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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.

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

If you are in Herefordshire and need support, please call us using one of the following numbers:

  • Monday to Friday, 9am – 5pm, please contact the team or service who currently provide your care.
  • Monday to Friday, 5pm – 9am and 24 hours on weekends and bank holidays, please call our Mental Health Matters Helpline on: 0800 015 7271

These contact numbers are for people already in contact with our services. If you are not currently in contact with us, please call 111 or your GP.

Our out of hours, weekend and bank holiday service is provided by Mental Health Matters.

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.

Bone Health

Our bone health nurses help older adults who have recently broken or fractured a bone. We see patients who have suffered from a fragility or low impact fracture.

A fragility fracture is a broken bone due to osteoporosis. Common sites where this occurs are the hip, wrist, shoulder, pelvis, ankle or spine (vertebrae).

You will receive an assessment for osteoporosis by a bone health specialist nurse. Following the assessment, people under the age of 75 will typically have a bone density scan (called a ‘DEXA’ scan) arranged as an outpatient.

If you are over 75, current guidelines from NICE (National Institute for Health and Care Excellence) recommend starting osteoporosis treatment without the need for a DEXA scan. The type of medication prescribed will vary upon individual assessment. The most common drug treatment used is Bisphoshonate (eg Alendronate or Risedronate) in conjunction with a Calcium and Vitamin D preparation.

Osteoporosis treatment should continue for at least five years. At this point your GP needs to review your fracture and risk treatment.

Our nurses can offer an assessment of your risk of osteoporosis and further fractures. They may give you lifestyle advice, refer you for a bone density scan and/or offer treatment if required. They can identify patients who are at risk of falling and refer you to specialist services as appropriate.

The nurses see patients on wards in Cheltenham and Gloucester Hospitals as well as in outpatient services across Gloucestershire.

You can contact our team yourself or you can be referred through any healthcare professional who may already be working with you. You can call us, write to us with a referral, or email us.

Contact us

Cheltenham General Hospital
Sandford Road
GL53 7AN

Telephone 0300 422 4409

Email BoneHealthService.er@ghc.nhs.uk

Frequently asked questions

What is osteoporosis?

Osteoporosis literally means “porous bones”. As people age, bone loss occurs gradually, leading to softening or weakening of the bone.

How common is osteoporosis?

Osteoporosis is very common, affecting 1 in 2 women and 1 in 5 men over the age of 50. It can result in loss of independence, pain and disability.

Can I help prevent osteoporosis?

A good balanced diet and regular weight bearing exercise can help to strengthen bones and prevent osteoporosis.

Who is most at risk of osteoporosis?
  • Nursing/residential home residents
  • Housebound older people
  • Post-menopausal women
  • Those who have already had a fracture
  • Those on steroid tablets
What are the risk factors?
  • Smoking
  • Drinking more than 2 units of alcohol per day
  • A family history of osteoporosis or hip fracture
  • Certain chronic medical conditions
  • Being underweight
  • Taking little or no physical exercise 

Useful links and information

Gloucestershire Health and Care NHS Falls Assessment and Education Service

Royal Osteoporosis Society
Provides information as well as details of local support groups
Call 0808 8000035 or visit https://theros.org.uk/

Gloucestershire Hospitals information on care of the elderly

Locations for this service