This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.


When the surgery is closed, and you need a doctor, please phone NHS 111.

Click here for further details.

Attached Staff

Culm Valley Integrated Centre for Health - 01884 836000

Community Nurses

Community nurses are an integral part of the primary care team.  You can contact them direct at the Culm Valley Integrated Centre for Health or via the practice.  They can offer practical help in areas of home nursing, continence problems, leg ulcers, dressings and terminal care.  Often they work in close conjunction with other health professionals such as occupational therapists, physiotherapists, chiropodists and members of social services.


The midwives undertake antenatal clinics on Tuesday afternoons usually.  The midwives also run parenting classes - a chance to prepare.  Most of our patients have their babies either in the maternity unit at Tiverton Hospital, or in the consultant unit at Exeter.  Subsequent 6 week post natal checks are performed at the surgery by the GP.

Health Visitors

The Health Visiting Team for this practice is based in the Culm Valley Integrated Centre for Health along with the other community nurses.  The health visitors within the team are all qualified nurses with specialist training and experience in child health, health promotion, health education and public health.  Their work with families is supported by the community health workers who have also undertaken specialist training.

The health visiting team generally supports families with children under 5 years and run weekly baby/child health clinics in Cullompton, Uffculme, Willand and fortnightly in Bradninch.  They also work closely with the school health team which is also based at the Culm Valley Integrated Centre for Health.

The health visiting team works closely with the Culm Valley Children's Centre and from here a breast feeding support group is run and weaning talks are arranged monthly.  Baby and child developmental reviews are generally held at either the Culm Valley Integrated Centre for Health or at the Children's Centre in Cullompton or Uffculme.

The Health Visitor for this practice is Rachel Carr and the School Nurse is Sandra Williamson.


We greatly value the services of trained physiotherapists, who are based at the Culm Valley Integrated Centre for Health.  If appropriate, the doctor or nurse may suggest that you see them.  Also if you wish to consult them, please ask at reception.

They can give advice and treatment for any musculo-skeletal problem that has occurred, such as a sporting injury or work related complaint.  This includes the neck, lower back and peripheral joints or muscles.  They can also offer advice to prevent problems that may occur due to poor ergonomics at work.

Health Facilitator Role

This role has developed over the past few years.  Ruth Tucker previously coordinated an exercise prescription scheme at our local gym as an initiative between local surgeries and the local Council.  She came to Bramblehaies after originally being employed solely at College Surgery. As Health Facilitator, Ruth helps and sees patients both at College Surgery and Bramblehaies Surgery. Her main current roles include:

  • Being a face to face health resource for patients referred by other professionals (particularly GPs) and self-referred.  Ruth’s background in physical activity and having had motivational training puts her in poll position to assess patients, provide advice on exercise, nutrition etc…, demonstrate means of self-care such as our free on line Thought Field Therapy programme (rather like CBT) and signpost to voluntary organisations or self-help groups.
  • She is catalyst for these self-help/self-care groups, which includes groups for:             1. Specific disease areas - e.g. patients with heart disease, diabetes and fibromyalgia.
    2. Specific needs - e.g. “Knit and Natter” group for the socially isolated, Creative writing, printing and book reading groups for patients needing directed activity/socialisation.
    3. Specific form of activity, often led by patients themselves, such as the Amblers Walking Group and Community Gardening Group.
  • She also acts as the interface between local voluntary statutory agencies and individual patients and the surgery itself.  This includes awareness of all local voluntary and statutory agencies, directing individual patients to them as necessary and working with individuals involved in them.  These individuals may be professionals from the local Authority and third sector or volunteers from our neighbouring surgery and act as an extension of Ruth’s role.  In this way she and GP partners are able to offer patients a whole range of services as part of a “social prescription scheme” offering an alternative to the traditional medical referral.
  • She has a presence in the waiting room and uses a room to see patients for hour hours a week, actively promoting healthy living, weight management, supporting the vulnerable and other patients the GPs feel appropriate.
  • She acts as integrator of staff/services provided within the Centre providing strong support to the Patients Group and their work as co-providers at the Centre (e.g. manning the Library, Walks and Talks for patients, educational evenings including very popular “Any Questions” evenings and open days).  She coordinates the work of volunteers provided by the Patients Group and the group is committed to providing more volunteers so that she can effectively extend and multiply her work at the Centre and in the community.
  • She also co-ordinates the Community LiFE Hub an area within the Culm Valley Integrated Centre For Health dedicated to self-help and social prescription with additional options such as seated exercise sessions, cognitive stimulation therapy sessions, Johrei as well as drop-in sessions with organisations such as Age UK.

Access to Ruth is via referral, as the service is time-limited at present – there are plans for a federated approach to social prescription where time would be increased.

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website