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Covid 19 Information

Please visit www.ghc.nhs.uk/coronavirus/



Help in a crisis


If there is an immediate danger to life, please dial 999 or go to your nearest Accident and Emergency Department.

I am in Gloucestershire

If you or someone you know needs help in a mental health crisis, call our crisis teams. The teams work with those aged from 11 upwards.

Call 0800 169 0398.

And choose one of the following options depending on your location:

  • Option 1 for Stroud and Cotswolds
  • Option 2 for Gloucester and Forest
  • Option 3 for Cheltenham, Tewkesbury and North Cotswolds

Please note: telephone calls may be recorded. If you do not want that to happen, please tell the person who answers your call and they will phone you back on a ‘non-recordable’ telephone.

The number is available 24 hours a day, 7 days a week.

Occasionally, callers may be asked to leave their name and number on an answerphone. In these circumstances, staff will return the call within one hour.

I am in Herefordshire

Mental health services in Herefordshire are now provided by Worcestershire Health and Care NHS Trust. 

Visit their website to find out where to get help – www.hacw.nhs.uk/urgent-help

If you need help but are not in crisis, please contact your GP if in opening hours, or 111. If you don’t have a GP use the NHS service search to locate the nearest one to you. If your query is not urgent, you can find our contact details here.

Are you feeling vulnerable? Do you need to talk to somebody now?


Call free on 116 123
If you are experiencing feelings of distress or despair, including those which could lead to suicide, you can call the Samaritans.

Stay Alive App

A pocket suicide prevention resource for the UK, packed full of useful information and tools to help you stay safe in crisis. You can use it if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide. The app can be accessed through the Apple Store, Google Play and downloaded as a pdf.


Call free on 0800 11 11
If you are a child or a young person you may want to speak to Childline.


Call 0808 816 0606
Or text 07537 410 022
A safe, supportive, non-judgmental and informative service for people who self harm, their friends, families and carers.
Open every day 5pm – 10pm for phone and text support.


Text 85258
Shout is the UK’s first 24/7 text service, free on all major mobile networks, for anyone in crisis anytime, anywhere. It’s a place to go if you’re struggling to cope and you need immediate help.

If you try to look up how common dysphagia is, you will probably see a range of statistics, but the American Speech-Language-Hearing Association estimates that more than 560 MILLION people worldwide live with dysphagia.

So what exactly is IDDSI? What does it stand for and how might it affect people with dysphagia?

IDDSI is the ‘International Dysphagia Diet Standardisation Initiative’ – a bit of a mouthful so you can probably see why we’ve all been calling it IDDSI instead! Many of those with dysphagia need food and drink to be a certain consistency to make it safer and easier to swallow. Those consistencies can have a variety of different names depending on what country or even county you’re seen in. IDDSI is hopefully going to reduce some of this confusion by putting in place one set of terminology. There’s an image below showing the different consistencies.

Many different countries have agreed to go ahead with IDDSI, so if you have dysphagia and decide to move to Australia for example, the guidelines will be immediately transferable!

Hopefully in the long run, IDDSI will make things simpler. But what about now? If you or someone you know has thickened drinks, you may have seen a change in the thickener scoop size or the packaging. Or maybe you’re hearing the names for the consistencies of foods being called something completely different. These initial stages can be confusing, but your local Speech and Language Therapy team will be more than happy to help you understand the changes. Currently Speech and Language Therapy Teams are working hard to implement IDDSI through training and by updating people’s dysphagia guidelines; but this all takes time and we would be happy to hear from you if you have any questions or concerns.

And of course there is the IDDSI website that you can take a look at if you would like to learn a bit more! https://iddsi.org/

Sam Hepworth is a speech and language therapist with 2gether.