Members of the public are being asked not to visit NHS Greater Glasgow and Clyde hospitals if they are displaying symptoms of COVID-19, flu or Norovirus.
Those who plan to visit loved ones in hospital should only do so if they are not displaying any symptoms and all visitors should wear a mask, if eligible, during their time on site.
Symptoms of Norovirus include:
Suddenly feeling sick
Projectile vomiting
Watery diarrhoea
Slight fever
Headaches
Painful stomach cramps and aching limbs
Symptoms of COVID-19 include:
Continuous cough
High temperature, fever or chills
Loss of, or change in, your normal sense of taste or smell
Shortness of breath
Unexplained tiredness, lack of energy
Muscle aches or pains that are not due to exercise
Not wanting to eat or not feeling hungry
Headache that’s unusual or longer lasting than usual
Sore throat, stuffy or runny nose
Diarrhoea
Feeling sick or being sick
Symptoms of flu include:
A sudden fever
A dry, chesty cough
A headache
Tiredness and weakness
Chills
Aching muscles
Limb or joint pain
Diarrhoea or abdominal (tummy) pain
Nausea and vomiting
A sore throat
A runny or blocked nose
Sneezing
Loss of appetite
Difficulty sleeping
Taking precautions against viral infections have become part of our everyday life in recent years and we can all continue to help each other by following guidance around slowing the spread of the viruses and practicing good hygiene.
You can protect yourself and others by:
Staying at home if unwell, have a fever or are displaying symptoms of COVID-19 or Norovirus
Wearing a face covering in healthcare settings and not visiting loved ones if unwell
Wearing a face covering in indoor public places and on public transport
Cleaning hands and surfaces regularly
Opening windows when meeting indoors
Socialising outdoors when possible
Morag Gardner, Deputy Nurse Director for NHS Greater Glasgow and Clyde’s Acute Division said: “During the winter months viral infections, such as COVID-19, flu and Norovirus, can further add to the pressures hard-working staff are facing across our sites.
“Our dedicated members of staff are working around the clock to continue to provide the highest standard of patient-centred care possible. To help protect yourself, your loved ones and our services, we are asking members of the public not to visit our hospital sites if they are displaying symptoms of any of these viruses. We are also asking anyone who does attend the site to follow infection control guidance, such as washing your hands regularly and wearing a mask during your time at the hospital.”
NHSGGC is urging people to only attend Emergency Department (A&E) across its sites if their condition is very urgent or life-threatening.
Any patient unsure of who to turn to has a range of options available to them:
People across the Lothians are being encouraged to check they have basic home remedies in ahead of the Festive and New Year holidays to avoid having to find a pharmacy on a bank holiday.
Dr John McAnaw, a pharmacist and NHS 24’s Associate Clinical Director says most seasonal illnesses can be looked after at home with self-care and things like paracetamol: ‘Christmas is a fun but hectic time for most people. It’s easy to get swept up in the festive atmosphere and forget that health should be on your priority list.
‘Making sure you have home remedies for common ailments will save you time and help you focus on the celebrations. NHS 24’s 111 service is there to help if you need urgent health care support, but we know that roughly 30% of people who call 111 need self-help advice on common illnesses and conditions that can normally be managed at home.
‘Avoiding the need to call 111 means the service can help those who need urgent help more quickly, and also save you the bother of trying to find a local pharmacy.
Dr McAnaw continues: ‘I would recommend you have pain relief such as paracetamol or ibuprofen at home. For little ones get age-appropriate pain remedies which you can also get in liquid form. In the case of fevers, a thermometer is also a good idea as it means you can monitor temperatures accurately.
‘To cover accidents, I’d recommend reviewing your first-aid kit and make sure it is stocked with things like plasters, antiseptic, and bandages. For common conditions such as rashes, tummy upsets and earaches, NHS inform has lots of information on how to treat these at home and when to seek medical help.
Dr McAnaw’s advice is part of an NHSScotland national health campaign ‘Healthy Know How.’ The campaign provides advice on how to stay well and enjoy the festivities, avoiding the need to get medical help over the holidays. Tips include:
Know how to stay on top of prescriptions. Order only what is needed and in plenty of time before the festive holidays.
Know how to be prepared for common illnesses. Ensure you have some remedies in the house.
Know how to check symptoms if you do become unwell. NHS inform’s symptom checkers can give you all the health advice you need online.
Know how to get the right care, in the right place. Further medical advice can be found during the week by contacting your GP, pharmacist, dentist or optometrist. For out of hours or during holiday closures call NHS 24 on 111.
You may have seen in the news and online stories about Group A Strep.The latest data from the UK Health Security Agency (UKHSA) shows that scarlet fever cases continue to remain higher than we would typically see at this time of year.
Scarlet fever is a contagious infection that mostly affects young children. It’s easily treated with antibiotics.
The first signs of scarlet fever can be flu-like symptoms, including a high temperature, a sore throat and swollen neck glands (a large lump on the side of your neck).
Scarlet fever is a bacterial illness that mainly affects children. It causes a distinctive pink-red rash.
The illness is caused by Streptococcus pyogenes bacteria, also known as Group A Streptococcus, which are found on the skin and in the throat.
Generally, scarlet fever is much less common than it used to be but in recent years there have been a number of significant outbreaks.
This year we have seen higher than usual numbers of Group A Streptococcal (GAS) infections in Scotland and persistently high numbers of cases of scarlet fever among children.
It’s important to be aware of the signs and symptoms of scarlet fever so that early treatment with antibiotics can be given.
Scarlet fever symptoms
Scarlet fever usually follows a sore throat or a skin infection, like impetigo, caused by particular strains of Streptococcus bacteria.
The symptoms of scarlet fever usually develop 2 to 5 days after infection. However, the incubation period (the period between exposure to the infection and symptoms appearing) can be as short as one day or as long as 7 days.
Non-urgent advice:Speak to your GP if:
You or your child has symptoms of scarlet fever like:
a pinkish, rough textured rash
a sore throat
a headache
a high temperature (38.3C/101F or above)
flushed cheeks
a swollen tongue, known as strawberry tongue
Rash
The distinctive pink-red rash caused by scarlet fever develops 12 to 48 hours after symptoms like a sore throat or headache.
Red blotches are the first sign of the rash. These turn into a fine pink-red rash that feels like sandpaper to touch and looks like sunburn. It may also be itchy.
On darker skin the rash may be more difficult to see although its rough texture should be apparent.
The rash usually starts on the chest and stomach, but soon spreads to other parts of the body, like the:
ears
neck
elbows
inner thighs
groin
The rash doesn’t usually spread to the face. However, the cheeks become flushed and the area just around the mouth stays quite pale. The rash will turn white if you press a glass on it.
The rash usually fades after about a week, but the outer layers of skin, usually on the hands and feet, may peel for several weeks afterwards.
In milder cases, sometimes called scarlatina, the rash may be the only symptom.
red lines in the folds of the body, such as the armpit, which may last a couple of days after the rash has gone
a white coating on the tongue, which peels a few days later leaving the tongue red and swollen (this is known as strawberry tongue)
a general feeling of being unwell
When to seek medical advice
If you think you or your child may have scarlet fever, see your GP for a proper diagnosis and appropriate treatment. It usually clears up after about a week
Your GP should be able to diagnose scarlet fever by examining the distinctive rash and asking about other symptoms. They may also decide to take a sample of saliva from the back of the throat so it can be tested in a laboratory to confirm the diagnosis.
There’s no evidence to suggest that catching scarlet fever when pregnant will put your baby at risk. However, if you’re heavily pregnant, tell the doctors and midwives in charge of your care if you’ve been in contact with someone who has scarlet fever.
How scarlet fever spreads
Scarlet fever is very infectious and can be caught by:
breathing in bacteria in airborne droplets from an infected person’s coughs and sneezes
touching the skin of a person with a Streptococcal skin infection, such as impetigo
sharing contaminated towels, baths, clothes or bed linen
It can also be caught from people who have the bacteria in their throat or on their skin but don’t have any symptoms.
Who’s affected by scarlet fever
Most cases of scarlet fever occur in children under 10 (usually between 2 and 8 years of age). However, people of any age can get the illness.
As it’s easily spread, scarlet fever is likely to affect someone in close contact with a person with a sore throat or skin infection caused by Streptococcus bacteria. Outbreaks can occur in nurseries and schools where children are in close contact with one another.
The symptoms of scarlet fever will only develop in people susceptible to toxins produced by the Streptococcus bacteria. Most children over 10 years of age will have developed immunity to these toxins.
It’s possible to have scarlet fever more than once, but this is rare.
Treating scarlet fever
Most cases of scarlet fever clear up after about a week without treatment. However, your GP may recommend treatment as it:
reduces the length of time you’re infectious
speeds up recovery
lowers the risk of complications of scarlet fever
With treatment, most people recover in about 4 to 5 days and can return to nursery, school or work 24 hours after starting antibiotic treatment.
Without treatment, you’ll be infectious for 1 to 2 weeks after symptoms appear.
Antibiotics
Scarlet fever is usually treated with a 10-day course of antibiotics. This is often in the form of penicillin or amoxicillin tablets, although liquid may be used for young children.
For people who are allergic to penicillin, alternative antibiotics like erythromycin can be used instead.
The symptoms usually improve within 24 hours of starting antibiotics, with the other symptoms disappearing within a few days. However, it’s important that the whole course of treatment is completed to ensure the infection is fully cleared and reduce the potential for antibiotic resistance.
Keep your child away from nursery or school for at least 24 hours after starting antibiotic treatment.
Adults with scarlet fever should also stay off work for at least 24 hours after starting treatment.
Self care
Many of the symptoms of scarlet fever can be relieved using some simple self care measures.
Do
drink plenty of cool fluids
eat soft foods (if your throat is painful)
take paracetamol to bring down a high temperature
use calamine lotion or antihistamines to relieve itching
Complications of scarlet fever
Most cases of scarlet fever don’t cause complications, particularly if the condition is properly treated.
However, there’s a small risk of the infection spreading to other parts of the body and causing more serious infections, like:
If your child has scarlet fever, keep them away from nursery or school for at least 24 hours after starting treatment with antibiotics. Adults with the illness should also stay off work for at least 24 hours after starting treatment.
GPs, schools and nurseries should be aware of the current high levels of scarlet fever and inform local health protection teams if they become aware of cases, particularly if more than one child is affected.
Do
cover your mouth and nose with a tissue when coughing or sneezing
wash your hands with soap and water after using or disposing of tissues.
Don’t
do not share contaminated utensils, cups and glasses, clothes, baths, bed linen or towels
Know how to stay on top of prescriptions – festive advice from NHS 24.
NHS 24 are advising people in Scotland to check their prescription medication and ensure they have enough to last throughout the festive holidays.
Dr John McAnaw, a pharmacist and NHS 24’s Associate Clinical Director, explains why it’s essential that people put health at the top of their festive ‘to-do’ list,
‘Over the holidays every year, NHS 24 receives thousands of calls from the public who have run out of essential prescribed medication. This can obviously be a very stressful situation for most people, however, by being organised and ordering any required prescriptions in advance, this would avoid this scenario and ensure that the 111 service can help more people who require urgent healthcare advice.
‘Due to both Christmas and Hogmanay falling on a weekend this year, many pharmacies and healthcare providers will be closed for a period of four days on each occasion. Therefore it is so important that people plan ahead, order only what they need and pick it up in plenty of time before these holidays.
‘To ensure you have all medication you require, please check what medication you already have and order any additional supplies you need by Friday 16th December. This will give both your GP practice and pharmacy time to process requests at what is already a very busy time of year for them.’
Dr McAnaw’s advice is part of a NHS Scotland national health campaign ‘Healthy Know How.’ The campaign provides advice on how to stay well and enjoy the festivities, avoiding the need to get medical help over the holidays.
Tips include:
Know how to stay on top of prescriptions. Order only what is needed and pick them up in plenty of time before the festive holidays.
Know how to be prepared for common illnesses. Ensure you have some remedies in the house.
Know how to check symptoms if you do become unwell. NHS inform’s symptom checkers can give you all the health advice you need online.
Know how to get the right care, in the right place. Further medical advice can be found during the week by contacting your GP, pharmacist, dentist or optometrist. For out of hours or during holiday closures call NHS 24 on 111.
More details on the Healthy Know How campaign can be found here –
NHS 24 Online – a new way to access health advice and wellbeing services in Scotland
Feeling unwell? If you or someone you care for is under the weather you can now find out more about your symptoms, when you can self-care and what to do if your condition worsens and you need medical help via a new, easy to use mobile app from NHS 24.
The NHS 24 Online app allows people to check symptoms to find out what to do next. There is also a chatbot function to answer questions and find out how to get further advice for a range of issues including running out of medicine or help for:
Eye problems
Flu-like illness
Lower back pain
Urinary tract infections (UTIs)
The App can also help people find their nearest health and care services using postcodes or location data. It will detail how far away each service is, if it is open or closed, and the contact details for that service.
‘NHS 24 Online’is available for both Android and iOS devices and free to download now.
Dr Laura Ryan, NHS 24’s Medical Director said the app offers people more choice in the way can get the help and advice they need: “Mobile devices have changed the way we do lots of things on a day-to-day basis and we hope the new NHS 24 Online app will make it easier for people to check their symptoms, and if they need further help to find local services at the press of a button.
“By downloading NHS 24 Online, people in Scotland will be able to get health advice from a trustworthy source in a fast and convenient way. And if more help is needed, the app will also provide information on where to access the right care in the right place.”
Please note this is a first iteration of the app – future developments and enhancements are planned for 2023.
The NHS 24 Online app is available to download for free on the Google Play Store for Android devices and the App Store for Apple devices.
People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency.
Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow.
Meeting staff at NHS 24, Mr Yousaf said healthy know how can help us stay well this winter: “Nobody wants to be unwell, especially over the festive holidays, and these few simple steps can help everyone manage common illnesses and avoid the need to interrupt the festivities with a trip to the pharmacy or GP.
“This is going to be the most challenging winter for our health service, and a lot of the ailments for which people access out-of-hours care can be easily managed at home. NHS 24’s 111 service is always busy over the holiday period, but roughly a third of calls to 111 result in safe, self-care advice at home.
“If this campaign can encourage people to care for common seasonal conditions at home, that will leave our frontline services free to help those with more serious conditions.
“By taking a few simple steps we can all do our bit to help support our health services this winter.”
Healthy know how tips to keep well this winter include:
Know how to be prepared for common illnesses and ensure that medicines are to hand, at home.
Know how to check symptoms if you do become unwell. NHS inform’s symptom checkers can give you all the health advice you need online and help you to get the right care, in the right place.
Details on the Healthy Know How campaign and the full range of winter health advice can be found here – www.nhsinform.scot/winter
Cabinet Secretary for Health launches NHS Scotland’s winter campaign
People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency.
Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow.
L/R
Pic Peter Devlin
‘It’s OK to Ask’ – supporting patients in Scotland to ask the right questions about their healthcare
Through the ‘It’s OK to Ask’ campaign, people in Scotland are being encouraged to ask their healthcare providers more questions about their treatment and be more involved in decisions around their care.
The campaign aims to break down communication barriers and create open, positive conversations to ensure patients have full information on the options available for their care and treatment.
Patients are being asked to consider four key questions when they next attend an appointment, or discuss their care with a healthcare professional:
What are the benefits of my treatment?
What are the risks of my treatment?
Any alternative treatments I can try?
What if I do nothing?
John McAnaw, Associate Clinical Director at NHS 24 said: ‘The ‘It’s OK to Ask’ campaign was designed to help people feel empowered to ask for more information about their care during discussions with health professionals.
‘We understand it can sometimes feel intimidating or even scary to ask for more information when you are in a healthcare setting, but our healthcare colleagues throughout the NHS will be delighted to help with any questions you may have.
‘By feeling supported and encouraged to freely ask questions and get more advice on the available options, we hope that more patients feel involved in decisions about their care and treatment, and they make more educated, informed choices about what is right for them.’
The campaign is being promoted through digital advertising and is supported by NHS Scotland. More information, including a free-to-download patient leaflet and translations into other languages, can be found on
During September students all over Scotland are preparing to start or resume their studies at college or university. As many students will be travelling away from home for the first time, NHS 24 wish to highlight the importance of knowing where to get the right health advice in their new area.
NHS 24’s student health campaign provides details on where to access services such as GPs, dentists, pharmacies, out of hours and urgent care in Scotland. Information on subjects such as immunisations, mental health support and Scotland’s Service Directory are also included.
Representatives from NHS 24 are also visiting numerous colleges and universities throughout Scotland through a programme of ‘health roadshows.’
Michelle Sinclair, Engagement Manager for NHS 24 explains: ‘It’s been a tough couple of years for everyone during the COVID-19 pandemic, and students have made adjustments by switching to online learning at various times during the past two academic years.
‘Attending various freshers and welcome events in person has been really brilliant to promote NHS 24’s 111 service and the health information available on NHS inform. It really makes the difference to be able to provide advice face to face about student’s health requirements, and we get asked a huge variety of questions on a lot of different subjects.’
Dr Laura Ryan, a GP and NHS 24’s Medical Director adds: “It’s an exciting time for students and their families while they prepare to say goodbye to their loved ones to start their studies.
“Health information can quickly slide to the bottom of the ‘to do’ list when you are making plans to move to a different part of the country, but it’s really important you know when and where to access the service you need if you have a health concern.
“If you’ve moved away from your local area to go to college or university, you must register with a new local GP practice. This also includes students who have moved from elsewhere in Scotland, elsewhere in the UK, and abroad. You should also register with a local dentist.
“NHS inform has lots of information on how to access services in your area. By being prepared and following the advice in our student health campaign, this will avoid delays in accessing the care you need, should you require it.”
With more hot weather forecast this week, NHS 24 are offering advice on how to stay safe in the sun as part of their summer health campaign ‘Hello Summer.’
Dr Laura Ryan, a GP and NHS 24’s Medical Director said: ‘We’ve had a few really hot and sunny days in Scotland this summer, which is brilliant for everyone to spend a lot of time outdoors.
‘Unfortunately, the hot weather isn’t good news for everyone, and it’s really important we follow some simple rules to ensure we avoid becoming unwell.
‘When it comes to being safe in the sun, prevention is definitely better than cure. It is best to avoid being in the sun between 12 noon and 3pm if possible. If you need to be outdoors, we advise that everyone, uses a high factor sun protection cream. The best quality lotions block both UVA and UVB rays. Also wear loose-fitting, light-weight clothing that covers your body.
‘If you’re unfortunate to become sunburnt, there’s simple steps to take to lessen the discomfort. The most obvious piece of advice is to avoid being in the sun at all until the redness subsides and don’t burst any blisters. Cool showers or applying cool towels to your body can provide some relief, using moisturiser which contains aloe vera after your shower, or taking painkillers can help with any painful or tight skin. However please check that pain relief such as paracetamol or ibuprofen is safe for you to take.
‘Another weather-related condition which I wish to draw attention to is heat exhaustion or heat stroke.’
Signs or symptoms of heat stroke can include headache, feeling confused or dizzy, rapid pulse or fast breathing, body cramps (in the arms, legs and stomach), sick or vomiting, feeling dehydrated or thirsty, pale, sweaty or clammy skin, a high temperature of 38C or above.
Dr Laura Ryan continued: ‘If someone is showing signs of heat exhaustion, they need to be shaded from the sun and cooled down. Heat exhaustion is not normally serious if the person is treated within 30 minutes and symptoms begin to improve.
‘If there is no improvement in the person’s condition, but they are conscious, alert and responding normally call your local GP during opening hours for further advice. If your GP is closed, call NHS 24 on 111. If you feel their condition is in any way life-threatening, dial 999 and ask for an ambulance.
‘I really encourage everyone to visit NHS inform as it has some great advice on how to stay safe in the sun. By being prepared and following these simple tips, I hope more people will be happy and healthy this summer.’
