Wolverton Health Centre
Dr S. A. Mushtaq, MBBS London 1997.
Dr S. Mushtaq, MBBS, MRCGP, DCH, DOWH, DFSRH, Dip Diabetes, Dip COPD
Dr. R. Shun MBBS, BSC, ARCS, MRCGP, PG Dip Derm, PG Dip Diabetes, DRCOG.
Dr N Siddiqui, BSc. (Hons), MBBS( London), MRCGP,DCH,DRCOG,DFSRH
Mrs Louise McCarthy Practice Manager
Mrs Sharon Dodd Deputy Practice Manager
Practice Information Booklet
Wolverton Health Centre
Telephone: 01908 222954
Fax: 01908 314717
Milton Keynes Clinical Commissioning Group
Table of Contents
Newly Registered Patients5
Our Practice Charter6
Clinical staff -Doctors7
Clinical staff -Nurses8
The appointment system.. 11
Arrival for your appointment13
What to do in an Emergency when we’re closed.15
Prescription requests & Pharmacy services16
Clinics and services we provide. 18
Health Visiting Service. 20
District Nursing Team.. 20
On-line Website Facilities21
Abusive and violent patients21
Complaints Procedure. 22
The Patient Participation Group (PPG)24
Useful telephone numbers24
Self treatment of common Ailments and injuries26
The practice moved into the Health Centre in October 1976 as a 3 doctor partnership and has grown steadily since that time. The present partners and primary health care team look after approximately 14,500 patients.
The practice aims to cater for the health needs of the population within the resources available, whilst making full use of the new ideas from the wider primary health care team, in order to provide excellent primary care in a friendly environment.
Our Patients Charter details what we commit to provide for our patients, and what we expect from our patients. We have included the main points of our Practice Charter in this booklet.
Monday to Friday
8.00 am to 6.30 pm
Pre-bookable and on the day appointments for Doctor’s.
Pre-bookable appointments for Nurses and HCA’s dependant on availability.
Duty doctor ‘on the day’
- Home visits
- Emergency telephone triage
- Emergency clinical consultations –‘sit and waits’
Saturday – Extended Hours
(Pre -booked appointments only)
8.00 am to 11.30 am
Smoking Cessation clinics:
8.00 am- 11.30 a.m.
11.30 am to 1.30 p.m.
Out of Hours
The surgery uses the 111 service. You will be asked for personal details before commencing with the call. Depending on your medical problem you will either be given advice, sent to the MKUCS (Milton Keynes Urgent care service) or be referred back to your practice to make an ‘appointment’ during opening hours. If you have a serious medical problem you will need to go straight to the Emergency Department.
Newly Registered Patients
In order to register with the practice you will need to complete the patient questionnaire and a purple NHS form. We will also need some form of photo identification such as your passport/driving licence, together with a utility bill or other document showing your new address.
We register new patients by appointment only, please arrange this with our Patient navigators and bring all requested documentation with you when you attend.
If you are on any regular medication you will need to make an appointment with the doctor before we are able to issue any repeat prescription.
If you suffer from heart problems, asthma, COPD, or diabetes, please make an appointment with the appropriate practice nurse clinic as soon as possible for an assessment and review.
Our Practice Charter
This practice aims to consistently provide quality health care to all of its patients. The key aspects of our charter are outlined below:
- This Patient Information booklet details the various procedures and key information regarding the Practice team and facilities and services available. All newly registered patients will be given a copy and copies will be on display and available to existing patients.
- Our staff are friendly and approachable and will greet you courteously and with respect.
- Accurate medical records will be kept on file. Staff that have access to notes treat them with the privacy and confidentiality. Patients can have access to your records, on notes and computer, within the provisions of the law.
- We will always attempt to begin consultations on time but occasionally delays of up to half an hour may result, if a patient’s problem is complex. You will be informed, and will be offered an alternative appointment. Please be considerate, on another occasion it may be you who needs the extra time.
- We strive to improve our services and the levels of health care on a continuous basis. We will display notices in the Health Centre to inform you of any important changes to our procedures.
We consider you, the patient, are a partner in your care and management and all aspects of it will be explained to you including any medication prescribed for you. Please also understand that it may not always be appropriate for you to be given a prescription.
Clinical staff -Doctors
Dr Saleem Mushtaq (male)
Qualifications- MBBS London 1997
Availability- Four mornings & three afternoons except Wednesday afternoon and one duty day.
Dr Sweety Mushtaq (female)
Qualifications- MBBS, MRCGP, DCH, DOWH, DFSRH, Dip Diabetes.
Availability- Four mornings & three afternoons except Tuesday afternoon and one duty day.
Dr Rajiv Shun(male)
Qualifications- BSC, ARCS, MBBS, MRCGP, PG Dip Derm, PG Dip Diabetes, DRCOG, DFFP.
Availability- Four mornings & three afternoons except Friday afternoon and one duty day.
Dr N Siddiqui (male)
Qualifications – Bsc (Hons), MBBS (London), MRCGP,DCH,DRCOG,DFSRH
Availability – Four mornings & three afternoons except Wednesday afternoon and one duty day.
Clinical staff -Nurses
Mrs Frances Baverstock: Lead Nurse - Prescribing Nurse
Mrs Carole Woodruff: Prescribing Nurse
Miss Maria Atkinson: General Practice Nurse.
Mrs Lillian Boswell: General Practice Nurse.
Ms Sarah Hanson: Health Care Assistant
Works under the supervision of our Practice Nurses
Mrs Amanda Gray: Health Care Assistant
Works under the supervision of our Practice Nurses
Practice Manager: Mrs Louise McCarthy
Deputy Practice Manager: Mrs Sharon Dodd
- Mrs Catherine Fletcher
- Mrs Ruth Halford
Registration Clerk: Mrs Tina Whitlock
QOF Administrator: Miss Samantha Dixon
Patient Navigation Team:
- We have a team of 9 dedicated patient navigation team members split over morning & afternoon shifts.
Community services on-site:
Other members of the Primary Health Care Team include District Nurses, Health Visitors, Midwives, Speech Therapists, Physiotherapists and Podiatrists, all are accommodated at the Health Centre. You can also get a free hearing test in surgery on the third Thursday of every month.
The appointment system
All Consultations are by appointment and can be made up to 8 weeks in advance or on the day. Availability of advance bookings vary seasonally. During the winter months the demands are very high this means pre-bookable appointments can be booked up to several weeks ahead. Every day ‘on the day’ routine appointments are released. These are on a first come first served basis.
Appointments are available between the following times:
- Monday to Friday 8.00 am and 6.30 pm
- Extended hours: by appointment only
Saturday 8.00 a.m. till 11.30 am –Doctors
Saturday 8.00 a.m. till 11.30 am – Smoking cessation clinics
Please make appointments in person or by telephoning between 8.00 am and 6.30 pm Monday to Friday, alternatively, log onto our website, www.wolvertonhealthcentre.co.uk to request an appointment.
Whenever possible these appointments will be given with the doctor of choice.
- When all available appointments have been taken for the day, urgent consultations will be seen by the duty doctor, or he/she may contact you for a telephone consultation.
- On the day Emergencies are seen by the duty doctor and are for one problem only for a 5 minute consultation that is urgent. These appointments should not be used for on-going non urgent problems.
- Please let us know if more than one person in the family needs to be seen.
If you wish to speak to your Doctor please tell the patient navigator the nature of you call where possible and be prepared to leave your telephone number for the doctor to call you back.
Please notify the practice in good time if you cannot keep an appointment, this will allow us to offer the appointment to another patient.
You can cancel your appointment on our website:
Patients who DNA appointments will be sent a warning letter. This will lead to patients being removed from the practice.
Our doctors can see four patients in the practice in the time it takes to do a single home visit. For this reason we ask our patients to come to the practice if at all possible. However we can visit you at home only if you are elderly or housebound. Please ring before 10am whenever possible. It will help to judge the urgency if you will give full details of your illness to the receptionist.
Please telephone between 11.30am and 2.30pm for the results of any tests you have undergone. The telephone is less busy at these times and the reception staff will have more time to assist you.
Please give 48 hours notice when requesting a repeat prescription.
- Indicate your requirements on your repeat slip and leave it in the box in reception.
Patients Rights & Responsibilities
Patients have the right to:
- Receive treatment from a General Practitioner (GP service).
- Have the treatment explained to you.
- Have a friend or relative with you.
- To be on time for appointments.
- Inform the surgery if you cannot keep an appointment.
- Inform the surgery or any hospital department or clinic you are attending if you have moved home or changed your telephone number.
- Use emergency services responsibly.
- Treat all health care staff politely.
Arrival for your appointment
It is very important you register your arrival for your appointment so that the doctor or nurse knows you are waiting. This can be done in the following way:
- Where possible please use the self check in machine to register your arrival for your appointment. This is situated opposite the information hub desk. Please follow the on screen instructions. This service helps reduce long queues at the information hub desk.
- If it is not possible to use the self check in machine, your arrival can be registered at the desk by a member of our patient navigation team.
We aim to respect patient’s confidentiality at all times. All consultation rooms are separated and sound proofed.
All of the practice staff are bound by this duty and any breach of this duty would be treated extremely seriously.
We aim to treat everyone with courtesy and respect, irrespective of ethnic origin, gender, religion, sexuality, age, disability or medical condition. We expect to be treated in exactly the same way.
Consent to Treatment of Children
The practice has a policy for consent to the treatment of children under the age of 16 that conforms to the current Children’s Act.
Information Sharing & Data Protection
The practice complies with the Data Protection and Access to Medical Records legislation. Patients have a right of access to their medical records. If you wish to see your records you must submit a written request to us, and a fee may be payable. Identifiable information about you will be shared in the following circumstances:-
- To provide further medical treatment for you, e.g. from District nurse and Hospital services.
- To help you get other services, e.g. from Social Work Department. This requires your consent.
- When we have a duty to others, e.g. Child Protection cases.
Anonymised patient information will also be used at local and national level to help the Health Board and Government to plan services. If you do not wish anonymous information about you to be used in such a way, please let us know.
The NHS can share information to plan and improve services for all patients. Information such as your postcode and NHS number, but not your name, will be used to link records in a secure system, so your identity is protected. Information which does not reveal your identity can then be used by others, such as researchers and those planning health services, to make sure we provide the best care possible for everyone.
We will only use the minimum amount if information we need to help us improve patient care and the services we provide.
We have developed a thorough process that must be followed before any information can be shared.
We will make sure that the way we use information is in line with the law, national guidance and best practice. Reports that we publish will never identify a particular person.
If you do not want information that identifies you to be shared outside your GP practice, ask your practice to make a note of this in your medical record. This will prevent your confidential information being used other than where necessary by law, (for example, if there is a public health emergency).
If you are happy for your information to be shared you do not need to do anything.
If you have concerns or are not happy for your information to be shared, speak to your GP practice.
For more information, including a list of frequently asked questions (FAQs), please go to the website www.nhs.uk/caredata
What to do in an Emergency when we’re closed.
This surgery uses Milton Keynes Urgent Care Services (MKUCS) to cover Out of Hours emergencies.
If you have a serious medical problem when the surgery is closed, if you ring the surgery number you will be given the option to be directly transferred to the Out of Hours service. You will then be asked for details, depending on what your problem is you will be offered either:
- Advice and reassurance over the telephone.
- An appointment at the Out of Hours Centre
You can only be visited at home if you are too ill to travel to the centre. You must be prepared to use your own transport or a taxi.
Please note: The out of Hours service cannot deal with injuries. If you are badly hurt you must go to the Accident & Emergency Department at Milton Keynes Hospital.
- Alternatively write to us enclosing a S.A.E. and we will send it back to you.
- You can fax your request to us on 01908 314717
- You can request a repeat prescription via the practice website. www.wolvertonhealthcentre.co.uk
- Telephone requests will NOT be accepted as they can lead to errors and block the telephone lines.
Prescription requests & Pharmacy services
Prescriptions should be handed into reception or in the RED prescription box next to the prescription counter at reception. Please allow 48 hours for the prescription to be processed excluding weekends and public and bank holidays.
It may be possible for your repeat prescription to be collected for you by your preferred chemist. For this service we will require 72 hours notice. This excludes weekends and public bank holidays.
You will need to notify the receptionist if you would like this service as a permanent arrangement.
Repeat and long term Medication
If you are on repeat and long term medication it is advisable to allow your pharmacist to manage it for you. This process allows the pharmacist to request your repeat medication on your behalf and dispense it. This prevents patients requesting emergency prescriptions as they forgot to order their medication in time. Please speak to your local pharmacist. Forms are available at reception.
You can request for the pharmacist to home deliver your medication on request. You will need to notify the receptionist if you would like this service as a permanent arrangement.
Please visit your local pharmacist who can advise you on minor ailments that do not require a doctor’s appointment.
Guide to your local Co-operative Pharmacy:
The Co-operative Pharmacy, 6 Ardwell Lane, Greenleys, Milton Keynes, MK12 6AX. Tel: 01908 315321
Mon to Fri: 09:00-18:30
We are here to provide you with the advice and care that you need. As well as dispensing your medicines, we can give you advice on a wide range of topics.
NHS Service we offer:
- NHS dispensing
- Repeat dispensing
- Promoting healthy lifestyles
- Free Prescription collection and delivery service
- Disposal of unwanted medicines
- Advice and sales of over-the-counter medicines
- Signposting to other healthcare professionals
- Support for self care
- Medicines Use Review
- New Medicine Service
- Minor Ailments Service
- Emergency contraception
- Flu Vaccination
- Chlamydia Testing
- Lipotrim Weight Management Service
- Private prescription dispensing
Your local pharmacist can prescribe and supply free* treatment for the following conditions:
- Athletes Foot
- Hay Fever
- Allergic Reactions (eg. rashes)
- Insect Bites or Stings
- Mouth Ulcers
- Nappy Rash
- Nasal Congestion
- Sore Throat
*Treament supplied free to those who are entitled to free prescriptions
Cannot treat pregnant or breastfeeding women and there are some other exclusion criteria for individual medicines
Clinics and services we provide
Monday to Thursday by appointment with the Midwife.
Patients suffering from asthma are seen regularly in the clinic run by the Practice Nurse. We operate a recall service for patient’s annual checks.
Routine smears are available with the Practice Nurses, or the Doctor, by appointment. Please inform the receptionist when you are making the appointment for a smear test, in order for her to book adequate time. You may be recalled by letter if your smear test is overdue.
Child Health Surveillance
The practice undertakes routine development check in association with the Health Visitor during the first five years of your child’s life. All doctors are registered for Child Health Surveillance.
Doctors and Nurses will give advice regarding contraception during normal surgery hours, by appointment.
Coronary Heart Disease
Patients with a history of heart disease are seen regularly in a GP run clinic.
We operate a recall service for patient’s annual checks.
Patients suffering from Diabetes are seen regularly in the clinic which is run by a team comprising of a HCA, Practice Nurse experienced in Diabetes care and a GP. We operate a recall service for patient’s annual checks.
Family Health Advice Clinics
These clinics are run by the Health Visitor on Thursday mornings from 9.30am to 12.00noon. Appointments are NOT required. A duty health visitor is available at the Health Centre Monday to Friday, 9am to 11am and 3pm to 5pm.
In accordance with the Department of Health guidelines, we recommend influenza vaccination for patients with chronic heart disease, lung or kidney disease, diabetes, and all patients aged over 65. When the seasonal flu vaccinations arrive, eligible patients for free flu vaccinations are invited by letter.
Some of the doctors carry out minor surgical procedures and joint injections. You will need to make an appointment with your GP for “in house” referral for this service. Please note that your GP will NOT provide an injection without seeing you first. So please ensure you book an appointment to see your GP in the first instance.
By appointment with our HCA or Smoking Cessation Advisors.
Family Planning Clinic
A full contraceptive service is now offered at the practice including Coil & Implanon fitting.
Vaccination and Immunisation
Childhood Vaccination clinics is run on a Wednesday afternoon by Appointment with the Practice Nurse via MK Child Health Department.
Unscheduled vaccination appointments are also available with the Practice Nurse.
Travel vaccinations are carried out by appointment with the Practice Nurse.
If you or a member of your family requires an interpreter, please speak to the receptionist who will arrange for a member of the language service to be available at the time or you appointment
Other local NHS services
As well as our practice, there are many other local NHS services you can contact for health advice, information or treatment.
- Your local pharmacist will be able to give you free health advice at any time – you do not need an appointment.
- NHS 111 offers free expert health information and advice 24 hours a day on 111.
- Minor ailments can be seen at The Practice Broughton Gate where you do not need to be a registered patient to see a doctor or nurse. Tel. 01908 874444 or visit www.thepracticeplc.com
- For an Urgent care needs, MKUCS is open 24 hours a day. It is located in the hospital grounds (building previously known as the Walk in Centre). If you require urgent care before 8am or after 6.30pm, please call 201022 to arrange an appointment.
Health Visiting Service
Wolverton Baby Clinic
Opening day and times:Thursday morning from 9.30 a.m. to 11.15 a.m.
Please note: Clinic door closes at 11.15 a.m. prompt. If you arrive this time you will not be able to have your baby weighed or see a Health Visitor.
PUSHCHAIRS AND CAR SEATS ARE NOT ALLOWED
District Nursing Team
The district nursing team are members of your primary health care team. If you are referred to a district nurse it is because you are housebound or have a specific nursing need which makes a home visit essential.
The team comprises of 2 district nurses, 2 community registered nurses and a health care assistant. We work Monday – Friday 9-5 p.m. and are available on 01908 316633. Your district nurse will give you contact details if you require extra visits over the weekend or on bank holidays.
On-line Website Facilities
Visit www.wolvertonhealthcentre.co.uk to:
- Change your address or telephone number (proof of new address may be required)
- Order your repeat prescriptions
- Request an appointment
- Cancel your appointment
- Update your medical history
- Give suggestions or comments
- Join the patient Participation group
Alternatively, you can do any of the above in person at reception or by post.
There is a large car park in the front of the Health Centre with provision for disabled drivers.
There is easy access for patients in wheelchairs via the front entrance, and toilet facilities for the disabled are provided.
Specialist and Hospital Care
If a GP or another member of our Primary Health Care Team believes you need hospital treatment or specialist care elsewhere, they will offer you a choice. This will then be processed electronically via the Choose and Book system. You will be issued with a unique password and will then be able to contact the hospital and arrange an appointment at a convenient time for yourself.
Abusive and violent patients
We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similarly respectful way. We take seriously any threatening, abusive or violent behaviour against any of our staff or patients. If a patient is violent or abusive, they will be warned to stop their behaviour. If they persist, we may exercise our right to take action to have them removed, immediately if necessary, from our list of patients.
We always try to give our patients the best possible service, but there may be times when you may feel this has not happened. We offer an informal in-house complaints procedure to deal with your complaint, although this does not deal with matters of legal liability and compensation.
If you have a complaint about the way you have been treated clinically by either a Doctor or Nurse, or an administrative problem, please speak directly to the Office Manager or Practice Manager, either in person or by telephone. She will take all details of your complaint and will undertake all necessary investigations. Alternatively you may write to the Practice Manager.
We will take all complaints seriously and think it is important to deal with them as swiftly as possible. We aim to acknowledge receipt of any complaint in 3 working days by telephone or letter. If more complex investigations are necessary this may take a some time, but you will be kept informed of our action. You will be invited to attend a meeting to discuss matters. This will be an informal meeting, but you may bring a relative or friend if you wish.
We try to address your concerns fully, provide you with an explanation and advise you of action we will be taking, hopefully within two weeks of receipt of the complaint.
For complaints about a surgery or an individual within a surgery, you also have the right to complain direct to the Clinical Commissioning Group.
If you wish to complain directly to the NHS England about attached workers at your surgery, i.e. District Nurses, Health Visitors or midwifes please call 0300 311 22 33 or alternatively
PO Box 16738
email@example.com ‘For the attention of the complaints manager’ in the subject line.
0300 311 22 33 (Monday to Friday 8am to 6pm, excluding English Bank Holidays)
For any complaints about Hospital treatment or staff please call 248131or firstname.lastname@example.org
However, if you are not satisfied with the Surgery’s or CCG’s response, you have the right to take your complaint to the Health Service Ombudsman. The Ombudsman is independent of government and the NHS. The service is confidential and free. There are time limits for taking a complaint to the Ombudsman, although the Ombudsman can waive them if there is a good reason to do so.
If you have any questions about whether the Ombudsman will be able to help you, or about how to make a complaint, you can contact their helpline on 0345 015 4033, email email@example.com or fax 0300 061 4000. Further information about the Ombudsman is available at www.ombudsman.org.uk.
You can write to the Ombudsman at:
The Parliamentary and Health Service Ombudsman
If you would like some further help with your complaint, the Independent complaints Advocacy Service (ICAS) are always pleased to assist. The local office contact address is:
3rd Floor Kingfisher House
Tel: 01296 468170
Fax: 01296 46817
The Patient Participation Group (PPG)
The Patient Participation Group is part of a national initiative which meets monthly with the Practice Manager to work together to improve services and to promote health and improved quality of care. The group has recently reformed and is an opportunity to try to understand the challenges faced by our Health Centre as well as positively and constructively present new ideas and patient perspectives. The group produces a regular newsletter for patients, is involved in the transition to the new health centre later this year as well as many other activities. Anyone who is a patient at the practice is welcome to come along – meetings are usually on the first Monday of the month from 6:30-7:30pm at the Health Centre. If you would like more information on getting involved please come along or contact the chairperson on firstname.lastname@example.org.
Useful telephone numbers
British Pregnancy Advisory Service 01908 663601
Citizens Advice Bureau 01908 604474
City Counselling Centre 01908 231131
Milton Keynes Bereavement Group 01908 231292
Milton Keynes Borough Council 01908 691691
Milton Keynes General Hospital 01908 660033
Milton Keynes Primary Care Trust 01908 243933
MK Drug and Alcohol Advisory Service 01908 668603
Northampton General Hospital 01604 634700
Relate 01908 310010
Samaritans 01908 667777
Saxon Clinic, Milton Keynes 01908 665533
Stoke Mandeville Hospital, Aylesbury 01296 315000
Thames Valley Primary Care Agency 0118 9183333
Self treatment of common Ailments and injuries
Remember that you can treat minor ailments such as colds, coughs and indigestion by keeping a well stocked medicine cabinet at home. We suggest your keep the following:
- Paracetamol and Aspirin (children under 16 and people with asthma should not take Aspirin)
- Mild laxatives
- Anti-diarrhoeal medicines
- Rehydration mixture
- Indigestion remedy
- Travel sickness tablets
- Sunscreen – SPF15 or higher
- Sunburn treatment (e.g. Calamine)
- Tweezers and sharp scissors
- A thermometer
- A selection of plasters, non-absorbent cotton wool, elastic bandages and dressings.
Keep the medicine chest in a secure, locked place out of reach of small children.
Always read the instructions and use the suggested dose.
Watch expiry dates – don’t keep or use medicines past their best before date.
Take all unwanted and out-of date medicines back to the pharmacy.
Many common aches and pains can be simply treated at home without the need to consult a doctor;
Back pain: Because of the complex nature of the spine it is advisable to consult your Doctor if back pain persists for more than a few days. If the pain has been caused by abuse, i.e. lifting too heavy weights, etc, be sensible and take things easy. Take care to sit as upright as possible with a support for the small of the back. Take aspirin or paracetamol, which will not only relieve the pain but will help to relieve the inflammation.
Burns: Apply large quantities of cold water to the affected area as soon as possible and maintain this until the pain subsides. This may take as long as 15 minutes. If the skin is unbroken but blistered, apply a loose dry dressing. If you are worried please contact the surgery.
Sunburn: Treat as for other burns with cold water to remove the heat. Calamine lotion will relieve the irritation, whilst paracetamol will also help
Children are particularly susceptible to sunburn and great care should be taken to avoid over exposure to the harmful effects of the sun.
Colds: Even in this day and age there is still no magic cure for the common cold. Go to bed, take plenty of drinks. If you have a headache or are feverish, take aspirin or paracetamol. Do not bother to take any antibiotics you may have in the house- these will have no effect!
Minor cuts and grazes: Wash the wound thoroughly with water and a little soap. To stop bleeding, apply a clean handkerchief or dressing firmly to the wound for about 5 minutes. Cover with a clean dry dressing.
Diarrhoea and vomiting: In adults diarrhoea is usually caused by a virus infection and is therefore unable to be treated directly. The symptoms can usually be eased by the traditional kaolin and morphine mixture or Imodium tablets. Consult the Doctor if symptoms persist.
Diarrhoea in very young children and babies needs careful attention. Most babies have loose bowel action during the first months due to the predominantly liquid diet. In sudden bouts of unusually watery diarrhoea you should continue to feed baby as usual and give drinks of rehydrating solution. If the symptoms persist for more than 24 hours or are accompanied by vomiting or weakness, consult your doctor.
Headlice: These creatures contrary to popular belief prefer clean hair and are therefore not a sign of poor personal hygiene. Medicated head lotion can be obtained from the chemist without a prescription. All the family with live lice should be treated. Your health visitor/School nurse will advise.
Nosebleeds: Sit in a chair (leaning forward with your mouth open) and pinch your nose just below the bone for approximately 10 minutes, by which time the bleeding should have stopped. Avoid hot drinks or food for 24 hours. If symptoms persist consult your Doctor.
Sprains: First apply a cold compress, containing ice if possible for 15 to 30 minutes to reduce the swelling. Apply firmly a crepe bandage, and give the sprain plenty of rest and elevation until all discomfort has subsided. Further strain will inevitably lead to further swelling and longer recovery period. Take aspirin or paracetamol, which will not only relieve the pain but will help to relieve the inflammation.