When should I call 111?

The 111 service provides urgent care and advice when your GP, pharmacy or dental practice is closed.

Coronavirus

If you need advice about coronavirus, you can find more information on NHS inform or use our online symptom checker for the quickest way to check your symptoms and next steps. This may save you time and help you to decide if you need to phone.

If you or your friends and family would prefer to use an automated phone checker phone 0800 22 44 88.

What service do I need?

If you have a health concern, or you are struggling with your mental wellbeing, you can find information on what to do next via our symptom checkers. These interactive guides will tell you who to contact and provide you with the advice and guidance you need.

Your community pharmacy is also available and can provide advice and treatment for a wide range of conditions including indigestion, diarrhoea or constipation, aches and pains, emergency medication and the morning after pill.

During normal working hours always contact your own GP for urgent advice and treatment. The 111 service cannot arrange appointments at your GP.

When your GP is closed and you cannot wait until they are open, you should phone 111 for out-of-hours advice.

Phone 111 …

If you think you need A&E, but it’s not a critical emergency.

Phone 111 before you attend A&E. This service is available 24 hours a day, 7 days a week.

This service will provide you with urgent care you’ll be assessed for a range of concerns including cuts, burns, suspected broken bones, sprains and other injuries or illnesses.

This may involve a telephone or video consultation with a clinician from your local health board or an appointment to attend A&E or Minor Injuries unit, avoiding a long wait in a hospital waiting room.

Phone 999 or go straight to A&E . . .

For life or limb-threatening emergencies.

This might include a suspected heart attack or stroke, severe breathing difficulties, severe bleeding or severe injury.

When we’re busier than usual

During our busy times, when there’s lots of people calling us, it might take a little longer for us to answer your call.

Our busiest times are:

  • 6pm until 8pm weekdays
  • 9am until midday on Saturdays and Sundays

 If your call is urgent, please hold on because we will answer.

If you think you need to visit A&E but it isn’t a critical emergency please call 111 for expert help to get you to the right place for treatment.

111 can make appointments at our services, reducing the time you spend in busy hospital waiting rooms.

Visit: http://ow.ly/umzp50Hi2rR

Festive mental health with NHS 24

As we look ahead to another festive season impacted by the COVID19 pandemic, NHS 24 are encouraging people to put mental health first.

Lots of people are feeling anxious and unsure of where to turn for a bit of support so here is advice from the team behind NHS inform and the 111 service:

Clear Your Head web site

It’s natural to not feel yourself at times, and for anyone feeling that way, the Clear Your Head web site has simple tips for anyone feeling down, as well as guides on what to do to support others. clearyourhead.scot

NHSinform.scot

Anyone in Scotland with a digital device and having problems with anger or stress, having trouble sleeping, or struggling to cope with challenging situations, can find support by answering a few simple questions through this guide, nhsinform.scot/get-help-with-your-mental-wellbeing

During the summer of 2021 hundreds of visitors to NHSinform were directed to seek immediate telephone help while thousands more went on to self-directed care online using SilverCloud, a website with courses to improve mental wellbeing based on cognitive behavioural therapy.

An extensive range of mental wellbeing resources is available at

www.nhsinform.scot/mental-wellbeing

NHSinform also has a number of resources for users of British Sign Language that cover mental health issues at www.nhsinform.scot/BSL

editorial@ardrossanherald.co.uk

Breathing Space on 0800 83 85 87

Answering almost 9,000 calls a month, the Breathing Space service continues to grow and evolve with the web chat service now offering online support.

Callers contact Breathing Space for a wide range of reasons, including relationship issues, stress, anxiety and suicidal thoughts. However, over the last year the service has seen an increase in issues such as bereavement, work and money worries, and loneliness.

Breathing Space’s trained advisors ensure that each call is treated with patience and respect, knowing that it can often be the first time that a caller has contacted the service or talked about a problem.

111

For those experiencing mental distress the 111 Mental Health Hub is available 24 hours a day, 7 days of the week by calling 111 and following the telephone prompts. Anyone may call. There is no upper or lower age limit.

The most common reasons for calling include thinking about suicide, anxieties, low mood, psychosis, and self-harm. Where necessary, clinical support is offered and callers may be referred to local support services, community mental health teams, or exceptionally, emergency services. This team can also help with medication issues.

NHS Inform: Help and information for long COVID patients

People in Scotland suffering from ongoing COVID symptoms can find useful information and guidance from NHS 24 at www.nhsinform.scot/longer-term-effects-of-covid-19-long-covid

Most people recover from coronavirus within 4 weeks, but for some people symptoms can last longer, or new ones can develop. Symptoms can also change over time and can affect anywhere in the body. This is often referred to as long COVID and can include breathlessness, a cough, aches and pains, insomnia and low mood or anxiety.

The information on NHSinform.scot includes the most common symptoms, how a patient is assessed and how to manage ongoing symptoms.

NHS 24’s Medical Director, Dr Laura Ryan, says: “Coronavirus can vary from person to person, and sometimes recovery can take longer than we would like. The important thing is not to compare with others and to take the time to look after ourselves.

“The information on NHS inform can really help with managing ongoing symptoms until they do naturally fade away. Of course, you should contact your GP practice if you’re worried about the severity or persistence of your symptoms or they’re getting worse.”

Health Secretary Humza Yousaf said: “It is important that people with long COVID symptoms get the right advice and having all the information in one place will hopefully make it easier for them. The information and support available at NHS inform has been designed to help people with their recovery.  

“The Long COVID Support Fund was established with £10m last month and was designed to maximise and improve the co-ordination of a broad range of existing services across the health and social care system and Third Sector in response to the condition.”

NHS 24 launches new resources on the menopause

To mark World Menopause Day tomorrow (18th October), NHS 24 has launched new resources on the menopause on NHS Inform, Scotland’s trusted health information site.

Working in partnership with Scottish Government, the resources support the ambitions laid out in the Women’s Health Plan and include information about what to expect whether you’re going through the menopause or want to support someone with symptoms.

https://youtu.be/ddzdgEUOGlk

Women’s Health Minister Maree Todd said: “Women have told us, and evidence shows, that when they are well informed about the menopause, and know what to expect, their experience can be more positive. Knowledge, information and myth busting is powerful.

“I am pleased to see this comprehensive menopause platform on NHS Inform, a key deliverable from our recently published Women’s Health Plan.

“We want to ensure that anyone experiencing menopause has the care and support that they need, and this platform is an important step in achieving that aim.”

Dr Laura Ryan, Medical Director at NHS 24, said: “Menopause can affect everyone differently, and many of us are still unfamiliar with the common symptoms, how these might present, and what to expect if you or someone you know is going through ‘the change’.

“World Menopause Day aims to raise awareness of these and the support options available for improving health and wellbeing.  Our new resources on NHS Inform are clinically assured and contain lots of information on signs of menopause, potential treatments, managing your wellbeing, and supporting others through their own symptoms.

“The resources also include ways to manage symptoms with some self-care, and what to do if you feel concerned that your experiences are unusual.

“Sometimes the menopause can have impacts on lots of aspects of life including self-esteem and mental health. These resources are a great way to feel knowledgeable about the experience and empowered in taking any next steps.”

Visit NHSinform.scot for updated information, including a range of videos aimed at dispelling common myths about the menopause.

Colds and flu symptoms in babies and children: NHS Inform advice

Respiratory syncytial virus (RSV) is a common virus that causes cold and flu symptoms in babies and children – and moderate levels have been detected in Scotland.

Most children will make a full recovery in 2 – 3 weeks if infected.

Visit NHS Inform for more: https://bit.ly/3BIP6Ft

Caring for those who care for us

Wellbeing support for health and social care staff

The Scottish Government is asking what types of wellbeing support health and social care staff need the most from the recent £300 million announcement of a Winter Support Package.

Following the announcement of a further £4 million for workforce wellbeing, health boards and Health and Social Care Partnerships are being invited to identify the services which would most assist their staff.

The £4 million comes on top of £8 million already provided through the NHS Recovery Plan, which will support the ongoing development of a National Wellbeing Programme – including a dedicated hub and helpline, confidential mental health treatment through the Workforce Specialist Service along with time and training for staff to support each other.

Health Secretary Humza Yousaf said: “As part of the £300 million package of support for health and social care this winter, we’re bolstering staff wellbeing with an extra £4 million to look after our most valuable asset – the people who provide the care we need through this pandemic.

“We have engaged with health and social care staff around the country, to find out what they need most and how we can help them to get through the toughest winter they’ve ever faced.

“Funding will be immediately available for hot drinks, food and other measures to aid rest and recuperation based on what staff told us they needed. We are also continuing to engage with the workforce to understand what else would help them, with the possibility of developing more psychological support measures.”

Acting Director of Development and Innovation, Scottish Social Services Council (SSSC) Laura Lamb said: “The SSSC welcomes the announcement of additional funding to support the wellbeing of frontline workers across social care, social work and health care.

“The workforce continues to deliver high quality person-centred care despite facing significant challenges.  They have worked tirelessly throughout the pandemic.  It is vital the workforce feel valued, cared for and are recognised for the life changing work they do.

“Never before has support for the workforce been so important. Ongoing wellbeing support is essential if we are to have sustainable workforce for the future.”

Director of Workforce at NHS 24 Jacqui Hepburn said: “Over the last 18 months in particular, staff have faced unprecedented challenges and pressures, both professionally and personally, but have continued to rise to these challenges every day, while delivering vital and safe patient-centred care. 

“Supporting the mental wellbeing of our workforce, as well as the physical, has always been a priority for NHS 24. To reflect the additional pressures during the pandemic, we established a dedicated online wellbeing zone which provides information, support and tips including financial advice, bereavement support, coping and self-care advice as well as a mindfulness section with access to Spotify playlists, podcasts and access to free apps.

“Bespoke wellbeing areas were also introduced in centres giving staff access to a quiet and safe space to pause and reflect. Hot drinks vending machines were changed to ‘free’ and we provided food and snacks and Wellbeing Box so to support the health of staff over winter.

“We continuously strive for new ways of supporting our amazing and hardworking team at NHS 24 and welcome this additional funding.”

The Wellbeing Hub has been used over 125,000 times since its launch in May 2020.

Musselburgh: Scotland’s first mentally healthy golf club

An inaugural wellbeing tournament on Saturday 11th September will mark Musselburgh Golf Club’s first steps to becoming a mentally healthy golf club.

Teaming up with two mental health organisations, NHS 24’s Breathing Space service and the charity Samaritans, alongside partners Network Rail, the Club aims to drive conversations to support better mental health locally.

Stuart Wright, Captain of Musselburgh Golf Club, said: “Just as we have physical health, we all have mental health too. As a club we recognise that golf can connect people and have tremendous benefits to our wellbeing.

This past year has been a challenging time for so many – we want to ensure our club members and the wider community feel supported. By developing a Wellbeing Strategy and hosting a series of events, training and other activities over the year we hope to make mental health a priority at the club. We’re looking forward to hosting our very first Wellbeing Tournament.”

The Wellbeing Tournament takes a three ball format and will raise awareness of the support provided by mental health services such as Breathing Space and Samaritans. The Tournament coincides with World Suicide Prevention Day on 10th September. 

Tony McLaren, Breathing Space National Coordinator, said: “Musselburgh Golf Club is doing a tremendous job in taking forward this mental wellbeing agenda.

“The Wellbeing Tournament will provide an opportunity to unveil a special ‘Take some Breathing Space’ bench at the clubhouse, offering members and the wider community a place to connect and reflect. We hope that the important work they are doing can be replicated by other clubs in the future.”

Over the coming months, ‘Learn to Listen’ workshops will be delivered by Samaritans’ Edinburgh branch to club staff and members to improve listening skills and develop SHUSH listening tips to listen effectively to others.

This will be complemented by wellbeing talks from Breathing Space with the aim of removing the stigma sometimes associated with mental ill-health.

Rachel Cackett, Executive Director of Samaritans Scotland, said: “Musselburgh Golf Club’s commitment to supporting and promoting mental and emotional wellbeing is a fantastic example of how sports and community groups can play a leading role in supporting open conversations about mental health and fostering meaningful connections.

“The Wellbeing Tournament and wider activity at the club is one of many examples where Samaritans, supported by Network Rail and a range of partners like Breathing Space, are working with local communities to champion mental health & wellbeing and ensure that more people know they don’t have to face difficult times alone.

“We’re are delighted to be able to support Musselburgh in their journey towards becoming a mentally health golf club through initiatives like our Learn to Listen workshops and we hope that their commitment will inspire other clubs across Scotland to consider how they can champion mental health and wellbeing within their communities.”

Minister for Mental Wellbeing & Social Care Kevin Stewart said: “Mental health and wellbeing is everyone’s business, so I welcome the partnership approach being taken by Breathing Space, Musselburgh Golf Club, Samaritans and Network Rail in running this wellbeing golfing event and installing the Breathing Space bench.

“This helps remind us all of the value of looking after our own wellbeing and caring for family, friends and colleagues. My message is simple – we shouldn’t be afraid to talk about how we are feeling.

“This event is an excellent way to combine sport and improving mental wellbeing. I hope that, over the coming years, many members and visitors to the club will find the Breathing Space bench a useful place to gather their thoughts, and to take time to reflect.”  

NHS 24 backing call for Hope through Action on World Suicide Prevention Day

World Suicide Prevention Day takes place next Friday – 10th September 2021. This year the international theme is ‘Creating Hope Through Action’.

NHS 24 are encouraging everybody to think about taking one simple action to create hope and support ourselves and people around us who might be struggling, before pressures become a crisis. NHS 24 are supporters of United to Prevent Suicide.

The short animation ‘Ask, Tell – A healthy conversation’ gives practical tips on how and when to have compassionate conversations with people who may be experiencing suicidal thoughts or mental distress.

It takes less than 5 minutes to watch. www.unitedtopreventsuicide.org.uk

Anyone in Scotland in need of urgent help with their mental health can contact the NHS 24 Mental Health Hub on 111. This service is available 24/7/365.

Many people who call are experiencing thoughts or worries about suicide. The teams are able to help in a number of ways with compassionate listening, strategies to stay safe, or referral to support services for practical help with problems such as money or relationships.

Some callers are referred to their GP or community mental health team. Occasionally they refer callers to emergency services. NHS 24 work closely with the Scottish Ambulance Service and Police Scotland to offer a compassionate, appropriate, safe response to everyone calling.

The Breathing Space service is a confidential phone line for anyone in Scotland over the age of 16, feeling low, anxious or depressed.

Open Monday – Thursday 6pm to 2am, and all weekend Friday 6pm -Monday 6am. 

Call free on 0800 83 85 87

Donald Macintyre, Associate Medical Director, NHS 24 said: “Taking care of our mental health has been so important during the pandemic.

“I would encourage everyone to take a small action to improve their own wellbeing and to learn about safe ways to have what might be a difficult conversation with someone who may be struggling. Often a brief, caring chat can have a major impact. Our mental health teams are here to offer a compassionate response to anyone who needs urgent help.”

An action could be as simple as trying out the new Mental Wellbeing Signposting tool on NHS inform, which helps users navigate to free online courses provided by the SilverCloud platform or to the most helpful mental wellbeing resources on NHSinform.

SilverCloud courses have been designed by clinical experts and provide support for a range of conditions including sleep problems, general mental wellbeing and stress.

nhsinform.scot/get-help-with-your-mental-wellbeing

Waiting times: what’s happening?

During the pandemic, patients have been seen and treated based on their clinical urgency and we will continue to do so whilst we remobilise our NHS.

Patients are being classified in the following groups:

  • Priority Level 1a Emergency – operation needed within 24 hours
  • Priority Level 1b Urgent – operation needed within 72 hours
  • Priority Level 2 Surgery – scheduled within 4 weeks
  • Priority Level 3 Surgery – scheduled within 12 weeks
  • Priority Level 4 Surgery – may be safely scheduled after 12 weeks

NHS Scotland is working hard to increase the services available as safely and as quickly as possible. Clinicians and Clinical Experts are continuously reviewing how they deliver services to provide additional appointments to support your care.

About your appointment

It is important to attend your appointment or to let us know if you no longer need to attend.

Make sure you read any information provided in advance of your appointment so you know what to expect and can make the relevant preparations.

Keeping an eye on your condition

It is important to attend your appointment or to let us know if you no longer need to attend.

Make sure you read any information provided in advance of your appointment so you know what to expect and can make the relevant preparations.

Self Help

If you require further advice on your condition, please contact the hospital team you are awaiting an appointment with.

If your condition or symptoms worsen while waiting, you should contact your GP Practice.

Your local pharmacist or a trained member of the pharmacy team can give you advice and provide over-the-counter medicine if needed.

Call NHS 24 on 111 for further advice on managing symptoms.

If you consider your condition or symptoms to be life-threatening, then you should call 999 immediately.

Other Support

If you’re feeling overwhelmed, or that your mental health and well-being has been affected by the delay in your treatment, you can call:

  • NHS 24 on 111, 24 hours a day, and select the Mental Health option from the telephone prompts
  • Breathing space on 0800 83 85 87 is open weekdays Monday-Thursday, 6am to 2am, and weekends Friday 6pm to Monday 6am
  • Living Life on 0800 328 9655 is open Monday-Friday 1pm to 9pm

Your rights and responsibilities

Under the Charter of Patients Rights and Responsibilities, you have certain rights and responsibilities when using the NHS in Scotland.

For waiting times, It’s important that these be respected if patients are to receive treatment in the shortest time possible.

Your rights and responsibilities apply to waiting times in the following ways:

  • Availability
  • Appointments
  • Attendance

Find out more about how your rights and responsibilities apply to waiting times.