Out of Hours

Out of Hours Cover and Self Help Advice


Your NHS – what it costs

New NHS 111 service

For when you need medical help fast but it’s not a 999 emergency. NHS 111 is a fast and easy way to get the right help, whatever the time.

Call 111 if:

  • you need medical help fast but it’s not a 999 emergency
  • you think you need to go to A&E or need another NHS urgent care service
  • you don’t know who to call or you don’t have a GP to call
  • you need health information or reassurance about what to do next

For less urgent health needs, contact your GP or local pharmacist in the usual way.

For more information you can log on to NHS 111

A&E Department, William Harvey Hospital

This department will assess and treat patients with serious injuries or illnesses. Generally, you should visit A&E or call 999 for life-threatening emergencies, such as:

  • loss of consciousness
  • acute confused state and fits that are not stopping
  • persistent, severe chest pain
  • breathing difficulties
  • signs of a stroke burns and scalds
  • severe bleeding that cannot be stopped

Go to A&E if you are seriously ill, badly injured or have a life threatening condition.

Using A&E when you don’t need to could delay treatment for someone more seriously ill than yourself.

Local Minor Injury Units

For small wounds, burns, sprains etc are held at the following practices:

  • Charing (8am to 5.30pm) Tel: 01233 714490
  • Hamstreet (8am to 6pm) Tel: 08444 773989
  • Ivy Court, Tenterden (8am to 6pm) Tel: 01580 763666
  • Kingsnorth (8am to 6pm) Tel: 01233 610140
  • Woodchurch (8am to 6pm) Tel: 01233 860236
  • Wye (8.30am to 6pm) Tel: 08443 878419

Every weekday – walk in service available to everyone – no need to be registered with one of these practices

Walk in Centre at the Royal Victoria Hospital, Folkestone

Open 7am – 10pm Monday to Friday and 9am to 10pm Weekends and Bank Holidays.

This department will assess and treat patients with minor illnesses (when the practice is not open – WE HAVE AN EMERGENCY CLINIC EVERY MORNING BETWEEN 8.30 am and 10.15am,  FOR URGENT PROBLEMS THAT CANNOT WAIT FOR AN APPOINTMENT) and the following minor injuries:

  • Strains & Sprains
  • Cuts
  • Itches
  • stings
  • Minor burns

There is also a Minor Injuries Unit at Buckland Hospital, Dover. Open 9am – 7pm Monday to Friday and 10am – 6pm Weekends and Bank Holidays.

Go to either of these services if you have a minor illness or injury and this surgery or a local minor injury unit is closed.

Emergency Clinic at the Practice

Sellindge Surgery opens at 8am every weekday morning and there is an emergency clinic from 8.30am to 10.15am. For acute problems and illnesses that cannot wait for an appointment, please call in to the practice to see a Doctor on a weekday morning, this clinic is run on a sit and wait basis.

For problems such as:

  • Persistent vomiting.
  • Ear Pain.
  • Stomach Ache.
  • Other Aches and Pains.
  • Other problems that cannot wait for the next available appointment.

On weekends, bank holidays and between 6.30pm and 8-00am on weekdays this Practice is covered by South East Health Out of Hours Service. During these times, if you require a doctor in an emergency or require medical advice, please ring the surgery number 01303 812180 which will connect you directly to the out of hours service.

We hope you will use this out of hours service only in cases of an emergency and please inform us of any difficulties that you experience with the service.

Health Help Now

is a free website or mobile app that you can use to find the most appropriate local health service for common symptoms, and advice for people of all ages. Visit www.healthhelpnow-nhs.net or search “Health Help Now” in your app store.


Your local Pharmacy (not our Dispensary) is often able to help with common, minor health problems, providing advice and the best medicine to treat them. They will advise you if you need to be seen by a Doctor. Most are open everyday and late into the evening.

For problems such as:

  • Diarrhoea & vomiting
  • Coughs, sore throats & Colds.
  • Headache.
  • Fever.
  • Minor grazes

Please see below for self help on some common illnesses

Medical Emergencies
If you, or someone you are with, has a serious or life-threatening problem, telephone 999 and ask to speak to the ambulance service. This would be appropriate in cases of unexplained collapse, severe breathing difficulties, chest pain or a severe injury.

Meningitis is a serious illness that can affect people of all ages, especially children and teenagers. It causes a high temperature, dislike of light, drowsiness and a purple rash that does not change colour if it is pressed with a glass. If you suspect that you, or a child, has meningitis it is important to seek medical advice immediately.

A Temperature
A temperature occurs even with mild infections. In small children it is important to stop the temperature rising too quickly and they should be given Paracetamol syrup. If they still appear hot, they should be sponged with tepid water to cool them. If it remains high with the above treatment, or the child appears unwell, you should consult your doctor.

Diarrhoea and Vomiting
In adults and older children, diarrhoea and vomiting will usually get better on its own. Treatment consists of replacing the fluid that you have lost and having nothing solid to eat for 24 hours. If it contains blood or there is severe pain or high fever, you should discuss it with your doctor. Diarrhoea and vomiting in small babies and young children should be treated with caution and the doctor will be happy to advise you over the phone and arrange to see you if necessary.

Colds and Flu
These usually start with a runny nose, cough, temperature and aches. They are caused by viruses and antibiotics are of no use in their treatment. Treatment consists of taking recommended doses of paracetamol and drinking plenty of fluids. Do not worry if you do not eat for a few days, you will come to no harm.

We hope that this page will help you to obtain the appropriate medical help you require