Who Do I See?

Who is the best Healthcare Professional to see for the following conditions:

Abdominal Pain

Who do I see?

How severe is you pain?

For mild symptoms or an ongoing problem you will need a routine GP appointment

For severe symptoms, that include severe pain, sickness and feeling unwell you will need an on the day appointment (subject to availability) with a Practice Paramedic or GP.

Advice:
Further information about abdominal pain from NHS UK

Alcohol Advice

Who do I see?

Practice Health and Wellbeing Coach

Advice:

Visit Healthy You.

Free Cambridgeshire and Peterborough service supporting residents make changes to their lifestyle. From the site you can self refer to fully trained and appropriate professional.

Visit alcoholics anonymous.

Further information and support about Alcohol from NHS UK.

Anxiety

Who do I see?

For ongoing symptoms, you will need to book a routine GP appointment or can self-refer to the Psychological Well Being Service

If you are concerned about self harming contact 111, opt 2 or you will need an on the day GP appointment (subject to availability).

Advice:
Further information about anxiety from NHS UK.

Back Pain

Who do I see?

For muscular back pain and leg symptoms then visit our Practice Physiotherapist or routine appointment with a GP.

How severe are your symptoms?

Go to A&E if you have:

  • problems with your bowels
  • issues with urinating
  • your walking is affected
  • you have reduced feeling when wiping after going to the loo.

Advice:

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 Tests

Who do I see?
HCA (Health Care Assistant) or Phlebotomist.

Advice:
Appointments for blood tests MUST have been requested by your GP or other health care professional.

If the GP request is urgent you will be booked in for an on the day appointment.

If the request is NOT urgent then you will need a routine appointment. This can be between 2 to 4 weeks (please book ahead).

Further information about blood tests from NHS UK.

Boils

Who do I see?
Routine appointment with a Clinical Pharmacist, Paramedic or GP.

If the boils are very painful or have discharge/ fluid leaking out, then you will need to see a Clinical Pharmacist, Paramedic or GP for an on the day appointment (subject to availability).

Advice:
Further information about boils and carbuncles from NHS UK.

Breathlessness

Who do I see?

Are you feeling unwell, are you having difficulty completing sentences or have chest pains or palpitations? If yes then please call 999 or attend A&E.

If no, then book a routine appointment with our practice Paramedics or with a GP.

Advice:
Telephone 999 or 111 if symptoms are severe.
For less serious breathing issues such as COPD or chest infections.

Further information about breathlessness from NHS UK.

Breast Lump or Pain

Who do I see?

For a new lump found you will booked in for an on the day appointment with a GP.

For ongoing treatment you will need a routine GP appointment.

Advice:

When you call our reception team you may be asked when you first noticed the lump and if it painful and hard. This is so they can allocate the most appropriate appointment for your needs.

For more information of what to expect from your appointment visit NHS Breast Lumps

Burns

Who do I see?

If the burn is new and requires treatment you will need an on the day appointment with our Practice Nurse, Practice Paramedic or if more severe then with a GP.

If the burn/s are extensive and pain is severe please attend A&E.

Advice:
If severe, please search for your nearest Urgent Care Centre.

If not, please book an appointment with the Practice Nurse.

Further information about burns and scalds from NHS UK.

Cervical Smear

Who do I see?
Practice Nurse (female)

Have you been invited to have a smear? You will need book a routine appointment with Nurse. This will need to be booked for a day approximately mid cycle or on when you do not have your period.

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.

Further information about cervical screening from NHS UK.

Chest Pain

Who do I see?

If the pain is severe and in the centre or left side of the chest and you are experiencing breathlessness and palpitations and it has been less than 60 minutes Telephone 999 or 111.

If the pain has been ongoing for longer than 60 minutes then book an on the day appointment (subject to availability) with a Practice Paramedic or GP.

If not severe book a routine appointment with GP.

Further information about chest pain from NHS UK.

Chickenpox

Who do I see?

Chicken pox can be treated at home, please head to the NHS Chickenpox page for advice on identification and how to treat. if requiring further advice book a routine GP appointment.

However, if you have the following you will need to see a Clinical Pharmacist or GP for an on the day appointment (subject to availability).

  • Unwell (dehydrated, infected spots or worsening symptoms)
  • Immune suppressed
  • Newborn baby
  • Pregnant

Chronic Heart Disease Review

Who do I see?
Clinical Pharmacist or GP

Advice:
Your annual medication review will be requested by a Clinical Pharmacist or GP.

Before you book your review you will need to call the surgery and book a routine appointment to have your bloods taken and your blood pressure checked with a HCA. This is bookable 2-4 weeks in advance.

You can book your routine appointment to see the GP or Clinical Pharmacist.

If you are feeling unwell call 111 or contact the surgery for an urgent appointment with the Practice Paramedic or GP (subject to availability).

Further information about heart disease from NHS UK.

Cold Sores

Who do I see?
Self-Care over the counter remedies are available

If your symptoms do not go away with over the counter remedies and the cold sore is very painful. Book to see a GP or Clinical Pharmacist.

Advice:

Further information about cold sores from NHS UK.

Constipation or Piles

Who do I see?

For ongoing or general concerns book a routine appointment with the GP.

If have bleeding or have to rush to the toilet? If yes then you need an on the day appointment (subject to availability) with a Clinical Pharmacist, practice Paramedic or GP.

Advice:

Further information about constipation from NHS UK.

Further information about piles (haemorrhoids) from NHS UK

Cough

Who do I see?

Adults
Clinical Pharmacist, Practice Paramedic or GP if your cough persists for more than 3 weeks.

If you are struggling to complete sentences, very unwell or coughing up blood then you will need an on the day appointment (subject to availability) to see the Clinical Pharmacist, Practice Paramedic or GP.

Children

5 years old and over. Clinical Pharmacist, Practice Paramedic or GP if your child’s cough persists for more than 3 weeks.

Newborns to 4 years old. Will need to be seen by our Practice Paramedics or GP

Advice:

If your child has a fever, is breathless when resting or has had any long term chest problems such as asthma then they will need an on the day appointment with an appropriate clinician.

Further information how to treat your cough from NHS UK.

Dementia Screening

Who do I see?
GP routine appointment.

Advice:

Further information about Dementia from NHS UK.

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 Monitoring

Who do I see?
Practice Nurse/Health Care Assistant/ Clinical Pharmacist/ GP

For you annual review you will need bloods taken by a HCA before your diabetic review with one of our Diabetic Nurses.

To discuss medication you can book an appointment with our Clinical Pharmacist or GP. A GP may request to see you if they have concerns.

Advice:

Further information about diabetes from NHS UK.

Diet/Lifestyle Changes

Who do I see?
Health and Wellbeing Coach

Visit Healthy You for advice and support.

Advice:
You can either book an appointment with appropriate healthcare professional, or alternatively, please phone the surgery to arrange your appointment.

Further Information about Diet from NHS UK.

Dressings

Who do I see?
Practice Nurse.

If you have been discharged from hospital and require regular dressing changes, please call the surgery as soon as possible to arrange your appointments to ensure we have capacity.

Drug Addiction

Who do I see?
Social Prescriber.

Our social prescriber will be able to signpost to CGL

Advice:

For advise and info visit Change Grow Live (CGL)

Information about drugs please visit: Talk To Frank.

Please phone: 0300 1236600, for self-referral help.

For further information concerning alcohol please visit: Alcoholics Anonymous UK.

Call free: 0800 9177 650 or Email AA

Ear Care/Ear Wax

Who do I see?

Practice Nurse or HCA

Advice:
Search for your nearest community pharmacist
.

If you think you may need ear irrigation (‘syringing’ ) please book an appointment with the appropriate healthcare professional, or alternatively please phone the surgery to arrange your appointment.

Further information about ear wax build up available from NHS UK.

Eye Problem/ Injury

Who do I see?

If severe eye injury go to A&E.

  • Strong chemical is in your eye
  • Sharpe object has pierced your eye
  • Damage from a power tool
  • Blood or puss comes from your eye

If you have severe symptoms related to your eye as listed below, please see an Optician as they have more specialist equipment to assess your problem, this is FREE NHS service.

  • Vision Loss
  • Acute red eyes
  • Sticky discharge (conjunctivitis) Also see by Clinical Pharmacist.
  • Ingrown Eyelashes
  • Foreign bodies
  • Recently occurring flashes or floaters

For more mild symptoms or irritations you can book an appointment with an Optician, Practice Paramedic, Clinical Pharmacist or GP.

Advice:

Further Information about eye Injuries

Flatulence

Who do I see?

Clinical Pharmacist

Advice:

Further advice about flatulence available from NHS UK.

Flu

Who do I see?
Self-Care with rest and sleep, drink plenty of fluids and take paracetamol or ibuprofen for aches and pains. If a child please make sure the medicine is suitable for your child.

Our Clinical Pharmacist may be able to assist if you require more advice on flu remedies.

If symptoms persist for more than 7 days,

you are over the age of 65, are pregnant,

are concerned about your child’s symptoms,

have a long term medical condition

have a weakened immune system

Call 111 or book an appointment to see a Practice Paramedic, GP

Advice:

Further information about flu from NHS UK.

Fungal Infections

Who do I see?
Book a routine appointment with a Clinical Pharmacist, Practice Paramedic or GP.

If the infection is getting worse or is very painful you may need an urgent appointment  (subject to availability).

Genital Infections including Herpes

Who do I see?
Sexual Health Clinic iCaSH is the best place to seek sexual health advice and support or you can call and make an appointment to see a GP.

Advice:
Find a GUM clinic near you.

Further information about sexual health available from NHS UK.

Hand, Foot & Mouth

Who do I see?

Self-Care, symptoms usually clear up in 7-10 days.

Drink plenty of fluids

Eat soft foods

Take paracetamol or ibuprofen

For further advice on how to relive symptoms you may want to book an appointment with one of our Clinical Pharmacists.

Book to speak to a Clinical Pharmacist, Practice Paramedic or GP if the symptoms have

  • lasted longer than 7 to 10 days
  • You are pregnant

It may be suggested you have a telephone consultation rather than see the doctor face to face.

Head Injuries

Who do I see?
If you blacked out, can’t recall what happened and are drowsy or vomiting you need to go to A&E or book an on the day appointment to see the Practice Paramedic or GP

For any ongoing care relating to head injuries book a routine appointment to see a GP

Advice:
You can book an appointment with your Doctor.

Further information about head injury and concussion from NHS UK.

Headaches

Who do I see?

Self-care, ease symptoms with rest, paracetamol or ibubrofen and drinking plenty of fluids.

If you are having persistent or regular headaches, have problems with your vision or sickness book an on the day appointment  (subject to availability) with a Practice Paramedic, GP or seek advice from 111

Advice:

Further information about headaches available from NHS UK.

Housing – letter of support

Who do I see?


Our Social Prescriber will be able to help put the right support in place

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 or Social Prescriber.

Further information and help is available from Shelter England

Indigestion

Who do I see?
Book an appointment with one of our Clinical Pharmacist for advice.

For ongoing support then book a routine appointment with a GP

If the onset is severe or there is vomiting see a Clinical Pharmacist, Paramedic or GP for an on the day appointment (subject to availability).

Advice:
Further information about indigestion available from NHS UK.

Injury (minor)

Who do I see?
For joint and muscular injury book to see our Physiotherapist.

If you suspect you have fractured a bone then please attend A&E.

For eye related injuries please contact an Optician.

For any other new injuries please book to see a GP within 48 hours of injury.

For any ongoing injuries please book a routine appointment with the Physiotherapist (musculoskeletal) or GP.

For wound care and management book to see one of our Nurses

Insect Bites & Stings

Who do I see?

Have your symptoms come on suddenly and is your lips, throat, tongue or face swollen. Are you having difficulties breathing? Call 999 or attend A&E immediately.

For minor stings and bites our Clinical Pharmacist can advise on what remedies to use to reduce itching and irritation.

If your symptoms are not severe but you have had a reaction to the insect bite or sting such as an infection, book an on the day appointment (subject to availability) with a Clinical Pharmacist, Practice Paramedic or GP.

Advice:

Further information about insect bites and stings available from NHS UK.

Insurance Reports

Who do I see?
Medical Secretaries .

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

Who do I see?
Clinical Pharmacist/GP

Advice:
You can book an appointment with the Pharmacist or GP.

Please ensure you have had your annual bloods with one of our HCA’s in advance of the appointment and bring all your medications with you to the review.

Please book a routine appointment with our HCA or phlebotomist 2-4 weeks ahead.

Moles

Who do I see?
Book a routine appointment to see a GP if you are concerned about a mole.

If the mole has changed rapidly and is bleeding then you may need to be see in an on the day appointment with a GP (subject to availability)

Advice:
Further information about moles available from NHS UK

Mouth Problems – Ulcers, Thrush

Who do I see?
Dentist

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 Doctor if you have been unsuccessful find an emergency dentist

Musculoskeletal problems

Who do I see?

Book an appointment to see our Physiotherapist.

To discuss medication book an appointment with a Clinical Pharmacist

or self-refer to Dynamic Health
https://www.eoemskservice.nhs.uk/physiotherapy-self-referral

Neck Pain

Who do I see?
If due to recent trauma you may need to go to A&E.

For general pain or discomfort you can book to see our Physiotherapist.

If the pain persist and there are other symptoms or changes to your neck then book to see a GP.

Advice:

Further information about neck pain available from NHS UK.

Period Problems

Who do I see?
If you are looking to prevent a period, Norethisterone can be purchased over the counter from a pharmacy.

If you would like to discuss this make an appointment with our Clinical Pharmacist.

If you are experiencing problems with your periods book an appointment with a Practice Nurse, Practice Paramedic or GP.

Advice:

Further information about period problems available from NHS UK.

Pneumoccocal Vaccine

Who do I see?
Practice Nurse/ HCA (Health Care Assistant)

Advice:
If eligible you can either book an appointment with the appropriate healthcare professional, or alternatively please phone the surgery to arrange your appointment.

Further information about the pneumococcal vaccine from NHS UK.

Rashes

Who do I see?
Rashes can be seen in a routine appointment by our Clinical Pharmacists, Practice Paramedic or a GP .

You will need a urgent on the day appointment or call 111 if the patient is a child who is unwell, has a fever (temp over 38C)

Advice:
Please search for your nearest community pharmacist.

You can book an appointment with your Doctor.

Further information – Rashes in babies and children

Rectal Problems

Who do I see?

Clinical Pharmacist, Paramedic or GP if the problem persists for more than 7 days.

If the problem is severe and you have experienced diarrhoea or constipation, bleeding or significant weight loss, book to see a GP for an on the day appointment (subject to availability).

For ongoing treatment book a routine appointment to see a GP.

Seizures

Who do I see?

Call 999 if:

Never had seizure before

If patient has epilepsy/ regular seizures but has not recovered as normal

If you have had a seizure but recovered as normal book an on the day appointment with a GP (subject to availability) or call 111.

Advice:
Further information about Epilepsy available from the NHS UK

Shingles

Who do I see?
Book an on the day appointment (subject to availability) at the surgery with a Clinical pharmacist, ACP, Practice Paramedic or GP.

You might need medicine to help speed up your recovery and avoid longer-lasting problems.

This works best if you start taking it within 3 days of the shingles rash appearing.

Search for your nearest community pharmacist.

Advice:
Further information about shingles available from NHS UK.

Shingles Vaccine

Who do I see?
Practice Nurse

Advice:
You will invited to have a shingles vaccination or you can check with our reception team if you are eligible. You can book an appointment with the appropriate Nurse.

Further information about the shingles vaccination available from NHS UK.

Sinusitis

Who do I see?
For general symptoms you can book an appointment to speak to our Clinical Pharmacist.

For ongoing treatment you can see our Clinical Pharmacist, Paramedic or GP.

If your symptoms are severe, ongoing and you have a temperature you will need an on the day appointment (subject to availability) with a Clinical Pharmacist, Paramedic or GP.

Advice:

Further information about sinusitis available from NHS UK.

Smoking Cessation

Who do I see?
Healthier You.

We no longer hold smoking Cessation clinics at the surgery, please follow the above link.

Advice:
You can also visit Smokefree, or find out more from NHS UK.

Social Issues

Who do I see?

If you are needing support with issues at home, book an appointment to speak to our Social Prescriber who will assist in getting the right support in place

Sore Penis

Who do I see?
iCash is a sexual Health Clinic who you can book with directly or you can book to see a GP.

Advice:
Find your local clinic.

You can book an appointment with the GP.

Further information about penis problems, available from NHS UK.

Sprains

Who do I see?
Book with the Practice Physiotherapist or you can self refer to Dynamic Health

If it is a suspected serious injury attend A&E

Advice:

Further information about sprains and strains available from NHS UK.

Stroke

Who do I see?
Are any of the FAST symptoms present?

  • Face – the face may have dropped on 1 side, the person may not be able to smile, or their mouth or eye may have dropped.
  • Arms – the person with suspected stroke may not be able to lift both arms and keep them there because of weakness or numbness in 1 arm.
  • Speech – their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake; they may also have problems understanding what you’re saying to them.
  • Time – it’s time to dial 999 immediately if you see any of these signs or symptoms.

If these symptoms are not present but you are unsure we will refer you urgently to our Duty Doctor.

For those who have suffered from a stroke will be invited for an annual review with a GP

Advice:
Further Information about Strokes from NHS UK

Styes

Who do I see?
Self-Care at home, visit Further information about styes from NHS UK.

Advice:
If you are having issues with your vision or self-care hasn’t worked then book to speak to Clinical Pharmacist or Practice Paramedic. If the problem continues book to see a GP

Termination of Pregnancy

Who do I see?
Marie Stopes now known as MSI Reproductive Choices provide abortion care for both NHS and private healthcare patients. You can book directly by clicking the link to speak to specialists and arrange your appointments.

If you feel you need the support of a GP then call the surgery to book an appointment through our reception team.

Advice:
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.

Find pregnancy termination services

Further information about terminating your pregnancy 

Threadworms

Who do I see?
You can take over the counter medication from any pharmacy. If you would like to discuss this then you can book an appointment to speak to a Clinical Pharmacist.

If you have tried over the counter treatments but still have symptoms book to see as GP

Advice:

Further information about threadworms, available from NHS UK.

Tiredness and fatigue

Who do I see?
Get self-help tips to fight tiredness from NHS UK

If you feel that you are still experiencing symptoms of tiredness, please book a routine appointment with your GP.

You will need an urgent GP appointment if your tiredness could be related to a tick bite.

Advice:
Feeling exhausted is so common that it has its own acronym, TATT, which stands for “tired all the time”.

Urine Infections

Who do I see?
Female: book to speak to a Clinical Pharmacist or Practice Paramedic

Male: will need an appointment to see a GP

Advice:
If a clinician has not requested a sample then DO NOT drop one in as we are UNABLE TO TEST.

Information about Urinary tract infections (UTIs) available from NHS UK.

Verrucae

Who do I see?
Remedies are available over the counter.

If you have been unsuccessful in treating the verrucae you can book to speak to a Clinical Pharmacist.

Advice:

Further information about warts and verrucas available from NHS UK.

Vomiting

Who do I see?
Over the age of 1 years old, self-care for 48hrs and drink plenty of fluids.

You will need to see a GP or Practice Paramedic for an on the day appointment (subject to availability) or call 111 for the following:

  • Babies and toddlers
  • If it persists for longer than 1 week (Children and adults)

Advice:

Further information about diarrhoea and vomiting from NHS UK.

Warts

Who do I see?
Self-Care, most warts can be treated using over the counter medications.

If you require further advice visit your pharmacy or book to speak to a Clinical Pharmacist

If you have been unable to treat at home, you can book into a Cryotherapy clinic at the surgery with a Practice Nurse

Advice:

Further information about warts and verrucas from NHS UK.

Acute Asthma

Who do I see?

What are your symptoms?

If you are unable to complete sentences easily, short of breath or confused call 999 or attend A&E.

For less severe symptoms and to access medication you can book in with with a Paramedic or GP at the surgery.

Advice:
For routine asthma care, please book to see the Practice Nurse.

Further information about Asthma from NHS UK

Allergic Reaction

Who do I see?

Have your symptoms come on suddenly and is your lips, throat, tongue or face swollen. Are you having difficulties breathing? Call 999 or attend A&E immediately.

If symptoms are manageable but you need medication, you will need an on the day appointment (subject to availability) with one of our Clinical Pharmacists, Practice Paramedic or GP.

Advice: Visit Allergy UK

Athletes Foot

Who do I see?

One of our Practice Clinical Pharmacists as a routine appointment.

If you are bleeding and feeling unwell due to your athletes foot, then you may need an on the day appointment (subject to availability) with the Clinical Pharmacist or GP.

Advice:
Find your local community pharmacy.

Further information about athletes foot, available from NHS UK.

Blocked Ears (wax)

Who do I see?

Have you applied olive oil to your ears at night for week and there has been no improvement?
You can book a routine appointment with our practice Clinical Pharmacist or GP.

If your bleeding from the ears you will need an on the day appointment (subject to availability) with a Clinical Pharmacist, Paramedic or GP.

Advice:
A pharmacist can help with earwax build-up

Speak to our clinical 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).

Find a pharmacy

Non-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 Pressure Monitoring

Who do I see?
Waiting room BP machines are available to use during opening hours. These readings can be handed in at reception.

You can also see one of our HCA’s or Clinical Pharmacists for routine monitoring.

If the GP requests 24hr monitoring, you will be booked in with one of our practice nurses to fit the 24hr BP machine, or the GP may request that you take readings for 7 days using a home monitor (these can be loaned from reception)

Once the GP has your blood pressure results, they may wish to book you in for a routine appointment to discuss your results.

If you are feeling dizzy, light headed or have visual problems you may need and on the day appointment (subject to availability) with our Clinical Pharmacist or GP.

Advice:
These can also be performed at most local pharmacies. If the results are high, a GP appointment would be needed for further evaluation.

Further information about blood pressure from NHS UK.

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

Bruised Ribs

Who do I see?
To Self-Care you can get further information about broken or bruised ribs from NHS UK.

For ongoing concerns you can see a practice Paramedic or a GP for a routine appointment.

If it is a recent trauma and you are experiencing breathlessness or pain that has not improved see a practice Paramedic or GP for an on the day appointment (subject to availability) or call 111.

Call 999 or got to A&E

  • if your injury was caused by a serious accident.
  • Shortness of breath that is getting worse
  • Chest pain getting worse
  • Pain in tummy or shoulder
  • Cough up blood

Cellulitis

Who do I see?

Routine appointment with a Practice Paramedic or GP for ongoing treatment or concerns.

If it is getting worse or you have a temperature associated with the cellulitis, you may require an on the day appointment (subject to availability) to see a Paramedic or GP

Advice:

Further information about cellulitis from NHS UK.

Chest Infections

Who do I see?

Have you had the symptoms for 7 days?

Do you have a temperature and do you feel very unwell with it?

If no, or an ongoing issue you can book a routine appointment with a GP.

If yes, you will need an on the day appointment with a practice (subject to availability) Paramedic, Clinical Pharmacist or GP.

Advice:

Further information about chest infection from NHS UK.

Coils or Implants

Who do I see?
Family Planning Trained GP.

Having a coil fitted:

You will need to have an appointment with a GP before you have a coil fitted to discuss suitability.

You will then need to book into one our Coil clinic to have the coil fitted.

If you require a sooner appointment than we have available at the surgery you may be able to contact iCaSH.

Our reception team can send you the information link by text to your mobile phone or visit iCaSH for more information.

Coil removal only:

Book directly into one of coil clinics

Advice:.

Information about contraceptive implants.

Information about coils.

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

Find you nearest sexual health clinic.

Colds

Who do I see?
Clinical Pharmacist for a routine appointment if symptoms have persisted for more than 2 weeks.

Advice:
Antibiotics are NOT needed for the common colds, as colds are caused by a virus.

Further information about colds from NHS UK.

Contraception and Family Planning

Who do I see?

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 or a change in contraception.

For follow up assessments and repeat prescriptions book to see a Nurse once you are completed your first 3 months of medication.

For emergency contraception please book an urgent appointment with our Clinical Pharmacist

Further information about contraception from NHS UK.

Cuts & Lacerations

Who do I see?

To self-care minor cuts and grazes visit the NHS UK Cuts and grazes page for advice.

For more serious cuts and lacerations you may need to see one of our Practice Nurse’s or attend A&E.

If you call to make an appointment please tell the receptionist if you are on blood thinning medication, where you are cut, how deep the cut is and how much it is bleeding.


Cystitis

Who do I see?
Clinical Pharmacist, Practice Paramedic or GP

If your symptoms have not gone away within 3 days or it is a recurrent issue then call to book a routine appointment.

You will need an urgent appointment (subject to availability) if you have the following:

Fever, low temperature, pain in the lower tummy or back under the ribs, are confused or drowsy, feeling or being sick, have been unable to wee all day or have blood in your wee

Advice:
Further information about cystitis from NHS UK.

Dental Problems

Who do I see?
Dentist or call 111

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: The Doctors do not see dental problems.

Diarrhoea

Who do I see?


Self-Care at home for Further information about diarrhoea and vomiting from NHS UK.

If your symptoms persist for longer than 7 days, you are bleeding or you are in a career dealing with food or caring for others book an appointment to see a Clinical Pharmacist or Practice Paramedic or GP.

Dizziness

Who do I see?
For mild ongoing symptoms book a routine appointment with a Practice Paramedic or GP.

If you are experiencing buzzing in your ears, any deafness or discharge coming from the ears and the dizziness is severe you can book an on the day appointment (subject to availability) with a Practice Paramedic or GP.

Advice:
You can book an appointment with the Nurse.

Further information about Dizziness from NHS UK.

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.

We therefore regret that we cannot provide additional letters of support. However you may request your medical records if you feel this may help your case.

If you wish a copy of your medical records, please contact the practice who will advise you accordingly. There is no charge for a copy of your records.

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 General enquiries: 0117 927 9551 (Mon-Fri 9am-5pm).

Online M.E. CentreAction for M.E

Welfare Rights Line: 0845 122 8648 (times vary)

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, 6 Market Road, London N7 9PW Tel: 0808 800 3333

Disability Rights UK
Factsheets on benefits, tax credits and independent living from disability rights uk

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?
Clinical Pharmacist, Practice Paramedic or GP if you have had pain in your ear for more than a few days.

If the pain is severe, you have a temperature, dizziness, there is bleeding and your hearing is reduced you may need an on the day appointment (subject to availability).

Advice:

Further information about earache available from NHS UK.

Eczema

Who do I see?
If you have had a flare up and are bleeding and in a lot of pain you need to book an on the day appointment (subject to availability) with a Clinical Pharmacist, Practice Paramedic or GP.

For ongoing advise and treatment book a routine appointment with a GP

Advice:

Further information about eczema available from NHS UK.

Fever Children 0-10 years old

Who do I see?

On the day appointment (subject to availability) with a Practice Paramedic or GP or call 111

A high temperature is 38C or more.

Call 999 or go to A&E

If the child has any of the following:

Flu Vaccine

Who do I see?
If eligible you will be invited to have your flu vaccination at the surgery with one trained HCA’s, Nurses, Clinical Pharmacists or Practice Paramedics.

Advice:

Please book an appointment with your GP.

Further information about flu vaccinations from NHS UK.

Forms, certificates and medicals

Who do I see?
GP for a routine medical appointment if required.

Advice:
A medical examination will be booked if necessary.

Completion of forms, 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 form is ready for collection.

Please note we do not sign passport forms.

General Advice

Who do I see?
Self-Care/111/Pharmacy

Advice:
Please visit the NHS UK information home pages. You can also telephone 111 for any non-urgent medical issues or you can search for your nearest community pharmacist.

Hay Fever

Who do I see?
Community Pharmacy/ Clinical Pharmacist.

Advice:
Hay fever medications are available from the chemist without needing to see your GP.

If your symptoms are severe and ongoing you may want to book an appointment to see the Clinical Pharmacist, Practice Paramedic or GP

Search for your nearest community pharmacist.

Further information about hay fever available from NHS UK.

Head Lice

Who do I see?
Our Clinical Pharmacist can advise on the correct treatment

Advice:
Further information about head lice available from NHS UK.

Holiday Cancellation Certificate

Who do I see?

As we are not trained in aviation medication we are not insured for this work so we are unable to recommend if patients are ‘Fit to Fly’

This tends to affect pregnant women. We no longer have access to patient pregnancy notes. If you require a letter please ask your midwife to help you with this.


Hospital Appointment/ Referral Queries

Who do I see?


If your doctor has completed a referral then please contact the relevant hospital to chase this referral.

If you have not been contacted regarding your referral by the hospital then you may wish to speak to one of our Secretaries to confirm it has been sent.

If the referral has been completed then please direct all further enquiries to the receiving organisation. If they fail to respond then please contact their PALS, Patient Advice and Liaison Service.

If your circumstances/problem has changed and worsened then book a telephone appointment with your GP to discuss.


Hyperventilation

Who do I see?
Practice Paramedic or GP

Let the reception staff know if you have any other medical conditions.

Advice:
Further information about hyperventilation available from NHS UK.

Infected Wounds

Who do I see?
Nurse, Clinical Pharmacist, Practice Paramedic or GP.

If you suspect an infection then you need to book an on the day appointment  (subject to availability).


Insomnia

Who do I see?
Self-Care.

Apps and websites such as Calm may help with poor sleep.

Mind and Rethink Mental Illness offer advice on how to improve your sleep.

The Sleep Charity can provide advice and support for those wanting to improve their sleep.


To discuss what medications can be taken to help your sleep make an appointment with one of our Clinical Pharmacists.

If your insomnia is severe then you may need to see a GP for a routine appointment to discuss.

Advice:

Further information about insomnia available from NHS UK.

Medical Reports

Who do I see?
Medical Secretaries

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 Request

Who do I see?
NHS Online Login For repeat prescriptions you can order via your NHS App.

Patient Access Patients are able to order repeat prescriptions directly through this site using the above link if you are already registered on Patient Access.

By Repeat Slip or on paper -You can send or take your repeats slip to the surgery that you would normally attend at least three working days before you require them.

If you require a repeat prescription our dispensary team or your nominated pharmacy can request the issue of your prescription.

  • Requests for repeat prescriptions at Brampton may be left by selecting the answerphone on 01480 454050.
  • Requests for repeat prescriptions at Alconbury may be left on our dispensary answerphone on 01480 891991.

Mental Health

Who do I see?

GP for a routine appointment or call 111, opt 2, First Response Service to discuss you mental health, or you can Self-Refer to CPFT

If you are having thoughts of self-harm the please request an on the day appointment (subject to availability) to see a GP or call 111, opt 2.

If you or someone else is in immediate danger call 999

If you are wishing to discuss medication, then you can book an appointment with one of our Clinical Pharmacists unless a GP has requested to see you.

Mental Health Support Services

There are helplines with specially trained volunteers who’ll listen to you, understand what you’re going through, and help you through the immediate crisis

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.

If you want to talk to someone

Text SHOUT to 85258 for crisis support via text message.

Lifeline offer confidential telephone support 0808 806 2121

Find out how to deal with a mental health crisis or emergency

Further information from NHS UK How to access mental health services

Nappy rash

Who do I see?
You can Self-care at home.

Use recommended nappy cream, change wet or dirty nappies as soon as possible, leave nappies off when possible, use fragrance and alcohol free wipes, bath baby daily.

If the rash is severe make an on the day appointment (subject to availability) to see a Clinical Pharmacist.

Advice:

Further information about nappy rash available from NHS UK.

Nosebleeds

Who do I see?
Most nosebleeds will stop on their own.

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,

You will need to see a Practice Paramedic or GP

  • a child under the age of 2.
  • have regular nosebleeds
  • you have symptoms of anaemia – such as a faster heartbeat (palpitations), shortness of breath and skin that is paler than normal for you
  • you have a nosebleed and you’re taking a medicine that helps prevent blood clots, such as warfarin
  • you have a nosebleed and you have a condition that means your blood cannot clot properly, such as haemophilia

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?

Routine appointment with a GP

Advice:
Further information about phobias available from NHS UK.

Pregnancy

Who do I see?

Midwife.

For newly pregnant patients, please follow this link to register for a Hinchingbrooke account: my pregnancy notes
Select ‘notify your hospital that you are pregnant’. Please register, even if you plan to give birth at a different hospital.
When registered, the midwife will call to arrange a longer initial booking appointment, as this takes around 1 hour.

Advice:

Further information about phobias available from NHS UK.

Removal of Stitches

Who do I see?
Practice Nurse or specially trained HCA.

Advice:
Our reception staff will need to know how many stitches or staples need to be removed so they can book the most appropriate appointment length.

Sick Note (Fit Note)

Who do I see?
Self certify first 7 days, then routine GP appointment

Advice:

If you have been discharged from hospital, your hospital team will issue any fit notes for the entire period of your recovery. Please contact the ward staff (even after discharge). Schools should not request a GP letter to confirm absence, this can be written by a parent or guardian.

A Fit note can be backdated if required, please discuss this when you see the GP. Please DO NOT request an emergency or urgent appointment for fit note.

Self – Certificate.
You can obtain this form from your employer or by visiting the HMRC website. If you are unwell for more than four days you are advised to arrange an appointment to see a Doctor to assess your fitness to work.

Private Certificates
If you or your employer require further information concerning your period(s) of illness , then your Doctor may require to issue you with a letter. Please note that a charge may apply for this service. Please check with our reception desk.

Skin Conditions

Who do I see?
A Clinical Pharmacist can see and treat most skin conditions and they will refer you to the GP if they feel they need to.

If the condition is more severe, ongoing such a severe eczema in children then book an appointment to see a GP

Advice:
Please search for your nearest community pharmacist.

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. Please search for your nearest opticians.

You can book a routine appointment with your Doctor.

Sore Throat

Who do I see?
For most sore throats you can Self-Care at home or visit your Community Pharmacy.

If you would like advice you can book to speak to a Clinical Pharmacist.

Book to speak to a GP, Clinical Pharmacist or Practice Paramedic the same day (subject to availability) if you have the following symptoms:

  • White spots on the tonsils
  • Fever
  • Swollen Glands
  • Severe symptoms for 24hr
  • Struggling to eat and drink
  • Feeling very unwell
  • More mild symptoms but has lasted more than 1 week
  • or if you take Carbimazole

For children 6 and under with the above symptoms or there is difficulty with breathing see a GP or attend A&E for treatment

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.

Further information on how to treat a sore throat yourself .

Stings

Who do I see?
Self-Care at home. You can buy anti-histamines from a pharmacy or supermarket.

If you have had a reaction to the sting or bite book to a Clinical Pharmacist, Practice Paramedic or GP.

If you have had a severe reaction and your symptoms have come on suddenly and your lips, throat, tongue or face swollen or you having difficulties breathing

Call 999 or attend A&E immediately.

Advice:

Further Information about Stings

Sunburn

Who do I see?
Most sunburn can be treated at home see Further information about sunburn available from NHS UK.

If you have the following symptoms call 111 or request an appointment with a Clinical Pharmacist, Practice Paramedic or GP.

  • skin is blistered or swollen,
  • have a high temperature
  • fell tired, dizzy or sick
  • headache and muscle cramps
  • baby or young child has sunburn

Tetanus Injection

Who do I see?
Practice Nurse

Advice:
You can either book an appointment with the appropriate healthcare professional or, alternatively please phone the surgery to arrange your appointment.

Further information about tetanus, available from NHS UK.

Thrush (Vaginal)

Who do I see?
Self-care, most cases of thrush can be treated by getting over the counter medication.

You will need a call from the Practice Paramedic or GP if you have the following:

  • Patient under 16 or over 60
  • Had thrush more then 4 times in 12 months
  • You have tried treatment but it has not worked
  • Pregnant or breastfeeding
  • Weakened Immune system

Advice:
You find information on the NHS help page.  

If you are sexually active, you can also visit your local Sexual Health Clinic.

Travel Vaccinations

Who do I see?
Practice Nurse

Advice:
Please contact the surgery to complete a travel form at least 8 weeks or more before travelling.

You will also need to book an appointment with the nurse 6 weeks before you travel.

NHS guide to Travel vaccinations

Vaginal Discharge

Who do I see?
Sexual Health Clinic iCash. You can book directly with the sexual health clinic.

If you wish to come to the Surgery you can book to see a GP.

Advice:

If you are sexually active, you can visit your local Sexual Health Clinic.

Further information about vaginal discharge available from NHS UK.

Vitamin B12 Injection

Who do I see?
Practice Nurse

Advice:
You can either book an appointment with the appropriate healthcare professional, or alternatively please phone the surgery to arrange your appointment.

Further information about Vitamin B12 or folate deficiency anaemia, available from NHS UK.

Warfarin Monitoring

Who do I see?
Referral required. You will be referred by the hospital Anticoagulation department for warfarin monitoring with one of our HCA’s

Advice:
If you are taking warfarin blood thinning tablets, we can refer you for this service.

You can book an appointment with your Doctor.

Further information about warfarin, available from NHS UK.

Varicose Veins

Who do I see?
Book a routine appointment with a GP

Advice:

MSI Reproductive Choices

Further information about Vasectomies, available from NHS UK.

Vasectomy

Who do I see?
Book a routine appointment with a GP

Advice:

MSI Reproductive Choices

Further information about Vasectomies, available from NHS UK.