Which conditions are included?
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Infections
Febrile Child
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Feverish Child 0-3mths / 3-6mths / over 6mths
Many children with fevers caused by an infection are safe to be managed at home with paracetamol and plenty of fluids. I would expect your child’s fever to resolve within 5 days. If they are not feeling better after this time please call the surgery for a review.
Please seek immediate medical attention via A and E or 999 if your child:
- Is experiencing severe breathing difficulties, particularly if so severe they can’t talk or eat/drink
- Is making abnormal sounds when they breathe
- Becomes pale, blue or mottled
- Is difficult to wake or becomes confused
- Experiences a seizure
- Develops a rash that does not disappear when you press a glass on it
- Has a fever of 38 degrees or above (and your child is aged 3 months or less)
Please urgently call the surgery in hours or seek help via 111 or A and E out of hours if your child:
- Is not drinking as much as usual
- Is passing less urine than normal
- Appears dehydrated with sunken eyes or cool extremities
- Is becoming drowsy
Or if you have any other concerns. For more information please click the link at the bottom of this page:
Bronchiolitis Child
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Bronchiolitis – Child under 3mths / 3-6mths / over 6mths
Many children with bronchiolitis are safe to be managed at home. Children often get worse in the first 1-3 days of their infection so please keep a close eye on your child during this time. I would expect them to be much better after 2 weeks although their cough may last a few weeks longer. If they have ongoing symptoms (other than a dry cough) after this time please call the surgery for a review.
Please seek immediate medical attention via A and E or 999 if your child:
- Is experiencing severe breathing difficulties, particularly if so severe they can’t talk or eat/drink
- Is making abnormal sounds when they breathe
- Becomes pale, blue or mottled
- Is difficult to wake or becomes confused
- Experiences a seizure
- Develops a rash that does not disappear when you press a glass on it
- Has a fever of 38 degrees or above
Please urgently call the surgery in hours or seek help via 111 or A and E out of hours if your child:
- Is not drinking as much as usual
- Is passing less urine than normal
- Appears dehydrated with sunken eyes or cool extremities
- Is becoming drowsy
Or if you have any other concerns. For more information please visit:
Conjunctivitis
Conjunctivitis – Child
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Many children with conjunctivitis are safe to managed at home with the advice your doctor gave you. I would expect your child’s symptoms to resolve in 2 weeks. If they are not feeling better after this time please call the surgery for a review.
If you are worried about your child because they:
- Cannot open their eye due to swelling
- Have severe pain in their eye
- Experience a change in their vision
- Complain of severe headaches or persistent vomiting
- Develop blistering or redness/swelling of the skin around their eye
- Seem dehydrated or they develop a fever;
Or if you have any other concerns
Please seek urgent medical attention via the surgery in hours or 111/A & E out of hours.
Click the link below for more information:
Sore Throat and Tonsillitis
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Viral Sore Throat or Tonsillitis – Child
The majority of children with viral sore throats or tonsillitis do not require antibiotics. I would expect your child’s symptoms to resolve in 8 days. If they are not feeling better after this time please call the surgery for a review.
Please seek immediate medical attention via A&E or 999 if your child:
- Is experiencing severe breathing difficulties, particularly if so severe they can’t talk or eat/drink
- Is making abnormal sounds when they breathe
- Becomes pale, blue or mottled
- Is difficult to wake or becomes confused
- Experiences a seizure
- Develops a rash that does not disappear when you press a glass on it.
Please urgently call the surgery in hours or seek help via 111 or A&E out of hours if your child:
- Is not drinking as much as usual
- Is passing less urine than normal
- Appears dehydrated with sunken eyes or cool extremities
- Is becoming drowsy
- Cannot fully open their mouth
- Develop severe swelling on either side of their throat
- Develops a change in their voice – classically a “hot potato” voice.
Or if you have any other concerns.
Click the link below for more information:
Viral Sore Throat or Tonsillitis – Adult
The majority of people with viral sore throats or tonsillitis do not require antibiotics. I would expect your symptoms to resolve in 8 days. If you are not feeling better after this time please call the surgery for a review.
Please urgently call the surgery in hours or seek help via 111 or A&E out of hours if you:
- Find it difficult to open your mouth
- Notice severe swelling on either side of your throat
- Notice voice changes – classically a ‘hot potato’ voice
- Become short of breath or experience breathing difficulties
- Develop chest pain or
- Notice your skin is cold or has turned an abnormal colour
Or if you have any other concerns.
Click the link below for more information:
Cough
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Bronchitis or cough – Child
Most children with coughs or bronchitis do not require antibiotics and are safe to be managed at home. I would expect your child’s symptoms to resolve in 21 days. If they are not feeling better after this time please call the surgery for a review.
Please seek immediate medical attention via A and E or 999 if your child:
- Is experiencing severe breathing difficulties, particularly if so severe they can’t talk or eat/drink
- Is making abnormal sounds when they breathe
- Becomes pale, blue or mottled
- Is difficult to wake or becomes confused
- Experiences a seizure
- Develops a rash that does not disappear when you press a glass on it.
Please urgently call the surgery in hours or seek help via 111 or A and E out of hours if your child:
- Is not drinking as much as usual
- Is passing less urine than normal
- Appears dehydrated with sunken eyes or cool extremities
- Is becoming drowsy
Or if you have any other concerns.
Click the link below for more information:
Bronchitis or cough – Adult
Most children with coughs or bronchitis do not require antibiotics and are safe to be managed at home. I would expect your child’s symptoms to resolve in 21 days. If they are not feeling better after this time please call the surgery for a review.
Please urgently call the surgery in hours or seek help via 111/A&E out of hours if you:
- Become drowsy or confused
- Are passing less urine than usual
- Notice your skin is cold or has turned an abnormal colour
- Cough up bloody, dark or foul smelling sputum
- Become short of breath or experience breathing difficulties
- Develop chest pain
Or if you have any other concerns.
Click the link below for more information:
Otitis Media (Middle Ear Infection)
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Otitis Media (Middle Ear Infection) – Child
Most children with middle ear infections do not require antibiotics. I would expect your child’s symptoms to resolve in 8 days. If they are not feeling better after this time please call the surgery for a review.
Please seek immediate medical attention via A and E or 999 if your child:
- Is experiencing severe breathing difficulties, particularly if so severe they can’t talk or eat/drink
- Is making abnormal sounds when they breathe
- Becomes pale, blue or mottled
- Is difficult to wake or becomes confused
- Experiences a seizure
- Develops a rash that does not disappear when you press a glass on it.
Please urgently call the surgery in hours or seek help via 111 or A and E out of hours if your child:
- Is not drinking as much as usual
- Is passing less urine than normal
- Appears dehydrated with sunken eyes or cool extremities
- Is becoming drowsy
- Has anything coming out of their ear
- Has changes in the appearance of their ear or surrounding skin
- Develops pain behind their ear
- Are in severe pain that cannot be controlled with Paracetamol;
Or if you have any other concerns.
Click the link below for more information:
Urinary Tract Infection (UTI)
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
UTI (Urinary Tract Infection) – Adult Female
Today you were diagnosed with a urinary tract infection and prescribed antibiotics. I would expect your symptoms to resolve within 2 days of starting antibiotics. If you are not feeling better after this time please call the surgery for a review.
Please urgently call the surgery in hours or seek help via A and E or 111 out of hours if you:
- Feel more unwell
- Experience pain in your back or sides
- Become drowsy or confused
- Experience fevers or chills
- Do not pass urine for more than 12 hours
- Begin to vomit
- Become short of breath or experience breathing difficulties
- Notice your skin is cold or has turned an abnormal colour
- You notice blood in your urine
Or you have any other concerns.
Click the link below for more information:
Cellulitis
Cellulitis (Skin Infection) – Adult
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Many skin infections can be managed at home with antibiotics. I would expect your symptoms to start to improve within 2-3 days of starting antibiotics. If your skin is no better after this time please call the surgery for a review.
Please urgently call the surgery in hours or seek help via 111/A and E out of hours if you:
- Feel more unwell
- Feel the area of skin affected is growing
- Notice any blistering of your skin
Please note sometimes you may notice thickening or discolouration of the affected skin for some time after the infection has cleared up.
Or if you have any other concerns.
Click the link below for more information:
Gastroenteritis
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Gastroenteritis (Tummy Bug) – Child
If your child has a tummy infection antibiotics are rarely required. I would expect their symptoms to resolve in 5 days. If they are not feeling better after this time please call the surgery for a review.
Please immediately attend A and E or call 999 if your child:
- Becomes pale, blue or mottled
- Is difficult to wake
- Vomits blood or green vomit or
- Complains of severe testicular pain (especially teenage boys).
Please urgently call the surgery in hours or seek help via 111/A and E out of hours if your child:
- Passes significantly more or less urine than normal
- Experiences pain not settled by paracetamol
- Becomes excessively thirsty
- Develops a swollen tummy
- Passes blood in their wee or poo or
- Develops yellow eyes or skin
Or if you have any other concerns.
Click the link below more information:
Gastroenteritis (Tummy Bug) – Adult
If your child has a tummy infection antibiotics are rarely required. I would expect their symptoms to resolve in 5 days. If you are not feeling better after this time please call the surgery for a review.
Please urgently immediately attend A and E or call 999 if you:
- Vomit any blood or dark ‘coffee ground’ like substances
- Become cool to touch, pale, drowsy or confused
- Pass less urine than normal
- Experience severe pain not settled by paracetamol
- Notice blood or mucous in your urine or stools
- Pass dark, black and tarry stools
- Notice yellowing of your skin or eyes
Or if you have any other concerns.
Asthma / COPD
Asthma
Asthma Exacerbation – Child
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Infections or exposure to other triggers may temporarily worsen your child’s asthma symptoms. They can often be safely managed at home with the treatment your doctor discussed with you. However, there are some important things to watch out for.
Please immediately attend A and E or call 999 if your child:
- Is too breathless to talk, eat or drink
- Develops blue lips
- Is experiencing worse symptoms despite 10 puffs of their blue (salbutamol) inhaler every four hours or
- They become confused or drowsy.
Please urgently call the surgery in hour or seek help via 111/A and E out of hours if your child:
- Is requiring more than 2-5 puffs of their blue inhaler every four hours
- Are too breathless to do their normal activities;
Or if you have any other concerns.
Click the link below for more information:
Asthma Exacerbation – Adult
Infections or exposure to other triggers may temporarily worsen your asthma symptoms. These symptoms can often be safely managed at home with the treatment your doctor discussed with you. However, there are some important things to watch out for.
Please immediately attend A and E or call 999 if:
- You are too breathless to talk, eat or drink
- Your symptoms are worsening despite 10 puffs of your blue (salbutamol) inhaler every four hours or
- You become confused or drowsy.
Please urgently call the surgery in hour or seek help via 111/A and E out of hours if:
- You are requiring more than 2-5 puffs of their blue inhaler every four hours
- Your are too breathless to do your normal activities;
Or if you have any other concerns.
Chronic Obstructive Pulmonary Disease (COPD)
COPD Exacerbation
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
COPD symptoms can temporarily become more severe due to infections or exposures to other triggers. Often these symptoms can safely be managed at home with the treatments your doctor suggested. However, there are some important signs to watch out for.
Please immediately attend A and E or call 999 if:
- You are too breathless to talk, eat or drink or
- become confused or drowsy.
If your symptoms are worsening despite the treatment we have suggested, you are too breathless to do your normal activities or you have any other concerns please seek urgent medical attention via the surgery in hours or 111/A & E out of hours.
Pain
Abdominal Pain
Abdominal (Tummy) Pain – Child
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
If your child has tummy pain I would expect their symptoms to resolve in 5 days. If they are not feeling better after this time please call the surgery for a review.
Please immediately attend A and E or call 999 if your child:
- Becomes pale, blue or mottled
- Is difficult to wake
- Vomits blood or green vomit or
- Complains of severe testicular pain (especially teenage boys
Please urgently call the surgery in hours or seek help via 111/A and E out of hours if your child:
- Passes significantly more or less urine than normal
- Experiences pain not settled by paracetamol
- Becomes excessively thirsty
- Develops a swollen tummy
- Passes blood in their wee or poo or
- Develops yellow eyes or skin;
Or if you have any other concerns.
Click the link below for more information:
Chest Pain
Chest Pain – Adult
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
If you have been asked to manage your chest pain at home with the treatment your doctor suggested there are some important symptoms to watch out for.
Please immediately call 999 or attend A and E if you:
- Cough up blood
- Notice swelling or pain in your legs
- Notice your heart is racing
- Become drowsy, dizzy or faint
- Experience pain in the centre of your chest (that may feel like a crushing sensation and may or may not travel to your arm, neck or jaw)
- Become clammy, pale or sweaty or
- Have any other concerns.
Please note, if you have a GTN spray and you experience a chest pain that is usual for you please try using this.
However, if your pain does not settle after 5 minutes please call 999.
Back Pain – Adult
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
If you are experiencing back pain there are important symptoms you need to watch out for. Please call 999 or attend A and E immediately if you:
- Notice your legs are weaker than usual
- Experience any new bladder or bowel disturbance
- Find that the sensation between your legs such as around your anus or genitals is abnormal or
- Notice any new sexual problems (such loss of sensation or difficulty achieving or maintaining an erection)
If you have any other concerns please call the surgery in hours or seek help via 111/A and E out of hours.
Headaches
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Headaches – Adult
If you are experiencing headaches there are important symptoms you need to watch out for.
Please call the surgery in hours or seek help via 111/A and E out of hours if:
- You notice any new visual changes
- Your headache is worse on lying flat, bending forwards or coughing
- It is worse when you wake in the morning
- You experience persistent vomiting
- You experience fevers, neck stiffness or become drowsy or confused
- You notice any new weakness or altered sensations in the rest of your body
- You become dizzy or black-out
- Your symptoms are getting progressively worse over time;
Or if you have any other concerns.
Headaches – Child
If your child is experiencing headaches there are important symptoms you need to watch out for.
Please call the surgery in hours or seek help via 111/A and E out of hours if:
- They notice any new visual changes
- Their headache is worse on lying flat, bending forwards or coughing
- It is worse when they wake in the morning
- They experience persistent vomiting
- They experience fevers, neck stiffness or become drowsy or confused
- You or they notice any new weakness or altered sensations in the rest of their body
- They become dizzy or black-out
- Their symptoms are getting progressively worse over time;
Or if you have any other concerns.
Mental Health
Mental Health
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Below is some important information if you are suffering with your mental health. If your symptoms are getting worse but you feel safe, please call the surgery to make an appointment.
If your symptoms are making you feel unsafe the crisis team can be contacted via 0303 123 1145 or freephone 0800 652 2867 There is also a text number for people who are Deaf and/or have communication difficulties: 07889 036 280.
Help is available via all of these numbers 24 hours a day 7 days a week.
Starting Antidepressants
The information below is intended for patients who have seen a clinician and been directed to this page. Please do not rely on this information until you have spoken to/been seen by one of our clinicians in the surgery. If your doctor or nurse has directed you to this page please see below for important safety information relating to your condition.
The advice below is intended as a guide but is not exhaustive, if you are worried about you or your child’s symptoms please always seek medical attention.
Mental Health – Starting Medication
If you have recently started medicines for your mental health there is some important information to be aware of. Please be aware that it can take 4-6 weeks to have an effect. In the meantime it may make you feel anxious or make your symptoms worse. If you have any concerns and feel that you can wait for an appointment please call the surgery.
If your symptoms are making you feel unsafe the crisis team can be contacted via 0303 123 1145 or freephone 0800 652 2867. There is also a text number for people who are Deaf and/or have communication difficulties: 07889 036 280.
Help is available via all of these numbers 24 hours a day 7 days a week.
Click the link below for more information: