The Partners Health Social Prescribing Team have put together a full, easy to understand, list of directories for health and social care conditions. Each one is filled with tips, links to websites offering help, and information about services offering support on the issue.
To access these directories, visit: Rushcliffe Primary Care Network – Health Directories
Abdominal Pain
Alcohol Advice
Realising you have a problem with alcohol is the first big step to getting help.
You may need help if:
- you often feel the need to have a drink
- you get into trouble because of your drinking
- other people warn you about how much you’re drinking
- you think your drinking is causing you problems
Who do I see?
Alcoholic’s Anonymous
Advice:
NHS – Alcohol Support
Asthma
Asthma is a common condition that causes coughing, wheezing, tightness of the chest and breathlessness. Most people with asthma who take the appropriate treatment can live normal lives, but left untreated, asthma can cause permanent damage to the airways.
Symptoms of asthma
The usual symptoms of asthma are:
- coughing
- wheezing
- shortness of breath
- tightness in the chest.
Not everyone will get all of these symptoms. Some people experience them from time to time; a few people may experience these symptoms all the time.
Treatment of asthma
There isn’t a cure for asthma. However, treatments are available to help manage your symptoms. Your treatment plan will be individual to you, combining medicines and asthma management in a way that works best for you.
Living with asthma
Medicines are only part of your treatment for asthma. You will also need to deal with the things that make it worse. Keep a diary to record anything that triggers your asthma – this can help you to discover a pattern. Using a peak flow meter to monitor your lung function can also help. If you have repeatedly low readings in a certain situation (for example, at the end of a working day, after exercise or after contact with an animal) this may indicate the trigger.
Blocked ears (wax)
Who do I see?
Community Pharmacy
Advice:
A pharmacist can help with earwax build-up
Speak to a pharmacist about earwax build-up. They can give advice and suggest treatments.
They might recommend chemical drops to dissolve the earwax. The earwax should fall out on its own or dissolve after about a week.
Do not use drops if you have a hole in your eardrum (a perforated eardrum).
Urgent advice: Important Information
Do not use your fingers or any objects like cotton buds to remove earwax. This will push it in and make it worse.
Blood Tests
Who do I see?
Practice Nurse or HCA (Health Care Assistant)
Advice:
Appointments for blood tests MUST have been requested by your GP or other health care professional.
Boils
Who do I see?
Community Pharmacy/GP
Advice:
Further information about boils and carbuncles from NHS UK.
Breathlessness
Who do I see?
GP or A&E for severe symptoms
Advice:
Telephone 999 or 111 if symptoms are severe.
See a GP for less serious breathing issues such as COPD or chest infections.
Burns
Who do I see?
Practice Nurse/Urgent Care Centre if severe
Advice:
If severe, please search for your nearest Urgent Care Centre.
If not, please book an appointment with the Practice Nurse.
Cancer
Cancer is a condition where cells in a specific part of the body grow and reproduce uncontrollably. The cancerous cells can invade and destroy surrounding healthy tissue, including organs.
One in two people will be affected by cancer at some stage in their life. There are many different types of cancer, and each is diagnosed and treated in a particular way.
Who do I see?
GP
Advice:
NHS – Cancer Overview
Cervical Smear
Who do I see?
Practice Nurse (female)
Advice:
Once you are invited, please book an appointment with the Practice Nurse on a day that you are not bleeding or on your period.
Chest Pain
Who do I see?
GP or A&E for severe symptoms
Advice:
Telephone 999 or 111 if symptoms are severe.
If not severe and has lasted for more than a few days, you can book an appointment with your GP.
Coronary Heart Disease
Coronary heart disease (CHD) is a major cause of death in the UK and worldwide. CHD is sometimes called ischaemic heart disease or coronary artery disease.
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Monitor your blood pressure at home using a clinically validated device.
Cold Sores
Who do I see?
Community Pharmacy
Constipation or Piles
Who do I see?
Community Pharmacy/GP if persists more than 1 week
Advice:
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Cough
Who do I see?
Community Pharmacy/GP if persists for more than 3 weeks
Advice:
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Dementia
It’s normal for your memory to be affected by stress, tiredness, certain illnesses and medicines. But if you’re becoming increasingly forgetful, particularly if you’re over the age of 65, it’s a good idea to talk to a GP about the early signs of dementia.
Dementia is a syndrome (a group of related symptoms) associated with an ongoing decline of brain functioning.
There are many different causes of dementia, and many different types.
People often get confused about the difference between Alzheimer’s disease and dementia. Alzheimer’s disease is a type of dementia and, together with vascular dementia, makes up the majority of cases.
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Depot Injection (contraception)
Who do I see?
Practice Nurse
Advice:
Please book to see the GP for an initial assessment and the nurse for repeat prescriptions once you are completed your first 3 months of medication.
Please ensure your smears are up-to-date.
Further information about the contraceptive injection from NHS UK
Diabetes
Diabetes is a condition that causes a person’s blood sugar level to become too high.
There are 2 main types of diabetes:
- type 1 diabetes – a lifelong condition where the body’s immune system attacks and destroys the cells that produce insulin
- type 2 diabetes – where the body does not produce enough insulin, or the body’s cells do not react to insulin properly
Type 2 diabetes is far more common than type 1. In the UK, over 90% of all adults with diabetes have type 2.
High blood sugar that develops during pregnancy is known as gestational diabetes. It usually goes away after giving birth.
Click here to watch a short video on how to take a blood glucose test
Who do I see?
GP/Diabetic Nurse
Advice:
Further information about diabetes from NHS UK.
Research:
Desmond Programme
Diet/Lifestyle Changes
Who do I see?
Health Care Assistant or Practice Nurse
Advice:
Domestic Violence & Abuse
Domestic violence or abuse can happen to anyone. Find out how to recognise the signs and where to get help.
Domestic violence, also called domestic abuse, includes physical, emotional and sexual abuse in couple relationships or between family members.
For more information, visit:
Dressings
Who do I see?
Practice Nurse or HCA (Health Care Assistant)
Advice:
You can book an appointment with the appropriate healthcare professional.
Drug Addiction
Who do I see?
GP, Talk to Frank or Alcoholic Anonymous
Advice:
Drugs – Talk To Frank.
Alcohol – Alcoholics Anonymous
Ear Care/Ear Wax
Who do I see?
Private service provider (service not available at the Practice)
Advice:
Search for your nearest community pharmacist.
Further information about ear wax build up available from NHS UK.
Emergency Contraception
Who do I see?
Community Pharmacy/Family Planning Clinic/GP
Advice:
Search for your nearest community pharmacist
Search for your nearest Family Planning Clinic
You can book an appointment with your GP.
Further information about emergency contraception available from NHS UK.
Fitness Support
The secret to getting fit for free is to use every opportunity to be active.
Armed with a bit of get-up-and-go and good planning, you can be fitter than ever without spending a penny.
The NHS website has information on exercise guidelines and workouts to help improve your fitness and wellbeing.
Flatulence
Who do I see?
Community Pharmacy/GP
Advice:
Find a pharmacy near you.
You can book an appointment with your GP.
Flu Vaccine
Who do I see?
Practice Nurse/GP
Advice:
You can book an appointment with your GP.
Fungal Infections
Who do I see?
Community Pharmacy/GP if it persists
Advice:
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Genital Infections including Herpes
Who do I see?
Genitourinary (GUM) Clinic/GP
Advice:
Find a GUM clinic near you.
You can book an appointment with your GP.
Further information about sexual health available from NHS UK.
Head Injuries
Who do I see?
Community Pharmacy/GP/Urgent Care Centre if severe
Advice:
Please search for your nearest Urgent Care Centre
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Further information about head injury and concussion from NHS UK.
Heart Health
The Heart Age test gives you an idea of what your heart age is compared to your real age. You’ll also find out:
- the number of extra years you can give your heart age by making some healthy lifestyle changes
- the importance of blood pressure and cholesterol levels in estimating your heart age
- how to improve your heart age by eating better and moving more
To complete the Heart Age test, visit: NHS – What’s your heart age?
See also – Coronary heart disease
Housing – letter of support
Who do I see?
We normally do not provide this service – Advice and help is available from Shelter England
Advice:
From time to time GPs are requested to provide reports for the patients to Local Housing Authorities and Housing Associations. This is not part of our core services and therefore we may charge an appropriate fee for the work involved or we may refuse to do it. Please check with our reception team.
Further information and help is available from Shelter England
Indigestion
Who do I see?
Community Pharmacy/GP if it persists
Advice:
Please search for your nearest community pharmacist
You can book an appointment with your GP.
Further information about indigestion available from NHS UK.
Insect Bites
Who do I see?
Community Pharmacy/GP if severely infected
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Further information about insect bites and stings available from NHS UK.
Insurance Reports
Who do I see?
GP Surgery Receptionist
Advice:
Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery.
We ask that you allow up to 28 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Medication Reviews
Missed Contraceptive/Emergency Contraception
Who do I see?
Family Planning Clinic/Community Pharmacy/Practice Nurse/GP
Advice:
For emergency contraception, please find your nearest community pharmacy.
For other issues please search for your nearest family planning clinic.
You can book an appointment with the Practice Nurse/GP.
Mouth Problems
Who do I see?
Community Pharmacy/Dentist/GP for Dental abscess if no emergency dentist available
Advice:
Please book an appointment with your dentist or find a dentist near you: NHS Find Dentist Services, or you may find your nearest community pharmacy.
You can book an appointment with your GP.
Neck Pain
Who do I see?
Community Pharmacy/GP if it persists
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Osteoarthritis
Osteoarthritis is the most common type of arthritis, affecting 8.5 million people in the UK. It develops gradually over time, causing joints to become stiff and painful. It can affect any joint but commonly affects the hands, knees, hips, feet and spine.
Osteoarthritis usually develops in people who are over 50 years of age, and it is more common in women than in men. It is commonly thought that osteoarthritis is an inevitable part of getting older, but this is not true. Younger people can also be affected by osteoarthritis, often as a result of an injury or another joint condition.
Who do I see?
GP
Advice:
Further information about osteoarthritis from NHS UK.
Panic Attacks
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Further information about panic attacks available from NHS UK.
Period Problems
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Further information about period problems available from NHS UK.
Pneumoccocal Vaccine
Who do I see?
Practice Nurse/HCA (Health Care Assistant).
Advice:
You can book an appointment with your GP.
Further information about the pneumococcal vaccine from NHS UK.
Pregnancy
NHS Guides
Click here to access the NHS site that has guides that includes all you need to know about trying for a baby, pregnancy, labour and birth.
The Perinatal Mental Health Service
If you are a new or expectant mother and have concerns about your mental health and wellbeing, this service can help. To access this service, please speak to your GP, Midwife, Health Visitor or other professional involved in your care.
For more information, visit:
Nottinghamshire Perinatal Trauma and Bereavement Service
Anyone experiencing any of the following can access the Nottinghamshire Perinatal Trauma and Bereavement Service by speaking to their GP, Midwife, Health Visitor or other professional involved in their care:
- Mental health difficulties related to your birth experience.
- Mental health difficulties following bereavement in the perinatal period, including difficulties related to miscarriage, termination of pregnancy for any reason, stillbirth and neonatal death.
- A severe fear of childbirth.
For more information, visit: NHS Nottinghamshire Health – The Nottinghamshire Perinatal Trauma & Bereavement Service (PTBS)
Rectal Problems
Who do I see?
Community Pharmacy/GP if persists for more than 7 days.
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Sexual Abuse/Violence
NHS Support
If you’ve been sexually assaulted it’s important to remember that it was not your fault. Sexual violence is a crime, no matter who commits it or where it happens. Don’t be afraid to get help.
There are services that can help if you’ve been sexually assaulted, raped or abused. You don’t have to report the assault to the police if you don’t want to. You may need time to think about what has happened to you.
However, consider getting medical help as soon as possible for any injuries and because you may be at risk of pregnancy or sexually transmitted infections (STIs). If you want the crime to be investigated, the sooner a forensic medical examination takes place, the better.
For more information and where to find local help and support, visit: NHS – Help after rape and sexual assault
Nottinghamshire Sexual Violence Support Services
If you are aged 18+ and have experienced rape, sexual violence or childhood sexual abuse, either recently or in the past then Notts SVS Services are here to help you.
For more information:
Web: Notts SVS Services
Phone: 0115 941 0440
Online Self Referral: Notts SVS Services – Online Referral Form
Shingles Vaccine
Who do I see?
Practice Nurse/HCA (Health Care Assistant)
Advice:
You can book an appointment with a Nurse or HCA.
Further information about the shingles vaccination available from NHS UK.
Sinusitis
Who do I see?
Community Pharmacy/GP if it persists
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Smoking Cessation
We all know smoking is bad for you, your family and your friends. There are lots of reasons to stop smoking as well as plenty of support to quit. It’s never too late to give up smoking, and research suggests that smokers who stop with support are four times more likely to succeed, and so you do not have to do it on your own.
Who do I see?
Nurses/GPs/Smokefree
Advice:
Smokefree
Stop smoking self referral: YourHealthNotts.co.uk – Stop Smoking
Sore Penis
Who do I see?
Sexual Health Clinics/GP if it persists
Advice:
Find your local clinic.
You can book an appointment with the GP.
Further information about penis problems can be found by clicking here.
Sprains
Who do I see?
Community Pharmacy/GP if it persists over 7 days/Urgent Care Centre
Advice:
Please search for your nearest community pharmacist.
If it is a suspected serious injury, please search for your nearest Urgent Care Centre.
You can book an appointment with the GP.
Further information about sprains and strains available from NHS UK.
Stroke
A stroke is a serious life-threatening medical condition that happens when the blood supply to part of the brain is cut off.
Strokes are a medical emergency and urgent treatment is essential.
The sooner a person receives treatment for a stroke, the less damage is likely to happen.
If you suspect that you or someone else is having a stroke, telephone 999 immediately and ask for an ambulance.
Transient Ischaemic Attack (TIA)
A transient ischaemic attack (TIA), or ‘mini-stroke’, is caused by a temporary fall in the blood supply to part of the brain, leading to a lack of oxygen to the brain. This can cause symptoms that are similar to a stroke, although they don’t last as long. A TIA lasts only a few minutes and is usually resolved within 24 hours
As TIAs are serious, it is important that they are always investigated so that appropriate treatment can be given quickly. With treatment, the risk of a further TIA or a full stroke can be greatly reduced.
Who do I see?
A&E/GP for follow up care
Advice:
Further information about strokes available from NHS UK.
Chest Heart & Stroke Charity (N.Ireland)
Chest Heart & Stroke Charity (Scotland)
Styes
Who do I see?
Community Pharmacy/Optician/GP if it persists
Advice:
Please search for your nearest opticians
Please search for your nearest community pharmacist
You can book an appointment with the GP.
Summer Health
Barbecue Food Safety
It’s important to cook food thoroughly at a barbecue to avoid food poisoning. Food poisoning is usually mild, and most people get better within a week. But sometimes it can be more severe, even deadly, so it’s important to take the risks seriously. Children, older people and those with weakened immune systems are particularly vulnerable to food poisoning.
The two main risk factors to cooking on the barbecue are:
- undercooked meat
- spreading germs from raw meat onto food that’s ready to eat
This is because raw or undercooked meat can contain germs that cause food poisoning, such as salmonella, E.coli and campylobacter. However, it’s easy to kill these germs by cooking meat until it is piping hot throughout.
When you’re cooking any kind of meat on a barbecue, such as poultry (chicken or turkey), pork, steak, burgers or sausages, make sure:
- The coals are glowing red with a powdery grey surface before you start cooking, as this means that they’re hot enough.
- Frozen meat is properly thawed before you cook it.
- You turn the meat regularly and move it around the barbecue to cook it evenly.
Remember that meat is safe to eat only when:
- It is piping hot in the centre.
- There is no pink meat visible.
- Any juices are clear.
Hay Fever – Allergy UK helpline: 01322 619898
Hay fever affects around 20% of people in the UK. Allergy UK offer some tips on avoiding the causes and reducing your symptoms.
Top Tips:
- If grass makes you sneeze, get someone else to mow your lawn. If you react to grass and you spend time on the lawn, you’ll get symptoms.
- Create a barrier by smearing Vaseline inside your nostrils.
- Don’t sit outside between 4pm and 7pm or in the early morning, as the pollen count is highest at these times.
- Don’t sleep or drive with the windows open, as this will allow pollen to come in.
- Damp dust regularly.
- Wash your hair. Pollen is sticky and may be in your hair.
- Vacuum. Pollen can live in carpet for up to three months.
- Talk to your GP or pharmacist about any treatment you’re taking for hay fever as it might be worth trying a new treatment. The same antihistamine [anti-allergy treatment] doesn’t always work for someone year after year. Try something different, such as a nasal spray or a new antihistamine.
Sun Safety
It’s important to protect you and your children’s skin in the sun to avoid sunburn and heat exhaustion.
Click here for NHS Sunscreen and sun safety
Stings
Knowing how to treat an insect sting and how to recognise when it needs medical attention will help you do the right thing if you or your child are stung.
Insects such as wasps and bees sting as a defence mechanism (when they feel in danger) by injecting poisonous venom into the skin. For most people, stings are painful but harmless. But some people can have an immediate allergic reaction to being stung, which can be very dangerous.
Threadworms
Who do I see?
Community Pharmacy
Advice:
Please search for your nearest community pharmacist.
Further information about threadworms, available from NHS UK.
Tiredness and fatigue
Who do I see?
Self-Help/GP
Advice:
Feeling exhausted is so common that it has its own acronym, TATT, which stands for “tired all the time”.
Further information and help is available from NHS UK
If you feel that you are still experience symptoms of tiredness, please book an appointment with your GP.
Urine Infections
Who do I see?
GP
Advice:
Please bring a urine sample into the consultation; sterile pots available at reception.
You can book an appointment with the GP.
Information about Urinary tract infections (UTIs) available from NHS UK.
Verrucae
Who do I see?
Community Pharmacy
Advice:
Please search for your nearest community pharmacist who can advise on over the counter treatments available.
Further information about warts and verrucas available from NHS UK.
Vomiting
Who do I see?
Community Pharmacy/GP
Advice:
Please search for your nearest community pharmacist.
For babies and toddlers, or if it persists longer than 1 week in children and adults, please book an appointment with your GP.
Further information about diarrhoea and vomiting from NHS UK.
Warts
Who do I see?
Community Pharmacy/GP
Advice:
Please search for your nearest community pharmacist who can advise you on over the counter treatment options.
Walking Group
Rushcliffe Ramblers has now resumed following its postponement during the Covid-19 pandemic.
Rushcliffe Ramblers Short Health Walks on Tuesdays
Start times are 10.15 and repeated at 11.30
Each walk is about 45 minutes
Terrain: Easy and flat
Meeting place: Junction of Gresham Park Road and Wilford Lane (near the mini roundabout). Car parking is available in places on the Gresham Park Road.
Please let Jeremy know if you are likely to come or contact him if you have any questions on 0115 981 0420 or Mobile 0775 145 8041.
Web: Rushcliffe Ramblers
Please come along to:
- Enjoy the company
- Improve your health
- Relax
- Add vitamin D!
Weight Management
Being a healthy weight is essential to good health. It helps you move around easily, take part in everyday social activities and helps prevent illnesses.
For more information, visit:
Winter Health
Winter depression (seasonal affective disorder or SAD) is thought to affect up to one in 15 Brits every year between September and April. Many more of us (about 17%) get a milder form of the condition, known as the winter blues.
Key symptoms
- depression
- sleep problems
- lethargy
- overeating
- irritability
- feeling down and unsociable
According to Sue Pavlovich of the Seasonal Affective Disorder Association (SADA), these 10 tips could help. “Everyone’s affected differently by SAD so what works for one person won’t for another. But there’s usually something that will help, so don’t give up if the first remedy you try doesn’t work. Just keep trying,” she says.
1. Keep active
Research has shown that a daily one-hour walk, in the middle of the day, could be as helpful as light treatment for coping with the winter blues. Read more about walking to get fit.
2. Get outside
Go outdoors in natural daylight as much as possible, especially at midday and on bright days. Inside your home, choose pale colours that reflect light from outside, and sit near windows whenever you can.
3. Keep warm
Being cold makes you more depressed. It’s also been shown that staying warm can reduce the winter blues by half. Keep warm with hot drinks and hot food. Wear warm clothes and shoes and aim to keep your home between 18C and 21C (or 64F and 70F degrees). For further information on what you can do, including applying for grants to keep your home warm, read the NHS information on keeping warm and well.
Severe symptoms
If your symptoms are so bad that you can’t live a normal life, see your GP for medical help.
4. Eat healthily
A healthy diet will boost your mood, give you more energy and stop you putting on weight over winter. Balance your craving for carbohydrates, such as pasta and potatoes, with plenty of fresh fruit and vegetables.
Read more about healthy eating.
5. Lighten up
Light therapy can be effective in up to 85% of diagnosed cases. One way to get light therapy at home in winter is to sit in front of a light box for up to two hours a day.
Light boxes give out very bright light that is at least 10 times stronger than ordinary home and office lighting. They’re not available on the NHS and cost around £100 or more.
“Some people find that using a dawn simulator [a bedside light, connected to an alarm clock, which mimics a sunrise and wakes you up gradually] as well as a light box can enhance the beneficial effect,” says Pavlovich
The SADA Information Pack contains full details of recommended light box manufacturers and how to use them.
6. Take up a new hobby
Keeping your mind active with a new interest seems to ward off symptoms of SAD, says Pavlovich. “It could be anything, such as playing bridge, singing, knitting, joining a gym, keeping a journal or writing a blog. The important thing is that you have something to look forward to and concentrate on,” she adds.
7. See your friends and family
It’s been shown that socialising is good for your mental health and helps ward off the winter blues. Make an effort to keep in touch with people you care about and accept any invitations you get to social events, even if you only go for a little while. It will really help to lift your spirits.
8. Talk it through
Talking treatments such as counselling, psychotherapy or cognitive behavioural therapy (CBT) can help you cope with symptoms. See your GP for information on what’s available locally on the NHS and privately. Or, read this article on how to access talking treatments.
9. Join a support group
Think about joining a support group. Sharing your experience with others who know what it’s like to have SAD is very therapeutic and can make your symptoms more bearable.
SADA is the UK’s only registered charity dedicated to seasonal affective disorder. Join and you’ll receive an information pack, regular newsletters, discounts on products such as light boxes and contacts for telephone support.
10. Seek help
If your symptoms are so bad that you can’t live a normal life, see your GP for medical help.
Read more about the treatment of seasonal affective disorder.
Acute Asthma
Who do I see?
Attend walk in centre or A&E
Advice:
For routine asthma care, please book to see a Practice Nurse.
Anxiety
Who do I see?
GP
Athletes Foot
Who do I see?
Community Pharmacy
Advice:
Find your local community pharmacy.
Further information about athletes foot, available from NHS UK.
Back Pain
Who do I see?
Community Pharmacy/Physiotherapist/GP after 7 days
Advice:
Search for your nearest community pharmacist.
Further information about back pain from NHS UK.
Alexander technique for back pain
Extensive coverage has today been given to a study that found the Alexander technique – a method of teaching improved posture – is beneficial for easing back pain. The study on the technique involved over 500 people with chronic back pain from general practices across the UK. It found that people who received one-to-one instruction in the Alexander technique, along with exercise, had reduced back pain and improved disability after one year compared to those receiving standard care.
Blood Pressure Monitoring
Who do I see?
Community Pharmacy/Practice Nurse/GP
Advice:
Blood pressure readings can also be performed at most local pharmacies. If the results are high, a GP appointment would be needed for further evaluation.
Blue Badge Forms
Who do I see?
Contact your local Council directly or Apply online
Advice:
To apply for a Blue Badge parking permit, you need to contact your local council.
The Blue Badge Scheme is for people with severe mobility problems. Blue Badge holders are able to park close to where they need to go. The scheme is managed by local authorities who deal with applications and issue Blue Badges.
GOV.UK has more details about the Blue Badge scheme, including information about applying for a Blue Badge.
Breastfeeding Advice
Who do I see?
Health Visitor
Advice:
Visit NHS advice pages, or search for a breastfeeding support service near you.
Bruised Ribs
Who do I see?
Community Pharmacist/GP/UCC
Advice:
For pain relief, please search for your nearest community pharmacy. For difficulty breathing, please book an appointment with the surgery.
Further information about broken or bruised ribs from NHS UK.
Cellulitis
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Chest Infections
Who do I see?
GP if persists for more than 1 week, or other chest issues (asthma)
Advice:
You can book an appointment with your GP.
Children Support
Nottinghamshire Children’s Centre Service
Children’s Centre Volunteers offer one-to-one or group support with:
- BABES breastfeeding support group
- Under Ones group
- Stay and Play group for under fives
Qualified Children’s Centre workers also offer one-to-one or group support with:
- preparing for a baby
- children’s development, including listening and communication
- playing with your child
- the emotional health of you or your child
- children’s behaviour
- feeding your child
- increasing your confidence to help you get a job
- domestic abuse (in partnership with Women’s Aid services)
For more information, visit:
Coils or Implants
Who do I see?
Practice Nurse/GP/Sexual Health Clinic
Advice:
You can book an appointment with the Practice Nurse.
Information about contraceptive implants.
Where to get an IUD
You can get the IUD for free, even if you’re under 16, from:
- contraception clinics
- sexual health or genitourinary medicine (GUM) clinics
- GP surgeries
- some young people’s services
Colds
Who do I see?
Community Pharmacy
Advice:
Search for your nearest community pharmacist.
Antibiotics are NOT needed for the common colds, as colds are caused by a virus.
Contraception and Family Planning
Who do I see?
GP/Practice Nurse
Advice:
Contraception and family planning appointments are available in any routine GP clinic.
Please ensure your smears are up-to-date.
Please book to see the GP for an initial assessment.
COPD
Chronic obstructive pulmonary disease (COPD) is the name for a group of lung conditions that cause breathing difficulties.
It includes:
- Emphysema – damage to the air sacs in the lungs
- Chronic bronchitis – long-term inflammation of the airways
COPD is a common condition that mainly affects middle-aged or older adults who smoke. Many people do not realise they have it.
The breathing problems tend to get gradually worse over time and can limit your normal activities, although treatment can help keep the condition under control.
Click here to watch a short video on COPD
Who do I see?
GP
Cystitis
Who do I see?
Practice Nurse/GP
Advice:
You can book an appointment with the Practice Nurse/GP.
Dental Problems
Who do I see?
Dentist
Advice:
Please book an appointment with your dentist or find a dentist near you: NHS Find Dentist Services. NHS 111 can advise on an emergency dentist if needed.
Please note: GP’s do not see dental problems.
Depression
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Diarrhoea
Who do I see?
Community Pharmacist/GP if persists longer than 7 days or in a career dealing with food or caring for others.
Advice:
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Further information about diarrhoea and vomiting from NHS UK.
Dizziness
Who do I see?
GP
Advice:
You can book an appointment with your GP.
DWP: GP letters for Personal Independence Payment (PIP) and Employment and Support Allowance
Who do I see?
We are unable to provide letters of support.
Advice:
The DWP will usually contact your GP or healthcare professional to obtain medical evidence when you submit a PIP or ESA claim, the information is then sent to the DWP as part of your claim process.
We are therefore unable to provide additional letters of support as the information we provide, will normally be included in the report requested by the DWP. However, you may request your medical records if you feel this may help your case. If you would like a copy of your medical records, please contact the Practice who will advise you accordingly.
We have provided some useful contacts shown below to help you:
Useful contacts
Action for M.E.
Information and support for people with M.E. and their carers.
Website: Action for M.E.
Phone: 0117 927 9551
Welfare Rights Line: 0845 122 8648
Citizens Advice Bureau
Offers advice on a range of issues and may complete a benefits check for you. Find your local Citizens Advice Bureau.
Disability Information and Advice Line (DIAL)
To find your local DIAL office, contact Scope Tel: 0808 800 3333
Click here to visit the DIAL website
Disability Rights UK
Disability Rights UK – Information on benefits, tax credits and independent living.
Local Councils
Some local councils employ welfare rights workers. Your local council may also have information about other services that offer welfare rights advice in your area.
Earache
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Eczema
Who do I see?
Community Pharmacy/GP if persists for more than 4 weeks or is infected
Advice:
Search for your nearest community pharmacist
You can book an appointment with your GP.
Eye Injuries
Who do I see?
Urgent Care Centre/A&E if severe
Advice:
Please search for your nearest Urgent Care Centre.
If severe, please go to your nearest A&E department.
Farming Community
The Farming Community Network are a voluntary organisation and charity that supports farmers and families within the farming community.
If you’re suffering from stress, anxiety, loneliness, bereavement, depression, retirement, illness, family concerns or worries about the future, The Farming Community Network are here to help.
Flu
Who do I see?
Community Pharmacy/GP if persists for more than 7 days or difficulty breathing
Advice:
Search for your nearest community pharmacist.
Please book an appointment with your GP.
Forms, Letters, Certificates and Medicals
Who do I see?
GP Receptionists
Advice:
A medical examination will be booked if necessary.
Completion of forms, letters, certificates and medicals are not covered under the NHS. Payment for reports must accompany the request or appointment booking (i.e. in advance).
Charges are aligned with the BMA’s guidelines. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery.
Please allow up to 28 days for the process to be completed, you will be contacted by phone when your document is ready for collection.
Please note we do not sign passport forms.
General Advice
Who do I see?
Self-Care/111/Community Pharmacy
Advice:
Visit the NHS UK information home pages.
Phone 111 for any non-urgent medical issues.
Hay Fever
Who do I see?
Community Pharmacy/GP if symptoms do not clear using over the counter medication.
Advice:
Hay fever medications are available from the chemist without needing to see your GP.
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Head Lice
Who do I see?
Community Pharmacy/School Nurse/Practice Nurse
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with the Practice Nurse.
Holiday Cancellation Certificate
Who do I see?
GP Surgery Receptionist
Advice:
Please contact the Practice for advice on the process and cost of the request.
Holiday Cancellation forms are not covered by the NHS, there will be a charge for this service.
Payment for reports must accompany the request or booking (i.e. in advance). Charges are aligned with the BMA’s guidelines. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery.
We ask that you allow up to 28 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Hyperventilation
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Further information about hyperventilation available from NHS UK.
Infected Wounds
Who do I see?
Practice Nurse
Advice:
You can book an appointment with the Practice Nurse.
Insomnia
Who do I see?
Community Pharmacy/GP
Advice:
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Medical Reports
Who do I see?
GP Surgery Receptionist
Advice:
Please contact the Practice for advice on the process and cost of the request.
Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery.
We ask that you allow up to 28 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Men’s Health
Prostate Cancer
Each year about 36,000 men in the UK are diagnosed with prostate cancer, making it the most common cancer in men. It mainly affects men aged over 50.
Symptoms
- difficulty in starting to pass urine
- a weak, sometimes intermittent flow of urine
- dribbling of urine before and after urinating
- a frequent or urgent need to pass urine
- rarely, blood in your urine or semen and pain when passing urine
These symptoms aren’t always caused by prostate cancer but if you have them, see your GP.
Find out more about the symptoms, causes and diagnosis of prostate cancer by using the resources below.
Resources
Testicular Cancer
Testicular cancer, though the most common cancer in young men, it is still quite rare. With 2000 new cases being diagnosed each year, this makes it the biggest cause of cancer related death in 15 – 35-year-old males. It accounts for around 70 deaths a year within the UK alone.
What to Look Out For
The most common symptom of testicular cancer is swelling or a pea-sized lump in one of the testes (balls). There is no current screening test therefore it is important that you look out for the following signs and symptoms.
- A dull ache, or sharp pain, in your testicles, or scrotum, which may come and go
- A feeling of heaviness in your scrotum
- A dull ache in your lower abdomen
- A sudden collection of fluid in your scrotum
- Fatigue, and generally feeling unwell.
Resources
NHS – Information on Testicular Cancer
Sexual Problems
It’s estimated that one man in 10 has a problem related to having sex, such as premature ejaculation or erectile dysfunction.
For more information, visit:
Mental Health
Mental health is about how we think, feel and behave. One in four people in the UK have a mental health problem at some point in their lives, which affects their daily life, relationships or physical health.
Mental health disorders take many different forms and affect people in different ways. Schizophrenia, depression and personality disorders are all examples of mental health problems. Diseases such as Alzheimer’s and dementia generally develop in old age, whereas eating disorders are more common in young people.
Who do I see?
GP/Mental Health Support Services/Samaritans
Advice:
Find out how to deal with a mental health crisis or emergency
Further information about mental health services from NHS UK.
Samaritans – Samaritans operates a free service 24 hours a day, 365 days a year for people who want to talk in confidence. Call them on 116 123 or visit the Samaritans website.
Crisis – The crisis line is open 24 hours a day, seven days a week, to people of all ages.
If you’re in a mental health crisis, call the crisis line anytime of the day or night, and it can be arranged for you to speak with a mental health professional. You can also be advised about other services, which can help you.
The crisis line is operated by local health workers. Don’t worry, they will help you get the right support.
- Phone: 0808 196 3779
- NHS Nottinghamshire Healthcare – Help in a crisis
Shout – Anyone living in Nottingham and Nottinghamshire can text the word ‘Notts’ to 85258 for free and be connected to a trained Shout volunteer. This service is available 24/7 and is operated by clinicians who can help with issues such as anxiety, stress, loneliness, depression and suicidal thoughts.
Nottinghamshire Talking Therapies – Nottinghamshire Talking Therapies is a free and confidential NHS service designed to help with common mental health problems such as stress, anxiety and depression. Anyone aged 17 1⁄2 years or over and registered with a GP can access support, though a GP referral is not necessary as you can self-refer.
- Web – NHS Nottinghamshire Talking Therapies
- Phone – 0333 188 1060
- YouTube – NHS – Treatment for depression and anxiety | NHS Talking Therapies
NottAlone – Local mental health advice and help for young people in Nottingham and Nottinghamshire.
NottAlone offer support and advice on a range of issues, such as:
- Anger
- Anxiety & panic attacks
- Body image
- Bullying
- Depression
- Drugs & alcohol
- Eating disorders
- Exam stress
- Family separation
- Gangs or dangerous situations
- Identity
- Relationships
- Self harm
Moles
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Musculoskeletal
Advice:
The Circle MSK service now has an app available, to support you with MSK (musculoskeletal) problems. It:
• Introduces and explains the MSK service, including contact information
• Contains useful information about MSK conditions
• Includes exercises to support you to manage your condition
• Offers advice on “Waiting Well” – if you’re waiting for an appointment
• Allows you to refer yourself to the MSK service for physiotherapy using Phio
For more information, visit: https://circleintegratedcare.physiapp.com/
Nappy rash
Who do I see?
Community Pharmacy or Health Visitor
Nosebleeds
Who do I see?
111/Urgent Care if severe/GP if several episodes
Advice:
Pinch nose (do not lean head back) and apply ice pack.
Find out more information about nose bleeds.
If concerned, you can ring 111
Search for your nearest Urgent Care Centre.
You can book an appointment with your GP.
Passport Forms
Who do I see?
We do not sign passport forms
Advice:
Passport forms are not covered by the NHS.
Accepted occupations that can countersign your passport photo.
Phobias
Who do I see?
GP
Advice:
You can book an appointment with your GP.
Physiotherapy
Patients with musculoskeletal conditions, including conditions such as back pain and arthritis, are now able to contact their local physiotherapist directly and self-refer, rather than waiting to see a GP or being referred to hospital. Patients can also book an appointment to see a physiotherapist by speaking to a receptionist or by being referred by their GP.
For more information, visit:
Pregnancy – Termination
Termination of Pregnancy service is for women who are pregnant and want to discuss their pregnancy options, which might include having a termination. Your local clinic will offer advice and information, and can help you with a hospital appointment if that is what you decide to do.
Who do I see?
Sexual Health Services/Family Planning Clinic
Rashes
Who do I see?
Community Pharmacy/GP if persists for more than 7 days.
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Removal of Stitches
Who do I see?
Practice Nurse/HCA (Health Care Assistant)
Advice:
You can book an appointment with appropriate healthcare professional.
Sexual Health
The NHS website has detailed information on:
- Where you can get sexual health advice
- Visiting a STI clinic
- Confidentiality
- Advice for gay/lesbian/bisexual men/women
- Sex activities and risk
- Help after rape and sexual assault
Advice:
Find sexual health services
For more information, visit: NHS – Sexual health
Sick Note (Fit Note)
Who do I see?
Self certify first 7 days, then routine GP appointment
Advice:
For more information, visit: CHP – Sick (fit) notes
Skin Conditions
Who do I see?
Community Pharmacy/GP if it persists
Advice:
Please search for your nearest community pharmacist.
You can book an appointment with your GP.
Further information about common skin conditions available from NHS UK.
Sore Eyes
Who do I see?
Optician/Community Pharmacy/GP if it persists
Advice:
If severe, please go to your nearest A&E departments.
Search for your nearest opticians.
Search for your nearest community pharmacist.
You can book an appointment with your GP.
Sore Throat
Who do I see?
Community Pharmacy/GP if it persists
Advice:
Please search for your nearest community pharmacist.
If you have a sore throat, there are a number of ways you can help yourself. Paracetamol can help with the pain, and gargling with warm, salty water may help shorten the infection (but this isn’t recommended for children). In most cases, you only need to see your GP if your sore throat doesn’t improve after a week.
You can book an appointment with the GP.
Further information on how to treat a sore throat yourself .
Stings
Who do I see?
Community Pharmacy
Stress
Most people feel stressed sometimes and some people find stress helpful or even motivating. But if stress is affecting your life, there are things you can try that may help.
Support is also available if you’re finding it hard to cope with stress.
Stress can cause many different symptoms. It might affect how you feel physically, mentally and also how you behave.
It’s not always easy to recognise when stress is the reason you’re feeling or acting differently.
Advice:
NHS – Get Help With Stress
Suicidal Thoughts Support
If you’re feeling like you want to die, it’s important to tell someone.
Help and support is available right now if you need it. You do not have to struggle with difficult feelings alone.
For more information, visit:
Samaritans
Whatever you’re going through, a Samaritan will face it with you. Samaritans are here 24 hours a day, 365 days a year.
Tel: 116 123 (free phone)
Web: Samaritans.org
Sunburn
Who do I see?
Community Pharmacy
Tetanus Injection
Thrush (Vaginal)
Who do I see?
Self-Help Advice/Community Pharmacy/Sexual Health Clinic
Advice:
You find information on the NHS help page.
Search for your nearest community pharmacist.
If you are sexually active, you can visit your local Sexual Health Clinic.
Travel Vaccinations
Who do I see?
Practice Nurse
Advice:
Please book an appointment, at least 6 weeks or more before travelling.
Click here for information on travel services provided by Castle Healthcare Practice
You can book an appointment with the Practice Nurse.
Vaginal Discharge
Who do I see?
Sexual Health Clinic/Practice Nurse/GP
Advice:
You can search for your nearest community pharmacist.
If you are sexually active, you can visit your local Sexual Health Clinic.
You can book an appointment with the Practice Nurse/GP.
Further information about vaginal discharge available from NHS UK.
Vitamin B12 Injection
Who do I see?
Practice Nurse or HCA (Health Care Assistant)
Advice:
You can book an appointment with the appropriate healthcare professional.
Further information about Vitamin B12 or folate deficiency anaemia, available from NHS UK.
Warfarin Monitoring
Who do I see?
Referral required
Advice:
If you are taking warfarin blood thinning tablets, we can refer you for this service.
You can book an appointment with your GP.
Women’s Health
Cervical Screening (Smear Tests)
Cervical screening is a method of preventing cervical cancer by detecting abnormal cells in the cervix (lower part of the womb). Cervical screening is not a test for cancer, but it is a test to check the health of the cervix.
Most women’s test results show that everything is normal. But for one in 20 women, the test will show some changes in the cells of the cervix. Most of these changes will not lead to cervical cancer and the cells will go back to normal on their own. In some cases, the abnormal cells need to be treated to prevent them becoming a problem later.
NHS – Cervical Screening – the why, when & how guide to cervical screening
HPV Vaccination
Since September 2008 there has been a national programme to vaccinate girls aged 12-13 against human papilloma virus (HPV). There is also a three-year catch up campaign that will offer the HPV vaccine (also known as the cervical cancer jab) to 13-18 year old girls.
The programme is delivered largely through secondary schools, and consists of three injections that are given over a six-month period. In the UK, more than 1.4 million doses have been given since the vaccination programme started.
What is Human papilloma virus (HPV)?
Human papilloma virus (HPV) is the name of a family of viruses that affect the skin and the moist membranes that line your body, such as those in your cervix, anus, mouth and throat. These membranes are called the mucosa.
There are more than 100 different types of HPV viruses, with about 40 types affecting the genital area. These are classed as high risk and low risk.
How you get HPV?
Types of HPV that affect the skin can be passed on by skin contact with an affected person. The types of HPV that affect the mouth and throat can be passed on through kissing. Genital HPV is usually spread through intimate, skin to skin, contact during sex. You can have the genital HPV virus for years and not have any sign of it.
How HPV can cause cervical cancer?
Most HPV infections are harmless or cause genital warts, however some types can cause cervical cancer. Most HPV infections clear up by themselves, but in some people the infection can last a long time. HPV infects the cells of the surface of the cervix where it can stay for many years without you knowing.
The HPV virus can damage these cells leading to changes in their appearance. Over time, these changes can develop into cervical cancer. The purpose of cervical screening (testing) is to detect these changes, which, if picked up early enough, can be treated to prevent cancer happening. If they are left untreated, cancer can develop and may lead to serious illness and death.
Breast Cancer
Breast cancer is the most common cancer in the UK. About 46,000 women get breast cancer in the UK each year. Most of them (8 out of 10) are over 50, but younger women, and in rare cases men, can also get breast cancer.
The NHS Breast Screening Programme invites over 2 million women for screening every year, and detects over 14,000 cancers. Dr Emma Pennery of Breast Cancer Care says: “Breast X-rays, called mammograms, can detect tumours at a very early stage, before you’d feel a lump. The earlier it’s treated, the higher the survival rate.”
Macmillan Cancer Research – the causes and symptoms of breast cancer in women and explains how it is diagnosed and treated
