diary_appointmentWe operate an appointment system at both Howdale and Marham Surgery. Please contact your registered practice for an appointment.

When registering with the practice, each patient is allocated a usual doctor. Not all doctors are available at all times, but it is our aim to provide appointments with a doctor as soon as possible. We offer our patients the right to be seen by a practitioner of their choice but if you wish to see a particular doctor you may have to wait a little longer for an appointment.

Dr Heighton, Dr Prakash & Dr Do attend most of the Howdale surgeries and Dr Hart is mainly at the Marham Surgery.

Extended Access Clinic  

Extended access clinics are available on certain evenings.  These are only for patients who cannot attend during normal booking hours.  Dispensary will be closed at this time. Please ask at reception for more details.

Telephone Advice

The doctors are available to talk to you on the telephone about urgent matters or to discuss a new problem between 08:30 - 08:55 and at 15:15 - 15:55 for routine matters and/or some results.  These times may vary slightly but the receptionist will be able to advise you of a convenient time.

Improved Access

We are able to offer improved access to GP and nurse appointments at one of our hubs across West Norfolk. We have eight hubs in total spread across West Norfolk.

How do I access the service?

The provision of this service is available to patient who are registered with one of the 21 surgeries within West Norfolk.

Appointments are made by calling your own GP Surgery and are available to patients on equal footing to appointments within regular surgery hours.

What appointments are available?

We offer appointments Monday to Friday from 6:30pm – 8pm, on Saturdays 8am – 1 pm and on Sundays 9am – 12pm.

What conditions can be treated?

A mixture of routine and pre-bookable and same day appointments for general consultation.

Patients who cannot be seen:

Babies under 12 weeks old

Pregnancy-related problems

Severe mental health problems

Patients identified with a potentially life-threatening medical condition which requires referral to urgent or emergency care settings

Walk-in patients

Practice Nurses

In a number of cases it might be worth considering an appointment with a practice nurse rather than a doctor. Practice nurses are qualified to deal with many conditions and you may be seen more quickly. The practice nurses are available by appointment and cover both surgeries.  Morning, afternoon and evening appointments are available throughout the week: please contact your registered practice for an appointment.


If you cannot attend an appointment for any reason please inform us as soon as possible in order for us to give the slot to someone else.

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