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Choose wisely. Is A&E the right service for your healthcare needs.pdf

Do you have Asthma, COPD or Diabetes?

Please ensure you see the Nurse for your Annual Health Check! Pre-book in advance. If you cant make the appointment for whatever reason please let us know so it can be offered to others.


Please let us know if you are a carer! Did you know you are entitled to an annual health check & flu vaccination and much more. See reception for further details

Named Accountable GP

All patients that register at Cassio Surgery will be given a Named Accountable GP who will take lead responsibility for their care. You will be informed when you register who that is.   

Friends & Family Test

Would you recommend Cassio to your friends & family? Ask for a 'Friends and Family test' form from reception or complete now online

Friends & Family Test



We aim to provide good safe care for our patients. In view of the increasing pressure within the NHS we kindly ask our patients to work in Partnership with the surgery and use the appointment guide below


Our team of patient advisors will ask 'what is the cause for your concern today' before offering an appointment. The information that you provide is confidential and will help the team direct you to the most appropriate clinician for your medical need.

From 25.11.19-24.5.2020 there are appointments available for 0-4 year olds from 3pm-6.30pm at GP practices across Watford - please ask at reception for details.


  • 10 minute appointments
  • 1-2 problems only so that the clinician can mange these safely within the appointment time.
  • On-going medical problems with the option of a double appointment for patients with complex medical problems
  • Book appointments two weeks in advance. Appointments are released at two weekly intervals.


  • Shorter appointment time
  • Only for the most URGENT medical need that cannot wait for a pre-bookable appointment
  • One problem only


  • Requesting repeat medication, letters or sick notes- please speak to the patient advisory team
  • Results of investigations unless advised by a clinician. Please allow one week for blood/urine results and two weeks for Xrays/ultrasound results. Patients can now access some test results on line. Please ask reception for details.
  • Minor common conditions without trying 'Self Help Measures'and/or visiting the local pharmacist first who can provide medication.


Please remember to call and cancel your appointment if you no longer need it or if you need to rearrange it.

Tell us as soon as you can if you cannot keep your appointment.

Missed appointments:


Unfortunately we see dozens of appointments wasted by patients not turning up each month. If we added up all the appointments that are wasted, we would be able to afford to have an extra GP session!


What happens when patients miss appointments?


We realise that everyone can make mistakes and so we won’t take any action if a single appointment is missed in error. However, we have a minority of patients who miss appointments regularly and this impacts significantly on other patients. We have a policy in place to take action in these circumstances.


If a patient misses an urgent appointment booked the same day, or if a patient misses THREE non-urgent appointments in a 6 month period:


In these instances we send a letter to the patient explaining the problem we have with appointments being missed and the impact that this has on the service we provide to the rest of our 9,300 patients. We list the appointment(s) that were missed and offer the opportunity to discuss if the patient feels this is incorrect. The letter goes on to insist that in the future, they call to let us know if they cannot attend a booked appointment. If patients receive a reminder text, they can simply reply with the word “cancel”. Missed urgent appointments that are on average booked only two hours before the time of the appointment, are particularly frustrating. There is really no excuse for not attending appointments that have been booked on the day by the patient.


If a patient goes on to miss a further appointment within 6 months of the first letter being sent:


They will receive a letter expressing disappointment and notifying them that their continued registration at the practice will be reviewed by the GP partners in the next meeting. They are invited to write or telephone to explain any mitigating circumstances which will be considered.


In cases where no improvement is seen and there are no mitigating circumstances, the practice will request that the patient is removed.


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