There are now many different ways to access NHS services. If you understand the system, you can get the help you need more quickly.

If you are seriously ill, call 999 or go to A&E. If you aren't sure if you should go to A&E, ring 111 for advice. A&E departments are very busy – you will probably have to wait some time to be seen.

GP practices

As well as doctors, many surgeries now have staff in specialist roles such as physiotherapists, pharmacists and nurses. You may be able to make appointments with these staff without having to talk to a doctor. If you can't get an appointment at your local surgery, ask if any are available elsewhere - Sutton has four "enhanced access hubs" which provide appointments at evenings and weekends.

GP practice websites

If you're able to use the website, you may be able to book appointments with the doctor or specialist staff, to request a repeat prescription or access other services.

NHS 111

You can ring 111 or access the service through a website. You answer questions about your main symptom. You will be told where to get help - this includes urgent treatment centres and out-of-hours GPs.

Mental health support

If you need help in an emergency, ring the NHS Mental Health Crisis Line on 0800 028 8000. The service is open 24 hours, every day of the year. This is probably a better option than going to A&E, though you can also go there and ask for the Duty Psychiatrist. You can also ring the Samaritans on 116 123. The NHS website has more information about specialist services for young people and Deaf people, and details of other helplines.

Self-referral

For most specialist services, you need to be referred by a GP. But you can contact some services directly - this is called "self-referral".

Podiatry - feet and ankles
You can only self-refer for certain conditions - see here for details.

Falls prevention
To self-refer you need to be 65 or over and able to get to Cheam Priory Day Centre Clinic. See here for more details.

Pharmacy First

You can get prescription-only treatment for some conditions at a pharmacy without seeing a doctor. The conditions are:

  • Sinusitis
  • Sore throat
  • Earache
  • Infected insect bite
  • Impetigo (a bacterial skin infection)
  • Shingles
  • Uncomplicated urinary tract infections in women

Pharmacists are qualified professionals, and have to complete further training to take part in Pharmacy First.