My Health



Asthma is a common condition that affects the airways. The typical symptoms are wheeze, cough, chest tightness, and shortness of breath. Symptoms can range from mild to severe. Treatment usually works well to ease and prevent symptoms. Treatment is usually with inhalers. A typical person with asthma may take a preventer inhaler every day (to prevent symptoms developing), and use a reliever inhaler as and when required (if symptoms flare up).


If you would like to see a video on how to use an inhaler, please click on this link. 

Asthma – Condition Leaflet
This leaflet gives an outline of asthma
Click Here – Asthma
Asthma – Peak Flow Meter
This leaflet outlines how you can monitor you asthma with a peak flow meter
Click Here – Asthma – Peak Flow Meter

Asthma App

We recommend this app. My Asthma Log as an Android App to give children, young people and parents another user friendly format of this individualised asthma management tool.


My Goals

Walking Is Best Medicine

This is a really useful video which outlines the health benefits of going for regular walks.

Hounslow Health Activities

Here is a document which outlines health walks organised by London Borough Of Hounslow.

Click here to download
Local Activities – All are free of charge

Advice On Stopping Smoking

Here is a helpful video which you may want to watch to begin your journey to stop smoking.

Hounslow Smoking Cessation Clinics

Here is advice on local stop smoking clinics. We also run clinics in the practice. Please book an appointment for our healthcare assistant.

Smoke Free Leaflet
Click here to download Leaflet smokefree_leaflet

Healthy Eating

Lots of helpful information on healthy eating may be found on this website link. Click Here.

Eat Well Plate
This shows the proportions of food groups for a balanced healthy diet.
Click here to download information –Eatwellplate

My Carer



 Friends or relatives that care for a patient with a long term condition or disability are the unsung heros of the health service. This can have be lonely and have a detrimental impact on the carers health. It is important that you are aware that you are eligible for. Our practice is committed to identify and refer carers to the support organissations that are available. We have listed some below.


As part of the Local Authority and CCG’s continuing drive to support Carers (unpaid residents caring for someone with either a disability, illness or addiction to alcohol or drugs, the following  support services have been commissioned from April 2013.


  • Carers Rights, Information and Advocacy:  to provide advice, information and advocacy in the following areas: Welfare Rights, Housing Advice (including rent arrears, homelessness, repairs, possession proceedings and tenancy issues) and employment.  This service is provided by Crossroads Care West London.

Contact details: Tel: 020 8570 6963

  • Outreach Support service (for Carers of services users with Long term Conditions including dementia): specialist ongoing support service to carers in Hounslow who look after someone with a disability. This service is provided by INS (Integrated Neurological Services) in partnership with The Alzheimer’s Society, Ealing Mencap and Richmond Aid.

Contact details: Tel: 020 8755 4000 or email:

  • Peer Support and Training: will provide training to support Carers in their roles.  It will also provide peer support groups.  This service is provided by INS (Integrated Neurological Services).

Contact details: Tel: 020 8755 4000 or email:

  • Short Breaks:  will provide short breaks to Carers from their caring role both in their homes and through community based activities.  This service is provided by Crossroads Care West London and The Alzheimer’s Society.

Contact details:

Crossroads Care West London: 020 8728 7000 or break services based in the Carer’s home.

The Alzheimer’s Society: 020 8580 1057 or e-mail: Community based short break services.

Support is also available to Carers from the Local Authority. Examples of this support include

  • Carer vouchers and direct payments which eligible Carers can use to purchase support services to make their lives easier.
  • Carers emergency card: in the event that the Carer has an accident or is temporarily unable to care, an agreed plan is put into action

For further information, contact the Adult Access Team on 020 8583 3100; e-mail:


Crossroads – Children’s Services Brochure
Crossroads – Adult’s Services Brochure
Crossroads Self Referral Form
You can refer yourself to Crossroads, using this form.
Click here for Self Referral Form Crossroads Referral form

Carers Self Referral Form

Carers Self Referral Form
Advice and support is available for you, if you care for someone with a long term condition or disability who has care needs. You may complete this form for an assessment to be carried out.

My News

‘Safer IVF’ with kisspeptin hormone shows promise

Baby HeathBaby Heath was one of the babies born in the trial, pictured at two months old

Related Stories

Twelve babies have been born using a potentially safer way of getting eggs for use in IVF, UK doctors say.

The naturally occurring hormone, kisspeptin, was used to stimulate women’s ovaries to produce eggs.

The pregnancies, reported in the Journal of Clinical Investigation, show the hormone can be used successfully.

Fertility researchers hope kisspeptin will prevent ovarian hyperstimulation syndrome (OHSS), but larger trials are needed to fully assess safety.

A hormone, hCG, is normally used to produce a few eggs for IVF.

But in around 10% of patients, the ovaries go into overdrive and produce too many. The condition can lead to kidney failure and potentially death.

‘Triumphant moment’

Embryo selection for IVF

In 2003, UK researchers discovered kisspeptin. It is heavily involved in the menstrual cycle and people without the hormone will not go through puberty.

The team at Imperial College London believe kisspepin would stimulate the ovaries in a gentler, more natural way that would prevent OHSS.

The first human trials have been taking place on 53 volunteer couples at Hammersmith Hospital in London.

Eggs were successfully collected from 51 women, of whom 12 have since given birth.

Prof Waljit Dhillo, of Imperial College London, told the BBC: “The first patient who went though the study got pregnant. It was the best outcome you could have wanted, it was a really triumphant moment.

“We think it should be safer. We’ve now shown it is effective, but we need larger studies.”

The next trials will take place in women with polycystic ovary syndrome, who are more vulnerable to overstimulation.

If they are successful, a further series of trials will be needed to compare the success rates of kisspeptin and conventional therapy.

Owen HeathOwen Harper was another child born on the trial

Alison and Richard Harper gave birth to baby Owen in October 2013.

Alison said: “I went through several cycles of IVF previously but the one in the trial was the least uncomfortable. It was less painful and I felt less swollen.”

Prof David Adamson, of the International Federation of Fertility Societies, said: “This is an interesting study that identifies an additional new drug that could potentially make IVF, an already safe procedure, even safer.

“Other effective strategies to prevent OHSS are already in clinical practice, and the new drug would have to go through large clinical trials to confirm its efficacy, safety and equivalence to these other medications currently in use.”

Dr Yakoub Khalaf, the director of the assisted conception unit at King’s College London, said: “This is an interesting study.

“Whilst it is plausible that the risk of hyperstimulation syndrome could be reduced following use of kisspeptin, the number of patients studied is too small to demonstrate reduction in the incidence.

“The bottom line is an interesting product but more clinical data is needed to demonstrate that kisspeptin is not just safe but also does not reduce the chance of a pregnancy.”

Carers Week 2017

carers week

Carers week 12th-18th June 2017

London Borough of Hounslow is celebrating Carers week on 12th June 2017 between 10.00am-2.30pm at Isleworth Town Hall, South Street, Isleworth TW7 7BG and 15th June 11:00-13:30 at Sainsbury’s Chiswick.

Carers Week is an annual campaign to raise awareness of caring, highlight the challenges carers face and recognise the contribution they make.

There will be a number of stalls from a range of services providing information on the services they deliver and representatives from the voluntary sector. If you take on a caring role please come along and meet professionals and other Carers.

For more information click here to view the flyer

sainsburys chiswick

High Risk of Diabetes

Each year in the UK, 5% to 10% of people diagnosed with pre-diabetes go on to develop type 2 diabetes. People with pre-diabetes will often have no symptoms, but have an increased risk of diabetes and heart disease.

What is Pre-diabetes?

Pre-diabetes is also called Impaired Glucose Tolerance. Like diabetes, pre-diabetes is a condition where the amount of glucose (sugar) in the blood is too high and the body cannot use it properly. The glucose levels are not high enough at this stage to be diagnosed with diabetes.

In pre-diabetes, the pancreas (an organ in the body) does not produce enough insulin or the insulin that is produced doesn’t work properly. Insulin is a hormone in the blood which lowers and controls blood glucose level. This is often the result of carrying extra fat around the waist area.

Either a fasting plasma glucose test or an HbA1c test may be used to diagnose type 2 diabetes or prediabetes.

The following results indicate the presence of prediabetes:

  • Fasting plasma glucose: 6.0 mmol/L to 6.9 mmol/L
  • HbA1c: 42 to 47 mmol/mol (6.0 to 6.4%)

Is there a cure for Pre-diabetes?

The good news is that cases of pre-diabetes that are identified early on can be reversed, preventing them from progressing into full-blown type 2 diabetes.

There are no medications which can treat or cure pre-diabetes. The only way of reducing your risk of diabetes is through lifestyle changes. This includes:

  • increasing activity levels,
  • eating a healthy and balanced diet
  • maintaining a healthy weight.

If you would like support please make an appointment with our Nurse or Healthcare assistant for a review. Also visit One You Hounslow who can help you eat well, move more, stop smoking or drink less. 

Appointment System


Firstcare Practice Appointment System

The aim of the practice is to empower you to manage their own health and provide tools and support to do this. We are committed to collaborate within the practice and with other professional partners in health and social care to both learn and deliver care. openOur practice is open Monday-Sunday 8am-8pm as a result from your feedback. We have a variety of different appointment types and times ranging from 5 -30 minutes with GP’s, Nurses and Healthcare Assistants.

Routine and same day appointments are released at 08:00 Monday-Friday on a first come first served basis. Please call the surgery on 0208 630 1111 or alternatively book online click here for more information on online access.

receptionReception staff will answer your call, please don’t be offended if they ask you what the problem is, they are here to help you get the right service for your needs and ensure you are booked with the correct clinician.

Following last years patient survey we have worked hard in recent months to improve access by making it easier for patients to speak to a doctor.
We have found that many patients who did not necessarily need to come into the practice could have been helped on the phone or on Skype.
Many things can be dealt with over the phone such as Medication queries, Medical certificates, advice, test results etc.
Telephone appointments are available between 08:00-10:00 Monday- Friday.

If you have recently undergone any tests such as bloods, x-ray, ultrasound, MRI, ECG etc the GP will contact you.  You will either receive a telephone call, text message, email or letter informing you of the outcome and actions that need to be taken.

The following clinicians are part of the Firstcare team:

Dr Talac Mahmud
Dr Emad Mahmood
Dr Adarsh Batra
Dr Haseeb Salam (long term locum)
Dr Sonali Mukerjee Bose (Long term locum)
Dr Sohini Kar (Will be starting in August)

Fana Abraha (Nurse Practitioner)
Prabesh Thangarajah (Practice Nurse)
Radha Ghimire (Locum Practice Nurse)

Healthcare Assistants:
Maria Da Cunha
Sukhwinder Dhaliwal
Mohamad Karim Haddy

We also have 3 managers and 8 reception/administrators

We understand it can sometimes be difficult to get an appointment. Our staff will try their best to accommodate you or inform you about other services that are available.

gp charter
GP’s responsibilities
patient charter
Patient Responsibilities