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After fifteen years with the Practice, Dr Jackie Koo, GP Partner will be taking up the chance to emigrate to Australia and seek opportunities for her and her family on 31st March 2019.

Dr Koo joined the Practice in November 2004 and has been a key leader of change, responding to the needs of the patients to improve services and the quality of care.

Whilst we will be losing an excellent clinician, who has helped to lead the team, Dr Cowee and Dr Siriwardena will remain in post as GP Partners, support by Hannah Crisford, Practice Manager.

The Practice has already recruited two new GPs to support Dr Koo’s departure. We will to continue to expand our already well established Clinical team further as the population grows.

We will make further announcements in relation to new members of the team as appropriate.

17th January 2019

What is a breathing test? (Spirometry)

Spirometry is a way of assessing your lung function by measuring the volume of air that can be expelled from the lungs after a deep breath in. It can give valuable information about conditions such as asthma and chronic obstructive pulmonary disease (COPD). So we can get the most useful and accurate information, please follow the instructions below before coming to your test. 

  • Your condition should be stable and at least six weeks since an exacerbation.
  • You should feel well.
  • If possible, avoid smoking for 24 hours prior to the test.
  • Do not take alcohol for four hours before the test.
  • Wear loose fitting clothes which do not restrict your chest or abdominal expansion.


If this is your first spirometry or you are having a reversability test, please stop the medications listed below.

  • 24 hours before the test

Stop the following medications: Tiotropium (Spiriva), Volmax tablets, Uniphyllin tables, Nuelin tablets, Slophyllon tablets, Aminophylline tablets, Phyllocontin tablets.

  • 12 hours before the test

Stop the following medication: Salmeterol (Serevent), Eformoterol (Oxis, Foradil), Seretide, Symbicort.

  • 8 hours before the test

Do not use the following inhalers: Atrovent, Upatropium, Combivent.

  • 4 hours before the test

Do not use the following, usually blue, inhalers: Ventolin, Salbutamol, Salamol, Airomir, Aerolin, Bricanyl.

You do not need to stop taking your preventer inhalers, usually brown or orange, such as: Clenil, Qvar, Fluticasone, Pulmicort, Beclometasone, these should be continued as normal.

Please bring all your inhalers with you to your appointment. If you are having a reversibility test or it is your first spirometry, you will need to take some ventolin before or during the test. If you do not have a ventolin inhaler, please ask the GP or Nurse Practitioner to prescribe you one.

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