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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. 

PLEASE NOTE: 9/1/20 12:30pm – We are currently experiencing issues with accessing answerphone messages. We will update when the issue has been resolved.

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.


School-aged immunisation team

Immunisation helps protect against serious diseases including influenza, measles, mumps, meningitis, polio and whooping cough. Once we have been immunised, our bodies are better able to fight these diseases if we come into contact with them.

Before vaccines were available, many children in the UK died from diseases such as whooping cough, measles and polio. Widespread immunisation programmes can contain and even eliminate diseases, making immunisation a major health success over the last 100 years.

Contact us

School-aged immunisation team

Telephone 0300 421 8140
email GHC.Immunisation@ghc.nhs.uk

Flu vaccine

Flu can be a very unpleasant illness in children, with serious complications such as bronchitis and pneumonia. Annual immunisation provides important protection to individual children and helps reduce the spread of flu to their friends, families and the wider community, protecting younger siblings, grandparents and others who are at increased risk of becoming seriously ill from flu.

School visits and clinics

The Gloucestershire Immunisation Service delivers the nasal flu vaccination programme to all children in reception through to year six in schools across Gloucestershire.

There has been a national delay in receiving stocks of the nasal  flu spray vaccine and so the schedule of school visits is being revised. If your child’s school is not listed on the schedule, please contact the immunisation team on 0300 421 8140 for more information.

Catch-up Clinics

For those children who either missed their vaccination in school or do not attend school, we are holding catch-up clinics at different venues across the county.

Please contact us to book an appointment slot at one of these clinics. Our booking telephone line is 0300 421 8140 and will be in operation from 9am – 4pm Monday to Friday only.

2020 Clinic Dates


  • 13th January 15:45 – 19:00
    Cirencester Fire Station, Chesterton Lane, Cirencester GL7 1YL
  • 15th January, 15:45 – 19:00
    Cheltenham East Fire Station, Keynsham Road, Cheltenham, GL53 7PY
  • 20th January, 15:30 – 19:00
    Gloucester North Fire Station, Cheltenham Road East, Gloucester, GL3 1AF
  • 23rd January, 15:45 – 19:00
    Stroud Fire Station, Paganhill Lane, Stroud, GL5 4JT
  • 31st January, 15:45 – 19:30
    Rikenel Health Centre, The Park, Gloucester, GL1 1XR


  • 17th February, 9.30am – 2.30pm
    Gloucester North Fire Station, Cheltenham Road East, Churchdown, Gloucester. GL3 1AF
  • 18th February, 9.30am – 2.30pm
    Stroud Hospital, Trinity Outpatients, Trinity Road, Stroud. GL5 2HY
  • 19th February, 9.30am – 2.30pm
    Cheltenham East Fire Station, Keynsham Road, Cheltenham. GL53 7PY
  • 20th February, 9.30am – 2.30pm
    The Vale Hospital Outpatient Room 6, Lister Road, Dursley. GL11 4BA

About the vaccine

The flu vaccine currently used in schools is called Fluenz Tetra and is given by a quick and simple spray up the nose, it is painless and there are no needles involved.

Fluenz Tetra may not be suitable for all children who are eligible for the flu vaccine (please see below). Children who cannot have Fluenz Tetra will be invited to have an injectable inactivated influenza vaccine at their GP Practice.

For further advice please check the NHS website

Who should not have this vaccine?

Fluenz Tetra should not be given to a child or adolescent who:

  • is under 24 months or 18 years or older
  • has had a confirmed anaphylactic reaction to a previous dose of flu vaccine or any component of the vaccine
  • is clinically severely immunodeficient due to conditions or immunosuppressive
  • is currently taking or has been prescribed oral steroids in the last 14 days for respiratory disease
  • is receiving salicylate therapy (aspirin)
  • is pregnant

How does my child get this vaccination?

Offering vaccination through schools is the most effective route to deliver immunisations to school-aged children. Children in school year R, 1, 2, 3, 4, 5 and 6 will be sent a letter and details of our online consent form home from school.

Please complete the consent form as soon as possible as a delay may mean your child misses their vaccination in school.  If you do not have access to the internet, a paper consent form can be accessed from your child’s school reception, or downloaded from the button to the right.

Please complete this and return as soon as possible to your child’s school reception as a delay may mean your child misses their vaccination in school.

On the day

Our teams will visit your child’s school and will be assisted by school staff to identify children correctly. If your child is absent or unwell on the day of the session please call us on 0300 421 8140 and we can offer you an appointment at one of our catch up clinics.

Can we help?

If you have any concerns about this vaccination, for example if you are worried because your child has additional needs, a health condition or disability and you want to ask any questions, please do contact us on 0300 421 8140  and we can arrange for you to speak to one of your friendly local immunisation nurses.

Viral shedding

Although vaccinated children are known to shed virus a few days after vaccination, it is less able to spread from person to person than the natural infection. The amount of virus shed is normally below the levels needed to pass on infection to others and the virus does not survive for long outside of the body. This is in contrast to natural flu infection, which spreads easily during the flu season. In schools using vaccine, therefore, the overall risk of influenza transmission is reduced by having a large number of children vaccinated, thus reducing their risk of infection

In the US, where there has been extensive use of LAIV for many years, serious illness amongst immunocompromised contacts who are inadvertently exposed to vaccine virus has never been observed. Expert doctors at Great Ormond Street Hospital, who deal with many children with very serious immune problems, do not recommend keeping such children off school purely because of vaccination.

A tiny number of children who are extremely severely immunocompromised e.g. immediately after a bone marrow transplant, would not be attending school anyway because the risk from all the other infections that children pass to each other at school would be too great. It is important that all children with immune problems should themselves be vaccinated, usually with an injected inactivated vaccine. Similarly, healthy children who have family contacts who are very severely immunocompromised should be given an inactivated influenza vaccine.

(Source Public Health England, 2017)

Flu Vaccine for Muslim and Jewish Communities

Members of Muslim or Jewish religious communities may be concerned about using vaccines that contain gelatine from pigs (porcine gelatine). This statement from representatives of the Jewish community may help some patients/parents/carers to reach a decision about having the vaccine:

Rabbi Abraham Adler from the Kashrus and Medicines Information Service said:

“It should be noted that according to Jewish laws, there is no problem with porcine or other animal derived ingredients in non-oral products. This includes vaccines, including those administered via the nose, injections, suppositories, creams and ointments”.

However, we acknowledge that some groups within the British Muslim community may consider the porcine product to be forbidden. The final decision about whether parents have their child vaccinated is with them. In order to come to an informed decision they should be able to consider the evidence about the advantages and disadvantages of the vaccination. They may wish to seek advice from their faith leaders or other community leaders.

Fluenz Tetra and FluMist Quadrivalent are the only live attenuated flu vaccines available in Europe. Current policy is that only those who are in clinical risk groups and have clinical contra-indications to LAIV are able to receive an inactivated injectable vaccine as an alternative.

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