If you have a minor illness, please consider accessing pharmacies first for advice. 

Alternatively you could access the self care forum or visit for general health advice. 

You could also download the NHS Child Health App for further advice on childhood illnesses too.

A&E deals with life threatening emergencies.  

Please contact 111 for urgent care outside of practice opening hours. 

We recommend the following websites for general health advice:

General Advice and Guidance for Children:

Looking after your child’s health - An NHS guide for parents and carers of children aged 0-5 years:

Guide to Children's Health Aged 0-5 Years

When should I worry?


Persistent Physical Symptoms Service

We are a rehabilitation service designed to support people in understanding and managing their symptoms, with the aim of improving both their day to day activities of daily living as well as improving their mood.

The people we support may experience chronic (or persistent) pain or they may have been given a diagnosis such as Fibromyalgia, Chronic Fatigue Syndrome/ ME, Functional Neurological Symptoms (including Non-Epileptic Attacks) or Medically Unexplained Symptoms.

Our team provide a combination of physical and psychological interventions and includes clinical psychologists and practitioners, physiotherapists, CBT therapists, rehabilitation assistants and assistant psychologists.

Please click on the link below to access our website and useful resources:

Persistent Physical Symptoms Service

Please see below for a selection of self-help advice leaflets for certain conditions.

Understanding Dementia

Caring for children with cough

Get Well Soon leaflet

Treating Your Infection

Treating Urinary Tract Infections

Childhood Illnesses - When Should I Worry?

COPD Rescue Pack

Aches and Pains

Hay Fever and Allergies

Holiday Medication

Falls Prevention

Self Referral to Physiotherapy

You can benefit from physiotherapy if you are suffering from low back pain, neck pain, strains and sprains or joint and muscular pain. Physiotherapy can also help with male/female incontinence.

You are able to self-refer to Physiotherapy providing fit the referral criteria above. 

Please click on this link to open the self-referral form, guidance and advice leaflet:

 Physio Self-Referral Form

Unfortunately the service is not available if:

You want to see a physiotherapist about a neurological or breathing problem

You need a home visit

You are under secondary school age (if you are under 16 you will need to be accompanied by a parent/guardian)

If you want physiotherapy following a recent operation - your surgeon will need to refer you directly.

If you have recently had surgery, your consultant will usually refer you for physiotherapy.

Counselling and Mental Health Support Services

Self-referral to First Step for talking therapies - Over 18's

First Step is part of Cumbria Partnership NHS Foundation Trust and provides free, talking therapies to adults (18+) in Cumbria. First Step can help with a range of common mental health problems including mild to moderate depression, anxiety disorders (such as chronic worry, panic attacks, health anxiety and obsessions), mild bulimia, anger or sleep problems. 

Patients are able to self-refer to First Step for this service and do not need to be referred by their GP or Nurse.

You can refer yourself by clicking on the link below.  You will be asked to complete a short questionnaire (if you are unable to access First Step online, then you can complete the questionnaire by phoning 0300 123 9122)

The Lighthouse Project (on Spencer St) is a service run by MIND – open 6pm – 11.30pm every night of the year for people who are feeling low/not coping/stressed – during times of crisis and need support that night.  Call 0300 561 0000 for an appointment. 

Lighthouse Service Carlisle

For under 18's a free, safe and anonymous online support service is available up until 10pm....

Just click on this link......

Other useful mental health resources:

Samaritans Tel: 116 123

NHS Choices Moodzone - links to sources of self help and online help: NHS Choices Moodzone

Moodjuice - Moodjuice

Borderline Counselling Carlisle - Tel: 01228 596900 or visit Borderline Counselling

Safety Net Carlisle: Support the recovery of those affected by rape, sexual and domestic abuse: Tel 01228 515859

Mind Carlisle & Eden: Tel 0300 561 0000 or visit Mind Carlisle & Eden


If you are a Carer you can access support through the Cumbria all age carers contract -

People’s Information Directory – which includes:

o   The Local Offer is a Local Authority’s publication of all the provision “they expect to be available across education, health and social care for children and young people in their area who have SEN or are disabled, including those who do not have Education, Health and Care (EHC) plans” -

Cumbria Local Offer

o   Cumbria’s Family Information Directory which provides free, impartial information and advice on a wide range of services for children and young people (birth to 25 years old), parents and families -

Cumbria’s Family Information Directory

o   Cumbria Support Directory can be used to find information about services and support available in Cumbria and Nationally -

Cumbria Support Directory

NHS choices offers practical advice, interactive tools, videos and audio guides to help you feel mentally and emotionally better –




Rapid HIV Testing in Pharmacies across Cumbria

These pharmacies are there so you don't need to go to your local GP or GUM clinic. Just nip in, have a chat with them, get a test done,

(which takes all of 5 minutes) then walk out with the results. EASY!

So whats stopping you? Fear of being seen?

You could be going into a pharmacy to talk about ANYTHING. That's the point of this project, it's there to hide you from people you may know. We all know what Cumbria is like when it comes to sexual health and rumours that fly around. But nobody is going to know why you went into that little private room in the pharmacy. For all anyone knows, you have a rash on your big toe.


Rapid HIV Testing Centres in Cumbria


Cervical Screening

A cervical screening test (previously known as a smear test) is a method of detecting abnormal cells on the cervix. The cervix is the entrance to the womb from the vagina.

Detecting and removing abnormal cervical cells can prevent cervical cancer.

Click on this link to learn more about Cervical Screening:

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website