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Bank Holiday Weekend - Monday 29th May 2017:

A reminder to our patients that all of our surgeries will be closed on Monday 29 May 2017 (Bank Holiday Monday).

The Ilfracombe and Combe Martin surgeries will reopen at 8.30am on Tuesday 30 May 2017, with Woolacombe opening at 8.30am on Wednesday 31 May 2017.

Our telephones are likely to be very busy on Tuesday 30 May and would ask for your patience whilst we deal with these calls.

Contact Details:

Are your contact details up to date? particularly your Mobile Number?

From time to time we may need to contact you quickly and if your details are out of date it can mean there is a delay. Check your details with the receptionist the next time you're in the surgery, or when you telephone to make an appointment.

You can also check and change your contact details Online through SystmOnline.

Please don't forget to change your childrens details if they use your mobile or landline number

One Small Step

Whether you’re looking to quit smoking, lose weight for that special occasion, become more active or reduce your alcohol intake, you've come to the right place.   OneSmallStep is a tailored service for the people of Devon. 

Visit for further details.

Woolacombe Winter Surgery Hours

Please note - due to a drop in demand from patients, the Woolacombe Surgery will be closed every Tuesday from 1st February 2017.  Woolacombe patients are advised that they can attend either the Combe Martin or Ilfracombe Surgeries if necessary.

From 1st February 2017 the Woolacombe Surgery will  be open:

Monday, Wednesday, Thursday & Friday from 08:30am - 13:00.

Named Allocated GP

You may be aware that from April 2015 all practices are required to provide all their patients with a named GP who will have overall responsibility for the care and support that our surgery provides to them.


The allocated named GP will have overall responsibility for the care and support that our surgery provides to you. This does not prevent you from seeing any GP in the practice as you currently do.

You do not need to take any further action. If you wish to be told the name of your named GP, please ask the receptionists when you are next in the surgery or call the surgery on 01271 863119.  Alternatively this information is available on the top right hand side of your repeat prescription slip.

If you are unhappy with the named doctor allocated to you and have a genuine concern that this doctor will not be best placed to undertake the responsibilities assigned; then you can ask to be reallocated to another doctor.

Pain & Management

Ask your local community pharmacist for advice on treatments for pain


Pain alerts us to disease or injury. The cause of pain can be obvious, for example a broken arm, but sometimes it is not easy to find the cause. Experiencing pain is common and it can have a major impact on quality of life. It can result in days off work. No two people will experience pain in the same way so the pain is best described by the person who is experiencing it.

Different types of pain

  • Acute pain is short-term, lasting less than twelve weeks. It is described as intense, sharp, burning or shooting. An example of acute pain is a sprained ankle.
  • Chronic pain is long-term and lasts longer than 12 weeks. It is described as dull, constant or aching. Examples of chronic pain are back pain or arthritis.
  • Recurrent pain is a pain that comes and goes. Self-help tips and over-the-counter treatment could help you manage your condition, to minimise your pain and maximise your mobility.
  • Annually the NHS in England spends approximately £95.4 million on prescriptions for pain relief products that can be purchased over-the-counter at a pharmacy. If 20% of this prescribing was reduced the NHS could save £19 million, which could be invested in improving local healthcare services.


Exercise Gentle exercise like walking, swimming, gardening and dancing can ease pain by blocking signals to the brain. Exercise helps to stretch stiff, tense muscles; ligaments and joints; build up muscle strength and maintain joint movement.

Lose weight If you are overweight it could help to manage your pain if you lost weight.


Hot and cold A hot water bottle or a bath can help muscular pains and period pains. A cold compress can help headaches or sprains.


Massage Massage can help to relieve muscular pains and massaging the temples can help to relieve headaches.


Deep breathing Concentrating on breathing slowly and deeply when in pain can help you to feel more in control, keep you relaxed and prevent any muscle tension or anxiety from worsening your pain

Read books and leaflets For example, ‘The Pain Toolkit’ is a free booklet endorsed by the NHS. See the section on more information for details.

Counselling Pain can make you tired, anxious, depressed and grumpy which in turn makes the pain worse! Pacing yourself, setting goals or talking to a counsellor could help you to deal with your emotions.


Distraction Think of something else so the pain isn’t the only thing on your mind. Involve yourself in an activity or hobby you find interesting and you enjoy.

Share your story It can help to talk to someone who understands how you are feeling. Try Pain Concern, Action on Pain, Arthritis Care, BackCare, healthtalkonline and youthhealthtalk.  See the section on more information for details.

A good night’s sleep Sleep deprivation makes pain worse, but pain means many people struggle to sleep well. A good sleep routine helps. For tips on beating insomnia and getting a good night sleep see the section on more information for details.


Take a course Self management courses are available to help you develop new skills to manage your pain. See the section on more information for details.

Keep in touch with friends and family Don’t let pain isolate you from your friends and family, try short visits, invite people over or have a chat on the telephone.

Relaxation Regularly practising relaxation techniques for example reading or meditation can help to reduce pain and stress. See the section on more information for details.

Slowly does it Gradually reintroduce daily activities you find difficult such as returning to work.


What treatments can I buy to help my pain?

Speak to a local pharmacist to get advice on the best treatment for you and always read the patient information leaflet that is included with the medicine.

Examples of products available to buy over the counter include:


Paracetamol is excellent for everyday aches and pains. A safe dose for an adult is two tablets up to four times a day. Side effects are not usually common, but having too much paracetamol can have serious effects including damage to the liver, which can be permanent in overdose, so don't take more than eight tablets in 24 hours. If your pain is severe go back and speak to the pharmacist. Also care is needed as many cold and flu remedies contain paracetamol so do not take both at the same time.

Non-steroidal anti-inflammatory drugs (NSAIDs) including Aspirin

Ibuprofen and naproxen work well if your pain is due to inflammation, for example arthritis, muscle pain or an injury. They should be used with caution in older people due to the risk of serious side-effects and fatalities. These drugs should always be taken with food. NSAIDS can trigger an asthma attack; this is an allergic reaction and can happen with the first few doses. They should not be used in high doses or for long periods of time as this increases the risk of side effects. Side effects can include upset stomachs, indigestion, bleeding from the gut, kidney problems, high blood pressure, fluid retention, affecting blood clotting and a slight increased risk of heart attack and stroke. They should be used carefully especially if you have or had a stomach ulcer, asthma, heart, liver or kidney problems.

Aspirin is also a NSAID and will produce the same type of side effects mentioned above. It should NOT be given to children under 16 as it can cause a very rare illness called Reye’s syndrome, which can be fatal.

If you take any other medicines either from the doctor or medicines bought over-the-counter check with the pharmacist if NSAIDs can be taken at the same time. There are certain medications that should not be taken with NSAIDs for example, diuretics for your heart, some antidepressants, and warfarin. Also get advice from the pharmacist if you take any other medications that irritate the stomach such as aspirin 75mg or oral steroid tablets.

Codeine and Dihydrocodeine

Codeine and dihydrocodeine are found in some over-the-counter treatments that are available from a pharmacy. They are combined in low doses with either paracetamol or ibuprofen to provide relief for moderate pain, such as muscular and rheumatic pain, headache, migraine, backache, period pain and toothache that is not relieved by paracetamol, ibuprofen or aspirin alone. They can cause you to have constipation and prolonged use can lead to addiction. You should take them for no more than three days.

Other treatments

Depending on the type of pain you have, other treatments you could try include supports (for example elasticated tubular bandages, supportive footwear or a walking stick) or muscle rubs.

Soluble painkillers are high in salt and can contain up to 1g salt per tablet. This can raise your blood pressure and put you at increased risk of health problems such as heart disease and stroke.

Always read the instructions and information leaflet.

Do not take two products containing the same active ingredient.

When should I see a GP?

  • After 5 days if your pain is not getting any better (or is getting worse) despite using over-the-counter treatments in combination with self-help measures.
  • It is possible that your GP may refer you to a different healthcare professional for treatment for example a physiotherapist.

More information is available at:

See ‘Living with Pain’ on the NHS Choices website, available at:

See ‘Chronic Pain – A Self Help Guide’ on the website, available at:

The British Pain Society, available at:

The pain toolkit is available from:

For information on how to talk to others about your pain try:

Tips on beating insomnia and getting a good night sleep are available from:

Information on self-management courses are available from:

Information on relaxation tip available from:

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