Portcullis Surgery

Portcullis Lane, Ludlow, SY8 1GT Send us an online question or request

Telephone: 01584 872 939

We are closed. Call 111 for urgent advice out of hours.

Focus on Mental Health: Our Practice Counsellors, Care Coordinator and Social Prescribing Advisor

Mental health problems can affect the way you think, feel and behave. Some mental health problems are described using words that are in everyday use, for example, ‘depression’ and ‘anxiety’.

A mental health problem feels just as bad, or worse, than any other illness – only you cannot see it. It is important to remember that, if you have a mental health problem, it is not a sign of weakness. Most people experiencing a common mental health problem see their symptoms pass quite quickly. Symptoms may return from time to time but people are often able to manage them after the first experience. With more serious mental health problems, people also usually find a way of managing their condition. For many people, getting better does not mean going back to their previous life, but might mean making choices to live differently and having power over areas of life that seemed out of control before. Some people emerge from the experience feeling stronger and wiser having learnt more about themselves.

There is a range of support and treatment to help you and also information for your friends and family that might help them understand how you feel. If you are feeling low or isolated or you need help with any social or mental health problems or would like help with lifestyle changes you can do the following:


You can access a 24/7 urgent mental health access service number which has recently been updated to 0808 196 4501. This number is free to call on all networks and landlines to enable access to emergency mental health assistance.

For 24/7 Mental Health Access for Shropshire, Telford & Wrekin, please call 0808 196 4501

There are also a number of helplines you can access, for more information follow the link below:

Self help information for patients with Mental Health Problems

For Mental Health problems in Children 

Follow the following link:

Mental Health and Counselling Services for Children and Young Adults


Appointments with our Counsellor

You can book a telephone appointment with our counsellors Siri. There is no need to see a doctor or clinician beforehand. Simply call reception and ask for an appointment with a counsellor. The counselling service is open to all patients in South West Shropshire regardless of which practice you are registered with, if you are a Station Drive, Craven Arms, Clun, Church Stretton or Bishops Castle patient simply call the practice you are registered with and ask for an appointment with a counsellor and they will be able to book the appointment with Siri or Mary for you.

Information about our Practice Counsellor Siri Lewis

Siri Lewis

Siri Lewis is a fully trained counsellor specialised in young people and has a foundation degree in counselling theory and practice at Staffordshire University. She will be running a limited number of one-off 30min-1hr Counselling Assessment sessions specifically targeting young people (13-25yrs) but she now also covers adults These appointments can by booked at reception and will be on Monday and Thursday afternoon and evenings aswell some Saturdays.

Her sessions are entirely online or by telephone

New psychotherapy trainee counsellor Rosie Lancaster!
Portcullis Surgery would like to offer a warm welcome to our new Psychotherapist trainee Rosie Lancaster who will be seeing patients at our practice on Wednesdays from the 1st March.
Rosie is an advanced Psychotherapist trainee with UKCP. She is currently completing practice hours in order to become a member of a UKCP accrediting organisation
Appointments with Rosie will be on Wednesday mornings and will be face to face.
They will be offered after a discussion with a clinician or with our Counsellor Siri. She hopes to offer a confidential space to explore life experiences with patients. She has previously worked with patients having relationship difficulties, anxiety, depression, grief, low self esteem, lack of clarity and life direction, stress, loneliness and trauma.
She lives in North Herefordshire with her family. Outside of her studies she works in peace education and for a mental health charity.

Appointments with our Mental Health Social Worker Mr James Dalziel


James has been working as a mental health Social Worker  for 13 years in Shropshire and Telford & Wrekin. James is also an Approved Mental Health Professional. He is also used to practice as a Dialectical Behaviour Therapist.
Bookings with James can be booked by any clinician or any receptionist at the patients request. His role is designed to increase capacity in primary care by working alongside our nurses, ANPs, GPs and counsellors Siri Lewis and Rosie Lancaster to provide a first point of contact for patients.
In many cases our clinicians will refer more complex cases for his review and assessment.
Patients must be 18 years and over, and not currently open or under the mental health team.
Suitable patients who can be booked in with James are as follows:
-Adults 18 years and over
-not currently open to mental health team

Patients with more complex and severe mental health symptoms such as

  • severe anxiety,
  • severe depression,
  • psychosis,
  • bipolar disease,
  • schizophrenia or
  • personality disorders
  • dementia
  • crisis management
  • anger management
  • eating disorders
  • mother and baby mental health
He has been appointed and funded jointly by the South West PCN as well as the Mental Health Trust. He will work across the PCN is to support patients with mental health needs.
James will be on hand for patients to book in with her to give guidance, advice and treatment for patients with more complex and severe mental health symptoms such as anxiety, depression, psychosis, bipolar disease, schizophrenia or personality disorders that are not currently open or under the care of a psychiatrist or mental health team.
He will complete an assessment as part of his consultation. He can also provide low level psycho educational sessions and provide patients with a tool kit to help with their mental health.
If counselling is needed he will signpost patients to either Siri Lewis or Rosie Lancaster our counsellors or other counselling options such as IAPT Adult Improving Access to Psychological Therapies programme. He will also refer to the Mental health Team for more specialised help if needed.

Appointments with our Care Coordinator- Judith Sharod

You can book a telephone appointment with Judith our GP Assistant/Care Coordinator to discuss any issues regarding care and social care you may have. There is no need to see a doctor or clinician beforehand. Simply call reception and ask for an appointment with a Judith. Judith has done fantastic work together with the volunteer group Pulling Together Ludlow (with Hands Together) launched in response to Covid-19 and she still continues to work closely with Hands Together. Judith can also offer a volunteer befriender to call or visit isolated people in the community. For more information please follow the link

Care Coordinator and Carers

Appointments with our Social Prescriber


Social Prescribing is a non-medical programme designed to help people with a wide range of social, emotional or practical needs.

This may include those who may be;

  • Wanting to change their lifestyle e.g. giving up smoking or losing weight
  • Social or mental health problems as a result of living with a longterm health condition

Elwyn Jones is our Social Prescribing Advisor. This means that his training is geared towards motivation/behaviour change and he can support you to improve your health and wellbeing. He will spend time listening to your main concerns and help you to connect with further support, groups and activities that can help support you with your goals. Elwyn can offer support for 3-6 months, helping you to develop an achievable plan that works for you. He is trained in Motivational Interviewing and is a qualified Health Coach, he has worked in various contexts supporting people to improve their lives.

Social Prescribing Advisor


Opening Times

  • Monday
    08:30am to 06:00pm
    6.30-9.30pm Bookable in advance appointments only.Call 111 for advice OOH
  • Tuesday
    08:30am to 06:00pm
    6.30-8pm Bookable in advance appointments only. Call 111 for advice OOH
  • Wednesday
    08:30am to 06:00pm
    6.30-9.30pm Bookable in advance appointments only.Call 111 for advice OOH
  • Thursday
    08:30am to 06:00pm
    6.30-8pm Bookable in advance appointments only.Call 111 for advice OOH
  • Friday
    08:30am to 06:00pm
    6.30-9.30pm One Friday a month Bookable in advance appointments only.Call 111 for advice OOH
  • Saturday
    9-5pm One Saturday a month Bookable in advance appointments only.Call 111 for advice OOH
  • Sunday
    Call 111 for advice OOH
NHS A-Z Conditions
Find Local Services
Live Well