Autumn clinics open

Respiratory and flu-season reviews are running weekday mornings — same-week slots are usually available.

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Sunlit clinic consultation room with a prepared examination bed beside a tall window

General practice & rehabilitation


Unhurried appointments, with the time to finish the conversation.

Spruce Lumen Clinic runs longer consultations, on-site respiratory testing and physiotherapy under one roof, so most concerns are assessed and planned in a single visit.

  • 25-minute standard appointments
  • Same-week respiratory clinics
  • Step-free rooms throughout

Today at the clinic

Nurse triage
08:00 — walk-in order, urgent concerns first
Doctor sessions
09:00 – 13:00 and 14:30 – 17:30
Evening physiotherapy
18:00 – 20:00, booked appointments only

Four care lanes


Choose the lane that matches your concern

Each lane has its own session times and appointment length. If you are unsure which fits, choose general practice and the triage nurse will move you to the right clinician.

01

General practice

A single 25-minute appointment for new symptoms, ongoing worries, minor injuries, contraception, travel advice and referrals. Bloods and dressings are done in the same visit where possible.

Appointment
25 minutes, in person or by phone
Best for
New or unexplained symptoms
Sessions
Weekday mornings and afternoons

02

Respiratory clinic

Spirometry, peak-flow review, inhaler technique checks and asthma or COPD action plans. Run as a dedicated morning clinic so testing, results and the plan happen in one sitting.

Appointment
40 minutes, includes testing
Best for
Persistent cough, wheeze, breathlessness
Sessions
Tuesday and Thursday mornings

03

Physiotherapy and rehabilitation

Assessment and hands-on treatment for back, neck, shoulder and knee problems, plus a printed home programme. Evening sessions exist so you can keep the plan going around work.

Appointment
45 minutes first visit, 30 after
Best for
Joint pain, injury recovery, mobility
Sessions
Weekday evenings, Saturday mornings

04

Long-term condition review

Yearly reviews for blood pressure, diabetes, thyroid and cholesterol. Bloods are taken a week ahead so the appointment is spent on the results and what changes next, not on waiting.

Appointment
30 minutes, bloods booked first
Best for
Annual checks and medication changes
Sessions
Wednesday and Friday afternoons

Your visit, step by step


From request to follow-up in four steps

First visits are usually the ones people worry about, so here is exactly what happens once you send a request.

  1. Step 01

    Send the request

    Tell us the lane, a preferred window and a line about the concern. Requests are read the same working day.

  2. Step 02

    Short triage reply

    A nurse confirms the clinician and length of appointment, or offers an earlier slot if the concern is urgent.

  3. Step 03

    The appointment

    Arrive five minutes early. Tests that can be done on site are done in the same visit, with results explained aloud.

  4. Step 04

    Written plan

    You leave with the plan in writing: next steps, what to watch for, and when to come back or ask again.

Stethoscope resting on a clinician's notes and appointment schedule

What to bring

Small things that make a 25-minute appointment go further.

  • A list of the medicines and supplements you currently take, including doses.
  • Dates and rough timeline of the symptoms — when it started, what makes it worse.
  • Any readings you keep at home, such as blood pressure or peak-flow numbers.
  • Loose clothing if you are coming to physiotherapy or a joint assessment.
  • The one question you most want answered, written down before you arrive.
Clinician in a white coat reviewing notes with a patient across a consulting-room desk

Care team


Three clinicians, one continuous record

You are not passed between strangers. Whoever you see reads the same notes, and you can ask to stay with one clinician for a course of care.

  • Lead GP

    Dr Marin Aldeby

    General practice and long-term condition reviews. Particular interest in medication simplification for people managing three or more prescriptions.

  • Respiratory nurse specialist

    Ilse Karrow

    Runs the spirometry clinic, inhaler technique coaching and asthma action plans, including first reviews for children over six.

  • Physiotherapist

    Teo Vaillant

    Musculoskeletal assessment, post-operative knee and shoulder rehabilitation, and return-to-work programmes for manual roles.

Hours and access


When each session runs

Sessions are fixed week to week. The last appointment in every session is booked 30 minutes before it closes.

Weekly session times
DayDoctor sessionsOther clinics
Monday09:00 – 13:00, 14:30 – 17:30Physiotherapy 18:00 – 20:00
Tuesday09:00 – 13:00Respiratory clinic 08:30 – 12:30
Wednesday09:00 – 13:00, 14:30 – 17:30Condition reviews 14:00 – 17:00
Thursday09:00 – 13:00Respiratory clinic 08:30 – 12:30
Friday09:00 – 13:00, 14:30 – 17:00Condition reviews 14:00 – 17:00
SaturdayClosedPhysiotherapy 09:00 – 12:00
SundayClosedClosed

Access and practical notes

Tell us in your request if any of these would help and we will arrange it before you arrive.

  • Step-free throughout. Level entrance, wide doorways and an accessible washroom on the consulting floor.
  • Quiet room. A low-stimulus waiting room is available on request for sensory needs or anxiety.
  • Interpreters. Spoken-language and sign interpreters can be booked with three working days' notice.
  • Chaperones. You can ask for a chaperone for any examination, at any point in the appointment.
  • Bring someone. A family member or carer is welcome in the room unless you prefer otherwise.

Questions we are asked most


Before you request an appointment

Do I need to register before my first appointment?

No. Send the request first and bring proof of identity to the visit. Registration takes about five minutes at reception and can be completed while you wait, so it does not shorten your appointment.

What if I need to be seen today?

Mark your request as urgent and describe the symptoms plainly. Urgent requests are triaged first and usually offered a same-day nurse slot. For chest pain, breathing difficulty, heavy bleeding, stroke symptoms or a serious injury, go straight to emergency services instead of waiting for a reply.

How do repeat prescriptions work?

Request a repeat two working days before you run out. Most are approved without an appointment. Medicines that need monitoring — blood pressure, thyroid, diabetes or pain medication — are issued alongside a review so the dose stays right.

When will I get test results?

Routine blood results are back within three working days and swabs within five. We contact you either way, including when results are normal, and every result comes with a plain explanation of what it means for your plan.

Can you see children?

Yes, from six months in general practice and from six years in the respiratory clinic. Appointments for children are booked at the start of a session to keep waiting short, and a parent or guardian needs to stay in the room.

What happens if I need to cancel or I arrive late?

Cancel through your confirmation reply whenever you can, so the slot goes to someone else. If you arrive more than ten minutes late we will try to fit you in later the same session, but the appointment may need to move to the next available slot.

Do you offer phone or video appointments?

Phone appointments suit results discussions, medication changes and follow-ups, and are offered in the same sessions as in-person visits. Anything that needs an examination, a test or a dressing is booked in the clinic.

Request an appointment


Tell us the concern and a window that works

One short form. A nurse replies with a confirmed clinician and time — or an earlier slot if the concern needs one.

Please do not use this form for emergencies. Requests sent after the last session are read the next working morning.