Updated on 12th April 2017 at 9:28 am


Selfcare skills are those we use in everyday life, also referred to as Activities of Daily Living (ADL) in most cases we rely on common sense and prior learning to carry this out, however when we are feeling unwell or come into a situation we have never faced before it is not always clear what to do. We believe patients who are better informed and more educated possess greater motivation for self-care.


General Health/Ailments:

  1. has information on various conditions/problems:
  2. NHS choices has information on various symptoms/conditions:
  3. 111 for advice and guidance 24/7
  4. Think Pharmacy First:
  5. Exercise leaflets:
  6. NHS choices also has 10 minute exercise routines to do at home and ‘couch to 5k’:
  7. Sport/Exercise/Healthy living via active North Tyneside
  8. Help finding Health Services in your area:
  9. Info on local health services via North Tyneside CCG website
  10. Change4life England campaign: (for healthy lifestyle advice – diet and exercise/meal planning etc)
  11. Multitude of services including advice and activities:
  12. Self-help for those with diabetes : and for
  13. Diabetes and Sport: (predominantly help for those on insulin and managing insulin dosing for exercise)



  1. Crying baby/Colic – Cry-sis helpline 08451228669, website
  2. Children’s Continence issues:
  3. Advice and support for parents – Family lives:
  4. Advice and support for parents of disabled children:


Mental Health:

  1. Northumberland, Tyne and Wear Self Help Booklets:
  2. Mind website:
  3. Moodjuice:
  4. Samaritans:, tel: 116 123



  1. Citizens advice Bureau:
  2. Language and housing for asylum seekers, also for non-english speakers:
  3. Age UK north Tyneside:
  4. Percey Hedley Foundation provides help and advice for disabled people:
  5. Local information from North Tyneside Council:


Palliative care

Macmillan Cancer Support:

Marie Curie:

Sexual and Reproductive Health:

Marie Stopes UK:

MESMAC North East:

Northumbria Healthcare:


You can now find NHS advice at your fingertips to help you self-manage your own or child’s health. The app contains a directory of services, advice and guidance, symptoms checker, video how to presentations, maps, sign posting and contact numbers.

The below symptoms and self refer sign post guide should only be used as a guideline if you are still not feeling well please get in touch. Some services’ are specific to your circumstances may not have a direct link such as School Nurse who will be specific to your Child. Attached to the surgery are a health visitor, nursery nurse, mid-wife and a physiotherapist as well as a counselling service these may not be reflected in the links below as you may already be dealing with an external service.


SymptomRefer to
Abdominal painGP
Abdominal pain, severeGP, A&E
Abuse concerns, about a child or adultGP, Social Services
AccidentsMinor Injuries Unit
Acid refluxPharmacy, GP
AcnePharmacy, GP
AddictionSelf-refer Addiction services
Adjustment disorders (stress related mental disorders)Self-refer Counselling, GP
AdviceNHS 111
AgoraphobiaSelf-refer Counselling
Aids to help living at homeSocial Services
Alcohol problemsSelf-refer Addiction services
Allergic reactions, localisedMinor Injuries Unit
AllergiesPharmacy, GP
Anaphylactic Shock999
Anger managementSelf-refer Counselling
Animal bitesMinor Injuries Unit
Anxiety (excessive worry), mild to moderateSelf-refer Counselling
ArthritisPhysiotherapist , GP
AsthmaPractice Nurse
Athlete’s footPharmacy
Baby and child growth and developmentHealth Visitor
Back painPhysiotherapist, GP
Bad breathDentist
Bedwetting, child (enuresis)School Nurse
Behaviour problems in under 5s (Sleeping, eating, potty-training, tantrums)Health Visitor
Benefits help and adviceSelf-refer Citizens Advice, Social Services
Bites, insect or animalMinor Injuries Unit
Bleeding from any source, heavy or prolonged999
Bleeding from rectumGP
Bleeding from vaginaGP
Bleeding from vagina, after intercourseGP
Bleeding from vagina, after menopauseGP
Blindness sudden, one/both eyesA&E, (Eye Casualty)
BlistersMinor Injuries Unit
Blood in urine, no symptoms of infectionGP
Blood pressure measurementPractice Nurse
Blood TestPractice Nurse
Bottle feeding issuesHealth Visitor
Breast feeding issuesHealth Visitor
Breast lumpsGP
Breathlessness, moderate to severeA&E, GP
Breathlessness, severe, stopped or colour change999
Broken bonesMinor Injuries Unit if minor A&E if major
Bruising, unexplainedGP
BunionSelf-refer Podiatry
Burns or scalds, minorMinor Injuries Unit
Burns or scalds, severeA&E
CatarrhSelf-care, Pharmacy
Catheter problems at homeDistrict Nurse
Change in bowel habit (especially if loose stools)GP
Chest infection (persistent fever, difficulty breathing, bloody sputum, very unwell)GP (otherwise Self-care or Pharmacy if simple cough)
Chest pain, suspected heart attack999
Chest painGP
Childhood conditions, allergies, infectionsHealth Visitor, GP
Chiropody (podiatry)Self-refer Podiatry
Cold soresPharmacy
Colic, babyHealth Visitor
Common coldSelf-care, Pharmacy
ConjunctivitisPharmacy, Minor Injuries Unit
Constipation, adult, with no other symptomsPharmacy
Constipation, childHealth Visitor if under 5, School Nurse
Contraception, emergencyPharmacy, GP
Contraception, generalPractice Nurse, GP
COPD (chronic bronchitis)Practice Nurse
Corns and callousesSelf-refer Podiatry
Cosmetic SurgeryGP
CoughSelf-care, Pharmacy
Cough, longer than 3-4 weeksGP
Coughing up bloodGP
Crabs (pubic lice)Self-refer STD clinic
Cramps, legSelf-care
Crying babyHealth Visitor, GP
Cuts, lacerations, minorMinor Injuries Unit
DandruffSelf-care, Pharmacy
Deafness, adultGP
Deafness, childrenSchool Nurse, Health Visitor
Deep Lacerations999
Delivery, problems after recent childbirthMidwife
Dental problems, anyDentist
Depression (low mood), mild to moderateSelf-refer Counselling
DermatitisPharmacy, GP
Diarrhoea and vomiting (stomach bug)Self-care, Pharmacy
Diarrhoea, at night-time, bloody or persistentGP
Difficulty swallowingGP
Domestic violenceHealth Visitor, Social Services (emergency, ring 999)
Dressings at homeDistrict Nurse
Dressings in surgeryPractice Nurse
Drug abuseSelf-refer Addiction services
Ear waxPharmacy, Practice Nurse
Eating disorders, mild to moderateSelf-refer Counselling, GP
Eczema, infected or inflamedGP
Emotional problemsSelf-refer Counselling
Enemas (for constipation) at homeDistrict Nurse
Erection problemsGP
Eye infectionsPharmacy, Minor Injuries Unit
Eye pain (with no foreign body)GP (Same day), Eye casualty
Falls, accidental, with any injuriesMinor Injuries Unit
Family planningPractice Nurse, Family Planning Clinic, GP
Feeding problems, under 5sHealth Visitor
Financial and debt problemsSelf-refer Citizens Advice
Fits, seizure or uncontrollable shaking999
Flu, or viral illnessSelf-care, Pharmacy
Food poisoningSelf-care
Foreign bodies, in skin, ear, eye, noseMinor Injuries Unit
Frozen shoulderSelf-refer Physio Direct
Fungal infections, including nailPharmacy
Genital wartsSelf-refer STD clinic
Grazes (abrasions)Self-care, Minor Injuries Unit
Gum diseaseDentist
Haemorrhoids, not bleedingPharmacy
Hay feverPharmacy
Head injuries, minor (no loss of consciousness)Minor Injuries Unit
Head Injury with symptoms e.g. loss of consciousnessA&E
Head licePharmacy
HeadachePharmacy (but see GP if persistent)
Health anxietySelf-refer Counselling
Herpes, genitalSelf-refer STD clinic
High blood sugarGP
High Cholesterol/Fatty LiverGP
High temperature in child, otherwise playing, attentivePharmacy
High temperature in child, unwellGP
Hoarseness, more than 3 weeksGP
ImpetigoPharmacy, GP
In growing toenailsSelf-refer Podiatry
IncontinenceSelf-refer Continence Service, DN
Infected eczemaGP
InjuriesMinor Injuries Unit
Irritable bowel syndromePharmacy, GP
ItchingSelf-care, Pharmacy
Jaundice (yellow skin)GP
Jaw joint painDentist
Joint pain Self-referPhysiotherapist, GP
Kidney infection (e.g., loin pain, temperature, vomiting)GP
Knee painPhysiotherapist
Lacerations, cuts, minorMinor Injuries Unit
Leg ulcers at homeDistrict Nurse
Lethargic, feverish childChildren’s A&E, GP
Loss of weight, unintentionalGP
Low blood sugar (hypo) not responding to sugarA&E
Low mood, mild to moderateSelf-refer Counselling
Lumps, hard, irregular shape, fixed in position, increasing sizeGP
Malaria, prevention for travelPractice Nurse
Medication reviewPharmacy, GP
Meningitis, suspected999
MigrainePharmacy (but see GP if persistent or severe)
Moles, changing in appearanceGP
‘Morning after’ pillPharmacy
Motor vehicle accidents (RTAs)Minor Injuries Unit
Mouth ulcersPharmacy
Mouth ulcers, lasting more than 3 weeksGP, Dentist
Muscle achesGP
Muscle sprains and strainsMinor Injuries Unit
Nail careSelf-refer Podiatry
Nasal congestionPharmacy
Neck painPhysiotherapist, GP
Night sweatsGP
Nipple discharge or rashes on nippleGP
Nose bleedsSelf-care (if not stopping after 30mins, go to A&E)
Obesity (excessive weight)Self-care
Obsessive-compulsive disorder, mild to moderateSelf-refer Counselling
Overdose of medicationA&E
Pain, at night, affecting sleepGP
Palliative careGP
Panic attacksSelf-refer Counselling
Parenting support, family health, relationships (under 5 years)Health Visitor
Patient reviewedGP
Period problemsGP
PhobiasSelf-refer Counselling
Piles, not bleedingPharmacy
PillPractice Nurse
Pins and needlesSelf-care, but see GP if persistent/recurring
PodiatrySelf-refer Podiatry
Postnatal depression, worries about mental health after deliveryHealth Visitor
Post-Traumatic Stress Disorder, mild to moderateSelf-refer Counselling
Pregnancy related symptomsMidwife, GP
Quinsy (pus filled swelling around tonsil)GP
Quitting smokingSelf-refer Stop Smoking Service
RashesMinor Injuries Unit, GP
Rashes, non-blanchingGP(but if meningitis is suspected, ring 999 as above)
Rectal bleedingGP
Respite careSocial Services
Rib injuriesMinor Injuries Unit
Road traffic accidents (RTAs)Minor Injuries Unit
Runny nosePharmacy
Safeguarding concernsGP, Social Services
Sexually transmitted diseasesSelf-refer STD clinic
ShinglesGP (preferably same day)
Shoulder injuriesPhysiotherapist
Shoulder, frozenPhysiotherapist
Skin InfectionGP
Skin lesion, changingGP
Sleep disturbancePharmacy
Social anxiety, shynessSelf-refer Counselling
Social issuesSocial Services
Soiling, child (encopresis)School Nurse
Sore throatSelf-care, Pharmacy (but see GP if persistent)
SplintersMinor Injuries Unit
Sports injuriesPhysiotherapist
Sprains and strainsMinor Injuries Unit
StingsMinor Injuries Unit
StressSelf-refer Counselling
Stroke, suspected999
Substance misuseSelf-refer Addiction services
Suicide risk or risk of self-harmGP
Sunburn, adultSelf-care, Pharmacy
Sunburn, childGP, Children’s A&E
Swallowed large or sharp objectA&E
Swallowing difficultyGP
Sweating, at night, with or without feverGP
Syringe driversGP
Teeth grindingDentist
TeethingPharmacy, Health Visitor
Tennis elbowPhysiotherapist, GP
Terminal careGP, District Nurse
Tiredness, excessive, prolonged and without obvious reasonGP (otherwise Self-care)
Toe nail problemsSelf-refer Podiatry
TonsillitisPharmacy, GP
Tooth abscessDentist
Travel advicePractice Nurse (inform Reception first)
Ulcer (open sore), diabeticPractice Nurse (same day)
Unable to pass urine at allGP, A&E
Unresponsive or feverish babyChildren’s A&E
Unsure of what to doNHS 111
Urine infection, in (wo)menGP
Urine infection, uncomplicated, in womenPharmacy
Vaginal bleedingGP (but also see bleeding from vagina above)
Vaginal infections, discharge, vaginosisGP
Viral illnessSelf-care
Visual problems (not blindness)Optician (same day)
Walking aidsSelf-refer Mobility Service
Warts, genitalSelf-refer STD clinic
Warts, rest of bodyPharmacy
Weaning issuesHealth Visitor
Weight loss, unintentionalGP
Welfare rightsSelf-refer Citizens Advice, Social Services
WheelchairSelf-refer Mobility Service
WhiplashPhysiotherapist, Self care
Wind, flatulencePharmacy
Wound infections, minorMinor Injuries Unit
X-rayMinor Injuries Unit