Neck Pain
Musculoskeletal Specialist (16 years and over)
Book appointment with MSK specialist or sign post to Moving Well service.
Patients can self refer to a physiotherapist (see external contacts for information). If the pain started after recent trauma advise to attend urgent care/A&E.
Care
If the patient is not coping with current pain levels and/or there are ‘medical’ causes for the pain or if they are under 16 years of age book an amber face to face appointment with a clinician.
Nappy Rash
Community Pharmacy or Face to Face appointment
Send patient to pharmacy for advice and product purchase.
If rash looks infected, causing pain or OTC products have not been helping book a red face to face appointment.
Nose Bleeds
Emergency Care or Face to Face Consultation
If currently bleeding and will not stop despite first aid measures for 10-15 mins, advised to attend A&E.
Further information can be found at: Nosebleed – NHS
If non urgent and recurrent issue to book a green face appointment.
Pins and Needles/Arm/Face/Numbness
Triage Symptoms First
- Face – the face may have dropped on 1 side, the person may not be able to smile, or their mouth or eye may have drooped.
- Arms – the person may not be able to lift both arms and keep them there because of weakness or numbness in 1 arm.
- Speech – their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake; they may also have problems understanding what you’re saying to them.
- Time – it’s time to dial 999 immediately if you notice any of these signs or symptoms.
- Complete paralysis of 1 side of the body
- Ask the person to stick out their tongue. If the tongue is crooked’ if it goes to one side or the other
- Sudden loss or blurring of vision
- Dizziness
- Confusion
- Difficulty understanding what others are saying
- Problems with balance and co-ordination
- Difficulty swallowing (dysphagia)
- A sudden and very severe headache resulting in a blinding pain unlike anything experienced before.
- Loss of consciousness
If anyone is with the patient at home ask them to call 999 immediately.
Send a task message to the clinical team advising them of the patient situation.
If no one is at home with the patient, ask a colleague to call 999 for you whilst you remain on the phone with the patient.
Bring the call to the attention of your supervisor.
Book face to face appointment
Book an amber appointment.
Obsessive Compulsive Disorder (OCD)
Face to Face Appointment
Book a green appointment.