Right Care First Time

The NHS is in crisis – help us by accessing the “Right Care, First Time”.

Urgent/Emergencies

– Anaphylactic Shock
– Severe Bleeding
– Severe Breathlessness
– Severe Burns
– Suspected Heart Attack
– Acute Chest Pain
– Choking
– Drowning Incident
– Uncontrollable fits
– Hypo (low sugar)
– Hypothermia
– Deep Lacerations
– Suspected Meningitis
– Suspected Stroke
– Unconscious
– Looking Very Poorly 

This list is not exhaustive. If in doubt call 999 immediately. 
– Bites and Stings
– Burns and Scalds
– Cuts and Grazes
– Eye Problems
– Foreign Bodies in skin
– Minor Head Injuries
– Sprains and Strains
– Road Traffic Accidents
– Minor Wound Infections

This list is not exhaustive. 
– Severe abdominal pain
– Sudden blindness
– Breathlessness, can’t speak
– Suspected Fractures
– Floppy unresponsive baby
– Severe head injury
– Lethargic drowsy child
– Drug Overdose
– Swallowed Foreign Body

This list is not exhaustive. If in doubt call 999 immediately. 

Nursing Care

If you are already under the care of a District Nurse, they can help you with a wide range of issues/symptoms.

The list below is not exhaustive and they may see you for a wider range of issues:
– dressings and wound care
– leg ulcerations and tissue viability (including aftercare of surgical wounds)
– continence assessment
– catheter care
– phlebotomy – services will be provided to all patients who are both housebound and on the current district nurse caseload
– stoma care
– medication and prescribing
– administration of medicines
– central venous access devices and IV therapy
– safeguarding

Available at:
Website: www.bhamcommunity.nhs.uk/community-nursing-service
Telephone: 0300 555 1919
If you are already under the care of a School Nurse, they can help you with a wide range of issues/symptoms.

The list below is not exhaustive and they may see you for a wider range of issues:
– Bedwetting
– Behaviour issues
– Bullying
– Developmental Screening
– Drug Advice
– General Support
– Health Education
– Immunisations
– Safeguarding
– Safe Sex Education
– Signposting
– Stop Smoking Advice 
If you are already under the care of a Midwife, they can help you with a wide range of issues/symptoms.

The list below is not exhaustive and they may see you for a wider range of issues:
– Advising on normal antenatal care
– Pregnancy Advice
– Postnatal Care 

Available at:
Website: www.uhb.nhs.uk/services/maternity
Telephone: 0121 424 2000 – UHB Switchboard  
If you are already under the care of a Health Visitor, they can help you with a wide range of issues/symptoms.

The list below is not exhaustive and they may see you for a wider range of issues:
– Abuse Concerns
– Baby Colic
– Behaviour Issues
– Breast/Bottle Feeding Advice
– Constipation
– Feeding and Weaning Advice
– Health Eating
– Hearing/Speech issues
– Normal Development
– Poor/Faltering Growth
– Postnatal Blues
– Preschool Issues
– Support at Home

Available at:
Website: www.Bhamcommunity.nhs.uk/health-visiting
Telephone: 0121 465 5730

Practice Care

General practice nurses are undertaking a wider range of roles. GPNs provide care and treatment for people from birth to end of life. They help dozens of patients every day. As a registered nurse they can do all sorts, from baby immunisations to helping people with diabetes and asthma. They can inspect any rashes you’re worried about, talk to you about contraception.

Practice nurses cover:
– Dressings
– Prostap Injection
– Zoladex Injections
– Pill Reviews
– Starting the contraceptive pill
– Smears
– Coil Checks
– Diabetic Reviews
– Childhood Immunisations
– Travel Immunisations
– Whooping Cough Injections
– Depo-Provera Injections
– Asthma Reviews
– COPD Reviews

This list is not exhaustive and you may be contacted for a variety of other reasons by this clinician. 
HCAs take on routine tasks that were previously undertaken by practice nurses like administering vaccines to patients, taking blood samples and taking measurements such as temperatures, respiration and pulse rates. They are an important part of the practice that have significantly reduced patient waiting times.

Healthcare assistants cover:
– Blood Pressure Check
– ECGs
– B12 Injections
– Blood Tests
– Lifestyle Advice
– NHS Health Check
– Diabetic Reviews
– Dressings
– New Patient Checks
– Learning Disabilities Review
– SMI Review

This list is not exhaustive and you may be contacted for a variety of other reasons by this clinician. 
A clinical pharmacist helps patients to understand and get the most out of their medicines. They often also help with lifestyle changes to tackle long-term conditions, order blood tests where necessary and often advise patients who have just come out of hospital and need help with their new medications. Being part of the team here means our patients have an expert they can talk to pretty quickly when they need to.

Practice pharmacists cover:
– Concerns over prescriptions
– Concerns over side effects
– Hospital Discharges – Changes in medications
– Medication Reviews

This list is not exhaustive and you may be contacted for a variety of other reasons by this clinician. 
A paramedic can deal with lots of different types of illness and injury. They have completed an extra postgraduate training so they can help even more patients. They do quite a few home visits and help to assess patients on the phone, so can help people get the right care as quickly as possible.

Paramedics and ANPs cover:
– Abdominal Pain
– Breathlessness
– Chest Infection
– Ear Symptoms – Pain, Infections
– Pain – General, Foot, Back, Shoulder
– Ongoing Sickness and Diarrhoea
– Rash

This list is not exhaustive and you may be contacted for a variety of other reasons by this clinician. 
It would be extremely difficult to create a list of symptoms a GP sees from day to day.

If you do not fit into any other categories to be seen, contact us via telephone or AccuRx.

Alternative Services

GPs are unable to assist with Dental Concerns.

If you do not have an NHS Dentist or access to a Private Dentist please contact NHS 111.

Visit a dentist for:
– Dental Abscess / Infections
– Gum Problems
– Tooth Decay / Cavities
– Toothache
– Dental Prescriptions
The Pharmacy can help with a wide range of issues such as:
– Urinary Tract Infections – available to female patients aged 16 to 64
– Suspected Shingles – available to patients aged 18 and over
– Impetigo – available to patients aged 1 years and over
– Sore Throats – available to patients aged 5 and over
– Sinusitis – available to patients aged 12 and over
– Otitis Media – available to patients aged 1 to 17

You can attend any local pharmacy without the need to be referred by your GP. However, if you are unsure we can arrange this pharmacy assistance for you.
– Abuse Concerns
– Aids for the home
– Benefits Help
– Domestic Violence
– Respite Care
– Safeguarding Issues
– Social Issues
– Welfare Rights

Available at:
Website: www.birmingham.gov.uk
Telephone: 0121 303 1234

Self Care

The following conditions should be managed at home with over the counter remedies for 7 days prior to speaking to a GP:

– Catarrh
– Chickenpox
– Conjunctivitis
– Coughs and Colds
– Diarrhoea and Vomiting
– Earache
– Flu
– Food Poisoning
– Gastroenteritis
– Hangovers
– Itching
– Minor Grazes and Injuries
– Nose Bleeds (stopped)
– Obesity
– Sunburn
– Viral Illness
– Sore Throat
– Thrush
– Urine Infection
– Vaginal Discharge

If you are concerned please speak to a pharmacist.