We are pleased to be able to offer a variety of services alongside our regular GP and nursing teams. See A-Z topics below for how to access help for common medical problems including useful phone numbers and websites. Please have a look at the advice provided before contacting the practice as you may not require an appointment to get the help you need.
Please make use of the NHS website and local pharmacies for self care advice for treatment for minor illness and ailments before contacting the practice. To contact us for assistance you can:
Submit an E consult. You will receive a response by the end of the next working day (often the same day). Depending on the nature of the issue, you will be contacted by the same day triage team or given an appointment with your GP or another member of the team.
Book a routine GP appointment via reception. We encourage you to consult with your registered GP wherever possible for continuity of care.
If you have an urgent problem that requires same day attention, contact reception for the same day emergency triage line. Please be aware that only clinically urgent issues will be dealt with by the triage team and you may be redirected to a more suitable service or appointment type. The triage team consists of a GP and a team of Advanced Nurse Practitioners (ANPs). You will be asked to provide the reason for the same day appointment and be available to take a call back at any time. If you require a face to face appointment you will be expected to attend the same day.
For ongoing/longer term problems then please discuss with your registered GP in a routine appointment.
There are only a set number of emergency appointments each day so please do not abuse this service. For patient safety, once all the available appointments for the day have been taken, you will be re-directed to an alternative service such as NHS 111.
Abdominal Pain
Who Do I See?
Attend A+E if the pain is sudden and/or severe
Contact us for the same day triage team for new and urgent abdominal pain
Routine GP appointment for longer standing symptoms or ongoing concerns
Advice:
There are a variety of reasons for abdominal pain. The nature of the pain, the location and when it occurs help to give us an idea of what the cause may be. Blood tests and urine or stool samples may also be needed to help make the diagnosis.
The NHS website has more information about the different causes for abdominal pain. A pharmacist can help with common simple problems such as indigestion and constipation.
Stomach ache – NHS (www.nhs.uk)
For children:
Abdominal pain (tummy ache) :: Healthier Together (what0-18.nhs.uk)
Acne
Who Do I See?
Submit an E consult or arrange a routine GP appointment
Advice:
Acne is a common skin condition that causes black, white or red spots, most commonly on the face.
Most patients with acne are aged between 12 and 25 years but older people can also be affected. Men are more commonly affected than women. Acne usually affects the face but may also affect the back, neck and chest.
About 8 in 10 teenagers develop some degree of acne with 3 in 10 teenagers having acne severe enough to need treatment to prevent scarring. Untreated acne usually lasts about 4-5 years before settling by itself.
Treatment may include medicated creams or taking daily low dose antibiotics. Some simple products are available from the pharmacy without the need for prescription and are worth trying first for milder cases.
For more intensive treatments such as Roaccutane, a referral to a Dermatologist is required. This can only be offered once all other treatments have been trialled.
There is more information below.
ACR Test
Who do I see?
Advice:
ACR testing is an important part of diabetes care and checks the health of our kidneys. If you have been asked to provide an ACR test please drop this off to reception and ensure you have labelled your sample.
This needs to be an early morning urine sample, in a yellow specimen pot and be clearly labelled with your name, DOB, time and date of collection.
ADHD
Who do I see?
For school aged children, the school are best placed to advise and support and can make any referrals for assessment
For adults, book a routine GP appointment or access online resources
Advice:
For concerns about ADHD in your child:
If they are school age, please discuss any concerns directly with your child’s school first as they are best placed to provide additional support and can arrange any onward referrals for formal testing without GP input. The Hampshire CAMHS service provides the ADHD assessment service locally.
As a parent, you can also self refer in to this service without the need for a GP referral.
Attention Deficit Hyperactivity Disorder (ADHD) – CAMHS (hampshirecamhs.nhs.uk)
Please read the document ‘ADHD summary pathway’ before completing the referral form.
Should I make a referral? – CAMHS (hampshirecamhs.nhs.uk)
Support:
ADHD and Mental Health | Signs and Symptoms of ADHD | YoungMinds
Hampshire Specialist Parenting Support Service (HSPSS) (autism.org.uk)
Primary Behaviour Service (hants.gov.uk)
Primary Behaviour Service – Wellbeing Support Service (hants.gov.uk)
Hampshire and IOW Support for Neurodiverse Families | Barnardo’s (barnardos.org.uk)
Home – HYA (hampshireyouthaccess.org.uk)
Please see section Mental Health Support for Young People for more advice
For concerns over ADHD for adults:
If you would like to request an assessment for a ADHD diagnosis please first take a look at all the information below. If you are unsure or would like to discuss your concerns with a GP then please arrange a routine appointment.
If you simply wish to be referred without a prior discussion please let us know via reception or through an E consult.
With either option, please either undertake the questionnaire below or ask to be sent an ADHD questionnaire via SMS so that we can understand the severity of your symptoms and this forms an important part of your referral.
To obtain a diagnosis you will need to be referred to a specialist team for an assessment. The waiting time for this can be lengthy, our local provider (PHL) is detailed below.
The right to choose website scheme, website below, is an alternative option for some who are happy to travel further afield.
10852_elto_question_fhp2.PDF (sabp.nhs.uk)
For more info on ADHD and support services:
ADDISS (ADHD information services) or 020 8952 2800
Me_Myself_and_ADHD.pdf (sabp.nhs.uk)
AADD-UK | The site for and by adults with ADHD (aadduk.org)
Attention deficit hyperactivity disorder (ADHD) – NHS (www.nhs.uk)
ADHD in adults | Royal College of Psychiatrists (rcpsych.ac.uk)
ADHD and you | Attention deficit hyperactivity disorder
ADHD Coaching – Life Coach Directory (lifecoach-directory.org.uk)
(35) King’s College London: Neurobiology Animation – YouTube
(35) ADHD Explained in 3 Minutes – YouTube
These books are also recommended:
Delivered From Distraction – Getting The Most Out of Life With ADHD by John Ratey
Fast Minds: How to Thrive If You Have ADHD by Craig Surman
Anger
Who do I see?
Online Support Services
Talking Therapies
Advice:
Anger is a normal emotion that everyone experiences. We can feel angry for lots of different reasons and sometimes you may not know why you. Learning to identify and manage your anger in a safe way will help ensure you don’t hurt yourself, others or the things around you.
Tips for when you start to feel angry
- Talking to someone to help to put things in perspective
- Listening to music
- Taking slow, deep breaths
- Going for a walk
- Having a bath
- Try meditation or yoga
- Playing a high energy sport like football, cycling or running
- Playing a computer game
- Drawing, painting or writing in your diary to let out how you feel
It is impossible to never get angry. Remember that the way you act when you are angry can make what happens afterwards better or worse. Uncontrolled anger can be harmful, but you can learn to manage it.
Anxiety
Who do I see?
Self help available via online service e.g. iTALK / Mind
Andover PCN Primary Care Mental Health Team
Routine GP appointment or same day triage team if in crisis
Advice:
As part of our wider team we are lucky to have mental health practitioners from the Primary Care Mental Health Team and from the charity Mind working with us. You can book an appointment directly via reception (age 18+).
You can also self refer to iTALK and Mind for free support and counselling;
Call Mind on 0300 123 3393
italk, Hampshire’s NHS Talking Therapy Service
There is lots of help and support available online which you may like to take a look at before your appointment.
Anxiety – Every Mind Matters – NHS (www.nhs.uk)
Anxiety and panic attacks | Mind, the mental health charity – help for mental health problems
SilverCloud, free and easy to access online CBT (italk.org.uk)
Guided Meditation and Mindfulness – The Headspace App
moodgym – Interactive skills training for depression and anxiety
Calm – The #1 App for Meditation and Sleep
Speak to the GP for advice on medication.
Treatment – Generalised anxiety disorder in adults – NHS (www.nhs.uk)
For younger patients: see Mental Health Support for Young People section
Free Youth Counselling Services for Young People (stepbystep.org.uk)
Home – HYA (hampshireyouthaccess.org.uk)
Anxiety (worry) – CAMHS (hampshirecamhs.nhs.uk)
Self-Soothe Box – CAMHS (hampshirecamhs.nhs.uk)
Asthma
Who do I see?
Attend A&E for any concerns over an acute asthma attack
See the same day triage team for worsening asthma symptoms – acute cough, wheeze, shortness of breath
See the asthma nurse or specialist pharmacist for routine care
As part of routine asthma care, you will be invited for an annual review with the asthma nurse or specialist pharmacist in the month of your birth. If you are having issues with your inhalers or feel your asthma control is slipping then please make an appointment with the nurse via reception.
Advice:
Asthma UK run a helpline Monday to Friday 9am – 5pm
Alcohol Advice
Who do I see?
Inclusion Hampshire
Advice:
You can self refer to Inclusion Hampshire for support with drug and alcohol problems affecting you or a family member.
Please visit:
Alcohol.pdf (hampshirehospitals.nhs.uk)
Alcohol support – NHS (www.nhs.uk)
Alcoholics Anonymous Great Britain (alcoholics-anonymous.org.uk)
Speak to a GP routinely if you have concerns over any physical health symptoms related to excess alcohol intake.
Allergies
Who do I see?
999/A+E for any concerns over an anaphylactic allergic reaction
Community pharmacist or same day triage team for non anaphylactic allergic reactions
Routine GP appointment for recurrent/chronic reactions or concerns over specific allergies/allergy testing
Advice:
Anaphylaxis is a life-threatening allergic reaction that happens very quickly, usually within minutes of coming into contact with something you’re allergic to such as food, medicine or insect stings. Call 999 if you think you or someone else is having an anaphylactic reaction.
Anaphylaxis: Signs and Symptoms | Anaphylaxis UK | Anaphylaxis UK
There are many other different types of allergies, for example:
Hay fever
Asthma
Food allergies Food Allergy | Allergy UK | National Charity
Drug allergies
Cow’s milk allergies
Urticaria (an allergic rash, also known as nettle rash or hives) Urticaria and Other Skin Allergy | Allergy UK | National Charity
Types of Allergies | Allergy UK | National Charity
If you have an allergic reaction but do not have an anaphylactic reaction you may experience symptoms such as an itchy rash, urticaria/hives, skin irritation or swelling at the site. The main stay of treatment is anti histamines which can be obtained over the counter and are a handy thing to keep in your medicine cabinet. Steroid creams may also be recommended. A pharmacist can help with simple allergic reactions.
Andover PCN
Who do I see?
Advice:
Since the NHS was created in 1948, the population has grown and people are living longer. Many people are living with long term conditions such as diabetes and heart disease or suffer with mental health issues and may need to access their local health services more often.
To meet these needs, GP practices are working together with community, mental health, social care, pharmacy, hospital and voluntary services in their local areas in groups of practices known as primary care networks (PCNs).
PCNs build on existing primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care for people close to home. Clinicians describe this as a change from reactively providing appointments to proactively caring for the people and communities they serve.
Each of the 1,250 PCNs across England are based on GP registered patient lists, typically serving natural communities of between 30,000 to 50,000 people (with some flexibility). They are small enough to provide the personal care valued by both people and GPs, but large enough to have impact and economies of scale through better collaboration between GP practices and others in the local health and social care system.
Primary Care Networks Animation – YouTube
Andover Primary Care Network is a collaborative project involving the following GP Surgeries:
- Adelaide Medical Centre
- Andover Health Centre Medical Practice
- Charlton Hill Surgery
- Shepherds Spring Medical Centre
- St Mary’s Surgery
If you are a patient at one of these surgeries then you can benefit from the services provided by Andover Primary Care Network.
Check out their website for services they provide including: social prescribing, mental health support services, support for carers and veterans, cancer care and more. You can reach out to them directly or via the AMC team.
Athlete’s Foot
Who do I see?
Self Care / Community Pharmacy
Advice:
Athlete’s foot is a common skin infection caused by a fungus. Treatment with an antifungal cream usually works well and is available without the need for a prescription.
Athlete’s foot – NHS (www.nhs.uk)
Athlete’s Foot | Symptoms, Treatment and Medication | How to avoid | Patient
Atrial Fibrillation
Who do I see?
GP for diagnosis
Practice nurse for annual review
Advice:
Atrial fibrillation is a heart condition that causes an irregular and often abnormally fast heart rate. Some people say it feels like their heart is fluttering or racing (known as palpitations). It is the most common heart rhythm disturbance and affects 1.4 million people in the UK. It becomes more common as we get older and affects more men than women.
Atrial fibrillation might come and go (called paroxysmal atrial fibrillation), but often it will be permanent. It’s not life-threatening, but it is considered serious because it could create blood clots in the heart that may lead to a stroke.
You should see the GP for a formal diagnosis but you can also detect it by feeling your pulse at your wrist. A normal heart rate is regular and usually between 60 and 100 beats a minute when you’re resting. If you have AF, your pulse will have no set pattern and the beats might have different strengths.
You will need an ECG (heart tracing) to diagnosis it officially.
Treatment can be different depending on the individual situation. Most patients will be recommended to start blood thinning medication to reduce the risk of stroke. Warfarin used to be commonly used but now newer medications called ‘NOACs’ are advised.
Atrial fibrillation – NHS (www.nhs.uk)
Atrial fibrillation (AF) | British Heart Foundation (bhf.org.uk)
Audiology (Hearing Issues)
Who do I see?
Self Referral
Advice:
if you have hearing aids and are having a problem with them then you can access assistance via audiology directly. More information is available on their website or on 01962 824437.
If you are worried about hearing loss and not known to the audiology service then please obtain a hearing test on the high street in the first instance and any issues will be flagged up by the service.
If the hearing loss was of sudden onset in one ear or you have pain then please contact us for the same day triage team.
Audiology :: Hampshire Hospitals
Adult services :: Hampshire Hospitals
Hearing test – 3 minutes, free, online, easy and reliable | RNID
Book Online | Book an Appointment | Specsavers
Book a Free Hearing Test | Boots Hearingcare
Some providers will offer hearing tests at home:
Autism
Who Do I See?
Talk to school for concerns in children
Routine GP appointment for adults
Advice:
Autism is a lifelong developmental disability which affects how people communicate and interact with the world. One in 100 people are on the autism spectrum and there are around 700,000 autistic adults and children in the UK.
For concerns about autism in your child:
Please be aware that referrals cannot be made until the age of 2 and a half. First review the information on these two links below.
Is my school age child autistic? :: Healthier Together (what0-18.nhs.uk)
Signs of autism in children – NHS (www.nhs.uk)
If your child is school age, speak to their teacher initially about help with accessing further support. This webpage shows you the different pathways to diagnosis.
AH_Children_in_Hampshire.pdf (autismhampshire.org.uk)
If the concern is purely regarding suspected autism, your child will be referred to the assessment service called The Owl Centre.
The school are able to make this referral for you.
Autism (ASD) Assessment (for Children) – The Owl Centre (theowltherapycentre.co.uk)
If there are co-existing concerns regarding any mental health needs then the referral goes to ‘CAMHS’. This can be done via their website as a parent referral.
Autistic Spectrum Condition (ASC) – CAMHS (hampshirecamhs.nhs.uk)
There are a number of support services available:
Support, advice and services for children with autism – Child Autism UK – releasing potential
Our Community Hub | More Education
Autism Spectrum Disorder – Hampshire Hospitals NHS Foundation Trust (padlet.com)
Hampshire Specialist Parenting Support Service (HSPSS) (autism.org.uk)
National Autistic Society – Parent to Parent Service – BeyondAutism
Primary Behaviour Service (hants.gov.uk)
Primary Behaviour Service – Wellbeing Support Service (hants.gov.uk)
Hampshire and IOW Support for Neurodiverse Families | Barnardo’s (barnardos.org.uk)
For concerns about autism in adults:
The Hampshire Autism Service provides a well established model of diagnosis and support for adults with Autistic Spectrum Disorders. For a referral, please book to speak to the GP routinely, it is helpful to make a list of symptoms or examples of situations that you struggle with. If you are able to, please complete the AQ10 questionnaire via the link below and make a note of your score. A referral to a specialist will be needed to obtain a formal diagnosis.
Signs of autism in adults – NHS (www.nhs.uk)
AQ-10 Adult june 20th 2012.pptx (nice.org.uk)
Autism (ASD) Assessment (for Adults) – The Owl Centre (theowltherapycentre.co.uk)
Autism | Health and social care | Hampshire County Council (hants.gov.uk)
Autism Hampshire provides non-clinical pre and post diagnostic support including:
One-to-one individual support
Support will be based on your individual need and will be offered pre, during, and post diagnosis. It will consist of developing support plans, goal setting, and signposting.
Post diagnosis support
A post diagnosis follow-up meeting will be offered to allow you the opportunity to discuss your individual support plans. Autism Hampshire will use the diagnosis report and recommendations made by Surrey and Borders Partnership clinicians to discuss the implications of the diagnosis, and the support available.
Drop in sessions
Support, information and networking opportunities are available through regular drop in sessions.
An information line is available Monday to Friday, 9am to 5pm to offer advice, support and signposting. The number is 02380 766 162.
Back Pain
Who do I see?
You are able to book directly to see our First Contact Physiotherapy (FCP) service at the surgery OR self refer to the Physiotherapy service run by Southern Health
More information is available here:
NHS England » First contact physiotherapists
Physiotherapy form :: Southern Health NHS Foundation Trust
The FCP team are able to assess, diagnose and refer you on for further tests or to see a specialist if this is required.
For acutely worsening symptoms or advice on pain relief speak to the triage team.
Advice:
Home exercises are an important part of ongoing management and can be found online
Back pain | Causes, exercises, treatments | Versus Arthritis
Written information – STarT Back – (keele.ac.uk)
Back pain | The Chartered Society of Physiotherapy (csp.org.uk)
If you ever develop urinary incontinence, loss of sensation around your bottom or lose control of your bowels you must attend A+E immediately as your spinal cord may be compromised.
Bedwetting
Who do I see?
Health Visitor / School Nurse / ERIC website
Routine GP appointment if persisting problems
Advice:
Bedwetting is common and often runs in families. It can be upsetting, but most children and young people will grow out of it. Many children under the age of 5 wet the bed and it is considered to be normal until this age.
It can help to keep a diary and try to understand the pattern. Constipation can also cause bed wetting in younger children. It is recommended to encourage your child to empty their bladder during the day and before bed and avoid caffeine based drinks. It is important never to punish a child for bed wetting but to use positive reinforcement when things goes well.
For children over the age of 5 an ‘enuresis alarm’ is usually the first thing to try next. These cannot be prescribed on the NHS but can be bought online.
Helping your child stay dry | Pre-school | Health for Under 5s
Behavioural Concerns in Children
Who do I see?
Health Visitor / School Nurse / Parenting Support Service
Advice:
There is plenty of help and support available for children with behavioural difficulties but it can be hard to know how to access it. The health visiting and school nursing services are able to help with this along with the Hampshire Parenting Support Service.
Your Health Visiting Service – Hampshire | Health for Under5s
Hampshire Specialist Parenting Support Service | Barnardo’s (barnardos.org.uk)
Hampshire and IOW Support for Neurodiverse Families | Barnardo’s (barnardos.org.uk)
Hampshire Parent and Carer Network (hpcn.org.uk)
Primary Behaviour Service (hants.gov.uk)
Parenting and Family Support – Family Lives (Parentline Plus)
Successful kids, happier families | Online Parenting Programme | Triple P (triplep-parenting.uk.net)
Bereavement Support
Who do I see?
Online Support Services
GP if requiring further support
Advice:
Most people will experience bereavement/grief at some point. The loss of something important or death of someone important to us can be one of the most difficult and painful life events that we experience.
Grief affects everyone differently, but many people may find that they experience a mixture of:
- Shock or disbelief
- Numbness/emptiness
- Guilt
- Despair, depression and intense sadness
- Fear, anxiety and worry about what happens next
- Relief (particularly after a long illness)
- Anger
Our reactions to the loss of a loved one particularly in the first few days and weeks following are likely to be overwhelming and intense, but gradually over time these feelings usually start to reduce. If these feelings continue and are affecting your life, there are things you can try that may help at this difficult time.
Separate support is also available if you’re finding it hard to cope with stress, anxiety or depression.
Home – Cruse Bereavement Support
Coping with bereavement – Macmillan Cancer Support
Hope Again (specifically for young people)
Get help with grief after bereavement or loss – NHS (www.nhs.uk)
Sands | Stillbirth and neonatal death charity
Together, for every baby – Charity for Babies | Tommy’s (tommys.org)
Blocked ears (wax)
Who do I see?
Self Care / Community Pharmacy
Advice:
A pharmacist can help with earwax build-up
They might recommend chemical drops to dissolve the earwax or a bulb syringe device. The earwax should fall out on its own or dissolve after about a week.
Do not use drops or a bulb if you have a hole in your eardrum (a perforated eardrum)
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?
Monitor at home
Use the surgery ‘Health POD’ (ask at reception)
See HCA or Practice Nurse
Advice:
Blood pressure is recorded with 2 numbers. The systolic pressure (higher number) is the force at which your heart pumps blood around your body. The diastolic pressure (lower number) is the resistance to the blood flow in the blood vessels between heartbeats when blood is pumped around your heart.
They’re both measured in millimetres of mercury (mmHg).
As a general guide:
- high blood pressure (or hypertension) is considered to be from 140/90 or more if your reading was taken at a pharmacy, GP surgery or clinic (or an average of 135/85 if it was taken at home)
- if you’re over the age of 80, high blood pressure is considered to be from 150/90 or more if your reading was taken at a pharmacy, GP surgery or clinic (or an average of 145/85 if it was taken at home)
- The ideal blood pressure is usually considered to be between 90/60 and 120/80.
Keeping an eye on your blood pressure is a sensible thing to do. It is simple and easy to do at home if you have access to a home monitor or can be checked in our surgery health POD – no need for an appointment, just ask at reception.
Blood pressure checks can also be performed at most local pharmacies. If the results are high, a discussion with a pharmacist or a GP at the surgery would be needed for further assessment.
High blood pressure (hypertension) – NHS (www.nhs.uk)
If you already have a diagnosis of high blood pressure (hypertension) you will be invited for an annual review in the month of your birth to make sure things are well controlled.
We will want to know an up to date blood pressure reading and you will also usually require a blood test and a urine test (ACR). We will contact you when your review is due. If your blood pressure is above the target then you may be given lifestyle advice or changes to your treatment may be required.
Having a blood pressure monitor at home is a great way to keep an eye on things if you are in a position to be able to purchase one. We would recommend one that goes round your arm rather than your wrist.
If you have a home blood pressure monitor then you will be able to submit home readings for your review if you prefer. You can submit them here: Consult Online from Home – Adelaide Medical Centre (webgp.com)
Please do not drop/send in home readings unless you have been asked to do so for your review. If you are worried your blood pressure is high then please speak to reception to arrange an appointment.
Blood pressure monitors: All you need to know (bhf.org.uk)
How to check your blood pressure:
Sit in a chair comfortably upright with your arm supported on a table beside you, with both feet on the ground. Put the cuff on your upper arm (5cm above your elbow) resting on the table, the cuff should be roughly at the level of your heart. Press the on/start button on the BP monitor and take two readings at least 1 minute apart.
Take readings twice a day for a total of 7 days, please then return your readings (and the BP monitor if borrowed) to the surgery. We can provide you with a paper diary sheet to complete or send you a link to submit electronically.
Blood Tests
Who do I see?
Phlebotomist
Advice:
Blood tests are available at the surgery on a Wednesday and Saturday morning and can be booked via reception or online.
Blood tests are also available at Andover Hospital.
Phlebotomy (Blood Tests) :: Hampshire Hospitals
For children under 4 you will need to use Sophie’s Place at Winchester Hospital.
Sophie’s Place :: Hampshire Hospitals
Requests for blood tests MUST have been agreed by your doctor or other health care professional before booking your appointment.
If you have a long term / chronic condition requiring an annual blood test, you will be called for this in the month of your birth.
Blue Badge Forms
Who do I see?
Contact Hampshire County Council directly or apply online:
Blue Badge parking scheme | Hampshire County Council (hants.gov.uk)
Advice:
The Blue Badge Scheme is for people with severe mobility problems to allow them to park closer to where they need to go. The scheme is managed by local authorities who deal with applications and issue the badges.
GOV.UK has more details about the Blue Badge scheme, including information about applying for a Blue Badge.
Boils
Who do I see?
Community Pharmacy
Triage team
Advice:
A boil is a hard and painful lump that fills with pus. Most boils will go away on their own.
Speak to the GP if you keep getting them as you may require further tests to investigate the cause.
If you are worried about a significant infection then please speak to the triage team.
Bowel Cancer Screening Programme
Who do I see?
National Screening Programme
Advice:
Bowel cancer screening is offered every 2 years to men and women aged 60 to 74 via a home postal kit. People older than this can ask for a screening kit every 2 years by calling the free helpline on 0800 707 60 60.
You can also call this number if you have missed your test.
The NHS is starting to reduce the age range for bowel cancer screening from April 2021 meaning that screening in the future will start from the age of 50.
Bowel cancer screening – NHS (www.nhs.uk)
NHS bowel cancer screening: FIT kit instructions (English) – GOV.UK (www.gov.uk)
Breathlessness
Who do I see?
Attend A&E for sudden or severe symptoms
If an acute problem then speak to the same day triage team
Longer term problems can be discussed at a routine GP appointment
Advice:
Telephone 999 or 111 if symptoms are severe.
For less serious breathing issues such as COPD flare ups or chest infections speak to the triage GP or ANP.
There are numerous causes for longer lasting or chronic breathlessness. These can include problems with the heart and lungs so it is important to seek help. You will likely be asked to attend for a blood test and a chest XRAY.
Breast Pain (also known as Mastalgia)
Who do I see?
If you are female and aged 30+ with new breast pain and are not pregnant or breast feeding, you can self refer to the ‘Breast Symptoms Service’ by calling 0300 123 0769 Monday to Friday between 9-4pm (there is a voicemail to leave a message outside of these times). You will be assessed by one of their specialist team and further tests offered if required.
If you do not fall into this group please send an E consult or speak to reception for a routine GP appointment.
Advice:
Breast pain is common and thankfully on its own, is not usually a sign of breast cancer. Pains can be cyclical or non cyclical but are often hormonal driven. There are many things you can try to help (see below) but speak to the Breast Service if it is not settling down or there any other concerns.
Breast pain – NHS (www.nhs.uk)
bcc71_breast_pain_2018.pdf (breastcancernow.org)
Breast pain: Causes, types and treatments | Breast Cancer Now
Breast Lump
Who do I see?
If you are female and aged 30+ with a new breast lump and are not pregnant or breast feeding, you can self refer to the ‘Breast Symptoms Service’ by calling 0300 123 0769 Monday to Friday between 9-4pm (there is a voicemail to leave a message outside of these times). You will be assessed by one of their specialist team and further tests offered if required.
If you do not fall into this group, please send an E consult or speak to reception for a routine GP appointment.
Advice:
Breast lumps – NHS (www.nhs.uk)
Breast Lumps: Causes and What To Do | Patient
Self examination:
Breast self-examination, or regularly checking your breasts on your own can be an important way to find breast cancer early, when it’s more likely to be treated successfully. Although no single test can detect all breast cancers early, many people report that performing a breast self-exam in combination with other screening methods can increase the odds of early detection.
How should I check my breasts? – NHS (www.nhs.uk)
CoppaFeel! | Check Your Chest | Breast Cancer Awareness
Breastfeeding Advice
Who do I see?
Health Visitor
For concerns over mastitis speak to the same day triage team
Advice:
There is a wealth of information and support online.
All about breastfeeding | Baby | Health for Under 5s
Breastfeeding help and support – NHS (www.nhs.uk)
National Breastfeeding Helpline – Helpline
Finding Support – The Breastfeeding Network
The breastfeeding network also produces helpful guides on whether medications are safe to use whilst breastfeeding.
Drugs Factsheets – The Breastfeeding Network
NCT Andover Breastfeeding drop in runs on Fridays 10-11.30am at St Mary’s church, email [email protected] or Andover NCT on Facebook
Breast Cancer Screening
Who do I see?
Breast Screening Service
Advice:
Female patients aged between 50 and 71 will be invited for breast screening every 3 years. If you think you have been missed or you are over 71 you can request breast screening by contacting the service directly.
The number is 01962 824841.
When you’ll be invited for breast screening and who should go – NHS (www.nhs.uk)
Your_breast_screening_appointment_EASY_READ.pdf (hampshirehospitals.nhs.uk)
Checking your breasts at home for any changes should be undertaken regularly. There is lots of advice online about how to perform this.
How should I check my breasts? – NHS (www.nhs.uk)
Breast cancer – signs and symptoms | NHS – Bing video
Breast Cancer UK | Prevention Hub (breastcancerprevention.org.uk)
Bruised Ribs
Who do I see?
Community Pharmacist / Minor Injuries Unit
Advice:
Broken or bruised ribs are usually caused by a fall, a blow to the chest or severe coughing. Ribs cannot be easily splinted or supported like other bones, so they’re usually left to heal naturally. Having an XRAY for a broken rib is not routinely recommended unless there are other complications.
B12 Deficiency
Who do I see?
Routine GP appointment
HCA or Practice Nurse For Injection
Advice:
Vitamin B12 is an essential part of making new cells in the body, such as new red blood cells which are made every day. Vitamin B12 is found in meat, fish, eggs and milk and a normal balanced diet usually contains enough vitamin B12. A lack of vitamin B12 can lead to anaemia and a number of other problems.
Causes can include poor dietary intake (mostly seen with vegan diets), certain medications and a condition called pernicious anaemia.
Symptoms of B12 deficiency can included tiredness, a sore mouth and tongue and pins and needles. Some patients with low B12 do not have any symptoms.
A deficiency can be detected by a simple blood test. You will also be checked for anaemia at the same time. Depending on your levels you may be recommended B12 injections or tablets and follow up testing will be required.
Vitamin B12 Deficiency and Pernicious Anaemia | Patient
Vitamin-B12-deficiency-Patient-factsheet-January-2021.pdf (westsuffolkccg.nhs.uk)
Vitamin B12 – Consumer (nih.gov)
Vitamins and minerals – B vitamins and folic acid – NHS (www.nhs.uk)
Burns
Who do I see?
Minor Injuries Unit / A+E
Advice:
If the burn is severe or deep, caused by a chemical or electrical burn or the burn is larger than the patient’s hand please attend A+E right away.
Andover Minor Injuries Unit can assist with minor burns. To arrange an appointment please call 111
Andover Minor Injuries Clinic :: Hampshire Hospitals
If you require ongoing dressing of a wound / care of your burn please book an appointment with the Practice Nurse.
Cancer (diagnosis, support and treatment)
Who do I see?
Arrange a GP appointment (via reception on E consult) to discuss any new or concerning symptoms
Discuss your treatment or future plans with your cancer nurse specialist or consultant team
Access support in the community or online
Advice:
If you have been referred on a fast track (also called a ‘2 week wait’) then please see below:
A fast track referral happens when your GP has concerns that your symptoms might suggest cancer. They make a referral to the hospital and an appointment to see a specialist is arranged within two weeks. It is important to remember that 9 out of 10 people referred will not have cancer.
Fast track referrals – Cancer Matters Wessex
Cancer Screening Services:
Supporting Early Cancer Diagnosis – Andover Primary Care Network (andoverpcn.co.uk)
PSA test | Macmillan Cancer Support
Breast screening (mammogram) – NHS (www.nhs.uk)
Cervical screening – NHS (www.nhs.uk)
Cancer Support Services:
Welcome to Cancer Matters Wessex – Cancer Matters Wessex
Cancer Information And Support | Macmillan Cancer Support
Coping with cancer | Cancer Research UK
Wellbeing and Supportive Care :: Hampshire Hospitals
Cancer – Andover Primary Care Network (andoverpcn.co.uk)
Wessex Cancer Trust run a drop in service at the Health Hub in the Chantry Centre, Tuesdays 10am-1pm or contact on 023 8067 2200 or [email protected]
Can My Child Go To School?
Who do I see?
Online Advice (see below)
Advice:
Individual schools and nurseries may have their own policies but we follow the NHS advice as below.
Do I need to keep my child off school A4 Draft 3 (hscni.net)
Should your child go to school/nursery today? :: Healthier Together (what0-18.nhs.uk)
Carers Support
Who do I see?
Online support
Andover PCN Carers Support service / Social Prescribing service
Advice:
Register as a Carer – Adelaide Medical Centre
Andover PCN run a Carer Support Clinic once a month in their offices in the Chantry Centre
Carers and Young Carers – Andover Primary Care Network (andoverpcn.co.uk)
Social Prescribing – Andover Primary Care Network (andoverpcn.co.uk)
Support and benefits for carers – Social care and support guide – NHS (www.nhs.uk)
Where to find support for carers – Mind
Carers: help and support – Citizens Advice
The Princess Royal Trust for Carers Hampshire | Homepage (carercentre.com) or call 01264 835246
Andover Mind have a launched a peer support group for carers aged 16-25yrs, taking place on the 2nd Saturday of every month at their Wellbeing Centre on Westbrook Close at 1.30pm for an hour. You can drop in or call 01264 332 297 or email [email protected]
For those who think they may need to set up social care for a relative/loved one:
The Care Needs Assessment Explained | Age UK
Social care and health | Health and social care | Hampshire County Council (hants.gov.uk)
Adult social care | Health and social care | Hampshire County Council (hants.gov.uk)
Carers’ assessments | Family Information and Services Hub (hants.gov.uk)
Carer’s assessment | Health and social care | Hampshire County Council (hants.gov.uk) or call 0300 555 1386
Arrange a break from caring | Health and social care | Hampshire County Council (hants.gov.uk)
Emergency planning for carers – call 0845 604 1577 for the free service, up to 48hrs free care may be available in the event of an emergency (run by The Princess Royal Trust)
Cervical Smear
Who do I see?
Practice Nurse
Advice:
Once you are invited, please book an appointment with the nurse on a day that you are not bleeding or on your period.
Cervical screening is very important and helps to pick up any potential problems at an early stage so please make sure you come along for your appointment when you are called.
Smears are not able to offered unless you have an appointment letter or are overdue your test.
Cervical screening – NHS (www.nhs.uk)
Cervical screening (smear test) | Jo’s Cervical Cancer Trust (jostrust.org.uk)
Chest Pain
Who do I see?
Call 999 / attend A&E for severe symptoms or with any symptoms that may suggest a heart attack
Triage team
Routine GP appointment
Advice:
Telephone 999 or 111 if symptoms are severe.
Symptoms of a heart attack can include sudden central chest pain, pain in the left arm, jaw and neck, nausea, anxiety, breathlessness and sweating.
If the chest pain is not severe, does not have the above features and is persisting please speak to the triage GP or ANP. If your pain is long standing please make a routine GP appointment.
There are numerous other causes for chest pains including indigestion, costochondritis, chest infections, muscular pains and more. The location, duration and nature of the pain can help us to determine the cause.
Cellulitis
Who do I see?
Same day triage team
Advice:
Cellulitis is a skin infection that’s treated with antibiotics. It makes your skin painful, hot and swollen. The area usually looks red, but this may be less obvious on brown or black skin. It can be serious if it’s not treated quickly.
For concerns about cellulitis please speak to the triage team.
Chest Infections
Who do I see?
Self Care / Community Pharmacy
Triage team if persisting or you have underlying health problems
Advice:
Chest infections often follow colds or flu. It is not uncommon for a cough to last for 3 – 4 weeks.
Chest infections can be viral or bacterial, antibiotics are not helpful for viral chest infections and will therefore not always be recommended at your appointment.
Child Development Concerns
Who do I see?
Health Visitor
Advice:
Health visitors are qualified nurses or midwives who have undergone further specialist training. They can support with a variety of issues from birth up to 5 years of age. If you are worried about your child’s development they are the best people to speak to initially.
Your Health Visiting Service – Hampshire | Health for Under5s
Coils or Implants
Who do I see?
Practice Nurse or Sexual Health Clinic
Advice:
For new or replacement coils and implants you can book an appointment with the practice, with the Mid Hampshire Healthcare GP Hub service via reception or use Andover Sexual Health Clinic.
Home | Sexual Health, hampshire, portsmouth, southampton (letstalkaboutit.nhs.uk)
Colds
Who do I see?
Self Care / Community Pharmacy
Antibiotics are NOT needed for the common cold, as colds are caused by a virus.
A pharmacist will be able to help with cold and flu remedies.
Common cold – NHS (www.nhs.uk)
Colds, coughs and ear infections in children – NHS (www.nhs.uk)
Cows Milk Protein Allergy
Who do I see?
Health Visitor
Routine GP appointment
Advice:
Allergy to milk is the commonest food allergy in infants and young children and affects about 1 in 50 children. It usually starts when infants are first given cow’s milk or milk products (eg formula milk or a weaning food containing milk). About 20% of infants outgrow milk allergy by 1 year, and nearly all by 3 years.
Symptoms to look out for include rashes, diarrhoea, vomiting and failure to gain weight.
Cow’s Milk Allergy | Allergy UK | National Charity
What should I do if I think my baby is allergic or intolerant to cows’ milk? – NHS (www.nhs.uk)
Conjunctivitis
Who do I see?
Self Care / Community Pharmacy
Minor Eye Conditions Service if persistent
Same day triage team if patient under <28 days old
Advice:
Conjunctivitis is common and usually will resolve without any treatment. The pharmacist can help advise and provide antibiotic drops if needed for anyone over the age of 2.
If your symptoms are not settling down or you need further assistance contact the Minor Eye Conditions Service for an assessment.
Adults: Conjunctivitis – NHS (www.nhs.uk)
Children: Conjunctivitis :: Healthier Together (what0-18.nhs.uk)
Minor Eye Conditions Service (MECS) covers minor eye problems (primaryeyecare.co.uk)
Colonoscopy
Who do I see?
Hospital Team
Advice:
Having a colonoscopy can be a daunting experience but is usually very straightforward and takes around 30 – 45 minutes. You can usually go home the same morning or afternoon.
Colonoscopy – What happens on the day – NHS (www.nhs.uk)
Having_a_colonoscopy.pdf (hampshirehospitals.nhs.uk)
Information about the different types of bowel preparation medication is available under the Endoscopy section of the HHFT website.
Constipation
Who do I see?
Self Care / Community Pharmacy
Same day triage team if associated with abdominal pain or bloating
Routine GP appointment if longer term problem
Advice:
Constipation is common and can be caused by a variety of reasons including diet, dehydration and some medications. A pharmacist can help and laxative medication can be obtained over the counter. If your symptoms are progressive or not resolved with simple measures then speak to the triage team.
Constipation – NHS (www.nhs.uk)
Constipation is also common in children, especially aged 2-3, the ERIC website has lots of information and a helpline on 0808 169 9949 for more advice. Keeping well hydrated is important.
Contraception and Family Planning
Who do I see?
GP / Practice Nurse
Advice:
Please book to speak to the GP for an initial assessment. Have a look at the links below so you are aware of your options.
If you are taking the contraceptive pill you will need an annual review with the practice nurse.
Please ensure your cervical smear test is up-to-date.
Your guide to contraception – Sexwise
Your contraception guide – NHS (www.nhs.uk)
Contraception Methods | Birth Control Options | Patient
Contraception information, tools and advice | SH:24 (sh24.org.uk)
Cystitis
Who do I see?
Community Pharmacy
Same day triage team
Advice:
A pharmacist can often help with simple or mild cases of cystitis.
If you need further assistance please speak to the triage team. Please be aware you are likely to be asked to provide a urine sample. Specimen pots are available at the front of reception.
Chronic Heart Disease
Who do I see?
Practice Nurse
Advice:
Annual clinic appointments will be sent to all CHD patients, this will usually be in the month of your birth. Please ask for an earlier appointment if you are worried.
We will contact you when your review is due, if you think you are overdue or have been missed then please phone the surgery to arrange your appointment.
Chronic Kidney Disease
Who do I see?
Practice Nurse
Advice:
Chronic kidney disease (CKD) is a long-term condition where the kidneys don’t work as well as they should. It’s a common condition often associated with getting older and often doesn’t cause any symptoms. Around 10% of people in the UK have CKD, rising to 20% of people over 80.
Chronic kidney disease is usually caused by other conditions that put a strain on the kidneys such as diabetes, high blood pressure, high cholesterol and long term use of anti inflammatory medications such as Ibuprofen.
There are different stages of CKD, from stage 1 to stage 5. the stage is determined by the results of a blood and urine test. Those patients who reach stage 4 or who have a rapidly progressive decline in their kidney function will need a referral to a specialist. Patients with stage 1-3 CKD can be monitored routinely at the surgery and you will be invited for an annual review.
Chronic Pain
Who do I see?
Routine GP Appointment
Online Support Services
Advice:
If you have been struggling with pain for more than 12 weeks, there are many support services that can help with chronic pain. Long-term or chronic pain has many causes, such as arthritis, back problems, an old injury, illness or nerve damage amongst others.
How to get NHS help for your pain – NHS (www.nhs.uk)
Ways to manage chronic pain – NHS (www.nhs.uk)
People living with Pain | British Pain Society
Pain Concern |Pain Concern | Bringing the pain community together
Chronic pain self-help guide | NHS inform
Chronic Pain Support Groups in the UK | To Better Days
English Home (retrainpain.org)
For Patients and Relatives | Faculty of Pain Medicine (fpm.ac.uk)
There is a chronic pain service run by HHFT that you can be referred too if eligible.
Cold Sores
Cough
Who do I see?
Community Pharmacy
Triage team if persists for more than 3 weeks
Advice:
Coughs can be caused by a number of reasons including chest infections, acid reflux, smoking, post nasal drip and asthma / COPD.
A cough will usually clear up on its own within 3 to 4 weeks. A pharmacist can help with treatments for cough.
Further information how to treat your cough from NHS UK.
Dementia / Memory Problems
Who do I see?
Concerns can be discussed in a routine GP appointment – you will usually be asked to see the nurse first for a formal memory test
Advice:
Memory problems do not necessarily mean you have dementia. These problems can have other causes, such as depression and anxiety, delirium, an underactive thyroid and side effects of some medications.
To help rule out other causes of memory problems, the GP will organise further investigation with a blood test and urine test. You will also be asked to do a memory test. If you meet the threshold you would then be referred to the ‘Memory Clinic’.
How to get a dementia diagnosis – NHS (www.nhs.uk)
Why is it important to get dementia diagnosed? | Alzheimer’s Society (alzheimers.org.uk)
Dementia Support
Who do I see?
Online Resources / Dementia UK advice line
Andover Mind Dementia Advice Service
Advice:
Lots of advice and support is available online and in person to help your loved ones with dementia. See also Carers section if relevant.
Carer Support & Dementia Advice for Hampshire – Andover Mind
The Dementia Advice and Support Service from Andover Mind can offer specialist advice and support for patients and carers as well as home visits for assessments and welfare checks. They also have a carer support pathway and can assist with issues such as respite, care planning and support with benefits.
Admiral Nurses are specialist dementia nurses. They are continually supported and developed by the Dementia UK charity, they provide life-changing support for families affected by all forms of dementia.
As dementia specialists, Admiral Nurses help families manage complex needs, considering the person living with dementia and the people around them. When people are struggling, our nurses help them take back control. When friends and family are worried about a loved one, they give them the confidence to manage their future with dementia.
Admiral Nurses help people living with dementia stay independent for longer – and support the people caring for them so that they will have the strength to cope with the bad days, and the energy to enjoy the good days. They run a helpine and can be reached on 0800 888 6678.
What is dementia? | Alzheimer’s Society (alzheimers.org.uk)
872 The dementia guide: Living well after your diagnosis (alzheimers.org.uk)
Eating_and_drinking_in_dementia.pdf (hampshirehospitals.nhs.uk)
What is an Admiral Nurse and how can they help? – Dementia UK
Role_of_the_admiral_nurses_and_dementia_team.pdf (hampshirehospitals.nhs.uk)
Get support | Alzheimer’s Society (alzheimers.org.uk)
Specialist support to families facing dementia | Dementia UK
Looking after someone with dementia – NHS (www.nhs.uk)
Reminiscence for people with dementia – SCIE
The Princess Royal Trust for Carers Hampshire | Emergency Planning (carercentre.com)
Respite/Care Info:
Support for Carers – Paying for Respite Breaks | Carers Trust
The Care Needs Assessment Explained | Age UK
Arrange a break from caring | Health and social care | Hampshire County Council (hants.gov.uk)
Depot Injection (Contraception)
Who do I see?
Practice Nurse
Advice:
Please speak to the GP for an initial assessment when first starting and then see the nurse for your follow up injections which take place every 3 months.
Please ensure your cervical smear test is up-to-date.
Further information about the contraceptive injection from NHS UK
Diabetes Monitoring
Who do I see?
Diabetic Nurse
Advice:
We will call you for your annual diabetic review in the month of your birth. You will need to have a blood test and a urine test (ACR test) prior to this appointment.
Further information about diabetes from NHS UK.
For retinal screening information and appointments please see below.
Winchester and Basingstoke Hospitals both have a specialist service for patients already under their care.
Diabetes patients resources :: Hampshire Hospitals
There are also numerous support groups available for patients with diabetes.
Diet / Lifestyle Changes
Who do I see?
Health Care Assistant or Practice Nurse
Advice:
Our nursing team can help with dietary and lifestyle advice. Further information is available online.
BMI calculator | Check your BMI – NHS | Please fill in your details (www.nhs.uk)
Domestic Violence Support
Who do I see?
Online Resources
Andover PCN Social Prescribing Service
Advice:
Domestic violence/abuse can be defined as an incident or pattern of incidents of controlling, coercive, threatening, degrading and violent behaviour, including sexual violence.
All forms of domestic abuse are not acceptable in any situation. If you’re experiencing domestic abuse and feel frightened of, or controlled by, a partner, an ex-partner or family member, it’s important to remember that it’s not your fault and there is no shame in seeking help.It may seem like a difficult step to take, but there is support available, you are not alone.
Free, confidential support and advice is available to victims and their concerned family members or friends, 24 hours a day.
If you are in danger please call 999 in an emergency or alert the Police routinely on 101 if more appropriate.
Domestic abuse: how to get help – GOV.UK (www.gov.uk)
Home | Refuge National Domestic Abuse Helpline (nationaldahelpline.org.uk)
Domestic Abuse Helpline for Men | Men’s Advice Line UK (mensadviceline.org.uk)
I need help – information and support on domestic abuse (womensaid.org.uk)
PARAGON – Domestic abuse – sexual abuse – stalking – counselling (paragonteam.org.uk)
The Freedom Programme. Learn about domestic violence and abuse
National Domestic Abuse Helpline 0808 2000 247
Help For Domestic Abuse Victims | Respect Phoneline UK
Help For Domestic Abuse Perpetrators | Respect Phoneline UK
Galop – the LGBT+ anti-abuse charity
The Survivors Trust (survivors of sexual violence and abuse) 0786 0022 956
Driving
Who do I see?
DVLA Website
Online Support Services
Advice:
Common queries we are approached about are stopping driving when getting older and the impact of certain health conditions on the ability to drive.
There’s no set age when a person must legally stop driving. You can continue to drive into your later years as long as you do so safely and don’t have any medical conditions that affect driving.
However, you’re required to renew your licence when you turn 70, and every 3 years after that.
Mobility centres have been set up to offer information and advice about mobility and driving. They also have trained staff who can assess someone’s driving and look at what could help them stay driving for longer. The aim of these assessments is to help older drivers continue driving for as long as they can do so safely.
If you’re seriously concerned about an older person’s driving, but they’re refusing to consider alternative options, you should write in confidence to the DVLA who may then follow up with the local police.
Southampton – Driving Mobility
How to keep driving after 70 | Age UK
Worried about someone’s driving? | Elderly drivers | Age UK
You need to tell the DVLA about some medical conditions as they can affect your driving/safety. You can be fined up to £1,000 if you do not tell DVLA about a medical condition that affects your driving.
If you have a car or motorcycle licence, you can check online if your condition needs to be reported.
You’ll then be told how to report your condition – this will either be in the online service or by printing off and sending a paper form.
Notable conditions include diabetes, strokes, epilepsy and the insertion of pacemakers.
Reapply for a driving licence following a medical condition: How to reapply – GOV.UK (www.gov.uk)
Apply for or renew a Blue Badge – GOV.UK (www.gov.uk)
Get free vehicle tax if you’re a driver with a disability – GOV.UK (www.gov.uk)
Dressings
Who do I see?
Practice Nurse or Health Care Assistant
Advice:
Please phone the surgery to arrange your appointment if you require a dressing.
Drug Addiction
Who do I see?
Talk to Frank / Inclusion Hampshire
Advice:
For help and support with drug addiction for yourself or a family member, take a look at the websites below. You can self refer without speaking the to the GP.
Honest information about drugs | FRANK (talktofrank.com)
Phone: 0300 1236600 for assistance.
Hampshire 24/7 | Catch22 (catch-22.org.uk)
Catch 22 is for patients under the age of 25 only. 24/7 help line for young people (0800 599 9591)
Dental Problems
Who do I see?
Dentist
Advice:
Please book an appointment with your dentist or find a dentist near you:
Find a dentist – NHS (www.nhs.uk)
NHS 111 can advise on an emergency dentist if needed or use The Hampshire Dental Helpline Telephone Number: 0845 050 8345 – 8am to 9.30pm every day
Please note: our team are not qualified or insured to be able to help with dental problems and you will be re directed by the reception team. Dental problems should always be seen by the dentist. This includes pain relief requests and antibiotic prescriptions, your dentist is able to prescribe for you.
Sometimes we are asked to advise on medications for dental problems or ahead of dental procedures. As above, this should be all be dealt with by the dentist. They can access the SDCEP guidelines which are available here:
Published guidance | Scottish Dental Clinical Effectiveness (sdcep.org.uk)
The Special Care Dental Service provides dental care for children and adults who have special needs, including those with; learning disabilities, severe mental health problems, behavioural / management problems, child protection issues or looked after children, medical special needs, severe physical disabilities, autistic spectrum disorders, and dementia.
Family Information and Services Hub | The Special Care Dental Service (hants.gov.uk)
Delaying Periods
Who do I see?
Submit an E consult request
Advice:
There are a number of ways to delay your period if needed.
How can I delay my period? – NHS (www.nhs.uk)
A hormonal medication called Norethisterone can be used if it is safe for you to do so. The dose is one tablet three times a day. You start three days before your period is due. It can be continued until you want to have a period and then your period will then normally begin 2-3 days after stopping. Norethisterone should be taken for no longer than 20 days. This is only for use on an occasional basis rather than something that can be taken regularly.
Side effects can include nausea (feeling sick), breast tenderness, tiredness, bloating, reduced sex drive or headache.
Norethisterone when taken in the manner needed for period delay will not act as a contraception and you should therefore ensure alternative suitable contraception is used. This medication will not be suitable for you if you have had a previous blood clot, have a family history of blood clots, are over 35, have a BMI over 30, have liver problems or are a smoker.
If you cannot use Norethisterone you may be able to take an alternative tablet called Medroxyprogesterone instead. Although this is not licensed, it is commonly used for this reason and has a lower risk of blood clots.
Usually to delay your period a 10 mg tablet is taken two or three times a day. The course length depends on the number of days you wish to delay your period. Side effects include nausea, dizziness, headache and fluid retention.
With all medications there is a risk of side effects. With Norethisterone, there is an increased risk of blood clots. You should only use this medication to delay your period if you are happy to accept this potential risk. Please remember to stay hydrated and keep mobile on long haul flights to help reduce this risk.
Depression
Who do I see?
Self help online resources such as iTALK / Mind
Andover PCN Primary Care Mental Health Team (18+)
Same day triage team if in crisis
Routine GP appointment
Advice:
As part of our team we are lucky to have mental health practitioners from the primary care mental health team working with us. You can book an appointment via reception.
You can also self refer to iTALK and Mind for free support and counselling;
Call Mind on 0300 123 3393
About depression | Mind, the mental health charity – help for mental health problems
italk, Hampshire’s NHS Talking Therapy Service
There is lots of support online which you might like to take a look at before your appointment.
SilverCloud, free and easy to access online CBT (italk.org.uk)
How to cope with depression – NHS (www.nhs.uk)
moodgym – Interactive skills training for depression and anxiety
For urgent help out of hours or if you find yourself in crisis you can contact the Samaritans on 116 123 for 24-hour confidential, emotional support. You can text SHOUT to 85258 or you can use NHS 111 who have a mental health service. Please see Mental Health Crisis and Suicidal Thoughts sections of this webpage.
To discuss medication for depression, please speak to the GP.
Overview – SSRI antidepressants – NHS (www.nhs.uk)
Depression in Older Adults:
Depression in older adults | Royal College of Psychiatrists (rcpsych.ac.uk)
Depressions & Anxiety: Symptoms & Illnesses | Age UK
Depression in Younger People: (see also Mental Health Support for Young People section)
All the local schools should be offering a young person’s mental health/support and wellbeing service, please contact the school directly.
Home – HYA (hampshireyouthaccess.org.uk)
Be You: mental health support for 11-17 year olds – Andover Mind
YoungMinds | Mental Health Charity For Children And Young People | YoungMinds
Diarrhoea
Who do I see?
Community Pharmacist
Triage team if persisting
Advice:
Diarrhoea is passing looser or more frequent stools than is normal for you.
It affects most people from time to time and is usually nothing to worry about.
Most cases of diarrhoea clear up after a few days without treatment, and if so, you do not need to seek medical advice.
However, diarrhoea can lead to dehydration so you should drink plenty of fluids – small, frequent sips of water – until it passes. It’s very important that babies, small children and elderly patients do not become dehydrated.
If your symptoms are persistent then please call to speak to the GP.
Further information about diarrhoea and vomiting from NHS UK.
Self-help guide: Diarrhoea | NHS inform
For children:
Diarrhoea and vomiting :: Healthier Together (what0-18.nhs.uk)
Dizziness
Who do I see?
Triage ANP / GP if acute episode
Routine GP appointment if persistent problem
Advice:
Dizziness includes feeling: off-balance, giddy, lightheaded or faint, like you or things around you are spinning (vertigo).
There are lots of reasons to feel dizzy, speak to a GP if it is not settling down or you are worried.
Dyslexia
Who do I see?
School / Dyslexia Association
Advice:
Dyslexia is a common learning difficulty that can cause problems with reading, writing and spelling.
It’s a specific learning difficulty, which means it causes problems with certain abilities used for learning, such as reading and writing.
Unlike a learning disability, intelligence isn’t affected.
It’s estimated up to 1 in every 10 people in the UK has some degree of dyslexia.
If you are concerned about your child then speak to their teacher or SENCO. For adults you will need to arrange a private assessment.
Assessments – British Dyslexia Association (bdadyslexia.org.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 for the DWP.
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 regret we are unable to provide additional letters of support as the information we provide will 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 wish to have a copy of your medical records, please contact the practice who will advise accordingly. There is no charge for this.
We have provided some useful contacts shown below to help you:
Our social prescribing team may be able to help.
Social Prescribing (andoverpcn.co.uk)
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. Centre: Action 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.
Ear Care / Ear Wax
Who do I see?
Community Pharmacy
Practice Nurse or HCA (Health Care Assistant)
Private Providers
Advice:
Ear wax is a normal body secretion, providing protection against infection and dust particles.
The ear is self-cleaning, and wax works its way out naturally.
Never use cotton wool buds to clean inside your ears, they irritate the delicate skin inside the ear canal, also pushes wax back into the ear compacting it.
A pharmacist can help with products to treat ear wax build up.
Earwax build-up – NHS (www.nhs.uk)
Ear irrigation is available through the Mid Hampshire Hub service which operates out of our practice building.
Speak to reception for an appointment. You must use ear drops for the week before this appointment to soften the wax.
Ear Irrigation – What You Need To Know | Lambton Road Medical Practice
There are also a number of high street private providers who can help with wax removal.
Earwax Removal | Specsavers UK
Ear Wax Removal | Boots Hearingcare
For concerns over gradual onset hearing loss please arrange a hearing test initially via Specsavers/Boots/other local providers.
Find your nearest store | Specsavers
Book a Free Hearing Test | Boots Hearingcare
For hearing tests at home:
Eating Disorders
Who do I see?
GP
Advice:
An eating disorder is a mental health condition where you use the control of food to cope with feelings and other situations.
Unhealthy eating behaviours may include eating too much or too little or worrying about your weight or body shape.
Anyone can get an eating disorder, but teenagers between 13 and 17 are mostly commonly affected.
For adults, there is a specialist service for further assessment called April House. Speak to the GP to discuss this in more detail.
For children, additional support is available through CAMHS.
Overview – Eating disorders – NHS (www.nhs.uk)
The UK’s Eating Disorder Charity – Beat (beateatingdisorders.org.uk)
Eating Disorders Service :: Southern Health NHS Foundation Trust
Early Pregnancy Referrals
Who do I see?
Self referral if applicable
Same day triage team if abdominal pain or vaginal bleeding in early pregnancy
Advice:
Winchester and Basingstoke hospitals both offer an early pregnancy assessment unit for patients up to 13 weeks pregnant.
If you have had a previous ectopic or molar pregnancy or 2 previous miscarriages you can self refer to the unit.
Early Pregnancy Assessment Unit (EPAU) :: Hampshire Hospitals
If you are having abdominal pain or bleeding in early pregnancy please speak to the same day triage team or 111 out of hours.
Emergency Contraception
Who do I see?
Community Pharmacy / Sexual Health Clinic / GP / ANP
Advice:
Emergency contraception is commonly referred to as “the morning after pill”. If you have had sex without using contraception, or think your contraception might have failed, you can use emergency contraception.
You should access emergency contraception as soon as possible. In Hampshire it is free from most pharmacies.
Emergency contraception – Let’s Talk about It (letstalkaboutit.nhs.uk)
Earache
Who do I see?
Self Care / Community Pharmacy
Same day triage team if ongoing symptoms
Advice:
Ear ache is common and can have various causes. A pharmacist can advise, speak to the triage GP or ANP if it is not settling down.
Ear infections – NHS (www.nhs.uk)
Ear ache is children is extremely common and usually does not require antibiotics. Please see the helpful advice below.
Eczema
Who do I see?
Community Pharmacy
Same day triage GP / ANP for any concerns over severe or infected eczema
Routine GP appointment for ongoing problems
Advice:
Eczema is the name for a group of conditions that cause the skin to become itchy, inflamed, or have a rash-like appearance.
Eczema is very common. It can begin during childhood, adolescence, or adulthood and it can range from mild to severe. In the UK, one in five children and one in ten adults have eczema.
The most important part of eczema management is keeping the skin well moisturised. Steroid creams may be required for flare ups, low strength steroid creams can be purchased over the counter for adults.
Eye Problems
Who do I see?
For acute and urgent problems, contact the Minor Eye Conditions Service
For routine issues or longer standing deteriorating vision please contact a regular optician
The MECS service can be directly accessed online via the link below or on 01264 339369. They operate out of SpecSavers in Andover. You do not need a GP referral.
Our team can make a limited assessment of eye health only so you will usually be directed to the MECS by the reception team.
Minor Eye Conditions Service (MECS) covers minor eye problems (primaryeyecare.co.uk)
Find a Practice – Search for your nearest participating optical practice (primaryeyecare.co.uk)
If you have a very urgent or sight threatening problem there is an emergency ‘eye casualty’ at Southampton Hospital. You do not need an appointment, it is a walk in service.
Routine eye tests are available at high street providers such as Boots, Specsavers, Vision Express etc.
For home visits:
Fatty Liver Disease
Who do I see?
Routine GP Appointment
Advice:
Most people are aware of the link between alcohol excess and liver damage. This is known as ‘alcohol related liver disease’ (ARLD) and includes conditions such as alcoholic hepatitis and liver cirrhosis.
Less well known is ‘non-alcohol related fatty liver disease’ (NAFLD) which is a general term for fatty liver disease that has not been caused by alcohol. In the UK most but not all cases of NAFLD are caused by being overweight / obesity. It is very common – around 1/4 people in the UK have fatty liver disease.
Most people with NAFLD won’t develop serious liver disease but in a small number of people it can progress to cirrhosis, liver cancer or liver failure.
If you have a long term condition such as diabetes or heart disease, a liver function blood test will be included as part of your annual review. If you have abnormal liver function markers in your blood or are felt to be at high risk of NAFLD you will be offered a Fibroscan test (specialist scan of the liver) for further assessment.
You may also be offered an ultrasound scan of your liver and more specialist bloods tests.
NAFLD, NASH and fatty liver disease – British Liver Trust
Non-alcoholic fatty liver disease (NAFLD) – NHS (www.nhs.uk)
Flu Vaccine
Who do I see?
Practice Nurse / HCA (Health Care Assistant)
Advice:
We will invite you for your annual flu vaccine if you are eligible.
Fear Of Flying
Who do I see?
Self help
Counselling services accessible online
Advice:
Patients sometimes ask us to prescribe diazepam for fear of flying. There are a number of reasons why prescribing this drug is not recommended.
1) Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impact your ability to concentrate, follow instructions and respond to the situation. This could have serious safety consequences for you and those around you.
2) Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can prove fatal. This risk is even greater if your flight is greater than 4 hours.
3) Whilst most people find medications like diazepam sedating, a small number of people report agitation and increased aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the airline/law.
4) According to the prescribing guidelines doctors follow, medications such as diazepam are contraindicated (not allowed) in treating phobias. Your doctor would be taking a significant legal risk by prescribing against the guidelines. They are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.
5) Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police on arrival if you are carrying them.
6) Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.
We appreciate that fear of flying is very real and very frightening. Some airlines runs courses designed to try and help with this issue.
Fever
Who do I see?
Self Care / Community Pharmacy
Same day triage team
Advice:
Adults: A high temperature is usually considered to be 38C or above. This is sometimes called a fever. Many things can cause a high temperature, but it’s usually caused by your body fighting an infection. This may be bacterial such as a pneumonia or viral like the flu or COVID.
High temperature (fever) in adults – NHS (www.nhs.uk)
Children: Fever is extremely common in children and usually suggests that your child has an infection.
Viral infections are far more common than bacterial infections. Symptoms such as runny nose, cough, wheeze, sore throat, red eyes and diarrhoea are more suggestive of a viral infection than a bacterial infection. If a number of people are unwell in the same household, this also suggests a viral infection (because viral infections are easily spread).
Viral infections tend to get better on their own and do not need treatment with antibiotics. Antibiotics may actually cause side effects such as rash and diarrhoea and can increase the risk of them developing resistance to antibiotics.
Fever / High Temperature :: Healthier Together (what0-18.nhs.uk)
Babies: Fever in babies less than 90 days of age is much more likely to be due to a serious infection requiring urgent treatment compared to fever in an older child. For this reason, all children under 90 days of age with a temperature above 38°C should be urgently reviewed by a healthcare professional.
The exception to this is babies who are up to 48 hours after receiving immunisations – it is OK to give paracetamol after the MenB vaccine without seeking medical advice if your baby is otherwise well.
My baby has a fever / high temperature :: Healthier Together (what0-18.nhs.uk)
Fibromyalgia
Who do I see?
Routine GP Appointment
Online support services
Advice:
Fibromyalgia is a long-term condition that causes pain all over the body. Anyone can develop fibromyalgia, but it’s more common in women than men.
The condition typically develops between the ages of 25 and 55, but people of any age can get it, including children and older people.
The exact cause of fibromyalgia is unknown, but it’s thought to be related to abnormal levels of certain chemicals in the brain and changes in the way the central nervous system (the brain, spinal cord and nerves) processes pain messages carried around the body.
It’s also suggested that some people are more likely to develop fibromyalgia because of genes inherited from their parents.
In many cases, the condition appears to be triggered by things that are physical or emotional like an injury, an infection or stress.
As well as widespread pain, other symptoms may include, increased sensitivity to pain, muscle stiffness, difficulty getting to sleep or staying asleep, headaches, which can make you feel very tired (fatigue), problems with mental processes (known as “fibro-fog”), such as difficulty concentrating or remembering things, feelings of frustration, worry or low mood and IBS symptoms.
The symptoms of fibromyalgia are variable, they can sometimes suddenly improve or get worse depending on various factors.
Although there’s currently no cure for fibromyalgia, there are treatments to help relieve some of the symptoms and make the condition easier to live with.
Treatment tends to be a combination of:
- – lifestyle changes, such as exercise programmes and relaxation techniques
- – talking therapies, such as cognitive behavioural therapy (CBT) and acceptance and commitment therapy (ACT)
- – medicine, such as antidepressants
In particular, exercise has a number of important benefits for people with fibromyalgia, including helping to reduce pain.
If you are concerned you have symptoms that could be caused by Fibromyalgia then arrange to speak to the GP. There are no diagnostic tests and the symptoms can be similar to other conditions so it is what we call a ‘diagnosis of exclusion’, only made once other conditions have been excluded.
Support:
If you have fibromyalgia, support groups can provide an important network for talking to others living with the condition.
Fibromyalgia Action UK is a charity that offers information and support to people with fibromyalgia.
If you have any questions about fibromyalgia, call the charity’s helpline on 0300 999 3333.
Fibromyalgia Action UK also has a number of regional co-ordinators who can put you in touch with a support group near you.
Another organisation you may find useful is UK Fibromyalgia.
Fungal Skin Infections
Who do I see?
Community Pharmacy
Routine GP appointment if persistent
Advice:
Fungal skin infections are common and include athlete’s foot, ringworm of the scalp and body, groin infections and intertrigo. They can often be treated with creams from a pharmacist.
Ringworm – NHS (www.nhs.uk)
Fungal Groin Infection (Tinea Cruris) | Symptoms and Treatment | Patient
Fertility Concerns
Who do I see?
Routine GP appointment
Advice:
Most couples (around 84%) will get pregnant within a year if they have regular sex and don’t use contraception. Having regular sex means having sex every 2 to 3 days throughout the month. This figure rises to 92% after 2 years.
If you’re trying to get pregnant it’s important to take folic acid daily, eat a healthy diet, and drink no more than 1 or 2 units of alcohol once or twice a week. This will help your baby develop healthily.
Fertility problems affect 1 in 7 couples in the UK, these can be caused by a variety of issues which may affect either person or both. In 25% of couples, fertility problems can’t be explained.
Risk factors for infertility include smoking, obesity, occupational risks, excessive alcohol consumption, and drug use. Female fertility declines with age; the effect of age on male fertility is less clear.
Trying to get pregnant – NHS (www.nhs.uk)
Infertility – NHS (www.nhs.uk)
Investigations for infertility are not usually recommended until the couple has been unable to conceive after 1 year of regular unprotected sex. However, investigations should be offered earlier than 1 year to couples who have been identified as less likely to conceive or if the woman is aged 36 years and older.
Before a referral can be made, both partners will need to have further tests completed, these can be arranged by the GP. For men this is a sperm sample and for women this requires 2 blood tests, an ultrasound scan and STI screening.
You will then be referred to the specialist fertility clinic who will be able to discuss options with you based on your test results and individual circumstances.
Fertility treatments include:
- Medication for lack of regular ovulation
- Surgical procedures such as treatment for endometriosis, repair of fallopian tubes, or removal of scarring (adhesions) within the womb or abdominal cavity
- Assisted conception such as intrauterine insemination or IVF
In Hampshire you are only eligible for NHS funded IVF if you are under 35, have been trying to conceive for one year and have not fallen pregnant and have not had IVF before. Both partners must not have any previous children. For same sex couples or single people you need to have had 12 failed insemination cycles, of which 6 need to be in a clinic using intra-uterine insemination OR a diagnosed fertility problem.
The person having IVF must have a BMI between 19-29.9 and both partners must be non smokers for at least 6 months.
Flu
Who do I see?
Self Care / Community Pharmacy
Same day triage team if persists for more than 7 days or difficulty breathing
Advice:
Flu will often get better on its own, but it can make some people seriously ill. It’s important to get the flu vaccine if you’re advised to.
Fungal Nail Infections
Who do I see?
Self Care / Pharmacist
Routine GP appointment if persisting problem
Advice:
If your nail symptoms do not respond to over the counter treatment you may be able to take anti fungal tablets to clear the infection.
A GP can prescribe antifungal tablets. But before they give you tablets they should take a sample of your nail and have it tested, to find out what type of infection you have.
You may need to take antifungal tablets for up to 6 months.
Please discuss routinely with the GP or send a request via an E consult.
Forms, certificates and medicals
Who do I see?
GP Administrative Team
Advice:
Completion of forms, certificates and medicals are not covered under the NHS but are provided privately. 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. You can send us your request online:
Non NHS Medical Services – Adelaide Medical Centre
Please allow up to 21 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.
Genital Infections including Herpes (GUM Clinic)
Who do I see?
Genitourinary (GUM) Clinic
Same day triage team
Advice:
The best place to seek advice regarding any possible genital or sexually transmitted infection is at the GUM/Sexual Health clinic. They have access to much more specialist testing than we do at the surgery and can also help with supply of home testing kits and arranging to speak to any affected contacts on your behalf if necessary.
Testing and treatment for some common genital infections such as thrush or bacterial vaginosis are available over the counter.
Home | Sexual Health, hampshire, portsmouth, southampton (letstalkaboutit.nhs.uk)
Gender Identity Concerns
Who do I see?
Routine GP Appointment
Online support services
Advice:
How to find an NHS gender dysphoria clinic – NHS (www.nhs.uk)
Support:
Tranzwiki – – Gender Identity Research & Education Society – Tranzwiki directory (gires.org.uk)
Homepage – Mermaids (mermaidsuk.org.uk)
PUB18_77_GIC_Resource_leaflet_Trifold_Solopress_FINAL.pdf
Changing your name by deed poll – Gender Identity Clinic – GIC
Beyond Reflections (beyond-reflections.org.uk)
Breakout Youth: LGBTQ+ Support Hampshire & Isle of Wight
Haemorrhoids
Who do I see?
Self Care / Pharmacy
Routine GP appointment if not responding to treatment or they keep coming back
Advice:
Piles (haemorrhoids) are lumps inside and around your bottom (anus). They often get better on their own after a few days. A pharmacist can help with treatment in the first instance.
Hay Fever
Who do I see?
Self Care / Community Pharmacy
GP if not responding to treatment or very severe
Advice:
Almost all hay fever medications are now available from the chemist without needing to see the GP. This includes oral anti histamines such as Fexofenadine, Piriton and Loratadine, steroid nasal sprays and anti histamine eye drops. If your symptoms are particularly troublesome you can speak to the GP at a routine appointment or submit an E consult.
Please be aware we do not provide steroid injections for hay fever as this is not recommended practice. Short courses of oral steroid medication are recommended only for severe, uncontrolled symptoms that are significantly affecting quality of life.
- Avoid walking in grassy, open spaces, particularly during the early morning, early evening, and during mowing, when the pollen count is high.
- Avoid drying washing outdoors when the pollen count is high.
- Keep windows shut in cars and buildings.
- Plan holidays to avoid the pollen season, where possible.
- Shower or wash hair following high pollen exposures.
Hay Fever | Allergy UK | National Charity
Hay fever tablets: cheap hay fever remedies – MSE (moneysavingexpert.com)
High Blood Pressure (Hypertension)
Who do I see?
Check at home
Use the surgery ‘Health POD’ (ask at reception)
HCA or Practice Nurse for annual reviews
GP or pharmacy team for treatment
Advice:
High blood pressure is very common, around 1 in 3 adults. Many people are unaware they have high blood pressure as it often does not cause any symptoms.
If you are found to have high blood pressure at a check up then it is usually recommended you have either a 24 hour blood pressure monitor fitted or take 2 weeks of home blood pressure readings to confirm the diagnosis. This is because some people may have high blood pressure when they are at the surgery but normal blood pressure at home (called white coat hypertension).
If your blood pressure is high, you are likely to be recommended medication to try and lower it. This is due to high blood pressure being a risk factor for other serious medical problems such as strokes and heart attacks.
You can also lower your blood pressure through making lifestyle changes such as weight loss, increasing exercise, stopping smoking and reducing your salt, caffeine and alcohol intake. Find out more here:
High blood pressure (hypertension) – NHS (www.nhs.uk)
If you have an existing diagnosis of high blood pressure then we will undertake an annual review each year in your birth month. This will involve a blood test, a urine test (ACR) and a blood pressure check (see blood pressure monitoring section).
Head Lice
Who do I see?
Self Care / Community Pharmacy
School Nurse
Advice:
Headlice can be treated at home without the need for medical assistance.
Head lice and nits – NHS (www.nhs.uk)
HRT
Who do I see?
Routine GP Appointment
Practice Nurse for your annual review
Advice:
Hormone replacement therapy (HRT) is a treatment to relieve symptoms of the menopause. It replaces the hormone oestrogen which your body naturally stops producing as you go through menopause, the average age for this in the UK is 51.
This can cause a variety of symptoms (see Menopause section) which can be very debilitating. HRT can help to reduce these symptoms for lots of women. You are able to start HRT during peri menopause (before your periods have stopped).
There are a number of considerations to take into account when considering HRT.
- Do you need any tests prior to starting? Usually no testing is required to diagnose menopausal symptoms. A blood test is often suggested if you are under 45 (termed ‘early menopause’) and would definitely be recommended if you are under 40 (termed ‘premature ovarian insufficiency’ or POI).
- What are the risks of taking HRT? As with all medications there are some risks to using HRT but there are also many benefits. Please see attached links for further details. Some of the most important risks to consider are related to breast cancer and blood clots.
- What type of HRT will you need? HRT can be oestrogen only or combined HRT (oestrogen and progesterone). Oestrogen only HRT is for women who have had a hysterectomy (surgery to remove their womb), or are using an intrauterine system (IUS) such as a Mirena coil. This type of HRT does not contain progesterone (which is otherwise needed to protect the lining of the womb). Combined HRT can be used cyclically or continuously, this depends on whether you are still having periods or not. Cyclical HRT will give a monthly bleed and continuous HRT gives no bleed. Continuous HRT is recommended once you have not had a period for 1 year.
- How do I use HRT? Oestrogen can be given as a gel, patch, spray or tablet. Progesterone can be included in a combination patch, taken as a tablet, used vaginally or via an IUS (coil).
- How long can I take HRT for? HRT can be taken for as long as you require it, provided the risks do not outweigh the benefits, there is no maximum length of time it can be taken for.
General info:
Hormone replacement therapy (HRT) – NHS (www.nhs.uk)
My Menopause Centre | HRT (Hormone Replacement Therapy) Explained
Layout 1 (balance-menopause.com)
Layout 1 (balance-menopause.com)
HRT-types-and-doses.pdf (balance-menopause.com)
Info on risks:
HRT: Benefits and risks – Women’s Health Concern (womens-health-concern.org)
01-WHC-FACTSHEET-BreastCancer-NOV2020-C.pdf (womens-health-concern.org)
HRT-Myths-Uncovered.pdf (pcwhf.co.uk)
WHC-UnderstandingRisksofBreastCancer-MARCH2017.pdf (womens-health-concern.org)
Practical info:
Layout 1 (balance-menopause.com)
Balance – What to expect when you start HRT (balance-menopause.com)
Some women are unable to use HRT due to other medical conditions. There are also some non hormonal treatments that can help.
RMM_Alternatives-to-HRT.pdf (rockmymenopause.com)
Vaginal Oestrogen (‘Local HRT’):
The menopause can cause problems with vaginal dryness and irritation. For this particular symptom, ‘local’ HRT can be applied directly to the affected area as a cream or a pessary. This can be used along side systemic HRT (patches/tablets etc) or on it’s own.
Vaginal-dryness.pdf (balance-menopause.com)
There is a wealth of information on the menopause and HRT available via the following sites.
Get Informed – Rock My Menopause
My Menopause Centre | Information & Advice from Menopause Experts
WHC factsheets and other helpful resources – Women’s Health Concern (womens-health-concern.org)
Prescriptions:
With your first prescription we generally provide 3 months to get you started and see if your chosen regime suits you. At the 3 month mark we would ask that you arrange a review with our nursing team. Once you are happy with your dose you will need an annual review with a blood pressure/BMI check, this is to ensure it is still safe for you to receive HRT.
No matter how many prescriptions you have in a year, you should only pay a flat rate due to the ‘HRT Pre Payment Certificate’. Please see below.
NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC) | NHSBSA
Handy Hints:
Trouble with patch residue? Try Apeel spray, Zoff or Peeleasy products available online.
Patches not sticking well? Try a squirt of a steroid nasal spray beneath your patch (!) (available OTC from the pharmacist)
Thinking about stopping HRT?
There is no fixed time that you can/should use HRT for. We recommend always considering the risks vs the benefits when deciding how long to continue for.
However, there are some medical conditions that would mean you need to stop using HRT or change the way in which you use it. Breast, ovarian and womb cancers being some of the most significant. It is also recommended that you stop HRT 6 weeks before having any major surgery, this is due to the increased risk of a blood (DVT or PE) in the post operative period.
Holiday Cancellation Certificate
Who do I see?
GP Administrative Team
Advice:
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 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Head Injuries
Who do I see?
Minor Injuries Unit
Use A+E for a severe or significant head injury or if you are on blood thinning medication
Advice:
The NHS website has a full list of symptoms that require A+E attendance.
Head injury and concussion – NHS (www.nhs.uk)
Andover Minor Injuries unit can help if none of the worrying features are present.
Andover Minor Injuries Clinic :: Hampshire Hospitals
For children:
Head Injury :: Healthier Together (what0-18.nhs.uk)
CS45385_NHS_Head_Injury_advice_sheet_April_20.pdf (what0-18.nhs.uk)
Headaches
Who do I see?
A+E if very severe or sudden onset
Same day triage team if acute symptoms
Routine GP appointment if long standing or recurrent
Advice:
Headaches are very common and not usually caused by anything serious. There are various types of headache including migraines, tension headaches and cluster headaches. Some headaches can even be caused by taking too much pain relief.
Headaches | Types, Warning Signs, Causes & Treatment | Patient
For longer term headaches it can be very helpful to keep a ‘headache diary’ to try and work out if there are any particular triggers. You can then discuss this with the GP.
Hospital Appointments (Outpatients)
Who do I see?
Medical Secretary
Advice:
Once you have been referred to a hospital specialist by the surgery, your information will be reviewed by their team and an appointment will be allocated to you. You will be contacted directly. We do not have any control over the time scale of this, it is at their discretion and based on the information provided in your referral. We cannot influence their decision or request this is expedited unless there is a significant change in your symptoms. Please contact the department you have been referred to in the first instance.
If you are waiting for tests or scans arranged by the hospital or for follow up appointments please contact the Consultant’s secretary as we are not kept informed on when these will take place.
Please be aware that we are not able to give you the results of blood tests or scan results that have been organised for you by the hospital team. Please contact the Consultant’s secretary.
Outpatient information :: Hampshire Hospitals
Patient Hub :: Hampshire Hospitals
Waiting times for routine appointments are published here:
South East – My Planned Care NHS
Email addresses available for patient use:
Medical Specialties: [email protected]
Respiratory Team: [email protected]
Elderly Care Team: [email protected]
Full NHS guidance on this is available here:
1792_PatientReferralA4PORT_1.pdf (assets.nhs.uk)
Hospital admissions:
Hospital Transport
Who do I see?
Transport service
Advice:
Certain patient groups are eligible for assistance with non emergency hospital transport.
How to organise transport to and from hospital – NHS (www.nhs.uk)
Patient Transport Service | South Central Ambulance Service (scas.nhs.uk)
The number for the patient booking line is 0300 123 9833
Andover Neighbourcare, the council and Unity also support with transport to appointments:
Health and care in the test valley – Unity (unityonline.org.uk)
Voluntary Car Schemes (Good Neighbours Network groups) | Hampshire County Council (hants.gov.uk)
Homelessness
Who do I see?
Local Council / Charitable Organisations
Advice:
Help from your council if you’re homeless or at risk of homelessness – GOV.UK (www.gov.uk)
Two Saints | Homeless Services | Accommodation | Advice & Support
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 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 be unable to assist. Please check with our reception team.
Further information and help is available from Shelter England
Indigestion
Who do I see?
Self Care / Community Pharmacy
Triage ANP or GP if acute severe episode
Routine GP appointment if persistent problem
Advice:
Indigestion or heartburn is a burning feeling in the chest caused by stomach acid travelling up towards the throat (acid reflux). If it keeps happening, it’s called gastro-oesophageal reflux disease (GORD).
Lots of people get indigestion from time to time, there is not always a clear cause why but certain things can increase your risk. These include being overweight, smoking, pregnancy, spicy foods and some medications such as Ibuprofen.
Indigestion – NHS (www.nhs.uk)
Indigestion – Guts UK (gutscharity.org.uk)
If you have ongoing or recurrent symptoms that are not responding to treatment you may be advised to have an gastroscopy test.
Insect Bites
Who do I see?
Community Pharmacy
Minor Injuries Unit
Triage ANP or GP
Advice:
Most bites and stings will get better within a few days. A pharmacist can help with anti histamine medication and medicated creams. If there are any concerns over an infection or allergic reaction then seek medical assistance.
Insurance Reports
Who do I see?
GP Administration team or submit online via link below
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 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Infected Wounds
Who do I see?
Practice Nurse
Advice:
You can book an appointment with the Practice Nurse for any concerns over a possible wound infection.
Long Covid
Who do I see?
GP
Advice:
For some people, coronavirus (COVID-19) can cause symptoms that last weeks or months after the infection has gone. This is sometimes called post-COVID-19 syndrome or “long COVID”.
If you are struggling with symptoms suggestive of long COVID then speak to the GP routinely. There is no cure or medication, treatment is supportive and based on symptom management.
Long-term effects of coronavirus (long COVID) – NHS (www.nhs.uk)
Your COVID Recovery | Supporting your recovery after COVID-19
Low Carb Advice
Who do I see?
Online resources
Advice:
For some people, adopting a low carbohydrate diet has been shown to significantly improve their health. A low carb diet is one that limits carbohydrates which are primarily found in sugary foods, pasta, and bread. Instead of eating carbs, you focus on protein-rich whole foods and vegetables.
There is evidence to show a low carb diet can be safe and effective in helping people with type 2 diabetes manage their weight, blood sugar levels and risk of heart disease in the short term. It has enabled patients to reverse their diabetes and come off medication all together!
Freshwell Low Carb Project – Real Food, Low Carb, Good Health (lowcarbfreshwell.co.uk)
Low-carb diet and meal plan | Eating with diabetes | Diabetes UK
Lyme Disease
Who do I see?
ANP / GP
Advice:
Lyme disease is a bacterial infection spread by ticks. It can give a characteristic ‘bullseye’ rash and may be associated with other symptoms such as headache, muscle pains and fever.
If you are worried about acute Lyme disease infection then please speak to the duty team. For longer term symptoms or concerns then arrange a routine GP appointment.
Medication Queries and Reviews
Who do I see?
Clinical Pharmacist
Advice:
At AMC we have a clinical pharmacy team who are able to discuss medication queries and concerns with you directly. Reception can book you an appointment with them.
easy-read-clncl-pharm.pdf (england.nhs.uk)
In the month of your birth we will also undertake an annual review of your repeat prescription. You will be contacted if you require a blood or urine test as part of this review. If the pharmacist or GP identifies any problems we will contact you. If you wish to report any issues as part of your annual review you can do this through our website.
Menopause
Who do I see?
Routine GP Appointment
Advice:
Menopause is the medical term for the natural time in life when your periods stop, this usually occurs between 45 and 55 years of age and happens due to a decline in oestrogen levels (a hormone produced by the ovaries). The ‘peri menopause’ is the stage leading up to this, usually a few years before your periods fully stop.
In the UK, the average age for a woman to reach the menopause is 51. Menopause is only diagnosed once you have not had a period for 1 year, a ‘retrospective’ diagnosis. You can then be termed ‘post menopausal’.
Menopause is usually a clinical diagnosis meaning that no blood tests are required, it can be diagnosed based on symptoms alone.
Some patients will have an ‘early’ (before 45) or a ‘premature’ menopause (before 40) and some patients will go through surgical menopause if they have had their ovaries removed with a hysterectomy or other surgery.
My Menopause Centre | Understanding the Menopause
Layout 1 (balance-menopause.com)
Menopause and me (balance-menopause.com)
Menopause can cause a wide variety of symptoms including hot flushes, mood swings, fatigue, urinary symptoms, memory loss, insomnia, joint pains, hair loss, brain fog, anxiety, reduced libido, itchy skin, headaches and many more.
3 out of 4 women will experience symptoms with 1 in 4 women describing these as severe. The symptoms can start several years before your periods stop and can last for a number of years. This questionnaire can help you to understand the symptoms better.
Menopause Symptoms Questionnaire (balance-menopause.com)
Lifestyle changes can help with symptoms, for example maintaining a healthy weight, exercising regularly, reducing caffeine and alcohol and eating a healthy diet. There are also a variety of supplements available over the counter that can help support with menopausal symptoms.
Many women also wish to consider HRT to help with menopausal symptoms (see HRT section of this webpage) or one of the non hormonal medications which are also available.
There is lots of support and information online:
The menopause – Women’s Health Concern (womens-health-concern.org)
Menopause Matters, menopausal symptoms, remedies, advice
menopausesupport.co.uk – Supporting You Through Change
Menopause and Me|Official Website
Specific to ‘POI’ (menopause under 40):
Premature Ovarian Insufficiency or ‘POI’, also known as premature menopause, affects up to 1 in 100 women and this is when your periods stop before the age of 40.
It means your ovaries are not working well and the lack of hormones cause many associated troublesome symptoms and health conditions if left untreated. It is important to replace the hormones that your body is no longer producing until the age of natural menopause at the earliest i.e. 51yrs old. There are no increased risks related to HRT before age of natural menopause, as you are replacing the hormones that your body would otherwise produce.
Charity for Women with POI | The Daisy Network
Surgical Menopause:
Surgical menopause, i.e. your ovaries have been removed surgically, then you should replace the hormones that your body is no longer producing until the time a natural menopause would occur at the earliest – i.e. 51yrs. There are no increased risks related to HRT as you are replacing the hormones that your body would otherwise produce.
Medical Reports
Who do I see?
GP Administration team or submit online via the link below
Advice:
Completion of forms, certificates and medicals are not covered under the NHS and therefore incur a charge. Please phone us or complete an eConsult to discuss your requirements if you cannot find what you need on the page linked below.
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 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.
Mental Health Crisis (see also Suicidal Thoughts section)
Who do I see?
Same day triage team
999/A+E or 111 if out of hours depending on the urgency of your need
Mental health charities / support services
Advice:
There are many places you can get support from if you are in crisis, please do reach out if you are struggling.
Where to get urgent help for mental health – NHS (www.nhs.uk)
Text SHOUT to 85258
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 their website.
Samaritans | Every life lost to suicide is a tragedy | Here to listen
North and Mid Hampshire Safe Haven – Andover Mind
Local NHS urgent mental health helpline for SP10 – NHS (www.nhs.uk)
If you are a patient already known to the Andover Community Mental Health Team (CMHT) you can call them directly in a crisis on 01256 376507 or 01256 817718. The number for the office for routine queries is 01264 358180.
Crisis Resolution Home Treatment team :: Southern Health NHS Foundation Trust
Mental Health Support For Young People
Who do I see?
Online resources below
Advice:
There are a number of fantastic websites that have been developed to help and support young people who are struggling with their mental health.
All schools in the area should be able to offer face to face mental health and wellbeing support, please discuss this with the school directly. There is currently no wellbeing service for the under 18s running in Andover (as this was moved in house into the schools) but this is a future aim for the Andover PCN team.
Good starting points:
I’m worried about my child :: Healthier Together (what0-18.nhs.uk)
Mental Health :: Healthier Together (what0-18.nhs.uk)
Children’s mental health – Every Mind Matters – NHS (www.nhs.uk)
HOME | CAMHS Resources (camhs-resources.co.uk)
For counselling services:
Home – HYA (hampshireyouthaccess.org.uk)
YoungMinds | Mental Health Charity For Children And Young People | YoungMinds
Be You: mental health support for 11-17 year olds – Andover Mind
Free Youth Counselling Services for Young People (stepbystep.org.uk)
Support services:
ChatHealth : Hampshire Healthy Families
Parenting and Family Support – Family Lives (Parentline Plus) | Family Lives
Youth Support • Children & Youth Charity • Targeted Support (youthoptions.org.uk)
Primary Behaviour Service (hants.gov.uk)
Yellow Brick Road Projects – Home – any young person over the age of 11 can turn up without an appointment and talk to a trusted adult. It is completely free to attend. These drop in sessions will be Monday and Wednesday, 3:30-5:30pm at the YBRP building at Bentall Place, SP10 2JD.
Apps:
ThinkNinja App
Calm Harm App
Booster Buddy App
Mind Shift App
Guided Meditation and Mindfulness – The Headspace App
Resources For Home:
How to Make a Self-Soothe Box | Young Person Blog | YoungMinds
A – Z Coping Tips – CAMHS (hampshirecamhs.nhs.uk)
I feel really sad FINAL (thegoto.org.uk)
I feel really worried FINAL (thegoto.org.uk)
Other Services:
Homepage – Mermaids (mermaidsuk.org.uk) (specifically for gender related support)
Young people’s mental health | Royal College of Psychiatrists (rcpsych.ac.uk)
Papyrus UK Suicide Prevention | Prevention of Young Suicide (papyrus-uk.org)
Charlie Waller Trust, mental health charity (cwmt.org.uk)
The UK’s Eating Disorder Charity – Beat (beateatingdisorders.org.uk) (specifically for eating disorders)
Youth Wellbeing Service – Andover Primary Care Network (andoverpcn.co.uk)
Arts Award (Arts Award inspires young people to grow their arts and leadership talents)
Minor Injuries
Who do I see?
Andover Minor Injuries Unit
Advice:
Andover Minor Injuries Clinic :: Hampshire Hospitals
Treatment at the clinic includes:
- Treating minor head injuries
- Facial and eye injuries
- Foreign body removal
- Limb injuries and concerns over fractures
- Animal and insect bites
- Minor burns
- Wound assessment and closure
- An X-ray facility on site (if required) Monday to Friday from 9am to 5pm, excluding bank holidays.
- Contact 111 to arrange an appointment at MIU or view their website for walk in availability.
Moles
Who do I see?
GP
Advice:
If you are worried about changes to any moles or skin lesions please arrange a routine appointment with the GP or submit an E consult. Please be aware that we are unable to offer any treatment for cosmetic issues related to skin lesions. This would need to be obtained privately. Speak to the GP if you are unsure.
When to worry about a mole | Skin Cancer Checking | Patient
British Association of Dermatologists – ABCD-Easy guide to checking your moles (bad.org.uk)
Mouth Problems
Who do I see?
Community Pharmacy / Dentist
Advice:
Please book an appointment with your dentist in the first instance for any mouth related problems. If you are not registered with a dentist then 111 can assist with this.
Find a dentist – NHS (www.nhs.uk)
Please be aware, our team are not trained or insured to assist with dental issues.
Musculoskeletal Problems
Who do I see?
First Contact Physiotherapy Service (16+)
Physiotherapy Self Referral Scheme (18+)
Advice:
For any musculoskeletal issues (back pain, shoulder pain, knee pain, problems following injuries etc.) you can see a specialist physiotherapist without seeing the GP first.
We have a first contact physiotherapist at the practice each week, reception can book you an appointment with them directly. We also have direct access to physiotherapy with Southern Health, you can refer yourself via the link below.
Physiotherapy form :: Southern Health NHS Foundation Trust
Patient_information_sheet_-_self_referral.pdf (southernhealth.nhs.uk)
Neck Pain
Who do I see?
Community Pharmacy
First Contact Physiotherapist
Triage GP / ANP
Advice:
Neck pain | Causes, exercises, treatments | Versus Arthritis
Neck Pain | Causes and Treatment | Patient
Torticollis is the medical name for when your neck gets trapped or stuck to one side. This usually settles over the course of a few days without any treatment.
Spasmodic Torticollis (Twisted Neck) | Symptoms, Causes and Treatment | Patient
New Baby
Who do I see?
Health Visitor / GP
Advice:
Having a new baby is an exciting time but can also feel very overwhelming. There are plenty of ways to access support.
Your health visitor should be your first port of call for issues such as feeding, tongue tie, sleep and general advice. They will also weigh your baby. If you are ever concerned your baby is unwell call the surgery for the same day triage line or use 111 out of hours.
Any baby with a temperature above 37.5 degrees under 3 months of age should go straight to A+E for further assessment.
The Healthier Together App is a must have download.
Healthier Together on the App Store (apple.com)
Concerned about your baby aged less than 3 months? :: Healthier Together (what0-18.nhs.uk)
Parents Advice | ICON (iconcope.org)
Pregnancy, baby and toddler health information at BabyCentre UK – BabyCentre UK
How to reduce the risk of SIDS for your baby – The Lullaby Trust
Adjusting to life with a new baby: 15 practical tips | NCT
Baby | Start4Life (www.nhs.uk)
Portal : Hampshire Healthy Families
ChatHealth : Hampshire Healthy Families
Health for Under 5s | For healthy, happy early years
The Family Nurse Partnership | (fnp.nhs.uk) – supports new parents aged 24 and under.
Nail Concerns
Who do I see?
Community Pharmacy
Nail Service
Private Podiatry
Routine GP appointment for concerns over persistent fungal nails despite OTC treatment (see Fungal Nails section)
Triage ANP/GP if concerned over a possible infection
Advice:
Nail problems are not usually caused by anything serious. Common nail problems include brittle, loose nails that may change colour or shape.
Your nails may change over time:
It’s normal for nails to:
- become thicker or break more easily (brittle) as you get older
- become harder, softer or more brittle during pregnancy (they should be healthier within 6 months of having a baby)
- change colour, become loose and eventually fall off after an injury
- You should alert us if the skin around your nails has become sore, red, swollen and warm (paronychia), which can be a sign of an infection or ingrown toenail
Fingernails that fall off after an injury should grow back within 6 months. Toenails can take up to 18 months.
Our nails are constantly growing, in fact it takes a little over 12 months for your toenails to completely re grow, so they can become long and break leaving sharp edges that can penetrate the skin and lead to pain and infection. This is particularly important to be avoided in those more susceptible to infection such as the elderly and diabetics.
Age concern run a toenail cutting service.
Footcare services | Podiatrist near me | Age UK
Footcare – Age Concern Hampshire
Podiatrist: Salisbury Road Foot Clinic – Podiatry Services (offer a home visiting service)
Nappy rash
Who do I see?
Community Pharmacy
Health Visitor
Triage ANP / GP if worsening or no response to treatment
Advice:
Nappy rash is common and often doesn’t require any prescription treatment. A pharmacist can help with suitable creams to use in the first instance.
NHS App
Who do I see?
NHS App
Advice:
The NHS App allows you to access a wide range of NHS services. You can download the NHS App on your phone or tablet. You can also access the same services in a web browser by logging in through the NHS website. You must be aged 13 or over to use the NHS App. You also need to be registered with a GP surgery in England or the Isle of Man.
With full access you can:
- order repeat prescriptions and nominate a pharmacy where you would like to collect them
- check to see if your prescription has been issued to your pharmacy
- book and manage some types of appointments
- view your GP health record to see information like your allergies and medicines and test results
- register your organ donation decision
- view your NHS number (find out what your NHS number is)
- use NHS 111 online to answer questions and get instant advice or medical help near you
- message your GP surgery using an online form (eConsult) and get a reply
- access health services on behalf of someone you care for
- view and manage your hospital and other healthcare appointments
- view useful links your doctor or health professional has shared with you
- search trusted NHS information and advice on hundreds of conditions and treatments
- find NHS services near you
Nosebleeds
Who do I see?
Self Care
Same day triage team
Attend A+E straight away if your nosebleed lasts longer than 15 minutes or the bleeding is heavy
Recurrent nosebleeds can be discussed in a routine GP appointment
Advice:
Try to stop your nosebleed by sitting down and leaning forward and pinching your nose just above your nostrils. Do not lean head back or apply pressure to the bridge of your nose. You can apply an ice pack if you wish.
Nosebleeds (Epistaxis) (entuk.org)
To avoid another nose bleed please follow the advice below for at least three days:
- All food and drink should be cool.
- Avoid strenuous activity.
- Avoid constipation and straining.
- Do NOT sunbathe or take hot baths.
- Avoid alcohol and smoking.
- Avoid scratching or blowing your nose. Sneeze with your mouth open if needed.
Occupational Therapy
Who do I see?
Online self referral
Advice:
OTs are responsible for carrying out assessments and providing services that help you to remain safe and independent in your daily activities at home.
Occupational Therapists (OTs) work with a range of people including those who have physical, mental and/ or social problems, either as a result of accident, illness or ageing. They are aware of the impact that changes in circumstances can have on individual’s independence and confidence.
Depending on your specific difficulties, it may be possible to arrange for small adaptions or equipment to be directly provided. However, if the help you need is more complex, and you are eligible, they will arrange for a referral to be sent to your local Occupational Therapy Team for Hampshire. This assessment will take place either at a clinic or at your home.
You will be given advice or help about:
- getting in and out of your home
- managing the stairs
- getting in and out of chairs and beds
- getting on and off and using the toilet
- using the bath or shower
- managing kitchen activities, eg standing at the sink, getting food to a table
Types of solutions available include rails, small pieces of equipment and minor adaptations and advice on easier ways of managing activities.
- Contact the Occupational Therapy Team and speak with someone trained to give you specialist advice about the difficulties you are having.
- Occupational therapy | Health and social care | Hampshire County Council (hants.gov.uk)
Online Services
Who do I see?
Reception Team for any assistance needed
Advice:
If you are registered with the surgery, you can access some health services online.
With the NHS App/NHS Online Account:
You are able to:
- order repeat prescriptions
- see parts of your health record, including information about medicines, vaccinations and test results
- see communications between your GP surgery and other services, such as hospital letters
- book, check or cancel some types of appointments
Most patients will automatically be given access to more information added to their GP record from November 2023 onwards. This includes letters, test results and appointment notes.
Log in – NHS App Online (service.nhs.uk)
With Patient Access:
Patient Access – GP appointments & prescriptions online
There are a number of other sites/apps that are also available and offer other functions such as the ordering of medications:
Free NHS prescription delivery – LloydsDirect
Pharmacy2U – Leading Online Pharmacy Chemist and Online Pharmacy
Passport Forms
Who do I see?
We are not able to assist with signing passport forms
Advice:
Passport forms are not covered by the NHS.
Accepted occupations that can countersign your passport photo.
Proactive Care Team
Who do I see?
Proactive Care Nurse
Advice:
The proactive care team are an invaluable local resource and can help with all kinds of problems.
For patients over 65 they can support with the following:
Panic Attacks
Who do I see?
iTALK / Mind
Primary Care Mental Health Team
Routine GP appointment
Advice:
See the below advice on panic attacks and how to help control the symptoms. Talking therapies are likely to be beneficial in helping you understand the triggers and how to manage the attacks.
What is a panic attack? – Mind
Period Problems
Who do I see?
Routine GP appointment
If struggling with heavy bleeding then triage ANP / GP
Advice:
Periods can cause lots of problems. The most commonly encountered are heavy, painful or irregular periods. Problems are often worse for young women just starting their periods or around the time of menopause.
There are a number of problems that can cause changes to your periods. Please see below for more information.
Contraception is often used to try and regulate heavy, painful or irregular bleeding if appropriate. There are also medications that can help to stop heavy periods or be used to control the pain. You can discuss this with the GP.
Irregular periods – NHS (www.nhs.uk)
Heavy periods – NHS (www.nhs.uk)
Polycystic ovary syndrome – NHS (www.nhs.uk)
Endometriosis – NHS (www.nhs.uk)
Pharmacy Services
Who do I see?
Community Pharmacy
Advice:
Pharmacists are experts in medicines who are expertly trained and can help you with minor health concerns.
As qualified healthcare professionals, they can offer clinical advice and over-the-counter medicines for a range of minor illnesses, such as coughs, colds, sore throats, tummy trouble and aches and pains.
If symptoms suggest it’s something more serious, pharmacists have the right training to make sure you get the help you need. For example they will tell you if you need to see a GP, nurse or other healthcare professional. Many pharmacies are open until late and at weekends and you do not need an appointment.
Pharmacists can also answer your questions on prescription and over-the-counter medicines.
The New Medicine Service is available at pharmacies to give you extra help and advice if you’re just starting on a new medicine for one of the following conditions: asthma, chronic obstructive pulmonary disease (COPD), type 2 diabetes, high blood pressure, people who have been given a new blood-thinning medicine and more.
New Medicine Service (NMS) – NHS (www.nhs.uk)
All pharmacies also provide the following services:
- dispensing of NHS prescriptions
- access to the repeat prescription service (with agreement from your GP)
- an emergency supply of medicine, subject to the decision of the pharmacist (you may need to pay for an emergency supply)
- non-prescription medicines like paracetamol
- disposal of unwanted or out-of-date medicines
- advice on treating minor health concerns and healthy living
Pharmacy technicians can help with things like:
- inhaler technique
- how to take a medicine safely
- helping you understand the correct dose of a new medicine and how often you need to take it
- Pharmacists can give treatment advice about a range of common conditions and minor injuries, such as aches and pains, sore throat, coughs, colds/flu, earache, cystitis, skin rashes, teething and red eyes.
- Through the NHS Minor Ailment Scheme, a pharmacist will be able to offer advice and some medicines for a minor illness without you having to book an appointment to see a GP. Medicines can be supplied free of charge to the customer if they are exempt from NHS prescription charges.
- Medication Shortages:
- Unfortunately these days more and more medications are affected by stock issues, this is outside of our control. Speak to your regular chemist to see if they can order in for you or if they know somewhere else locally they may stock your product. Boots run a stock checker on their website.
- Boots pharmacy | Online Prescription stock checker
- This online site may also be able to help.
- Hard To Find Medicines | Hive Pharmacy
Pharmacy First Scheme
Who do I see?
Community Pharmacy
Advice:
From 31st January 2024, patients are able to access advice and treatment (including antibiotics) for 7 common conditions directly from their local pharmacy. These conditions are:
Sinusitis (12 and over)
Sore throat (5 and over)
Earache/ear infection (1-17yrs)
Impetigo (1 and over)
Shingles (18 and over)
Urinary Tract Infection (UTI) (female patients, 16-64)
Our team will ask you to contact the pharmacy first but please come back to us if there are any problems or you are having difficulty accessing treatment.
Pregnancy
Who do I see?
Midwife
Advice:
If you are newly pregnant, you will need to self refer to the midwife to access your antenatal care.
There is a wealth of information on the NHS website about what to expect during pregnancy and how antenatal care is provided in England.
Please ensure you have started taking folic acid and vitamin D as recommended.
Any concerns speak to your midwife or the GP.
Badger Notes – Self-refer your pregnancy to SHIP Maternity Referral
Pregnancy | Start4Life (www.nhs.uk)
Vitamins, minerals and supplements in pregnancy – NHS (www.nhs.uk)
Pre Diabetes (Borderline Diabetes)
Who do I see?
HCA or Practice Nurse
Online Support
Advice:
13.6 million people in the UK are at increased risk of developing Type 2 Diabetes. This is often termed ‘pre diabetes’ or being ‘borderline’ diabetic. A simple blood test is used to work out if you are at increased risk, this is called an HbA1c test.
You can also take a test online.
Diabetes UK – Know Your Risk of Type 2 diabetes
Developing Type 2 Diabetes has huge implications on our health and increases the risks of stroke, heart attack, visual loss, kidney damage and many more.
Pre diabetes and Type 2 diabetes are both reversible conditions through simple lifestyle changes. Find out more below.
If you have been informed you are at risk of diabetes then we can refer you to a service to help. This is called the Diabetes Prevention Programme – please book an appointment with our nursing team who can discuss the diagnosis with you and refer you to the programme.
Prediabetes | Diabetes UK | Reduce risk type 2 diabetes
Healthier You | Diabetes Prevention Programme (preventing-diabetes.co.uk)
Pneumoccocal Vaccine
Who do I see?
Practice Nurse/ HCA (Health Care Assistant)
Advice:
If you’re 65 or over, you should be offered a type of pneumococcal vaccine known as the pneumococcal polysaccharide vaccine (PPV).
You can book an appointment with reception if you are eligible for vaccination.
This vaccination is only required once unless you do not have a spleen, then you will require a booster dose every 5 years.
Who should have the pneumococcal vaccine? – NHS (www.nhs.uk)
People with health problems and the pneumococcal vaccine
The PPV vaccine is also available on the NHS for children and adults aged from 2 to 64 years old who are at a higher risk of developing a pneumococcal infection than the general population.
You’re considered to be at a higher risk of a pneumococcal infection if you have:
- had your spleen removed, your spleen does not work properly, or you’re at risk of your spleen not working properly in future (for example, if you have coeliac disease)
- a long-term respiratory disease, such as chronic obstructive pulmonary disease (COPD)
- heart disease, such as congenital heart disease
- chronic kidney disease
- chronic liver disease, such as liver cirrhosis
- diabetes
- a suppressed immune system caused by a health condition, such as HIV
- a suppressed immune system caused by medicines, such as chemotherapy or steroid tablets
- a cochlear implant (a hearing device)
- had a leak of cerebrospinal fluid (the clear fluid that surrounds the brain and spine) – this could be the result of an accident or surgery
Pre and Postnatal Depression
Who do I see?
Routine GP Appointment
Midwife Team
Advice:
A ‘perinatal’ mental health problem is one that you experience any time from becoming pregnant up to a year after you give birth.
Having a baby is a big life event. It’s natural to experience a range of emotions during pregnancy and after giving birth. But if any difficult feelings start to have a big effect on your day-to-day life, you might be experiencing a perinatal mental health problem.
Your midwife will be able to put you in touch with a specialist mental health midwife and there is also a specialist perinatal mental health team.
Perinatal mental health – PANDAS Foundation UK
Hampshire Lanterns – No mum ever has to feel alone!
Postnatal depression (PND) | Tommy’s (tommys.org)
Mental health and wellbeing | Tommy’s (tommys.org)
Perinatal and postnatal mental health – Mind
If your partner is pregnant or recently gave birth, you may also experience mental health problems during this time. Please see below.
PSA Testing / Prostate Cancer
Who do I see?
Request a PSA test via E Consult
Discuss results with GP if abnormal or if you have symptoms
Advice:
Prostate cancer is the most common cancer in men – 1 in 8 men – and there may be no symptoms in the early stages.
A PSA test is a blood test that can help to detect prostate cancer. The test is not always accurate and this is why there is no official screening programme for prostate cancer.
Routine PSA screening is a controversial subject. PSA tests are unreliable and can suggest prostate cancer when no cancer exists (called a false positive result).
If the result is raised, most men are now offered an MRI scan before a biopsy to help avoid unnecessary tests, but some men with a raised PSA may end up having invasive and sometimes painful biopsies for no reason.
Unfortunately also around 1 in 7 men with prostate cancer have normal PSA levels (a false negative result), so cases may be missed.
The PSA test can find aggressive prostate cancer needing treatment but it can also find slow growing cancer that may never cause symptoms or shorten life.
Although screening has been shown to reduce a man’s chance of dying from prostate cancer, it would also mean many men receiving treatment unnecessarily. As a result there is currently no prostate screening programme in the UK but since 2016 asymptomatic men aged 50 years or older have been able to discuss having a PSA test with their GP as per the prostate cancer risk management programme.
If you are over 50 you are welcome to have a PSA blood test.
We would recommend reading the information below via the links to help you decide if you wish to go ahead.
If you’re having a PSA test, you should not have:
- ejaculated in the past 48 hours
- exercised heavily in the past 48 hours
- a urinary infection
- had a prostate biopsy in the past 6 weeks as each of these may give an inaccurate PSA reading.
More info here:
Prostate cancer – Should I have a PSA test? – NHS (www.nhs.uk)
Prostate cancer – PSA testing – NHS (www.nhs.uk)
If you would like to speak to a Prostate Cancer nurse specialist you can contact them here: 0800 074 8383
Prostate Cancer UK’s Specialist Nurses | Prostate Cancer UK
There are a number of things that can increase your risk of having prostate cancer, the main ones being age, being of black or mixed black ethnicity and having a father or brother with prostate cancer. You can check your prostate cancer risk here: Check your risk in 30 seconds | Prostate Cancer UK
Prostate Problems
Who do I see?
Routine GP Appointment
Advice:
Prostate problems are common, particularly in men aged over 50. The prostate is a small gland found only in men and trans women. It surrounds the tube that carries urine out of the body (urethra).
The prostate gland produces a thick, white fluid that gets mixed with sperm to create semen. The prostate gland is about the size and shape of a walnut but tends to get bigger as you get older. It can sometimes become swollen or enlarged by conditions such as:
Benign prostate enlargement (BPH)
Prostatitis
Prostate cancer
Prostate problems – NHS (www.nhs.uk)
Symptoms of an enlarged prostate can include getting up over night to pass urine, a poor flow, having to strain to go, urinary incontinence and dribbling.
To help better assess these symptoms, you will likely be asked to provide a urine sample, have a PSA blood test and have a prostate examination.
Examination of your prostate | Prostate cancer | Cancer Research UK
You may also be asked to complete this questionnaire –
Rectal Bleeding
Who do I see?
Community Pharmacy if haemorrhoids present
Triage GP / ANP if acute episode
A+E if the blood loss is very heavy or black and tarry
Routine GP appointment if recurrent or longstanding issues
Advice:
Rectal bleeding can have a range of causes ranging from simple haemorrhoids to gastroenteritis and gut inflammation.
The type of bleeding and the colour of the blood can help determine the cause.
Bleeding from the bottom (rectal bleeding) – NHS (www.nhs.uk)
Rectal Bleeding (Blood in Stool) | What to do | Causes and Treatment | Patient
Rashes
Who do I see?
Community Pharmacy
Triage ANP / GP
Routine GP appointment if ongoing problem
Advice:
There are many causes for rashes. Most are not concerning but it is important to act quickly if you are worried.
Non blanching rashes are rashes that do not fade under pressure. These rashes need urgent attention.
Rashes can be caused by allergies (known as hives), heat, eczema, infections such as hand, foot and mouth, chicken pox, shingles and more.
Self-help guide: Rash | NHS inform
For children:
Relationship Problems
Who do I see?
Online support services
Advice:
Home | Relate
Relationships Worksheet | Get.gg – Getselfhelp.co.uk
Maintaining healthy relationships and mental wellbeing – NHS (www.nhs.uk)
Relationships | How counselling can help (bacp.co.uk)
Relationships / Family (supportline.org.uk)
National Family Mediation | We Help Families in Conflict (nfm.org.uk)
Marriage Care | Relationship counselling | Marriage preparation
Divorce Recovery Workshop | We’re Here to Help! (drw.org.uk)
Removal of Stitches
Who do I see?
HCA (Health Care Assistant)
Advice:
Please phone the surgery to arrange your appointment if you require removal of stitches.
Sedation for Scans
Who do I see?
Your hospital team
Advice:
We are unable to prescribe sedatives, such as diazepam, for any procedure or scan being undertaken outside of AMC, this includes MRI scans and dental procedures. If you feel you need sedation in such circumstances, please speak to the team undertaking the procedure or scan, as they are responsible for providing this if needed.
Our reasons for this decision are:
- GPs are not trained to provide the correct level of sedation for a procedure / scan. Providing too little sedation won’t help you, providing too much sedation can make you too sleepy, which could lead to the procedure being cancelled. Too much sedation can dangerously affect your breathing. After taking a sedative for a procedure or scan, you will need to be closely monitored to keep you safe.
- Although diazepam makes most people who take it sleepy, in some rare situations it can have an opposite effect and make people aggressive or agitated.
- Scans and hospital procedures are often delayed, therefore the team performing he procedure or scan should provide the sedation, to ensure you become sleepy and relaxed at the right time.
Feel free to show this policy to your hospital team or dentist if needed.
Information on sedation | The Royal College of Anaesthetists (rcoa.ac.uk)
Sick Note (Fit Note)
Who do I see?
Please ensure you self certify for first 7 days, then please submit your request via an E consult
If you are unable to do this then please speak to reception
Advice:
Sick notes mean that you are medically unfit for any type of work and should be completed by the person or team who has been in charge of your care. This is not always the GP. We can only issue a fit note if we have been involved in your care or have supporting documentation.
A fit note can be backdated if required, please provide the required dates and as much information as you can.
Please note – requests for fit notes are not appropriate for same day / emergency triage calls, please follow the process above.
Self Certify
For the first 7 consecutive days of absence, you do not need a note and should self certify. You can obtain this form from your employer or by visiting the HMRC website.
Taking sick leave – GOV.UK (www.gov.uk)
Employee’s statement of sickness to claim Statutory Sick Pay – GOV.UK (www.gov.uk)
If you have been discharged from hospital, your hospital team will issue any fit notes for the period of your recovery. Please contact the ward staff or the Consultant’s secretary (even after discharge). If you run into any difficulties please reference this guidance or speak to the ‘PALS’ department, this is part of their duty of care to you as their patient.
Statement of fitness for work: a guide for hospital doctors – GOV.UK (www.gov.uk)
Schools should not request a GP letter to confirm absence, this can be written by a parent or guardian.
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.
There are no notes to say that you are fit and well to return to work, this is for you and your employer to decide together. The absence of a fit note to state that you are unable to work is enough to support your return.
Sore Throat
Who do I see?
Self Care / Community Pharmacy
Triage ANP or GP if persisting
Advice:
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 (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.
Sore throat – NHS (www.nhs.uk)
NHS (hereforyouhampshire.nhs.uk)
For children:
Sleep Problems
Who do I see?
Self Care / Community Pharmacy
Routine GP appointment if persisting
Advice:
Sleep is our body’s way of recharging our batteries, both physically and mentally, but poor sleep or sleep deprivation can have a significant impact on our mood, our energy levels and on our overall wellbeing. Problems with sleep are very common. Around 1/3rd of adults will struggle with their sleep at least once a week. There can be many reasons why this may occur including stress, alcohol intake and mental health problems.
Simple lifestyle changes can make a world of difference to your quality of sleep. You can get good advice and medication/sleep aids from a pharmacist.
There are also a number of sleep apps available and a huge range of other resources online.
Medication for sleep is rarely the answer and looking at our lifestyle, any triggers and external factors is usually the most helpful way at addressing the issue.
The NHS advises to look at sleep hygiene first. If there is a short term reason for the sleep disturbance and it is causing distress then a short course 3-7 days of a sedative (called a Z drug) can be considered.
Following this, CBT-i is recommended.
Another medication called Melatonin can be considered but only for those aged 55 and over.
Insomnia (Poor Sleep) | How to sleep better | Causes & Treatment | Patient
How to sleep better | Mental Health Foundation
10 tips to beat insomnia – NHS (www.nhs.uk)
Sleep Foundation | Better Sleep for a Better You
Effective Treatment for Insomnia – Sleepful
Sleepstation – sleep improvement & insomnia course
Sleepio | Can’t sleep? Get to sleep and stay asleep without pills or potions
Pzizz | Sleep at the push of a button
Info-sleep hygiene2.pub (italk.org.uk)
Sleep & Insomnia Self-Help Resources – Information Sheets (health.wa.gov.au)
NHS Talking Therapies Hampshire Wellbeing Classes (italk.org.uk) (one specifically for sleep, called Sleeping Soundly)
Calm – The #1 App for Meditation and Sleep
Cognitive Behavioral Therapy for Insomnia (CBT-I): An Overview (sleepfoundation.org)
How to sleep better | HPFT IAPT Services (hpft-talkingtherapies.nhs.uk)
Be Mindful | Digital MBCT program (bemindfulonline.com)
The DVLA must be informed if excessive sleepiness is having, or is likely to have, an adverse effect on driving.
For children:
Sleep Apnoea
Who do I see?
Routine GP appointment
Advice:
Sleep apnoea is when your breathing stops and starts while you sleep. The most common type is called obstructive sleep apnoea (OSA).
Symptoms include:
- Excessive daytime sleepiness, snoring, and fatigue.
- Witnessed breathing pauses (apnoeas), gasping, or choking while sleeping.
- Unrefreshing sleep, impaired concentration.
- It is more common with:
- Increasing age.
- Male sex (the male to female ratio is 2–3:1).
- Obesity.
- Neck circumference greater than 40.6 cm.
- Family history of OSA.
- Smoking.
- Alcohol.
- Sleeping on your back.
- Hypothyroidism.
Sleep apnoea – NHS (www.nhs.uk)
If you are worried you may have sleep apnoea please complete these questionnaires prior to your GP appointment.
STOPBang Questionnaire (britishsnoring.co.uk)
Epworth Sleepiness Scale | British Lung Foundation (blf.org.uk)
Stings
Who do I see?
Community Pharmacy
Triage GP / ANP if concerns over infection
Advice:
See a pharmacist for concerns over simple insect bites and stings. Anti histamine medication and medicated creams can be obtained without a prescription. Insect bites and stings do not usually require antibiotics. Skin redness and itching are common and may last for up to 10 days.
Stopping Antidepressants
Who do I see?
GP or Clinical Pharmacist to advise
Ask reception or send an E consult
Advice:
It is important to ask for advice before stopping your medication.
A dose of antidepressants should be slowly reduced, normally over several weeks, sometimes longer. This varies depending on the type of antidepressant you’re taking, your dose and how long you’ve been taking it for. Generally we first reduce your dose by 25-50%, try this new dose for a couple of weeks and then if all well reduce the dose further before stopping completely.
We will help you agree a plan for how to gradually reduce your dose. We do this to try and prevent any withdrawal symptoms you might get as a reaction to coming off antidepressants suddenly.
Stopping or coming off antidepressants – NHS (www.nhs.uk)
Stopping antidepressants | Royal College of Psychiatrists (rcpsych.ac.uk)
Sunburn
Who do I see?
Self Care / Community Pharmacy
Advice:
Support Services
Who do I see?
Online Resources
Advice:
Please also see separate sections for more info on Anxiety, Alcohol, Autism, ADHD, Behavioural Concerns in Children, Bereavement Support, Blue Badge Forms, Breastfeeding Advice, Cancer, Carers Support, Child Development Concerns, Chronic Pain, Dementia Support, Domestic Violence, Drug Addiction, Depression, Dyslexia, DWP, Eating Disorders, Homelessness, Mental Health Crisis, Mental Health Support for Young People, New Baby, Relationship Problems, Veterans, Smoking Cessation, Suicidal Thoughts and Weight Loss Support.
Andover Food Bank, Alexandra Road, 01264 362111
A.C.E Andover Clothing Exchange and Baby Bank (Facebook page)
About LGBTQIA+ and mental health – Mind
Advice and Support for LGBT people – GOV.UK (www.gov.uk)
Galop – the LGBT+ anti-abuse charity
Chronic Pain Support Groups in the UK | To Better Days
Healthtalk (chronic pain support)
Private Therapy in Hampshire & Surrey | Hampshire & Surrey Psychology (hampshirepsychology.co.uk)
Getting help for domestic violence and abuse – NHS (www.nhs.uk)
Problems | Get.gg – Getselfhelp.co.uk
Free Downloads – CBT Information Leaflets & Self Help Guides | Get.gg – Getselfhelp.co.uk
Debt advice | Free debt advice | National Debtline | National Debtline
Cost of Living Payments 2023 to 2024 – GOV.UK (www.gov.uk)
Get help with the cost of living from your local council – GOV.UK (www.gov.uk)
Alcoholics Anonymous Great Britain (alcoholics-anonymous.org.uk)
Home – Mind (mental health support)
NHS Talking Therapies Hampshire, your local psychological therapy service (italk.org.uk)
Anxiety self-help guide | NHS inform
Depression self-help guide | NHS inform
MOODJUICE – Obsessions and Compulsions – Self-help Guide (oxfordhealth.nhs.uk)
Help for problems with gambling – NHS (www.nhs.uk)
Peanut – Find Friends and Support (peanut-app.io) (a safe space for women of any age to meet and find support)
Home | Gingerbread (for single parent families)
Homepage – Yellow Door (domestic violence)
a family, creatively empowering people to thrive in their communities (theyoutrust.org.uk) (learning disability, chronic ill health, domestic violence)
The Freedom Programme. Learn about domestic violence and abuse (domestic violence)
Home | Relate (relationship problems)
Revenge Porn Helpline – 0345 6000 459 | Revenge Porn Helpline [email protected]
Rape Crisis 0808 500 2222
Home – Safeline – Believe in you – Surviving sexual abuse & rape
Parent Talk – Support for Parents from Action For Children
About Us (yellowbrickroadprojects.com) (providing young people <35 with essential life skills they need to flourish. Key topics include: Finance, Home Matters, Health and Wellbeing, Career Advice, and Relationships. 01264 360589
Growing Together | Yellow Brick Road Projects (young parents support network, aged16-25yrs)
The Legacy Project (yellowbrickroadprojects.com) (an initiative which has been set up to work closely with young people between the ages of 11-25, and have been identified as being at risk of criminal exploitation or victimisation)
What is You Matter? | Yellow Brick Road Projects (the You Matter programmes were set up to provide young people with essential life skills, support networks, personal growth, and opportunities for career enhancement)
What are personality disorders? – Mind
Useful contacts – PTSD – Mind (PTSD)
Recovery College :: Southern Health NHS Foundation Trust
NHS Talking Therapies Hampshire Wellbeing Classes (italk.org.uk) (For issues related to sleep, menopause, being a carer, a military partner, problems at work and more)
andoverneighbourcare.co.uk (transport, cleaning, gardening, shopping and more) 01264 404142
Health and care in the test valley – Unity (unityonline.org.uk) (befriending, decluttering, respite, transport for hospital appointments)
Where to find your local wellbeing centres: Wellbeing – Andover Mind
Test Valley (Andover)
Westbrook Close, South Street, Andover, SP10 2BN
tel: 01264 332297
email: [email protected]
North and Mid Hampshire Safe Haven – Andover Mind
tel: 0300 303 5772, You can drop in during the opening times 6-10pm, there’s no need for an appointment.
Located at the Andover Mind Wellbeing Centre, 3 Vyne Road, Basingstoke, RG21 5NL
Shingles Vaccine
Who do I see?
Practice Nurse / HCA (Health Care Assistant)
Advice:
We will send you an invite for your shingles vaccine when you are eligible. If you think you have been missed please let us know.
Sinusitis
Who do I see?
Community Pharmacy
Triage ANP / GP if worsening or persisting symptoms
Advice:
Sinusitis is common and often takes 2-3 weeks to fully clear. It is usually caused by a virus and therefore antibiotics are not often recommended.
Some patients get relief from nasal rinses and decongestant sprays which can be obtained from the chemist. Nasal steroid sprays may also help, speak to the pharmacist for advice.
Smoking Cessation
Who do I see?
Smokefree Hampshire
Andover PCN team
Advice:
Stopping smoking isn’t easy, but giving up will greatly improve your own health as well as the health of your friends and family.
Self refer to this service via the link below:
Text QUIT to 66777
Call 01264 563039
Smokefree Hampshire | Your Stop Smoking Service or on social media @SFHampshire
Quit smoking – Better Heath – NHS (www.nhs.uk)
The Andover PCN also runs a stop smoking service at the Health Hub in the Chantry Centre – drop in between 10-11.30am or email [email protected] for an appointment.
Sore Penis
Who do I see?
Sexual Health Clinic
Triage ANP / GP
Advice:
In children the most common cause is balanitis.
Social Prescribing Service
Who do I see?
Health and Wellbeing Advisor from Andover PCN
Advice:
Social Prescribing is a service that works alongside the team at the GP surgery. The social prescribers, also known as health and wellbeing advisors, accept referrals from the surgery to link patients to other community and non-clinical services. Our reception team can refer you or you can self refer through the Andover PCN website or visiting the team in the Health Hub in the Chantry Centre.
Health and wellbeing advisors are equipped to help with a range of issues, including;
Social isolation
Loneliness
Emotional wellbeing
Healthy lifestyle choices and help with weight loss
Loss of confidence
Poor health linked to housing problems
Accessing work
Social Prescribing – Andover Primary Care Network (andoverpcn.co.uk)
What is Social Prescribing? | NASP (socialprescribingacademy.org.uk)
Sprains
Who do I see?
Self care
Minor Injuries Unit
First Contact Physiotherapist
Advice:
Sprains and strains – NHS (www.nhs.uk)
For concerns about sprains and strains you can use Andover Minor Injuries Unit.
Andover Minor Injuries Clinic :: Hampshire Hospitals
If you have an ongoing issue following an injury then please book an appointment with our first contact physiotherapy team via reception.
Styes
Who do I see?
Community Pharmacy / Minor Eye Conditions Service
Advice:
Any eye issues can be seen directly by the ‘MECS’ without the need for a GP referral. Please see info leaflet below and contact the service directly.
Stye – NHS (www.nhs.uk)
Styes – Moorfields Eye Hospital
Minor Eye Conditions Service (MECS) covers minor eye problems (primaryeyecare.co.uk)
Statin Medication
Who do I see?
Routine GP appointment
As part of your annual long term condition review
Advice:
Statin medication is a type of drug treatment used to lower cholesterol, for some patients this is recommended to help protect you from conditions such as stroke and heart attack (also termed cardiovascular disease).
If you have a known diagnosis of cardiovascular disease (stroke, TIA, previous heart attack, coronary artery disease or angina) or chronic kidney disease then statin medication is recommended. Statins are also usually recommended to patients with diabetes.
If you not do have cardiovascular disease, kidney disease or diabetes, then in order to determine who would benefit from statin medication we calculate something called your ‘cardiovascular risk score.’ The Q risk score is based on a number of variables including age, blood pressure, BMI, smoking status and cholesterol readings.
QRISK will categorise patients into low (<10%), moderate (10-20%) or high (>20%) risk groups. It is important to note that based on age alone once men reach 65 and women reach 70 you will automatically fall into a moderate risk group even if your blood pressure, weight, cholesterol etc are within the normal ranges!
The QRISK score is usually done as part of your annual medication or long term condition review.
If your score is above 10% then medical guidelines would advise that we alert you to this finding and have a discussion about lifestyle changes and statin medication with you.
It is important to note that lifestyle measures such as losing weight, increasing our activity levels and reducing alcohol intake are the most effective ways in which to reduce our risk of cardiovascular disease but for some patients statin medication will also have an important role.
Cardiovascular Risk Score (QRISK2) Patient Information Leaflet – Winchmore Hill Practice
The Q Intervention tool can tell you your QRISK score (risk of developing cardiovascular disease in the next ten years) and also your QDiabetes score (risk of developing diabetes in the next ten years). It also allows you to see the how this risk changes with different interventions such as losing weight or starting statin medication.
How do I lower my cholesterol? we answer 5 of your most common questions – BHF
Suicidal Thoughts (see also Mental Health Crisis section)
Who do I see?
Info below on help and support for yourself or someone you care about
Same day triage team if you need urgent assistance
(Please also see sections on Anxiety, Depression, Mental Health Crisis and Mental Health Support In Young People)
Advice:
Download the Stay Alive app
Mental Health Support Network provided by Chasing the Stigma | Hub of hope
Call NHS 111
Get mental health help – NHS 111
Samaritans | Every life lost to suicide is a tragedy | Here to listen
Text HANTS to 85258 for an immediate call back
Shout – UK’s 24/7 Crisis Text Service for Mental Health Support | Shout 85258 (giveusashout.org)
Papyrus UK Suicide Prevention | Prevention of Young Suicide (papyrus-uk.org) (under 35s)
Helping prevent suicide:
Suicide prevention | Mental Health Foundation
The Last Photo | Campaign Against Living Miserably (CALM) (thecalmzone.net)
SAVE: Suicide Prevention, Information, and Awareness
Free online training from Zero Suicide Alliance
Termination of Pregnancy
Who do I see?
BPAS
Advice:
The 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. You can self refer to this service through their website, there is no need for a GP referral.
Threadworms
Who do I see?
Community Pharmacy
Advice:
Threadworms (pinworms) are tiny worms in your poo. They’re common in children and spread easily. You can treat them without seeing a GP (unless you are under 2 years old or pregnant or breastfeeding).
Tiredness and Fatigue
Who do I see?
Routine GP Appointment
Advice:
Feeling exhausted is so common that it has its own acronym, TATT, which stands for “tired all the time”.
There are numerous reasons for feeling tired, symptoms can be discussed with the GP to try and determine the likely cause. A blood test will often be recommended to check for certain things such as thyroid problems and low iron levels.
Urinary Incontinence
Who do I see?
Routine GP Appointment
Advice:
Urinary incontinence is the unintentional passing of urine. It’s a common problem thought to affect millions of people. The main risk factor is advancing age. There are several types of urinary incontinence, including:
- Stress incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
- Urge incontinence – when urine leaks as you feel a sudden, intense urge to pee, or soon afterwards.
Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter.
Urge incontinence is usually the result of overactivity of the detrusor muscles, which control the bladder. Some patients will have symptoms of both types, known as mixed incontinence.
Urinary incontinence – NHS (www.nhs.uk)
There are a number of ways to help. Lifestyle changes can improve symptoms, these include weight loss and reduced caffeine intake. For stress incontinence symptoms it is recommended you have a 3 month trial of pelvic floor exercises. For urge incontinence or overactive bladder symptoms, bladder re training is advised. If exercises do not help then medication may be offered or a referral to women’s health physio or to the Urologist for consideration of surgery.
Pelvic Floor:
Home Page – Squeezy (squeezyapp.com)
How_to_exercise_your_pelvic_floor_muscles.pdf (hampshirehospitals.nhs.uk)
Pelvic Floor Exercises | Bladder & Bowel Community (bladderandbowel.org)
Your_referral_to_the_womens_health_physiotherapy_team.pdf (hampshirehospitals.nhs.uk)
Bladder Retraining:
Urine Infections
Who do I see?
Community Pharmacy (for mild symptoms)
Triage ANP / GP
Advice:
Urinary tract infections or ‘UTI’s are very common.
Typical symptoms include stinging or burning when you pass urine, pain in the lower abdomen or back, cloudy urine and needing to wee more frequently than normal.
If you have a very high temperature, are shivering or confused – seek help immediately.
If you suspect a urine infection please call the triage line. You will usually be asked to provide a urine sample – sterile pots are available at reception.
If you are under 65 your urine sample can be ‘dipstick’ tested a the surgery to see if there is any infection or blood present. If you are over 65 the dipstick testing is inaccurate so your sample will be sent to the hospital for further analysis (this take 24-48hrs).
If you have symptoms and are female, you are likely to be prescribed an antibiotic for 3 days whilst we wait for the result from the hospital – this is the standard course of treatment. If you are male, you will be given a week long course of antibiotics.
Based on your results you may require a change in antibiotic or an extended course of treatment. We will contact you if this is the case.
Urinary tract infections (UTIs) – NHS (www.nhs.uk)
TYI-UTI GenPract V23.5 UKHSA.pdf (rcgp.org.uk)
TARGET UTI leaflet for older adults V2.4 COVID-19 advice UKHSA.pdf (rcgp.org.uk)
Some patients struggle with recurrent urine infections. This information leaflet from West Suffolk Hospital is very informative, if you are having repeated episodes of UTIs then please speak to the GP at a routine appointment.
Verrucae
Who do I see?
Community Pharmacy
Advice:
Warts and verrucas – NHS (www.nhs.uk)
Numerous treatments are available over the counter, a pharmacist will be able to advise on these.
Unfortunately we do not have any facility to freeze verruca’s at the surgery.
Vomiting
Who do I see?
Self Care / Community Pharmacy
Triage ANP / GP if persisting / concerned
Advice:
Adults:
Nausea and vomiting in adults is often short lived and nothing to worry about. It can be caused by a variety of issues including infections such as gastroenteritis and food poisoning, pregnancy, alcohol excess and some medications. If you are vomiting blood or have chest pain and nausea you must seek immediate advice.
Vomiting in adults | NHS inform
Children:
Diarrhoea and/or Vomiting :: Healthier Together (what0-18.nhs.uk)
Babies:
Most babies vomit small amounts from time to time and bring up some milk when they burp. This is known as possetting and is usually nothing to worry about. Vomiting can also be caused by reflux, milk allergy, a stomach bug or something called pyloric stenosis. Click the link below for more information.
My baby is vomiting :: Healthier Together (what0-18.nhs.uk)
Vomiting in Pregnancy:
Whilst simple morning sickness can be very common, some women will have significant nausea and vomiting during pregnancy, this is known as hyperemesis. Anti sickness medication can be provided to help with the symptoms.
Severe vomiting in pregnancy – NHS (www.nhs.uk)
What is Hyperemesis Gravidarum? (pregnancysicknesssupport.org.uk)
bumps – best use of medicine in pregnancy (medicinesinpregnancy.org)
What To Do When Someone Dies At Home
Who do I see?
Medical Examiner Service
Registrar
Advice:
When a patient passes away, they must be verified dead by a medical practitioner, this can be a specialist nurse or a GP. You can call the surgery or 111 if the surgery is closed. Once this has happened, the funeral directors can be contacted to collect the body.
A death certificate will be completed by the GP (unless the death is referred to the Coroner) and then sent to the Medical Examiner for review. The Medical Examiner will contact the NOK/named representative to guide you through the next steps.
If a cremation is planned then the GP will also complete a cremation form which will be sent directly to the funeral directors.
What to do when someone dies – what should I do next? | Age UK
What to do when someone dies: step by step – GOV.UK (www.gov.uk)
What to do after a death – Citizens Advice
An overview of the death certification reforms – GOV.UK (www.gov.uk)
Travel Advice and Vaccinations
Who do I see?
Practice Nurse
Online resources
Advice:
Some airlines are advising travellers who are bringing medication in their hand luggage that they should bring a letter from their medical practitioner confirming the type of medication and what it is for.
This is incorrect, if a passenger packs their medication in their hold luggage, they do not require any of their medical information.
If a passenger seeks to carry their essential medication in their cabin luggage, and the form of the medication contravenes aviation regulations e.g., the use of sharps, liquids more than 100ml or oxygen cylinders, they require the passenger to produce confirmation from their healthcare practitioner that the medication is necessary to be carried as it may be required on board.
We can offer you a private letter for this or patients can also provide proof of medical conditions and medication by showing airlines their medical records on the NHS App, by accessing their online medical record, or by getting a copy of their medical summary from their practice.
If a person is going to be abroad for over 3 months then all they are entitled to at NHS expense is a sufficient
supply of regular medications to get to the destination and find an alternative supply of that medication. The NHS accepts responsibility for supplying ongoing medication for temporary periods abroad of up to three months. This applies for both holidays and working abroad.
If a person is going to be abroad for more than three months, then only a sufficient supply of his/her regular medication should be provided to enable them to get to the destination and find an alternative supply. The patient should be advised to register with a local doctor for continuing medication, which they may need to pay for; the patient should check if the medicines required are available in the country being visited.
GP practice are not responsible for finding a doctor or ensuring medication supplies are available at the travel destination. The patient is responsible for finding and registering with a local doctor and for confirming a regular supply of their medication.
NHS prescriptions must never be obtained by relatives or friends on behalf of patients who are currently abroad.
Patients should check on arrangements for obtaining prescribed medicines in the country they intend to visit
before leaving the UK.
Can I take my medicine abroad? – NHS (www.nhs.uk)
For vaccinations, please submit a travel form at least 6 weeks or more before travelling. Have a look at your destination on the NaTHNaC website to find out which vaccinations you will need.
Travel vaccinations – NHS (www.nhs.uk)
Tetanus Injection
Thrush (Vaginal)
Who do I see?
Self-Help / Community Pharmacy
Sexual Health Clinic
Advice:
You can obtain treatment for vaginal thrush easily over the counter as a cream or vaginal tablet (pessary). If you are unsure you can discuss with the pharmacist. There is more information here Thrush in men and women – NHS (www.nhs.uk).
If you are sexually active, you can also visit your local sexual health clinic for any concerns about vaginal discharge or possible sexually transmitted infections.
If you have frequent / recurrent episodes of thrush or your symptoms are not resolved with the usual treatments then please discuss this routinely with a GP.
Thrush (Oral)
Who do I see?
Community Pharmacist
Triage GP / ANP if for a baby under 4 months old or symptoms do not resolve with OTC treatment
Advice:
Treatment is available over the counter from a pharmacist unless this is for a baby under 4 months of age. Steroid inhalers can cause oral thrush, be sure to use your spacer or rinse your mouth out following inhaler use.
Oral thrush (mouth thrush) – NHS (www.nhs.uk)
Oral Thrush. Causes, Symptoms & Treatment of oral thrush | Patient
Vaginal Discharge
Who do I see?
Sexual Health Clinic / Practice Nurse / GP
Advice:
You can book an appointment with the Practice Nurse/GP.
Further information about vaginal discharge available from NHS UK.
Vasectomy
Who do I see?
Self referral or Sexual Health Clinic
Advice:
A vasectomy should be considered as a permanent and irreversible method of contraception. It’s usually carried out under local anaesthetic, where you’re awake but don’t feel any pain, and takes about 15 minutes.
If you wish to be referred then please visit the Mid Hampshire Healthcare (MHH) website and complete the referral form.
Vasectomy (midhampshirehealthcare.co.uk)
There is more information on the procedure below.
Sterilisation (vasectomy and tubal occlusion) – Contraception – Sexwise
Veterans
Who do I see?
Support Services
Advice:
Below is a list of national services that offer support to veterans:
Mental health services for veterans | Combat Stress
Get Help and Support: Help for Heroes – Empowering Veterans | Help For Heroes
SSAFA, the Armed Forces charity
Welcome to the DBS UK Armed Forces & Veterans Portal (mod.gov.uk)
Royal British Legion | Armed Forces Charity
Forces Support – Home (bereavement)
Advice and support for veterans & ex-forces | Veterans’ Gateway (veteransgateway.org.uk)
Fighting With Pride: The LGBT+ Military Charity
Mental health support for veterans, service leavers and reservists – NHS (www.nhs.uk) (Op COURAGE programme)
Forward Assist (forward-assist.com) (support with return to civilian life)
For more local support, Andover PCN can help:
Vitamin B12 Injection
Who do I see?
Practice Nurse or HCA
Advice:
This injection must have been initially advised by the GP. If you are having continued injections you will need to be seen every 3 months for a further dose.
Further information about Vitamin B12 or folate deficiency anaemia, available from NHS UK.
Warfarin Monitoring
Who do I see?
Anticoagulation clinic
Advice:
If you are a patient taking warfarin you should be under the care of the Anticoagulation Clinic run by the hospital. They will advise when your blood tests are due, you are welcome to have your blood test performed at the surgery or at AWMH Phlebotomy department.
If you are new to the area and taking warfarin blood thinning tablets, we can refer you for this service, please contact reception.
Patient resources :: Hampshire Hospitals
Warfarin FAQs available at Warfarin.pdf (hampshirehospitals.nhs.uk)
Weight Loss Support
Who do I see?
Online Resources
Social Prescribing service
Specialist Referral
Advice:
There is so much advice available on different methods for weight loss it can be hard to know where to turn. Ultimately, it is about finding a method that is safe, effective and fits with your lifestyle. Maintaining a healthy weight is one of the best things you can do to help keep healthy for the future.
Support for losing weight on the NHS is split into tiers.
Tier 1 means using free, accessible support and information to start your weight loss journey. Things like weight loss apps, advice from a nurse, social prescriber or pharmacist, NHS online support etc.
Lose weight – Better Health – NHS (www.nhs.uk)
NHS England » The NHS Digital Weight Management Programme
WEIGHT LOSS HACK: Eat MORE and LOSE Weight! (youtube.com) (10 part YouTube series from a GP)
The Andover PCN Social Prescribing team can support with weight loss and can be contacted by visiting the Health Hub in the Chantry Centre or here Andover Primary Care Network – A primary healthcare organisation committed to quality care and health improvement in the community (andoverpcn.co.uk)
Tier 2 services are delivered by local community weight management services, that provide community based diet, nutrition, lifestyle and behaviour change advice, normally in a group setting environment, services such as Weight Watchers or Slimming World. Normally people can only access these services for a limited time period (often only 12 weeks). Our local provider is ‘Gloji’ and we can refer you to this service if you complete the form here: Weight Management – Adelaide Medical Centre
Tier 2 services also include accessing discounted gym memberships (see below).
Tier 3 services are from a clinician led multidisciplinary team usually including a specialist Consultant or GP, specialist nurse, specialist dietitian, psychologist, psychiatrist, and physiotherapist. These are specialist weight management clinics that provide non-surgical intensive medical management and includes the use of weight loss injections.
Our service is called The Weigh Ahead and requires you to complete a referral form and have a blood test prior. There are strict inclusion criteria and you must have completed Tier 1 and Tier 2 before being able to apply. Over a six-month programme the team will provide you with the tools and support you need to lose weight and lead a healthier lifestyle for the long-term. Through a programme that is tailored specifically to your needs, “The Weigh Ahead” aims to help you lose at least 5-10% of your excess body weight to achieve improved health outcomes.
You must be 16 or over
You must have a BMI of 35 or over and one or more weight related medical problem OR a BMI over 40
You must have completed Tier 1 and Tier 2 interventions
You only get one opportunity to be referred
The Weigh Ahead (spirehealthcare.com)
If you meet the criteria and would like a referral you can collect a from from the receptionist.
There are some medications that can help with weight loss. The one that we can prescribe is called Orlistat.
Orlistat (Weight Loss Medicine) | Patient
The NHS has also begun licencing weight loss injections but these are currently only available through the tier 3 service.
Tier 4 services provide bariatric surgery and are only accessbile after completion of the Tier 3 programme.
Increasing activity levels will also help with weight loss:
home | Andover parkrun | Andover parkrun
Andover Leisure Centre | Gym & Pool | Places Leisure – Places Leisure – discounted memberships are available if you meet certain criteria, reception can help with this, no appointment needed.
I Can Therapy Centre – Power Assisted Exercise Facility in Andover