Contact your GP

What to do when you have the following condition(s)....

Text from above image:

Feeling unwell choose the right NHS service.
Care at home:
For common ailments and illnesses keep a medicine cabinet at home with items like pain relief, plasters and cold medicine. Get plenty of rest
Sore throat, grazed knee, diarrhoea, headache, hangover, coughs and colds
Pharmacy
Visit your local pharmacy for:
minor injuries allergies, constipation, sinusitis, sore throat, earache, infected insect bites, impetigo, shingles, urinary tract infection.
NHS111
Non emergency help. Think 111 if you need help fast but its not an emergency.
Open 24/7 call 111 or visit 111.nhs.uk
GP Practice 
Gp practices are open. Talk to your gp, nurse or other healthcare professions for lasting symptoms, chronic pain, long term conditions, new prescriptions
Urgent care
Minor injuries, urgent care centres or walk-in centres provide care for non life threatening conditions.
Breaks and sprains, x-rays, cuts and bruises, fever and rashes
A&E or 999
For life threatening emergencies. Choking, chest pain, blacking out, serious blood loss, difficulties in breathing
Dental care
For urgent dental care during the day phone your dental practice. Their voicemail may advise where to get out of hours treatment. For urgent care, advice out of hours call NHS 111
Mental health
If you're worried about your mental health or need to speak to someone call the Samaritans on 08457 909090 or 020 7771 5807 (24 hours a day).
Safe connections a suicide prevention support service 0300 561 0115
Mental health crisis call 111 and select option 2.

Text from above image:

Is it urgent or an emergency?
Call 999 immediately if you or someone you are with: is suffering from suspected stroke or heart attack, has major trauma, such as from a road traffic accident, has self-injured, taken an overdose or if life is at risk
Are you or the person concerned suffering from any of the following? 
loss of consciousness, acute confused state, fits that are not stopping, chest pain, breathing difficulties, severe bleeding that cannot be stopped, severe allergic reactions, severe burns or scalds
If you have answered YES, this is an emergency situation and you should immediately visit the Emergency Department or call 999
If you have answered NO, can you see your situation below?
If you are unsure, call NHS 111 or go to 111.nhs.uk to find the right service for you
You or the person you are caring for has: severe sore throat, a cough - if new and continuous follow COVID-19 guidance, eye irritation and redness, skin rash and/or mild infection, a bite or sting, vomiting, diarrhoea or dehydration 
You or the person you are caring for has: had an accident and/or fall, a minor head injury, cuts that don’t involve much blood but might need stitches, suspected broken bones, moderate back problems, sprains and strains, a skin infection that is getting worse
It’s after 6.30pm or a weekend, you cannot contact your GP surgery and you are experiencing symptoms of: breathing difficulties, such as mild to moderate asthma, urinary tract infections, vomiting, diarrhoea, or dehydration that is getting worse
Your pharmacist can support you - find your local pharmacy including those open late at night, nhs.uk/find-a-pharmacy Contact 111. They can assess and advise you, referring to your local out of hours service if appropriate
Your nearest minor injury service can assist and is open 7 days a week, from 8am-8pm. You can walk in or contact 111 who can assess and advise you. 
When you are worried about the health of a child who is unwell contact: Out of Hours Service: 0207 511 8880
For urgent help with your mental health contact 111 or Newham Mental Health Crisis Line: Call 0800 073 0066 for 24/7 support from mental health professionals
Contact 111. They can assess and advise you, referring to your local out of hours service if appropriate

If you have the following conditions, you can directly contact your pharmacy to self-refer yourself or your child as "PharmacyFirst" scheme. 

* If on benefits, you don't have to pay for the medication.

Text from above image:

Inclusion & Exclusion Criteria - 7 common conditions
Urinary tract infection
A UTI Is an infection in any part of the urinary system. Inclusion:
Female
Aged between 16 - 64
Suspected lower UTI
Exclusion:
Male
<16 or >64
Pregnant
Breastfeeding Recurrent UTI (2 In last 6 months or 3 in last 12 months)
Catheter
Shingles
Shingles Is an infection that causes a painful rash
Inclusion:
18 years and over
Suspected case of shingles.
Rash appeared within the last 72 hours  7 days
Exclusion:
< under age of 18
Pregnant or suspected pregnancy
Breastfeeding with shingle sores on the breasts
Shingles rash onset over 7 days ago
Impetigo
Impetigo is a common infection of the skin. It is contagious, which means 
it can be passed on by touching.
Inclusion: 
1 year and over 
Signs and symptoms  of impetigo 
Localised (4 or fewer lesions/clusters present) 
Exclusion: 
under 1 year of age 
Pregnancy or suspected pregnancy in individuals under 16 years of age 
Breastfeeding with Impetigo lesion(s) present on the breast 
Recurrent lmpetigo (2 or more episodes in the same year)
Widespread lesions/ clusters present
Systemically unwell
Infected insect bites
Infected insect bites can become infected or cause a reaction.
Inclusion:
1 year and over
infection that is present or worsening at least 48 hours after the initial bite(s) or sting(s)
Exclusion:
under 1 year of age
Pregnancy or suspected pregnancy in individuals under 16 years of age 
Systemically unwell
Bite or sting occurred while travelling outside the UK
Acute sore throat 
Sore throat Is a symptom resulting from inflammation of the upper respiratory tract
Inclusion:
5 years and over
Suspected sore throat
Exclusion:
Individuals under 5 years of age
Pregnancy or suspected pregnancy in individuals under 16 years of age 
Recurrent sore throat/tonsillitis (7 or more significant episodes in the preceding 12 months or 5+in each of the preceding 2 years, or 3+ in the preceding three years)
Previous tonsillectomy
Acute sinusitis  Sinusitis Is swelling of the sinuses, usually caused by 
 an infection.
The sinuses are small, empty spaces behind your cheekbones and forehead
that connect to the inside of the nose.
Inclusion; 
12 years and over 
Suspected signs and symptoms of sinusitis
Symptom duration of 10 days or more
Exclusion:
Individuals under 12 years of age
Pregnancy or suspected pregnancy in individuals under 16 years of age 
 less than 10 days individuals under 16
Recurrent sinusitis ((4 or more annual episodes of sinusitis) 
Acute otitis media
An infectfion of the middle ear.
Inclusion: 
Aged between 1 - 17
Suspected signs and symptoms of acute otitis media
Exclusion:
Individuals under 1 year of age pr over 18 years of age
Pregnancy or suspected pregnancy in individuals under 16 years of age 
Recurrent infection (3+ episodes In preceding 6 months, or 4+ episodes in  the preceding 12 months with at least one episode in the past 6 months.)

If your condition is not from the above list, please complete the "AccuRx" triage form clearly, mentioning your availability for the next two days.

After receiving your completed online form, we will triage and book a necessary appointment.

The appointment could be “Telephone” or “Face-to-Face” with a Doctor, Nurse or other health clinician.

Contact us via accuRx form

Interpreter Services

You are welcome to bring a family member or friend who can interpret to your appointment. Alternatively, we use telephone interpreting services. Please let us know at the time of booking if you need an interpreter as this enables us to book a longer appointment for you.

DNA - Did not attend GP Appointment Policy

Why have a DNA policy?

A DNA ‘Did not attend’ means that the patient does not turn up for the appointment and does not contact the surgery with enough time in advance to cancel/change their appointment.

Patients failing to attend appointments is a huge and avoidable waste of valuable GP and other clinicians appointments. A significant number of appointments per week are classified as ‘DNA’ there were over 24 frequent DNAs in last 6 months (ie patients who missed 3 or more booked appointments), the equivalent of over 2 full days of missed clinical appointments. This does not include patients who missed just one appointment.  If this was taken into account then several days of clinical time would have been wasted! 

The effect of DNAs is: 

• An increase in the waiting time for appointments 
• Frustration for both staff and patients 
• A waste of resources
• A potential risk to the health of the patient

By reducing the number of DNAs we will be able to: 

• Improve patient experiences with booking appointments 
• Enable more effective booking 
• Allow efficient running of clinics

Whilst we understand that the reason for the non-attendance is sometimes unavoidable, it is difficult for the Practice to make a judgement and the end result is always the same; a lost appointment that someone else could have used.  The practice will take into consideration any mitigating circumstances.

Thank you very much to those patients who do take the time to cancel their pre-booked appointments. 

How DNAs are recorded

DNA 1

If a patient fails to attend an appointment on one occasion, an informal warning message will be sent to the patient. This message (Accurx) will be sent to the patient by Medical receptionists at the practice.

DNA 2

If the patient fails to attend another appointment within a 12 month period, a formal warning message will be sent reminding them that should they miss another appointment they risk being removed from the practice list. Support will be put in place, if necessary, to help remind vulnerable patients about their appointments.

DNA 3

If the patient fails to attend 3 appointments within a 12 months period, this patient’s details will be brought to the senior GP’s (Dr G Kugapala’s) attention and she will make a decision as to whether the patient is removed from the list.

NB: The computer system automatically marks the patient’s record with a DNA.

To avoid this please ensure that you cancel your appointment in good time (and an absolute minimum of an hour before the appointment time). Anything cancelled after this time could still count as a DNA.