We know that finding the right place to go when you become ill or are injured can be confusing. We want to help you to select the right service for your illness or injury, and in doing so, you will not only be looking after your health but using NHS services appropriately.

We can all help to ease the pressure on our emergency services by only visiting A&E or calling 999 with the most serious, or life-threatening injuries or illnesses and only dial 999 if you think you need an emergency ambulance.

A&E department (also known as emergency department or casualty) deals with genuine life-threatening emergencies, such as:

• loss of consciousness
• acute confused state and fits that are not stopping
• chest pain
• breathing difficulties
• severe bleeding that cannot be stopped
• severe allergic reactions
• severe burns or scalds
• stroke
• major trauma such as a road traffic accident

Less severe injuries can be treated in urgent care centres or minor injuries units. A&E is not an alternative to a GP appointment.

What to do for less serious injuries or illnesses

Self-Care

Self-care is the best way to treat common illnesses and injuries, such as; coughs and colds, slight cuts and grazes, sprains and strains, sore throats, sinusitis, earache, constipation and headaches.

You can treat them at home with a range of medicines and a first aid kit bought from a pharmacy or supermarket.

You can prepare for many common illnesses and injuries by having a chat with your local pharmacist who can give you advice on what self-care medications to have at home.
With all self-care if your symptoms recur, or if you are no better after two days, call NHS 111 for advice or contact your GP.

 NHS 111

If you require medical help but you’re not sure where to go, then please Talk before you Walk. You can call NHS 111 free, 24 hours a day, 365 days a year and, where appropriate, a clinical advisor will assess your symptoms, decide what medical help you need and advise where you need to go. This will ensure you get the right care from the right service in the timeliest way.

NHS 111 clinical advisors can arrange an appointment for you at an out of hours GP or extended hours hub if your condition means you need to see a health care professional within the next 12 hours. They can also give you self-care advice and information.

You should call NHS 111 if:

• You need medical help fast, but it is not a 999 emergency
• You think you need to go to accident and emergency or another NHS urgent care service
• You do not know who to call for medical help or you do not have a GP to call
• You require health information or reassurance about what to do next

For less urgent health needs, you should still contact your GP in the usual way.

Pharmacies

Your local pharmacist is a healthcare professional who can give you clinical advice and treatment for common illnesses such as coughs, colds, aches and pains. They can also help you decide whether you need to contact other healthcare services.

You can talk to your pharmacist in confidence, even about the most personal symptoms without an appointment. Many pharmacies now have a consultation area where you can discuss health concerns in private.

Some of the services available from your local pharmacy include help for:

• Emergency contraception (morning after pill)
• Raised temperature/fever
• Coughs, colds, flu
• Ear infections and earache
• Urine infections and cystitis
• Diarrhoea/vomiting
• Skin infections/rashes/allergic reactions
• Conjunctivitis
• Emergency repeat prescription service 

For details of your nearest local pharmacy, and opening hours, go to the Find Pharmacy Services pages on the NHS Choices website. 

GP Surgeries 

As your local GP surgery we provide a wide range of family health services that include advice on health concerns, how to prevent you becoming unwell, vaccinations, examinations and treatment, and prescriptions for medicines. We can also refer you to other health services. 

GP Out of Hours Service

The out of hours GP service is a separate facility where a team of GPs and nurse practitioners provide services from 6:30pm to 8am weekdays, bank holidays and weekends. They offer help, advice and treatment if you have an urgent clinical need that cannot wait for your own GP practice to open.

If you need to see or speak to a GP when your surgery is closed, call NHS 111 and, where appropriate, a clinical advisor will assess you, give advice on when and where to go for treatment, or book you in to see an out of hours GP if needed.

Extended Hours Hubs

If you are registered with a local GP you can access evening, weekend and bank holiday GP and Nurse Appointments at West London’s extended hour’s Hubs.

Extended Hours Hubs are staffed by local and experienced GPs and Nurses and offer assessment and treatment for adults and children.

Appointments are available after your registered GP has closed to ensure that patients have access to a GP during week day evenings up to 9pm and weekends when most local practices are closed

To access the service 

• Call your GP practice and ask for an extended access appointment
• Call NHS 111 and they can book you an appointment at one of the hubs

The Extended Access Hubs locations and opening hours are:

 

	Violet Melchett Clinic 30 Flood Walk London SW3 5RR	St Charles Centre for Health Exmoor Street London W10 6DZ
Monday to Friday	6.30pm-9.00pm	6.30pm-9.00pm
Saturday	8.00am-4.00pm	8.00am-8.00pm
Sunday & Bank Holidays	8.00am-2.00pm	2.00pm-8.00pm