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WE HAVE CHANGED ACCESS TO ONLINE CONSULTATIONS

eConsult has contributed to a doubling of demand over recent months. In order to maintain safe working practices, we are returning to a more traditional service. eConsult is still available, however its availability and scope will be reduced.

For more information please visit our status update page.

HOW TO ACCESS THE HELP YOU NEED

In line with current NHS guidance and practice philosophy, patients are encouraged to self-care and self-refer to appropriate sources of help where possible (if you're not sure who to see first, use our symptom checker or visit our help page), and find out how we're managing your condition during covid. To access support for low mood, anxiety or mental health issues, please visit our dedicated mental health support page.

If you need medical help, please ring us during working hours, call 111 , or use NHS 111 online service. If we have reached capacity for the day, any further assessments will be on the basis of clinical need and urgency only. eConsults remain available at certain times (see below).

Today's updates

Today's appointment demand

LOW MOOD, ANXIETY OR MENTAL HEALTH ISSUES?

Start accessing help and support now

We've seen a huge increase in the numbers of patients whose mental health and wellbeing have been affected due to the current situation.

For advice on self-help, self-referral to counselling and other support, including what to do in a crisis please download our counselling and self-referral info leaflet .

We have also collected many helpful resources to support patients and we strongly encourage you to visit our mental health help and support area so that you can start to get to help that you need.

You can also ring the Mental Health Support Line which is available 24/7 to any Derbyshire resident of any age, the number to call is 0800 028 0077 .

You can self-refer to any of these services without needing to speaking to a GP first. These services will also refer you to other services where deemed clinically appropriate.

Please start to get the help you need:

Self-care & self-referral Counselling & Therapy All mental health help & support 24hr support line Sleep advice Resources for children Resources for teens Resources for adults Resources for older age Dementia support

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What's eConsult?

eConsult is an online consultation service that enables you to submit a form to us for response.

If you don't know anything about it, please go to our eConsult info page to find out more first then come back here to submit an eConsult.

eConsult is not a replacement for self-care for your condition or self-referral to appropriate sources of help (see full list of services you can access directly).

If you submit an eConsult, an initial response from us will not necessarily mean an immediate appointment or phone call with the GP. It might be an acknowledgement of your request with an assurance that we are looking into it; it might be sending you forms for some tests first; health advice; a sick note; asking you to send some photos; a request to see another health professional.

Any appointments arising out of eConsult are provided on the basis of clinical need and urgency only. By doing so, we can help more people.

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Want advice from your doctor, self-help information or have an adminstrative request (such as a sick note or test results)?

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We will respond to eConsults before the end of the next working day

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Contact your doctor online and get help by the end of the next working day

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We will respond to eConsults before the end of the next working day

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Sick child? Ask your doctor for help by filling out a quick form

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NB: works for adults too!

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Get sick notes and recent test results online

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Fill out a quick form and get what you need by the end of the next working day

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Fill out a form to get a response before end of the next working day

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We will respond to eConsults before the end of the next working day

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Feeling under the weather? Get help and advice from your doctor by completing a simple online form

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We will respond to eConsults before the end of the next working day

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No more hanging on the phone to contact the practice - next time submit an eConsult online, wherever you are

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If you need an appointment, we'll arrange one with you

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When patients submit an eConsult, it could save an appointment for someone else, which might be you

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Let us decide how to care for you - we will respond by the end of the next working day or sooner

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Take control of your treatment - you can use eConsult to access NHS information on hundreds of conditions online and how to treat them

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Select your condition on eConsult then click the 'I want to help myself' option

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With eConsult, you can get the help you need online - if you really do need to be seen in person, we'll let you know

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We will respond to eConsults before the end of the next working day

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Escape the wait - next time you need information or advice from your doctor, fill out an eConsult

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There's no need to call the practice at 8am in the hope you'll be seen today - do it online, it's quicker

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Please DO NOT USE eConsult for any of these:
click the buttons for an explanation and what to do instead:

Terminal illness queries

Terminal, end-of-life or palliative care

We do not expect any patients nearing end-of-life to use eConsult.

Please ring us anytime if you need medical care.

Click to ring us with your terminal care query

Medications already on repeat

Requesting medications already on your repeat prescription

Please DO NOT USE eConsult. Please do any of the following instead:

  • Drop off your repeat slip through our letterbox
  • Send your repeat along with a stamped addressed envelope for it to be returned to you
  • Use our online service [registration required]
  • Email us (during coronavirus pandemic only)

We do not take repeat prescription requests over the telephone.

Online service page Email us your repeat request

Nursing procedures

Nursing procedures

Please DO NOT USE eConsult for booking appointments for any sort of procedure with the nurse, e.g., vaccinations, injections, smears.

Please ring us to book with the nurse in the usual way.

Please note that during covid many long-term reviews are suspended (e.g., blood pressure, spirometry for COPD review) - we will contact you for a review in due course.

Click to ring us to book with the nurse

Medical emergencies

Medical emergencies

Please DO NOT USE eConsult if you have a medical emergency. General practice itself is not an emergency service.

See the example lists below and who to contact:

  • Suspected heart attack 999
  • Suspected stroke 999
  • Suspected meningitis 999
  • Anaphylaxis (e.g., peanut allergy) 999
  • Unconscious or unrousable 999
  • Diabetic coma or hypo 999
  • Sudden blindness A&E
  • Nose bleed that won't stop A&E
  • Overdose A&E
  • Severe breathlessness A&E

More conditions needing 999 Click to ring 999 now Info on nearest major A&E

Home visit requests

Requesting advice or a home visit to those who are bedbound

Please DO NOT USE eConsult for making any requests for a home visit.

Please bear in mind that in line with our home visiting policy, we will only visit those who are bedbound, at end-of-life, or those who would be harmed if moved.

Please visit our extensive home visiting advice pages for further information. If you need help from us, please ring us.

Please note that during the coronavirus pandemic, we are carrying out very few home visits, in order to keep both patients and staff safe.

Home visits info Requesting a home visit Home visit support Click to ring us for home visiting advice

Use eConsult for any of these common conditions or check the full list
If you have pain, please make sure you use the correct pain score - find out more by clicking the red lightning button below:

Use the correct pain score

Use the correct pain score in your eConsult

Using the correct pain score in your eConsult questionnaire helps you to get to the right service. If you present answers that could indicate a more serious condition, you will be automatically referred to emergency services. This is for your own safety.

Whilst pain is always unpleasant, we also know that it is a very subjective phenomenon, varying in degree from person to person, but it may help patients if they have an idea what the scores 0 to 10 on the pain scale are recognised to represent.

Choose your pain score below


Acne
Anxiety
Back pain
Colds/flu
Cough
Depression / Low mood

Anxiety and Depression

We're sorry to hear that you're not feeling well.

We've seen a huge increase in the numbers of patients whose mental health and wellbeing have been affected due to the current situation.

For advice on self-help, self-referral to counselling and other support, including what to do in a crisis please download our counselling and self-referral information leaflet .

We have collected many helpful resources to support patients and we strongly encourage you to visit our mental health help and support area so that you can start to get to help that you need.

You can also ring the Mental Health Support Line which is available 24/7 to any Derbyshire resident of any age, the number to call is 0800 028 0077 .

You can self-refer to all these services without needing to speaking a GP first. These services will also refer you to other services where clinically appropriate.

Proceed to submit an eConsult:

Anxiety Depression / Low mood

Diarrhoea
Earache
Eczema
Eye problems

Eye problems

You will have the opportunity to add photos to your eConsult. If your eye problem is visible, for instance, eyelid problems, conjunctivitis, cysts, lumps, then please make sure to include a photo or two of your eye(s) taken in good lighting - get someone else to help if it's more convenient.

Check your photos after you've taken them to make sure all shots are clear and in focus.

Proceed to submit an eConsult:

Eye problems

Headache
Joint pain

Physio Direct for back and joint Pain

In the vast majority of cases, we would recommend any adult patient with back, neck, joint or muscular problems to refer themselves to Physio Direct, the local physiotherapy service.

Physio Direct is an appropriate first point of contact for your musculoskeletal problem and if you have not already self-referred, we recommend that you do so. The service will triage and assess patients and also refer for investigation or further specialist review as clinically appropriate.

There is no need to speak to or see a GP before using this service

Please ring 01335 230079 to access this service. Download the Physio Direct poster

Physio Direct

Please take photos if your limb or joint condition is visible

Where your joint or limb condition is visible, for instance, swelling, redness, deformity, please make sure you take a photo or two of the affected area in good lighting, and in focus, and submit them along with the eConsult.

If needed, please read the patient's guide on taking good medical photos

If you still need help from us, please submit an eConsult:

Back pain Joint pain

Skin / Rashes / Fungal

Photos for skin conditions

We consider photos essential in the safe and effective management of any visible skin condition.

You will have the opportunity to add photos to your eConsult - please make sure to include several photos of your skin problem.

Take your photos in good natural lighting.

Take one wider angle shot showing the area of the body affected (for instance a limb, or trunk) but make sure to include the lesion or area concerned so that we get a sense of where the problem actually is.

Then take several closer up shots with a ruler or coin next to the lesion or area so that we can judge its size.

If the lesion is raised, you may need to take several photos from different angles.

Make sure you wait for your camera to auto-focus before taking the shot. If you are too close, you may need to move back a little to get focus.

You may need to get someone else to take photos for you if it's more convenient.

It helps if you take all your photos before you complete your eConsult or reply to our text message so that you can take your time getting good photos back to us.

Do not send us photos of any explicit body parts, e.g, breasts, genitals, unless we have agreed with you beforehand.

Check your photos after you've taken them to make sure all shots are clear and in focus.

If you do not send us photos of your skin condition, there may be a delay in responding to your eConsult.

If needed, please read the patient's guide on taking good medical photos

Please confirm that you have read the above and understood:

I will send photos

Proceed to submit an eConsult:

Acne Eczema Skin / Rashes / Fungal

Sore throat

Photos for sore throats

You will have the opportunity to add photos to your eConsult - please make sure to include a photo or two of your throat taken in good lighting - it's best to stick your tongue out or make it as flat as possible and say 'ahh' whilst taking the photo - get someone else to help if it's more convenient.

In line with national guidance, we do not examine throats routinely as doing so is a aerosol generating procedure and therefore a risk during coronavirus pandemic (regardless of whether or not the patient has symptoms of covid), therefore photos are very useful in this situation.

Check your photos after you've taken them to make sure all shots are clear and in focus and that they show the back of your throat and tonsils clearly.

Please confirm that you have read the above and understood:

I will send photos

Proceed to submit an eConsult:

Sore throat

Sinusitis
Urine infection (women)
Full list of conditions
Help for your child

Help for your child

Choose a common condition below or check the full list

Admin Diarrhoea, vomiting Eye problem Fever, high temperature Generally unwell Mental health (see below) Miscellaneous Skin, rashes, fungal Sore throat Full list of conditions

Mental health resources for children/teens

If you need help and support for your child's mental health and wellbeing, please see here:

Mental health resources for children
includes forms required for ASD/ADHD assessment
Mental health resources for teens
includes counselling info for older children
Submit an eConsult
for your child's mental health

Please take photos if your child's condition is visible

Where your child's condition is visible, for instance, a skin problem or rash, a limb or eye problem, a sore throat, please make sure you take a photo or two of the affected area in good lighting, and in focus, and submit them along with the eConsult.

If needed, please read the patient's guide on taking good medical photos

Or choose other options:

General advice
Follow-up for existing condition
Medication for existing condition
Blood tests for existing condition

About this option

Use this option for any of the following:

  • Your condition is NOT on the full list of conditions
  • If you are requesting FOLLOW-UP or need to UPDATE us about a condition we have already been dealing with
  • If you are requesting further issue of MEDICATION for a condition we have already been dealing with and that we have already prescribed
  • If you are requesting a BLOOD TEST for a condition we have already been dealing with

Please provide as much detail as possible

When you submit an eConsult, please make sure you provide as much detail as possible about your admin or referral request and include the doctor who has been dealing with you. You can do this within any free text box on the online form. This helps us to deal with your request as effectively as possible. Thank you.

Proceed to submit an eConsult:

General advice Follow-up for existing condition Medication for existing condition Blood tests for existing condition

Admin
Sick notes

Sick notes (fit notes, MED3s)

Fit notes after hospital admission, outpatients or operations

Please ask your hospital doctor to provide you with a fit note before you leave hospital. DO NOT LEAVE WITHOUT IT! Despite what the hospital might say about asking your GP for a sick note, it is the legal and contractual duty of the hospital doctor treating you to provide a fit note should you require it.

Read important information on sick notes after hospital care

If you have already left the hospital without your fit note, please contact the secretary of the consultant whom you were under to obtain a fit note, which they can send directly to you. If you are still having trouble getting a fit note from the hospital, please contact Derby Hospitals Patient Advice and Liaison Service (PALS) or ring 01332 785156 .

For sickness absence less than seven days

Doctors are not legally obliged to provide a fit note in the first seven days of sickness absence. You can instead obtain a self-certifying fit note (form SC2) from your employer which will last seven days from the first day of sickness absence, regardless of whether you usually work all those days or not.

Another option is to generate a self-certifying sick note from gov.uk which you can give to your employer.

For sickness absence lasting more than seven days

For sickness lasting longer than seven days, you may request a fit note from the doctor.

When you submit an eConsult, please remember to tell us, in a free text box, the date that you were first off work and please provide as much detail as possible about the reasons for why you need to be off work - this helps us to deal with your request as effectively as possible.

Proceed to submit an eConsult:

Sick notes

Referrals

Admin and referrals

Please provide as much detail as possible

When you submit an eConsult, please make sure you provide as much detail as possible about your admin or referral request and include the doctor who has been dealing with you. You can do this within any free text box on the online form. This helps us to deal with your request as effectively as possible. Thank you.

If there is insufficient detail in your eConsult, we will get in touch asking you to provide more information.

Proceed to submit an eConsult:

Admin Referrals

Go to the full eConsult site

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