Tennis Elbow
Musculoskeletal Specialist (16 years and over)
Book appointment with MSK specialist or sign post to Moving Well service.
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 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.
Book a same day face to face appointment if there is a possible infected joint (i.e. sudden severe joint pain, feverish, new red hot swollen joint).
Thread Worm
Community Pharmacy or Face to Face Consultation
Send patients to pharmacy for advice and product purchase.
Under 2 years – Book a face to face appointment.
Thrush
Community Pharmacy or Face to Face Consultation
ORAL
Send patients to pharmacy for advice and product purchase.
Book face to face consultation appointment in those who have no respond to OTC treatment.
GENITAL
Send patients to pharmacy for advice and product purchase.
If OTC treatments have failed or not suitable for pharmacy scheme (e.g. Pregnant, under 16 years or 60 years and older), book face to face appointment with clinician. in those who have no respond to.
Tinnitus
Face to Face Consultation
Consider same day face to face appointment for:
- sudden onset of tinnitus.
- onset following head trauma.
- suicidal.
- associated neurological symptoms such as new facial weakness.
Tonsillitis
Community Pharmacy or Face to Face Consultation
Book a face to face appointment if over the counter treatments have failed or they are becoming more unwell.
If patient significantly unwell follow SEPSIS protocol.
If in doubt regarding a possible sepsis diagnosis speak with a clinician for advice as soon as possible.
Toothache
Community Pharmacy Scheme or NHS 111
Advise patient to call their registered dentist for an appointment.
If the patient does not have a registered dentist, then tell them to call NHS 111 where they will be directed to local care. This includes pain relief / antibiotics.
Send all patients to pharmacy for advice and product purchase, including pain relief.
Travel Advice
Travel Advice
Request patients research countries being visited by accessing website:
www.fitfortravel.nhs.uk/destinations
This includes all stops if cruising.
Should they wish to have the NHS vaccinations available for free, they need to access the travel form on the practice website and return that to us at least 6 weeks before traveling to enable the vaccination course to be administered in time.
Should they wish to access vaccinations not available on the NHS, they will need to access those via an independent travel clinic.