GP advice on how to stay well this winter

With winter just around the corner, NHS Scarborough and Ryedale Clinical Commissioning Group (CCG) are advising local residents on the best ways to stay well during the cold weather.

There are a number of effects the winter can have, and they are not just physical, the colder weather and shorter days can also affect your mental health.

NHS Scarborough and Ryedale CCG, Governing Body member and Local GP, Dr Peter Billingsly has a lot of useful tips to help you stay well this winter.

Be aware of norovirus

‘Norovirus outbreaks are more common this time of year, there is no specific treatment for norovirus, but you can take steps to ease your symptoms. If you’ve got sickness and diarrhoea, stay hydrated.

‘Don’t see your GP unless symptoms persist more than a few days, the best ways to avoid catching norovirus is wash your hands thoroughly after using the toilet. Last but not least, norovirus can leave you contagious 48 hours after the symptoms go, so please avoid hospitals and care homes.’

Get your flu vaccination

‘The best way to stay protected against the flu is to get the vaccination, the jab is free for pregnant women, over 65s and those with underlying health conditions. If you have a child ages 2 – 3 they are entitled to a free flu nasal spray to keep them protected.

‘If you are experiencing flu like symptoms, please seek advice from your pharmacist before it gets more serious. If you want to book a vaccination please contact your GP practice.’

Use the right service

‘If it is not an emergency, you can get medical advice 24/7 by using the NHS 111 service, they have trained medical professionals available who can direct you to the most appropriate medical care.

‘If you want to speak to someone face to face you don’t always have to wait for an appointment with your doctor. Your local pharmacy can provide clinical advice for minor health conditions common over the winter period such as coughs, colds, sore throats, tummy trouble and aches and pains.’

Keep a stock of useful medicines

‘It is important to keep a stock of over the counter medicines in your home over the Christmas period as your local surgery or pharmacy may not be open.

‘These remedies could include basic painkillers like aspirin, ibuprofen and paracetamol, cough syrup and antacids that are all available at your local supermarket.’

Look out for yourself and others

‘The colder weather and shorter days can affect your mental health, get out in the sunshine if you can, even short bursts can improve your mental wellbeing.

‘Older neighbours and relatives are more vulnerable in the winter months and may need a bit of extra help to stay well, make sure you keep in touch and check in on them when you can.’

There is further advice on self-care san be found here, you can also find details of GP and pharmacy opening times over the winter season.

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Keep infections at bay – health bosses call on patients with flu or norovirus to stay away from hospital

The NHS in York and
North Yorkshire is calling on residents and communities for help to prevent the
spread of winter infections.

An outbreak of influenza
or norovirus in hospital could have serious consequences for patients who are
already poorly and can lead to entire wards being shut down and quarantined,
putting an additional strain on NHS resources at a time when they are most in
demand.

With the number of
cases of norovirus starting to rise in our communities – not uncommon at this
time of year – health leaders from York Teaching Hospital NHS Foundation Trust
and clinical commissioning groups in York and North Yorkshire are appealing
directly to people with symptoms of influenza or norovirus to act responsibly and
stay away from GP surgeries, hospitals and other healthcare settings, where
possible.

NHS Scarborough and
Ryedale Clinical Commissioning Group (CCG) Chairman, Dr Phil Garnett, said:
“When we have loved ones who are poorly and in hospital, it’s natural we want
to be with them, even if we’re feeling under the weather ourselves.

“However, influenza
and norovirus are particularly contagious and the risk of passing these infections
on to the person you are visiting in hospital who may already be quite ill – as
well as other sick people and hospital staff – is extremely high.

“When a flu or
norovirus outbreak occurs, particularly in an environment like a hospital, it
is difficult to contain and can lead to the closure of entire wards, putting a
huge strain on local NHS resources at a time of year when they are most in
demand.”

York Teaching Hospital
NHS Foundation Trust Chief Nurse, Heather McNair, added: “Closing wards helps
us to contain an outbreak, but it means beds become unavailable and pressure is
created throughout the entire system. Visitors can help by staying away if they
have the flu or diarrhoea and vomiting and for at least two days after their
symptoms have stopped.”

Norovirus is the most
common stomach bug in the UK, affecting people of all ages. Like the flu, it spreads
rapidly in closed environments such as hospitals, schools and care homes. It
can be spread through contact with an infected person, by contact with
contaminated surfaces or by consuming contaminated food or water.

Typical symptoms of a
norovirus infection include the sudden onset of projectile vomiting and watery
diarrhoea. Some people also experience headaches, mild temperature and stomach
cramps.

There is no treatment
for norovirus but it is important people who have the winter vomiting bug keep
hydrated to combat the loss of fluids. People with norovirus will recover in a
day or two, but will remain infectious for up to three days after recovery.

Common symptoms of flu
include a high temperature, fatigue, headache, general aches and pains and a
dry, chesty cough. The best remedy is to rest at home, keep warm and drink
plenty of water to avoid dehydration. Paracetamol or ibuprofen may help lower a
high temperature and relieve aches.

Anyone who thinks they
may have flu or norovirus is advised not to visit a GP surgery, but to stay at
home and call NHS 111 for advice if necessary.

There are simple steps
people can take to reduce the risk of spreading norovirus:-

  • Thorough hand washing – wet, lather, scrub, rinse and dry
  • Don’t prepare food while infected
  • Immediately clean and disinfect surfaces after episodes of diarrhoea and vomiting
  • Wash clothes and bed linen that may be contaminated thoroughly
  • Drink plenty of fluids – stay away from caffeine and pay particular attention to the young and elderly for signs of dehydration

To reduce the risk of
spreading flu, people should regularly clean surfaces such as door handles,
telephones and computer keyboards to get rid of germs (hand contact with
infected surfaces is a common way for a virus to spread), use tissues to cover
the mouth when coughing or sneezing, put used tissues in the bin as soon as
possible and wash hands regularly.

For more information please visit www.nhs.uk/norovirus and www.nhs.uk/flu

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New online mental health support for young people in North Yorkshire

Young people aged 11-18 in Scarborough and Ryedale and across North Yorkshire can now access Kooth, a website offering free online counselling and emotional wellbeing support.

Kooth (www.kooth.com), from digital mental health provider XenZone, gives
young people instant access to emotional and wellbeing advice and support whenever
and whenever they need it. It incorporates self-help articles and online tools
such as a mood tracker, as well as professional online therapy and moderated
peer-to-peer forums.

The Kooth service has been
commissioned by local mental health provider Tees, Esk and Wear Valleys NHS
Foundation Trust (TEWV) as part of its commitment to provide early mental
health guidance and support through digital provision.

The service is accredited by the British Association for Counselling and Psychotherapy (BACP) and provides a safe environment where young people can chat anonymously and in confidence with qualified counsellors, who are online from noon until 10pm on weekdays and from 6pm until 10pm, 365 days a year.

Young people can register on
Kooth without having to provide personal details such as their name or address.
It provides a safe and non-judgemental place for them to talk, connect and chat
with others and know they are not alone.

Chris Davis, TEWV head of service for children and young people, said: “Digital technology is a daily part of people’s lives now, especially for children and young people. They expect to be able to go online to get instant access the help and support they need. Being able to have a presence online to provide advice and guidance to young people in our area is essential in helping drive forward mental health provision.

“We have commissioned the
Kooth service to complement our existing care provision. The online counsellors
are fully qualified and experienced and where necessary will signpost children
and young people to wider support available, as well as having the ability, when
information is provided to them, to refer them directly on to our services if
needed.”

Kooth is operated by XenZone, digital mental health provider. Elaine Bousfield, the organisation’s founder said: “It’s so important that young people can access support when they need it with none of the stigma they may feel is sometimes attached to seeking help. We look forward to integrating Kooth with local services, to help support more young people with their mental wellbeing at the time of need.”

Kooth is now available in more than 120 Clinical Commissioning Group (CCG) areas, and in 2018 saw more than 1,700 log-ins every day. For further information visit www.kooth.com.

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New funding for mental health crisis services in North Yorkshire

Mental health services have received a boost in funding across North Yorkshire to provide local people with additional crisis services and alternative places of safety.

Tees, Esk and Wear Valleys (TEWV) NHS Foundation services has received over half a million pounds worth of funding from local clinical commissioning groups (CCGs) to help reduce the impact of mental health crisis on both individuals in crisis and wider services, such as the police, ambulance and accident and emergency.

The funding will allow the Trust to maintain specialist 24/7 telephone assessment and crisis support, as well as expanding existing out of hours crisis cafes in York and Scarborough and introducing new crisis cafes in Northallerton, Harrogate and a mental health first aid response into Selby.

Crisis cafes are generally open on an evening and offer people aged 16 and over a safe and comfortable place to go to receive support when they are in distress. The cafes are supported by trained nurses and support staff who have mental health first aid training, whilst also being linked to local crisis and crisis resolution home treatment teams, so café staff can access a specialist response if needed.

The Trust’s existing crisis cafes, The Haven in York and Scarborough Crisis Café, have been operating since October and August 2018 respectively. Both have been exceptionally beneficial for local people, helping over 200 people a week to access information and support around crisis prevention, as well as signposting them to and facilitating access to other relevant and appropriate services, agencies and activities.

Commenting on the boost Liz Herring, head of adult mental health services for TEWV in North Yorkshire, said “This funding is excellent news for local people. We will be able to further meet people’s needs, particularly on an evening, which we know can be a challenging time. It not only allows us to invest in crisis café’s, which offer valuable out of hours support and advice, but it also means that we can develop our 24 hour crisis telephone line to further improve the response that we can provide to people.”

Helen Embleton, urgent care pathways lead said: “We’re delighted to have received NHS transformation funding. This will help us to deliver a responsive crisis service that meets key requirements set out in the NHS Long Term Plan.

“Extending the support available to people before and during a mental health emergency will help to make sure individuals receive the right care, from the right people, in the right place at the right time.

“Over the last couple of years, crisis services across TEWV have been focussing on delivering quality improvements that enhance collaborative and patient centred care. This has involved increasing multiagency working, improving access and pathways into services and increasing patient, carer and family involvement. Extensive work has also been undertaken to reduce police sections and unnecessary attendance at accident and emergency departments.

“We have worked closely with local partners including clinical commissioning groups, NHS England, the police, voluntary sector and ambulance services to secure this funding and are excited at the new and innovative plans in place to develop a ‘fit for the future’ crisis service that meets the diverse needs of the people we support.”

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