Immunocompromised Patients (weakened immune system)
Telephone or Face to Face Consultation
Book a red appointment
Examples of immunocompromised patients:
- HIV/AIDs
- patients having chemotherapy
- organ/bone marrow transplant patients
- on treatments such as long term steroids/biological therapy
- blood cancer
Impetigo
Refer to pharmacy first service or Face to Face Consultation
Refer to community first service (Exclusions: bullous impetigo, recurrent impetigo (2 or more episodes in the same year), pregnant individuals under 16 years).
For those not suitable for pharmacy first scheme then book an amber face to face appointment
Impotence (Erectile dysfunction)
Face to Face Appointment
Book a green appointment
Incontinence
Face to Face Appointment
Book a green appointment.
Consider UTI if new onset of incontinence – see Bladder Infection
Indigestion
Community Pharmacy or Face to Face Appointment
Send patient to pharmacy for advice and appropriate products.
If patient is under 6 years, over 45 years of age or OTC treatments have not worked, make a green face to face appointment.
Infection
Face to Face Consultation
Ask the patient where the infection is and go to relevant guidance page.
If patient is unsure of source but presents with a high fever, feels hot & shivery, new or increasing confusion, drowsiness or significantly unwell book a red appointment
Ingrowing Toe Nail
Community Pharmacy or Face to Face Consultation
Send patients to pharmacy for advice and product purchase.
If OTC products have not worked, book a green appointment.
Book a red appointment if:
- the toe is swollen
- the toe is red and hot to touch
- there is pus or discharge
Insect Bite / Sting
Refer to pharmacy first service or Face to Face Consultation
Refer to pharmacy first service if aged 1 year or over (Excludes: Pregnant individuals under 16 years).
Check ANAPHYLAXIS information.
Insomnia
Community Pharmacy or Face to Face Appointment
Direct patients to pharmacy for advice and product purchase.
Signpost website Support:
https://www.nhs.uk/conditions/insomnia
https://www.nhs.uk/live-well/sleep-and-tiredness
Book a green appointment with a clinician if patients have tried sleep hygiene measures & OTC products for at least a few weeks, the issue has lasted several months or the insomnia is affecting daily life in a way that makes it hard for them to cope.
Irritable Bowel Syndrom (IBS)
Face to Face Consultation
Book green appointment
Itching
Community Pharmacy or Face to Face Consultation
Send patients to pharmacy for advice and product purchase.
If patient has already tried OTC products book a green appointment with clinician.