Littleton Surgery

Buckland House, Esher Park Avenue, Esher, Surrey, KT10 9NY

Doctor Gavins and Doctor Navamani

Tel: 01372 462235

Fax: 01372 470622

Emergencies: 999
Non-Emergency 111

Surgery Clinics

Non NHS Examinations

The doctors are happy to carry out medicals, e.g. for insurance or employment. Please make an appointment through reception letting the staff know what it is for. Please remember that these are private examinations and a charge will be made to the insurance company, employer or patient.

Insurance claims, doctor/nurse signatures on forms, letters to a third party are not part of the doctors NHS Terms of Services. The doctors do however undertake this service and there is a charge for which the receptionist will advise you. A scale of charges is also displayed in the waiting room. The doctors receive many requests for this type of service and it is practice policy that the registered doctor fills out these forms so if they are away on annual leave, there will be a longer turn-around time.

Cervical Smears

The practice nurses carry these out and we operate a three yearly reminder system. Please make an appointment when you receive the reminder and let the reception staff know it is for cervical smear.

Antenatal Care

Both doctors undertake antenatal care in conjunction with the community midwives and hospital consultants. Appointments should be made during normal surgery hours.

Asthma and Diabetes Care

The practise nurse runs regular assessments and reviews for these conditions, in conjunction with the doctors. Please make an appointment through reception.

Vaccinations and Immunisations:

The practice nurse will conduct baby and childhood immunisations on any day, Monday to Friday for which you will receive a reminder through the post, to make an appointment.

Immunisation Table

When to Immunise

What is given

How vaccine is given

Two Months

Diphtheria, Tetanus, Petussis, Polio & Haemophilus Influenzae type b

One Injection (DTAP/IPV/HIB)


Pneumococcal Infection

One Injection (PCV)

  Rotavirus (Rotarix) Given by mouth

Three Months

Diphtheria, Tetanus, Pertussis, Polio & Haemophilus Influenzae type b

One injection (DTAP/IPV/HIB)


Meningitis C

One Injection (MenC)

  Rotavirus (Rotarix) Given by mouth

Four Months

Diphtheria, Tetanus, Pertussis, Polio & Haemophilus Influenzae type b

One Injection (DTAP/IPV/HIB)


Meningtis C

One Injection (Men C)


Pneummococcal Infection

One Injecton (PCV)

  Pneumococcal disease (PCV-Prevenar 13) Given by injection (Thigh)

Between 12 and 13 months old- within a month of the first birthday.

Haemophilus Influenzae type Meningtis C

One Injection (Menitorix)


Measles, Mumps & Rubella

One Injection (Priorix or MMR)


Pneumococcal Infection

One Injecton (PCV)

3 years four months to 5 years old

Diphtheria, Tetanus, Pertussis, Polio

One Injection (DTAP/IPV)


Measles Mumps Rubella

One Injection (Priorix or MMR)

Girls aged 12 to 13 years old Cervical Cancer caused by human papillomavirus types 16 and 18 (and genital warts caused by types 6 and 11)  HPV (Gardasil) Injection given in upper arm

13 to 18 years old

Tetanus, Diphtheria, Polio

One Injection (Revaxis)

Travel Vaccinations

Travel vaccinations are also available through the practice nurses and appointments should be made at least eight weeks in advance of the date of travel. Patients should note that not all vaccinations required for travel are available on the NHS and in some cases a charge will be made. A tariff of these charges is available in reception.

Click here to download the travel risk assessment form. Please complete it and then hand it in at the surgery before you make an appointment.

Vaccination Table


What is given


Hepatitis A

Hepatyrix or Viatim Hep A & Typhoid

1 Dose

Hepatitis B

Engerix B

3 Doses

Japanese Encephalitis

Adult Xiaro

2 Doses


Under 18 Green Cross

3 Doses


ACWY Menveo

1 Dose



2 Drinks/Doses



3 Doses

Tetanus (Diptheria, Tetanus, Polio) Revaxis 1 Dose
Tickbourne Encephatis Ticovac 3 Doses
Malaria Tablets Malaria Pack of Tablets

Flu Vaccination

An influenza vaccination is particularly recommended for patients with heart, lung or kidney disease, diabetes, and residents of nursing and rest homes. There are certain rules and regulations around offering free NHS Flu vaccinations. If you are eligible, you will receive an invitation to book an appointment with the practice nurse. Alternatively, please contact the reception staff in October for details of the vaccination dates and to make an appointment. If you are unable to attend the surgery, a home visit will be arranged.

Baby Health Checks

The doctor and health visitors carry out child health surveillance and health checks at regular intervals between birth and school age. Please make an appointment for your child's first check at six weeks of age; thereafter appointments will be sent to you by post. Please remember to let us know if you cannot attend. We also offer 'baby changing' facilities.

Breast Check

This is performed by appointment.

Minor Surgery

We are fully equipped to perform minor surgery here at Littleton Surgery including cutting skin tags.
This is conducted in our afternoon surgery with Dr Gavins by appointment.
We also offer Cryo/freezing by appointment only


ECG’s are recorded here at Littleton surgery. Our qualified nurses provide an excellent personal service.

Ear Syringing

The practice offers an ear syringing service to patients, Monday to Friday. You will need to have oiled your ears for 5 days before attending an appointment with the nurse. Please speak to our receptionists for more information.

Click here to download an information leaflet on ear irrigation.

MOT & Health Checks

Our nurses carry out checks incorporating health screening and lifestyle advice.  If you are attending one of these appointments please bring a sample of urine with you for testing on the day.

Sexual Health

Free and Confidential Chlamydia testing is available to all patients, on request. In addition, “Self-test kits” are available for 15 to 24 year olds – simply ask the doctor or nurse for a kit.

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