We want to share some important health information with our patients. The UK Health Security Agency (UKHSA) and the NHS are currently coordinating a health response to cases of invasive meningococcal disease. While these cases are being managed, it is important for everyone to stay informed and know what to look out for.

Symptoms of meningitis can appear in any order. Some may not appear at all. In the early stages, there may not be a rash, or the rash may fade when pressure is applied.

You should get medical help immediately if you're concerned about yourself or your child.

Trust your instincts and do not wait for all the symptoms to appear or until a rash develops.

Symptoms of meningitis and sepsis include:

• a high temperature
• cold hands and feet
• vomiting
• confusion
• breathing quickly
• muscle and joint pain
• pale, mottled or blotchy skin (this may be harder to see on brown or black skin)
• spots or a rash (this may be harder to see on brown or black skin)
• headache
• a stiff neck
• a dislike of bright lights
• being very sleepy or difficult to wake
• fits (seizures)

Babies may also:

• refuse feeds
• be irritable
• have a high-pitched cry
• have a stiff body or be floppy or unresponsive
• have a bulging soft spot on the top of their head

What should you do

If you are worried that you or a family member might be showing these symptoms, please take action immediately:

• Emergency: Call 999 or go to A&E immediately if you suspect meningitis or sepsis.
• Act Fast: Don’t wait for a rash or all symptoms to appear; health can decline very quickly.
• Advice: Call 111 if you are unsure or think you’ve been exposed.
• Follow up: Seek medical help again if symptoms worsen or you remain concerned.