to-face appointment, please remember to wear a face covering. Measures are in place to keep you safe from infection during your visit to the surgery.
  • Routine vaccinations (child and adult) & cancer screening tests (smears etc) are continuing as a priority
  • Phone and video appointments are available to all patients, via secure NHS software, and might be the safest most convenient option.

Please call to speak to a doctor between 0830Hrs to 1050Hrs and 1430Hrs to 1600Hrs for advice on the same day. Pre bookable telephone appointments are available too. As the telephone lines can be busy during these times,please ring between 1100Hrs to 1430Hrs and 1700Hrs to 18Hrs to book telephone appointments in advance,to book tests ,immunisations and obtain the doctors message for the test results from the reception team. 

Information on Video consultation, sending photographs and receiving documents via text message


Thank you for working with us as we have implemented infection control measures to make you and the staff at the surgery safe when you are invited for a Face-to-Face appointment.

  • On arrival, please bring a mask and a mobile phone.
  • A number is displayed on the front door.
  • Please ring the number for a COVID Screen.
  • The Clinician expecting you will than know you are waiting.
  • We can let 5 people wait in the waiting room.
  • If more than 5 are waiting please be patient with us whilst waiting outside.
  • If you are unable to wait outside please let the receptionist know and if possible, wait in your car. The clinician expecting you will call you when they are ready.
12th Apr

Information about local Covid-19 vaccination centres

2nd Dose

We are currently vaccinating priority groups (1-9) .Please call reception between 11am and 2pm to book an appointment if you haven't received the invites if you had the 1st Dose more than 10 weeks ago.

You also can book appointments by ringing 119 or online Coronavirus (COVID-19) vaccine - NHS ( Please note this booking is not managed by Garston Medical Centre


Delays to 2nd doses


All of the existing Covid-19 vaccines being used in the UK require two doses. The first dose gives good protection, although longer-lasting and maximum protection only comes after the second dose. It is important that everyone gets both doses when they invited to do so. There are enough supplies of the vaccine to give second doses to everyone who has had their first.


The vast majority of people are receiving their second dose within the recommended 12 weeks from first dose. A small number of people are not able to get their second dose within this period. For people in this situation, the official advice says “If an interval longer than the recommended interval is left between doses, the second dose should still be given. The course does not need to be restarted.”


So if your second dose is more than 12 weeks after the first, don’t worry. You still have the protection offered by the first dose, and you should still get the second dose when it is offered to you. You don’t need to go back to the start.


Remember that even after your first or second doses, you can still transmit Covid, so stick to the Hands Face Space rules even after you have had your vaccine.




Please update your mobile number using our online form. This will help us to contact you easily for booking the appointment online for the vaccinations

The NHS Covid-19 vaccination programme is now underway and is starting to be rolled out in GP-led vaccination centres. The information below answers some of patients’ key questions about getting the vaccine.

  1. When will I be getting the vaccine? 

To protect those who are the most as risk first, the vaccine is initially being offered to patients aged 80 and over. More information about how the vaccine will be rolled out to people in order of priority, starting with those who most need protecting from the virus, is in the Why do I have to wait? leaflet.


Vaccinations are underway in the Watford and Three Rivers areas for the first eligible groups.  Patients need two doses of the vaccine 12 weeks apart.

Please update your mobile telephone numbers using the form on the website


  1. How will I be invited for an appointment? 

GP practices are working through our lists of eligible patients and we will contact you to invite you to book your appointment when it is your turn. You will need to book an appointment for both your first and second dose.  


Please DO NOT contact surgery to try to make an appointment before you hear from us. This will allow our staff to focus on helping patients needing medical help as well as starting to contact patients about vaccine appointments when we’re able to do so.  Practice staff are not currently able to give you any more information than we have provided here.


  1. Where will I be getting the vaccine?

General Practices are working collaboratively to run local vaccination centres. Together, our teams bring years of experience and knowledge delivering vaccination programmes. The vaccination centre for this practice is Bridgewater House and this is where you will go for your vaccine.

The Pfizer vaccine is safe and highly effective, but it is complex to move, store and prepare and so can only be given in vaccination centres that meet particular requirements.  


  1. Will housebound and care home patients be able to have the vaccine at home in the same way as for the flu vaccine.

We will be making arrangements to offer the Covid-19 vaccine in people's homes and in care homes for people who are unable to get to a vaccination centre.


We can’t confirm when that might be as this may have to wait for supply of the right type of vaccine. This is because only some vaccines can be transported between people’s homes.


You can also find more information about the vaccine on the NHS.UK website

21st Mar

New Telephone System

We have listened to our patients feedback. We are in the process of upgrading our telephone system.

24th Dec 2020

COVID vaccine supplies


GP-run vaccination centre at Bridgewater Surgery delivering 2nd doses of vaccinations to people in the top priority cohorts. This includes everyone aged 50 or over, eligible carers and those in vulnerable groups. If you are one of these patients, you can also choose to book a vaccination online at or by calling 119. 

Everyone who is due to have a second dose of either the Pfizer or the AstraZeneca vaccine between 29 March and the end of April will receive their second dose. If you had your first dose at our GP-run vaccination centre then we will contact you when it is time for your next appointment. There is no need for you to phone us.

If you booked your first appointment at a pharmacy or large vaccination centre through the national booking system website or by calling 119 then you should already have a second dose appointment in your diary, which you should attend as planned.


Any first dose vaccinations already booked to take place in April via the national booking system will also still go ahead.

Up to date information about COVID vaccinations can be found at 

24th Dec 2020

Website Upgrade

We have upgraded our website. You can now submit online forms.These include Prescription requests ,Sick note requests, Contraceptive review, Change of personal details,submitting BP readings and asthma review. Please find them in the Forms section. We kindly request you NOT to request advice for Medical Matters on these forms.