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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. Particularly focusing on those with newly diagnosed diabetes.
  • She uses a room to see patients for four hours a week, actively promoting healthy living, weight management, supporting the vulnerable and other patients the GPs feel appropriate.

Access to Ruth is via referral, as the service is time-limited at present.

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