Warts
Community Pharmacy
Send patients to pharmacy for advice and product purchase
If the problem persists following over the counter treatment book a face to face appointment to consider referral for cryotherapy.
Detail in the booking notes the medication taken to date, the length of time the problem has existed along with the symptoms.
Weakness in Limbs or Face
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 within a week.
Book appointment.
Weight issues
Face to Face Consultation
Book appointment
Whiplash
Musculoskeletal Specialist (16 years and over)
Book appointment with MSK specialist or signpost 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 a face to face appointment with a clinician.
Wrist 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 patient is under 16 years please book a telephone consult with a clinician
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, book a telephone consultation with a clinician.
Ensure there are no other ‘medical’ causes for the pain: If there are then book in a telephone consultation with a clinician instead of a MSK specialist.