Healthcare and community support services in Rugby (during the COVID-19 pandemic)

This resource gives the latest information, sources of support and resources for local communities during the Coronavirus (Covid-19) pandemic and how to access health and community support services across Rugby.

IMPORTANT!

Everyone must stay at home to help stop the spread of coronavirus

You should only leave your home for very limited purposes:

 shopping for basic necessities, for example food and medicine, which must be as infrequent as possible  one form of exercise a day, for example a run, walk, or cycle – alone or with members of your household  any medical need, including to donate blood, avoid or escape risk of injury or harm, or to provide care or to help a vulnerable person  travelling for work purposes, but only where you cannot work from home

These reasons are exceptions – even when doing these activities, you should be minimising time spent outside of the home and ensuring you are 2 metres apart from anyone outside of your household.

For more information about COVID-19, please visit:

NHS and Rugby CCG

Healthcare When and how to contact the service

GP If you need to contact a GP, do not go into the surgery in person. You can:

 visit the GP surgery website, or use an online service to contact your GP – find your GP to get their website details  phone your GP surgery  Your GP surgery will then give you advice about what to do.  A phone or video call with a GP, nurse or other healthcare professional may be booked for you.  You'll only be asked to visit the surgery if absolutely necessary.  Your GP surgery may be very busy at the moment. So you may have to wait longer than usual to speak to someone if it's not urgent.

If you suspect that

Pharmacy You can visit your pharmacy to collect medicines, if you’re self-isolating then arrange with a family member, friend or relative who can collect your prescription for you or call the pharmacy and ask if they are offering a drop-off service.

For people who are in the ‘Shielding Category’ (medically defined as extremely clinically vulnerable from COVID-19) can get help to collect medications for those with no other social support.

Shielded populations can also request help for pharmacy collection and delivery should they not have any friends/relatives/neighbours to undertake this this, it is operating across all areas of . Please call the hub number on: 08004081447.

NHS 111 Use the NHS 111 online coronavirus service if:

 people who are in the ‘Shielding’ category (those defined on medical grounds as “extremely clinically vulnerable” should use the 111 online or phone service as soon as they develop symptoms  you feel you cannot cope with your symptoms at home  your condition gets worse  your symptoms do not get better after 7 days

Only call 111 if you cannot get help online

Accident and Call 999 in a medical emergency. This is when someone is seriously ill or injured and their life is at risk. Medical Emergency emergencies can include: (A&E)  loss of consciousness  an acute confused state  fits that aren't stopping  chest pain  breathing difficulties  severe bleeding that can't be stopped  severe allergic reactions  severe burns or scalds  Suspected meningitis or sepsis

Call 999 immediately if you or someone else is having a heart attack or stroke. Every second counts with these conditions.

Also call 999 if you think someone has had a major trauma, such as after a serious road traffic accident, a stabbing, a shooting, a fall from height, or a serious head injury.

Rugby NHS Rugby NHS Urgent Care Centre is continuing to treat minor injuries and illnesses - Open 24 hours (This centre does not see Urgent Care children under the age of 5). Centre www.uhcw.nhs.uk/contact-us/hospital-of-st-cross

POD The NHS POD service is an easy way for you to order your repeat prescription, the service is open from 8am until 5pm. (Prescription Prescription Ordering Direct – 024 7624 6072 Ordering Direct)

NHS If, as part of your job role, you need to arrange support for those who are shielding, or otherwise vulnerable, in your area, Volunteers you can deploy a volunteer via the app. You can do this by creating a 'referral’ via www.goodsamapp.org/NHSreferral for individuals in need of help. Guidance on how to refer individuals is here: https://www.goodsamapp.org/assets/pdf/Guide_for_Referrers.pdf.

Please make sure that you have read the guidance thoroughly before making referrals. Anyone with a local authority or NHS email address can make a referral into the system; alternatively it is possible to make referrals by calling 0808 196 3382. The guidance also summarises how the app then works to identify available volunteers in our local area.

As the app connects the volunteer directly to the patient please ensure that you have the patient’s full consent to share their details (name, address and phone number) BEFORE making the referral, and that the patient is aware that a volunteer will be contacting them. Address data will not be shared unless the request is for community support or transport, but name and phone number will be.

Local GPs and Accident and Emergency departments in Rugby are still open during the COVID-19 situation, though how you access them might be slightly different than you’re used to.

Here’s a list of handy Do’s and Don’ts to explain how to see a GP:

Do Don’t Ring your GP practice first if you have any health concerns Don’t go to your GP practice unless asked to do so by a GP. not related to coronavirus. We are especially keen to hear from you if you have a new lump, unusual bleeding a new problem that you think is significant or are struggling with a chronic condition such as diabetes or asthma.

Be prepared to have your appointment over the telephone or by Don’t go to your GP if you have symptoms of Coronavirus – video consultation – you may be offered a face to face stay at home and use the online 111 symptom checker, or call appointment, please be prepared that the nurse or doctor may NHS 111 if you can’t get online. be wearing gloves, an apron and a mask.

Contact your GP if you have concerns about cancer, heart Don’t go to your GP for something you could treat at home, disease or a child who is ill, but please be aware that, for such as hay fever, mild skin conditions or fungal toe nails. certain conditions, you may be asked by your GP to be seen at practice which isn’t your own.

Accident and emergency at our local hospitals are also open and it is important people don’t delay in seeking medical attention in a life-threatening emergency, but again there are some things to keep in mind:

Do Don’t Call 999 in a life-threatening emergency without delay. An Don’t go to A&E for anything which isn’t a life-threatening emergency is when someone is seriously ill or injured and their emergency - Use the NHS app, visit NHS 111 online or call life is at risk. Life-threatening emergencies can include: NHS 111 if you can't get online.

 loss of consciousness  a sudden confused state  fits and seizures that aren't stopping  chest pain  breathing difficulties  severe bleeding that can't be stopped  severe allergic reactions  severe burns or scalds  suspected meningitis or sepsis

Call 999 immediately if you or someone else is having a heart attack or stroke. Every second counts with these conditions.

Visit NHS 111 online if is not a life-threatening emergency Don’t go A&E if you have symptoms of Coronavirus – stay but it’s not something you can deal with yourself. They may at home and use the online 111 symptom checker, or call NHS send you to the Urgent Care Centre or book you a call with your 111 if you can’t get online. GP surgery.

Only call 111 if you can’t get online or have no access to the internet.

If you have an ongoing health condition for which you normally attend hospital, please be aware these services may be delivered in different ways than you’re used to. The hospital will contact to inform you of changes to your care.

Remember: If you have symptoms of coronavirus (a high temperature or a new, continuous cough, use the online NHS 111 coronavirus service. Only call 111 if you can’t get online.

It’s important that we all take responsibility and check on our elderly or vulnerable family, friends and neighbours – you may find that he/she is not answering the door, you could drop them a note through the letter box and leave your number on it, just in case they need some help and support but cannot leave the house due to shielding or self-isolation.

How to stop infection spreading There are things you can do to help reduce the risk of you and anyone you live with getting ill with coronavirus. Do  wash your hands with soap and water often – do this for at least 20 seconds  use hand sanitiser gel if soap and water are not available  wash your hands as soon as you get home  cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze  put used tissues in the bin immediately and wash your hands afterwards

Don't  do not touch your eyes, nose or mouth if your hands are not clean

Babies and children Call 111 for advice if you're worried about a baby or child. If they seem very unwell, are getting worse or you think there's something seriously wrong, call 999. Do not delay getting help if you're worried. Trust your instincts!

Coronavirus advice for people living with diabetes During this national emergency of the coronavirus outbreak, people who have diabetes are more vulnerable and at high risk of getting coronavirus. With sensible action within communities across the country, the virus can be delayed and even halted.

NHS , NHS Improvement and Public Health England have worked with Diabetes UK to produce advice on the coronavirus (COVID-19) outbreak for people living with diabetes.

It includes advice on attending routine appointments and increasing blood glucose monitoring, as well as recommending general good practice around handwashing and reducing the risk of picking up infections. The advice has been published on the Diabetes UK website.

Coronavirus (COVID-19) and cancer The constant news about the coronavirus can be worrying. People with cancer and their families might feel especially worried about the virus, as cancer and its treatment can lower your ability to fight infection. You can phone the Cancer Research UK nurses if you would like to talk to someone at this worrying time.

Talk to the Cancer Research UK nurses on freephone 0808 800 4040, from 9am to 5pm, Monday to Friday, www.cancerresearchuk.org/about-cancer/cancer-in-general/coronavirus-and-cancer

Cancer Macmillan Information Centres Patients can continue to access help and support through telephone advice. The main contact numbers for each site is as follows:

Trust Contact Number/Name

University Hospitals Coventry and Warwickshire NHS 02476 966052 Trust (Monday to Friday 8am – 4pm)

Charity support lines for patients living with cancer:

 Blood Cancer UK | 0808 2080 888  The Brain Tumour Charity | 0808 800 0004  Brains Trust | 01983 292 405  Breast Cancer Now | 0808 800 6000  Cancer Research UK | 0808 800 4040  Jo’s Cervical Cancer Trust | 0808 802 8000  Leukaemia Care | 08088 010 444  Lymphoma Action | 0808 808 5555  Macmillan | 0808 808 0000  Maggie’s | 0300 123 1801  Myeloma UK | 0800 980 3332  Ovarian Cancer Action | 020 7380 1730  Pancreatic Cancer UK | 0808 801 0707  Prostate Cancer UK | 0800 074 8383  Roy Castle Lung Cancer Foundation | 0333 323 7200  Sarcoma UK | 0808 801 0401  Target Ovarian Cancer | 020 7923 5475 

The Government has translated the guidance for self-isolation and social distancing into a number of languages. The documents can be found here: www.gov.uk/government/publications/covid-19-stay-at-home-guidance www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people

West Migrant Partnership The Migrant Partnership has pulled together the latest information in different languages about COVID-19 for asylum seekers, refugees and migrants in the West Midlands, as well as those working with and supporting them. www.wmsmp.org.uk/covid-19-resources-and-guidance/

Doctors of the world – written information in 36 languages with more being added www.doctorsoftheworld.org.uk/coronavirus-information/

Public Health England (a smaller range of languages and Easy Read) www.gov.uk/government/publications/covid-19-stay-at-home-guidance www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

Roma Support Network has this video on their website https://youtu.be/lL1blJJeITk

Current stay at home advice in different languages Arabic - Coronavirus (COVID-19) public health message Chinese - Coronavirus (COVID-19) public health message Farsi - Coronavirus (COVID-19) public health message French - Coronavirus (COVID-19) public health message Gujarati - Coronavirus (COVID-19) public health message Latvian - Coronavirus (COVID-19) public health message Lithuanian - Coronavirus (COVID-19) public health message Polish - Coronavirus (COVID-19) public health message Portuguese - Coronavirus (COVID-19) public health message Punjabi - Coronavirus (COVID-19) public health message Romanian - Coronavirus (COVID-19) public health message Russian - Coronavirus (COVID-19) public health message Shona - Coronavirus (COVID-19) public health message Slovakian - Coronavirus (COVID-19) public health message Spanish - Coronavirus (COVID-19) public health message Swahili - Coronavirus (COVID-19) public health message Tefug - Coronavirus (COVID-19) public health message Urdu - Coronavirus (COVID-19) public health message

The Deaf Health Charity Signhealth Official government and NHS information and guidance can be accessed at gov.uk/coronavirus https://signhealth.org.uk/resources/coronavirus/

There is now a dedicated NHS 111 service available 24 hours a day for deaf people who use British Sign Language (BSL). MENCAP have produced easy read version of guidance Dementia UK have collated some questions and answers Mental Health – Rethink have issued guidance for carers of adults with severe mental illness. MIND have some simple information for younger adults and children.

Rugby Council 01788 533533 www.rugby.gov.uk

The government also has wider guidance on staying at home and additional advice for those who are shielding. www.gov.uk/government/publications/covid-19-stay-at-home-guidance www.gov.uk/coronavirus-extremely-vulnerable

KEY CORONAVIRUS HELPLINES - WARWICKSHIRE VOLUNTEER SHOPPERS Local Councils are working with charities and communities to identify volunteer shoppers – use phone number below:

Council Organisation Telephone Purpose Website Warwickshire Warwickshire County 01926 410 410 Support for coronavirus high risk and isolated www.warwickshire.gov.uk/inf Residents Council residents including volunteer shoppers ormation-coronavirus

Community-led support groups in Rugby: Many local community-led support groups have emerged to support people during the pandemic – you can search for a local group by clicking on the directory link online at: https://apps.warwickshire.gov.uk/api/documents/WCCC-966-2051

Local food and grocery delivery services A directory for businesses based in or very near to the borough of Rugby that can provide food and grocery delivery services to residents affected by the coronavirus pandemic. Rugby Borough Council do not endorse any of these businesses but are providing this information for residents to make their own choices. Residents can use the Rugby App to check a business' food hygiene rating. Directory of food delivery

Other local helplines Area Organisation/Service Telephone Purpose Website/Email

Coventry and Mental Health Matters 0800 616 171 General mental health and wellbeing support. www.mhm.org.uk/coventry- Warwickshire Phoneline open 24 hours. If busy try again. warwickshire-helpline

Coventry and IAPT (Improving Access 024 7667 1090 Call to self-refer. Advice/therapy for those http://www.covwarkpt.nhs.uk/ Warwickshire to Talking Therapies) experiencing mild-severe anxiety & depression. IAPT Note: Service involves an initial assessment

National helplines Group Organisation Telephone Listening Hours Website General Samaritans 116 123 24-hours, free www.samaritans.org Older People Silverline 0800 470 8090 Open 24 hours every day www.thesilverline.org.uk Older People AgeUK 0800 678 1602 8am-7pm every day www.ageuk.org.uk

Mental Health Mind 0300 123 3393 9am-6pm Monday-Friday (not bank hols) www.mind.org.uk Mental Health Rethink 0300 5000 927 9.30am-4pm Monday-Friday www.rethink.org Anxiety Anxiety UK 0344 4775 774 9.30am-10pm Monday-Friday www.anxietyuk.org.uk 10am-8pm Saturday-Sunday Anxiety/OCD No Panic 0844 967 4848 10am-10pm. www.nopanic.org.uk 5p per min plus usual provider access charge Domestic abuse Refuge, Warwickshire 0800 408 1552 8.30am – 8.30pm Monday-Friday www.refuge.org.uk/our- 10am – 4.00pm Saturday work/our-services/refuge- warwickshire-domestic- violence-service/ OCD OCD Action 0845 390 6232 9.30am-5pm Monday-Friday www.ocdaction.org.uk 5p per min plus usual provider access charge OCD OCD UK 0333 2127 890 10.00am-4.45pm Monday-Friday www.ocduk.org Families Family Lives 0808 800 2222 9am-9pm Monday-Friday www.familylives.org.uk 10am-3pm Saturday-Sunday Drug users Narcotics Anonymous 0300 999 1212 10am to midnight daily www.ukna.org