Vaginal Bleeding
Face to Face Consultation
Book a green appointment for women with abnormal vaginal bleeding such as between periods or after sex (double appointment needed if examination expected)
Book an amber appointment if:
- Post menopausal bleeding
Book a red appointment if:
- They are pregnant (If they have an allocated midwife advise patient to inform them also)
- Have a new heavy bleed (i.e. soaking through clothing, using multiple pads/tampons per hour)
- Foul smelling blood indicating possible infection
- New abnormal bleeding that is associated with abdominal/pelvic pain/shoulder tip pain and there is suspicion of pregnancy (confirmed or missed period)
Direct to A+E/call 999 if:
- Are unwell with the bleed such as feeling faint, collapsing, short of breath, chest pain, feverish
- Are having heavy bleeding and are pregnant
Vaginal Discharge
Community Pharmacy or Face to Face Consultation
Send patients to pharmacy for advice and product purchase
Book a green appointment if OTC treatment has been unsuccessful or directed back by pharmacy.
See thrush if suspected.
Varicose Veins
Face to Face Consultation
Book a green appointment
If patient is wanting referral for surgery for cosmetic reasons (e.g. appearance), inform this is not available on the NHS.
Vasectomy
Face to Face Consultation
Book a green appointment
Vertigo / Dizziness
Face to Face Consultation
Book a green appointment
Book a red appointment if:
- Associated with collapse/loss of consciousness
- Vertigo with a severe headache
- Vertigo so severe they are struggling to walk
- Associated with vomiting
- Associated with a high fever
Caution: If sudden onset of symptoms, symptoms are so severe they are unable to walk consider stroke, see relevant page to screen for symptoms – Advise to ring 999 immediately
Verrucae
Community Pharmacy
Send patients to pharmacy for advice and product purchase.
Book a green appointment if OTC treatments have failed
Vomiting
Community Pharmacy
Send patients to pharmacy for advice and product purchase.
Book a green appointment if OTC treatments have failed.
Book a red appointment if:
- With severe symptoms and can’t keep any fluids down
- With symptoms of severe dehydration (confusion, passing little or no urine, dry tongue/lips)
Vomiting and Diarrhoea
Community Pharmacy or Face to Face Consultation
Send patients to pharmacy for advice and product purchase
Book a green appointment if OTC treatment has been tried but symptoms are ongoing
Book an amber appointment for patients over 60 years with a new change in bowel habit that is not resolving within a couple of weeks
Book a red appointment for those:
- With severe symptoms and can’t keep any fluids down
- With symptoms of severe dehydration (confusion, passing little or no urine, dry tongue/lips)
- Blood diarrhoea/rectal bleeding
- High fever
- Associated with severe abdominal pain