Failte to Isle of Skye. We hope that you enjoy your visit with us. The population of Skye increases significantly over the summer months. If you require medical attention whilst you are here working, on holiday or just visiting for the day or two, there are a number of options available. We have prepared this guide to help you to access appropriate services to your need. Originator: ROC Portree Medical Centre Page 1 July 2018 Important Telephone Numbers: Emergency - 999 Urgent/Out of Hours - 111 24 hour advice NHS Inform Tel: 0800 22 44 88 or visit www.nhsinform.scot Medical Practices (Doctors Surgeries) Broadford - Tel: 01471 822460 Fax: 01471 820621 Carbost - Tel: 01478 640202 Fax: 01478 640464 Dunvegan - Tel: 01470 521203 Fax: 01470 521328 Glenelg - Tel: 01599 522272 Kyle of Lochalsh - Tel: 01599 534257 Fax: 01599 534107 Portree - Tel: 01478 612013 Fax: 01478 612340 Sleat - Tel: 01471 844283 Fax: 01471 844234 Pharmacies Broadford - Tel: 01471 822235 Fax: 01471 822898 Kyle of Lochalsh - Tel: 01599 534206 Fax: 01599 534206 Portree - Tel: 01478 612100 Fax: 01478 612100 Dentists Emergency Dental Telephone Number: 0845 644 2271 Kyle of Lochalsh - Tel: 01599 534552 (Dental Surgery) - Tel: 01599 534726 (Old Sick Bay) - Tel: 01599 530946 (Kyle Dentist) Portree -Tel: 01478 614220 (NHS Dental) -Tel: 01478 612218 (Portree Dental Care) Hospitals Broadford MacKinnon Memorial Tel: 01471 822491 24 hour A&E Portree Hospital Part time Minor Injury & GP Out of Hours Centre Tel: 01478 613200 Originator: ROC Portree Medical Centre Page 2 July 2018 Everyone is entitled to emergency/urgent care free of charge. Non-urgent Care NON UK Visitors If you are a visitor from outside the UK, please go to NHS inform website. (www.nhsinform.scot) and search for “overseas visitors”, to find out how to access healthcare and about costs and any reciprocal agreements with your country. If you are from the European Union you will need to show a valid EHIC (European Health Insurance Card) and evidence of your country of residence (e.g. passport/identity card). If you do not provide this evidence, you will be treated as a Private Patient and have to pay. If you are from a country that has a reciprocal agreement with the UK, again please ensure that you can provide proof of residence to receive free urgent care treatment. UK Residents visiting Skye You will be aware of how the NHS works in the UK however it may be organised slightly differently on Skye than you are used to. UK Citizens living outside the UK If you are a UK citizen living outside of the UK and not paying tax in the UK. You will be treated as a visitor subject to the rules relating to the country in which you reside. An explanation of “in hours” and “out of hours” care General Practice (Doctors surgeries) are open during specific hours (usually 8am – 6pm Monday to Friday) and this is generally referred to as “in hours” service. When surgeries is closed it is referred to as “out of hours”, usually in the evenings and at weekends. The Minor Injury Unit at Portree is open both in hours and out of hours, but not 24 hours a day. The A&E unit at Broadford Hospital is open 24 hours a day/ 7 days a week. Pharmacies can provide medication and advice on self treatment. Longer Term Visiting Staying for more than 3 months? We would advise you to register with the Practice that covers the area you are staying in. Again you need to have proof of eligibility for NHS services. Originator: ROC Portree Medical Centre Page 3 July 2018 URGENT MEDICAL ATTENTION Anytime day or night If someone is injured in an incident, first check that you and the casualty are not in any danger. If you are, make the situation safe. When it's safe to do so, assess the casualty and dial 999 for an ambulance or get someone to do it for you. It's important to stay calm and try to get an overview of the situation. See if you can identify what the most serious problem is. The most obvious problem is not always the most serious. Treat the most life-threatening problems, such as lack of breathing, bleeding or shock, first. Check for broken bones and other injuries afterwards. Don't worry if you have doubts. Paramedics would rather be called out to find an honest mistake has been made than be too late to save a person's life. What might be an emergency? > loss of consciousness > an acute confused state > fits that are not stopping > persistent, severe chest pain > breathing difficulties > severe bleeding that cannot be stopped > severe allergic reactions > severe burns or scalds > a child with sudden unexpected symptoms Call 999 immediately if you or someone else might be having a: Heart attack Symptoms of a heart attack could include and usually include more than one of: chest pain – a sensation of pressure, tightness or squeezing in the centre of your chest pain in other parts of the body – it can feel as if the pain is travelling from your chest to your arms (usually the left arm is affected, but it can affect both arms), jaw, neck, back and abdomen feeling lightheaded or dizzy sweating shortness of breath feeling sick (nausea) or being sick (vomiting) an overwhelming sense of anxiety (similar to having a panic attack) Although chest pain is often severe some people may feel very unwell but only experience minor pain, similar to indigestion. In some cases, there may not be any chest pain at all, especially in women, the elderly and people with diabetes. It's the overall pattern of symptoms that helps to determine whether it is a heart attack. Originator: ROC Portree Medical Centre Page 4 July 2018 Stroke As different parts of your brain control different parts of your body, your symptoms will depend on the part of your brain affected and the extent of the damage. Even if the symptoms have gone, the person still needs to go to hospital The main stroke symptoms can be remembered with the word F.A.S.T.: Face – the face may have dropped on one side, the person may not be able to smile, or their mouth or eye may have drooped. Arms – the person with suspected stroke may not be able to lift both arms and keep them there because of weakness or numbness in one arm. Speech – their speech may be slurred or garbled, or the person may not be able to talk at all despite appearing to be awake. Time – it's time to dial 999 immediately if you notice any of these signs or symptoms. It's important for everyone to be aware of these signs and symptoms, especially if you are with someone who is elderly, has diabetes or a similar long term condition or high blood pressure. Shock If you think somebody could be suffering from shock, there are seven key things to look for: Paleness of the face (pallor) Cold, clammy skin Fast, shallow breathing Fast, weak pulse Yawning or sighing Confusion Loss of response (in extreme cases) What you need to do: • Lay them down with their head low and legs raised and supported, to increase the flow of blood to their head. Do not raise an injured leg. • Loosen any tight clothing to make sure it doesn’t constrict their blood flow • Fear and pain can make shock worse, by increasing the body’s demand for oxygen, so while you wait for help to arrive, it’s important to keep them comfortable, warm and calm. Do this by covering them with a coat or blanket and comforting and reassuring them • Keep checking their breathing, pulse and level of response. • If they become unresponsive at any point, open their airway, check their breathing, and prepare to treat someone who has become unresponsive (see CPR). Major trauma Often the result of a serious road traffic accident or a fall from height. THESE ARE EXAMPLES IF IN DOUBT DO NOT DELAY IN DIALING 999 Every second counts. Originator: ROC Portree Medical Centre Page 5 July 2018 Urgent medical attention (out of hours) (Doctors surgeries are closed) (between 18:00 and 08:00 overnight, weekends and bank holidays) If you require urgent medical attention out of hours, that cannot wait until GP services are open, you should call 111 for NHS24. Call 111 if : You need medical help fast, but it is not a 999 emergency You think you may need to go to A&E or another urgent care service You don’t know who to call for medical help or you don’t have a GP to call You require health information or reassurance what to do next The staff at NHS 24 can: Offer advice on self-care Arrange for you to be seen at a local out of hours centre Advise you to attend an Accident and Emergency (A&E)Minor Injury (MIU) department Arrange a home visit Or in an emergency send out an ambulance By calling NHS 24 before you attend a minor injury, out of hours or A&E department - you will be assured of being sent to the correct facility that has the services you need. - the department will be aware that you are coming, as in single manned units the person on duty may be on a home visit. Broadford Hospital provides a 24 hour a day/7 days a week service. Portree Hospital provides minor injury and GP out of hours care services -18:00 to 23:00 Monday to Friday 08:00 to 23:00 Saturday & Sunday By contacting NHS 24, they will be able to advise which centre to attend.