For Parents and Carers - A Special COVID-19 Message

For Parents and Carers

A SPECIAL COVID-19 MESSAGE

Our health services providing care for children and young people are still very much open for illness and injury and their special needs. These include; A&E, Walk-in Centres, Urgent Care, Children’s Community Nursing and Paediatric Teams, NHS 111, District General Hospitals and the Royal Manchester Children’s Hospital. Your GP surgery is still open. If your child has an urgent need, or you are concerned, we would encourage you to attend one of our services.

All our facilities have appropriate and SAFE areas to care for your children. We have processes in place to minimise the risk to children, families and staff of passing on COVID-19 and so some things will be different. Please respect the changes we have made including that only one parent/ Carer should accompany the child, and where possible, no children other than the patient.

We are focussing on delivering emergency care so if your child does not have symptoms in the red/ amber sections be-low, please consider alternative options. For more information and advice contact www.nhs.uk or visit
www.111.nhs.uk.

RED

If your child has any of the following:

  • Becomes pale, mottled or feels abnormally cold to the touch
  • Has pauses in their breathing (apnoeas), has an irregular breathing pattern or starts grunting
  • Severe difficulty in breathing becoming agitated or unresponsive
  • Is going blue around the lips
  • Has a fit/seizure
  • Becomes extremely distressed (crying inconsolably despite distraction), confused, very lethargic (difficult to wake) or unresponsive
  • Develops a rash that does not appear with pressure (the 'Glass Test')
  • Has testicular pain, especially in teenage boys

You need urgent help : Go to the nearest A&E department or call 999

AMBER

If your child has any of the following:

  • Is finding it hard to breathe including drawing in of the muscles below their lower ribs, at their neck or between their ribs (recession) or head bobbing.
  • Seems dehydrated (dry mouth, sunken eyes, no tears, drowsy or passing less urine than usual).
  • Is becoming drowsy (excessively sleepy) or irritable (unable to settle them with toys, TV, food or picking up) - especially if they remain drowsy despite their fever coming down.
  • Has extreme shivering or complains of muscle pain
  • Babies under 3 months of age with a temperature above 38 degrees Celsius / 100.4 degrees Fahrenheit.
  • Infants 3 - 6 months of age with a temperature above 39 degrees Celsius / 102.2 degrees Fahrenheit.
  • For all infants and children with a fever above 38 degrees Celsius for more than 5 days.
  • Is getting worse or if you are worried.
  • Has persistent vomiting and/or persistent abdominal pain.
  • Has blood in their poo or wee.
  • Any limb injury causing reduced movement, persistent pain or head injury causing persistent crying or drowsiness.

You need to contact a doctor or nurse today.

Please ring your GP Surgery or call NHS 111 - dial 111

The NHS is working for you. However we realise during the current coronavirus crisis at peak times, access to a healthcare professional may be delayed. If symptoms persist for 4 hours or more and you have not been able to speak to either a GP or 111, then take your child to the nearest A&E.

GREEN

If none of the above features are present:

  • You can continue to provide your child care at home. Information is also available on NHS Choices.
  • Additional advice is available to families for coping with crying of well babies.
  • Additional advice is available for children with complex health needs and disabilities.

Self Care

Continue providing your child's care at home. If you are still concerned about your child, call NHS 111 - dial 111.

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