Think which service?

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If you need support or medical assistance, our local health and care professionals are ready and waiting to provide you with the right help, at the right time, in the right place. All you need to know is which service best suits your needs.

We have put together a guide to help you ‘think which service’. By knowing where to go, you’ll get the right advice, support and treatment as quickly as possible.

Remember, 999 and A&E are for emergency, life-threatening illnesses only.

Think self-care for good mental and physical well-being

The dark nights and cold mornings make it easy to curl up on the sofa in front of the TV and forget about looking after ourselves. But by taking small steps during the colder months, you can help keep yourself and your loved ones well this winter.

Here are some self-help and self-care tips for taking care of yourself and looking out for others:

Get your COVID-19 and flu vaccinations if you are eligible
Keep active, get outside and eat well
Build your strength, balance, and coordination, and wear shoes or slippers with a good grip to help prevent falls. (See Elevate strength and balance classes in Shropshire, Telford and Wrekin)
Your local authority offers a range of support and services to keep you healthy and well: Healthy Shropshire | Shropshire Council Healthy Telford - Telford & Wrekin Council
Keep warm and heat regularly used rooms in your house to 18c
If you are worried about money, struggling to pay bills or buy food, contact your local council for support: gov.uk/cost-of-living-help or telford.gov.uk/costofliving
Check in on older or unwell neighbours, friends and family members
Keep your medicine cabinet stocked with painkillers, rehydration and indigestion treatments, anti-diarrhoea medicine, antiseptic cream and antihistamines, and a First Aid Kit
Stay at home if you do get ill and wash your hands regularly
Contact NHS 111 online or by phone if you’re worried about any symptoms

Think vaccinations for complete protection

Flu and COVID-19 cases will likely increase over the winter months, so getting vaccinated will stop you and others around you from becoming seriously unwell.

If you or a child or adult you care for are eligible for a vaccination, it’s important you book an appointment without delay.

Free flu vaccines are available to:

pregnant women
anyone aged 50 and over
people with a weakened immune system or long-term health condition
are a frontline health care worker or social care staff

They can be booked via your GP or nearby pharmacy. However, anyone can also book a flu jab at their closest pharmacy retailer.

You will be eligible for your COVID-19 boosters if:

you’re aged 50 or over
are pregnant
have a weakened immune system or live/care for someone who does
have a long-term health condition or live/care for someone who does

First, 2nd and 3rd booster doses of the COVID-19 vaccine are also available to anyone who hasn’t had them.

You can find out more about your COVID-19 and Flu vaccination eligibility here.

Think Pharmacist for the right advice and medication for your condition

If you or your family become unwell, you may not always need to see a doctor or get a prescription. Local pharmacies offer many of the same services local GPs do.

Community pharmacists are qualified health professionals who can offer expert advice on lots of minor ailments and conditions.

With longer opening hours than GPs, your local community pharmacy can give you the answers and medicine you need to start feeling better.

What common conditions can a pharmacist help with?

Speak to your local community pharmacist in confidence, without an appointment about:

Coughs, colds and the flu
Aches, pains & minor injuries
Oral contraception*
Skin rashes and allergies
Urinary tract infections (UTI)*
Ear and eye care
Stomach aches such as constipation, diarrhoea, haemorrhoids, or threadworm
Help with medication and repeat prescriptions
Advice on healthy living – how to eat better, lose weight, exercise and stop smoking

*All community pharmacists can provide advice and support, only some can offer prescribed treatment

Benefits from your pharmacy

You don’t need to make an appointment to see your pharmacist.
Your local pharmacy may have a consultation room allowing for privacy.
By visiting a pharmacist first, it helps to make more GP and emergency appointments available for people with more complex healthcare needs.
Many illnesses can be treated with over-the-counter medicines and advice from your pharmacy.
A pharmacist will signpost you quickly to the right medical care if you have anything more serious.
A pharmacist can advise on how long you can expect to experience symptoms for.

To check your local community pharmacy's Bank Holiday opening times, please click here.

Think Clinical Pharmacists for all things relating to medicines in GP Practices

Clinical pharmacists in GP practices work as part of the team. They provide:

structured medication reviews for patients with ongoing health problems
treatment of patients with long-term conditions such as hypertension or diabetes
improvement of patients’ safety by ensuring appropriate monitoring of treatments
help with side-effects if your medicine is making you feel bad
advice and support to make changes to your life to help you stay well

Seeing a clinical pharmacist frees up the GP, leaving them more time to diagnose and treat patients with more complex conditions.

Think NHS 111 online if you're not sure what to do

If you or someone you’re with has a medical problem that isn’t life-threatening but requires urgent help, NHS 111 online will get you assessed and directed to the right place 24/7, 365 days a year. Without the wait times.

By ringing 111 or visiting NHS 111 online, you help keep GP appointments and A&E free for those who need them most.

When to use NHS 111

Ring 111 or visit 111.nhs.uk:

24/7, 365 days a year for fast and simple access to a range of medical advice
If you or someone you’re with has a medical problem or issue that isn’t life-threatening but you need advice on where to go
If you think you may require an emergency face-to-face appointment with a relevant healthcare professional
If you need help with getting a repeat prescription or an emergency supply
If you require an emergency dental
If you need mental health assistance

Where will NHS 111 online direct you to?

NHS 111 online can give you advice and help for dealing with your symptoms, arrange for you to speak to a relevant healthcare professional, organise face-to-face appointments, and provide you with information on how to get a repeat prescription and where to get an emergency supply from.

They will also send you an ambulance if they think you need it.

From 1 December 2023 you can now access help via NHS 111 if you are experiencing something that makes you feel unsafe, distressed, or worried about your mental health.

If you're living with active suicidal thoughts or feel you are in immediate danger, call 999 for emergency services or ask someone to call 999 for you or take you to A&E.

Think GP practice for persistent or sudden symptoms

Most colds, coughs and sore throats will not get better with antibiotics and cannot be treated by your GP. However, you should see your GP if persistent, recurring problems are not improving with self-care.

You should also see your GP for:

Unexplained and sudden weight loss
Constant fatigue and unexplained tiredness
Persistent cough
Yellowing skin
Sudden, blinding headaches or migraines
A new or growing mole
A persistent high fever
Changes in bowel movements

Think Minor Injury Units (MIU) before A&E

If you’ve hurt yourself, had a fall, burnt yourself or are suffering from another non-life-threatening issue, the Minor Injury Unit is a fast and effective way of getting treated without the long wait in A&E.

Your local MIUs have a team of nurses, Emergency Care Practitioners (ECPs) and support staff to get you the help you need, fast.

By visiting your local MIU, you help keep A&E free for those who need it most.

When to use a Minor Injury Unit

Without the long wait times in A&E, your local MIU can treat you for:

Bites, human and animal
Cuts and lacerations
Foreign bodies in the eyes, nose and ears
X-ray and fractures that require plaster only (Ages 5 years and above)
Minor burns and scalds
Minor head injuries (with no loss of consciousness)
Soft tissue injuries, for example, sprains and bruises
Wound infections

This is a self-referral walk-in service for people of any age.

However, your GP or other healthcare professional may refer you to an MIU. Likewise - if your condition cannot be dealt with at an MIU, they will refer you to your GP, the nearest A&E or another appropriate service.

Where are MIUs located?

MIUs are located at our community hospitals in Bridgnorth, Ludlow, Whitchurch, and Oswestry Health Centre. For opening times, please visit: Minor injury units in Shropshire (shropscommunityhealth.nhs.uk)

Think A&E or 999 for life-threatening emergencies only

Our emergency departments are open 24 hours a day if you have a life-threatening emergency.

Please keep 999 and A&E free for genuine life-threatening emergencies and use NHS 111 online or by phone or a minor injury unit for other urgent care needs.

When to dial 999 or go to A&E:

Signs of a heart attack
Signs of a stroke
Sudden confusion
Severe difficulty breathing
Choking
Heavy bleeding
Severe injuries
Seizure
Sudden, rapid swelling

British Sign Language (BSL) speakers can make a BSL video call to 999.

Deaf people can use 18000 to contact 999 using text relay

For more information about When to call 999 - NHS (www.nhs.uk) or when to go to A&E: When to go to A&E - NHS (www.nhs.uk)

Think mental health services

It’s ok and normal for your mental health to change depending on how you are feeling and what is happening in your daily life.

If you have been feeling low or suffering from depression and/or anxiety for a prolonged period, reach out to someone you know or one of your local services for help.

People living in Shropshire, Telford and Wrekin can access mental health services, including:

NHS Talking Therapies (previously known as IAPT)

Talking therapies are effective and confidential treatments delivered by fully trained and accredited practitioners. They can help with common mental health problems like stress, anxiety and depression.

A mental health crisis line: 0808 196 4501 (open 24/7)

If you’re in a mental health crisis, call the crisis line anytime of the day or night, and we can arrange for you to speak with a mental health professional. We can also advise you about other services which can help you.

These services are free and do not require a referral.

As pressures continue to mount on our local health and care services, knowing which service to use and when will make sure everyone in our local community gets the right help at the right time.

If more of us think about which service to use first, just like our residents did in their stories below, we’ll help free up emergency care for those who need it the most.

Read Oli's story

I’ve played rugby most of my life, so I’ve suffered from a few bumps and bruises along the way.

I used to spend so much time in A&E until I was told about how the Minor Injuries Units (MIU) in Shropshire, Telford and Wrekin can see me much quicker.

During a recent home game, just before half-time, I got caught up in a nasty tackle and landed on my wrist. A friend drove me to the MIU in Bridgnorth and they confirmed it was a sprained wrist, so they bandaged it up and I was on my way home basically before the game had even finished.

The great thing about an MIU is that it’s a walk-in service with no age limit. Plus, they can also refer you to A&E if necessary or to another, more suitable, service.

You also don’t have to be a resident of the area they’re in – perfect for my away games!

Just make sure you check their opening hours and only use it for the following:

Bites, human and animal
Cuts and lacerations
Foreign bodies in the eyes, nose and ears
X-Ray & Fractures that require plaster only (Ages 5 years and above)
Minor burns and scalds
Minor head injuries (with no loss of consciousness)
Soft tissue injuries, for example sprains and bruises
Wound infections

The four MIUs across the local area are located in Bridgnorth, Ludlow, Oswestry and Whitchurch. You can find out more about them here.

Read Lisa's story

Recently, I had an eye infection that wouldn’t go away with any of the at-home remedies I was trying.

I decided to ring my GP but was told it’d be another week for an appointment so I should try a nearby pharmacy instead.

The pharmacist was great. She came out to speak to me, asking me about my symptoms and taking a quick look before recommending treatment. Within an hour of making the initial phone call to my GP, I was back home with some cream and eye drops!

Now I know a pharmacist can provide treatment and such good medical advice, I’ll make sure to use them more often before I make an appointment with my GP.

As qualified healthcare professionals, if you’ve got any of the following, head to your pharmacist for:

Aches and pains
Sore throat and coughs
Colds and flu
Earache
Cystitis
Skin rashes and red eye
Teething

Read Mia's story

I’ve always known about ringing 111 if you or someone you know needs urgent medical help, or aren’t sure of which service is needed. But they’re under so much pressure these days, it can take a while before someone is available.

A few weeks back, little Mia had a persistent tummy bug and temperature that left her dehydrated, so I thought about taking her to A&E.

Instead, I put her symptoms into 111.nhs.uk and immediately, it organised a call back with a nurse. They helped put my mind at ease and recommended some over-the-counter medicine that helped her feel better.

That’s why, as a family, we’ve started using 111.nhs.uk when someone is unwell. It works in the same way as 111, but without having to wait for a telephone operator to answer.

If you or a loved one needs urgent medical attention for something that isn’t life-threatening, visit 111.nhs.uk for the right help for your symptoms.

You can access NHS 111 online on a smartphone, tablet or computer - 24 hours a day, 7 days a week.

Read Harry's story

My friends and I started hiking about three years ago and we try to get out together at least once every 2-3 months.

We were about 2 hours into one when I tripped over a rock while walking up a steady incline and landed badly on my arm. I had never felt pain like it so guessed it was broken.

I’ve had to use Minor Injuries Units (MIU) in the past, so I knew to go straight to our nearest one instead of A&E as they can treat these types of problems.

The staff at the MIU in Whitchurch were amazing. They were able to take me for an x-ray and put a cast on my confirmed broken arm – and even have me home in time for my dinner.

MIUs are a great alternative to A&E as they’re a walk-in service with no age limit and can refer you to somewhere else if necessary and treat the following medical conditions:

Bites, human and animal
Cuts and lacerations
Foreign bodies in the eyes, nose and ears
X-Ray & Fractures that require plaster only (Ages 5 years and above)
Minor burns and scalds
Minor head injuries (with no loss of consciousness)
Soft tissue injuries, for example sprains and bruises
Wound infections

The four MIUs across the local area are located in Bridgnorth, Ludlow, Oswestry and Whitchurch. You can find out more about them here.

By simply thinking about which service to use before acting, we can help to make sure everyone in our local community gets the right help at the right time.