Surgery resources are limited and we need to work together to make sure that the help you need, when you need it, is available reasonably quickly.  If our clinicians are diverted helping patients who could have helped themselves first, then this delays you receiving their professional help when more serious matters develop.

To put this into perspective, our GPs view their priorities broadly as follows:

  • Seeing patients whose condition presents a threat to life
  • Visiting and supporting those with end of life care
  • Examining and referring patients with suspected cancer or other life-limiting conditions
  • Supporting those with life-limiting or serious conditions
  • Examining and treating those who may need specialist referral
  • Co-ordinating the care of patients at risk of multiple hospital admissions
  • Treating patients who need specialist services from our individually trained GPs, eg contraceptive implants, IUCD fittings, joint injections, minor surgical procedures
  • Examining and treating those who are not suitable for our nurse practitioners’ help
  • Supporting those with complex conditions who may be awaiting further specialist services

As the number of patients who are housebound increases, then you will appreciate that the time available to see patients in surgery, decreases.

We want to show you how, where and when we expect you to have tried self-help measures first.


Unless you have a reduced immune system, either

  • due to chemo-therapy
  • are taking disease modifying drugs such as Methotrexate or Azathioprine or similar; or
  • have no spleen

- then please consult your local pharmacist for all sore throats, chesty coughs, nasal and sinus congestion.  Minor skin conditions including warts, veruccae, eczema, scalp irritations can also benefit from over-the-counter pharmacy advice, too. Self-help measures are available from the very helpful website here.

If your symptoms are getting worse rather than better after 5 days, or your ability to swallow or drink is significantly affected, such that you are not passing urine more than once a day, then we need to see you & will do so the same day if you ring us before 11am on 0161 905 4711.

If you or your child has a temperature, then paracetamol and/or ibuprofen (if no stomach upset) given at maximum dose for up to 3 days is appropriate, providing each dose relieves the temperature.  If there are any concerns or history of convulsions, then we need to see and examine the child/adult & will do so the same day if you ring us before 11am on 0161 905 4711.

We will see on the same day, children who haven’t drunk fluids or passed urine for 24 hours, so please ring us before 11am on 0161 905 4711 whenever possible.

If your child becomes unresponsive or floppy then you need to ring 999 immediately. 


There will be times that we need to see and assess patients with significant or acute mental health problems.  However for those with mild to moderate problems, there are a number of self-help measures available:


Details of other locally available health services can be found here.


Whilst we will remind patients with chronic conditions when their annual review checks are needed, knowing more about your condition and what you can/can’t do to help yourself are key factors in improving your quality of life. 

Links to many chronic conditions can be found on our Long Term conditions help page.