I am after more medical advice if possible. Daughter  has always suffered with her tonsils. Doctors have refused to remove them. She has had several bouts recently and each time she has been refused antibiotics from her doctor saying they no longer prescribe these for tonsilitis. She has been given pain killers and told to let it get better on its own. She has now developed Quinsy. (Abscesses on her tonsils). Doctor has prescribed an antibiotic for this but has refused painkillers saying they are not allowed to prescribe both antibiotics and painkillers together due to cost. She is in a lot of pain. can't eat and can barely talk. She has tried over the counter painkillers but they are not helping at all.

It it really the case these days that people can't have both painkillers and antibiotics or is this just something her doctor has decided? I have so little faith in daughters GP these days dues to the atrocious handling of her wound after she had surgery. Which incidentally is still not healed after 9 months although it does seem to be improving finally.

First I would take her to A and E or use the out of hours service and see what either of those will do that would take you out of her doctors immediate care and budget   I have had quinseys as a child and its awful poor girl. Just realised this is the same daughter who had all the problems with wound care she really is having it bad :(

Totally ridulous about cost ! of course they could prescribe both its down to the practice what they are doing. Have you spoken to the practice manager/ senior partner 

Alternatively I would think about changing your doctor especially given previous problems. I am not sure which part of the pct oversees gp practices but you could try googling and see what you can find
Last resort if you have the means is private care but it shouldnt come to that

Think it is now down to individual practices and I suppose the less they spend the more they get that is the way of a market economy. As I understand it, and I may have it wrong, all financial matters are now in the hands of the doctors so what sort and amount of drugs given and what hospitals they use is up to the individual or group of doctors.

My great nephew had much the same problems suffered so badly with his tonsils in the end my niece went to The Portland hospital and they were great, whipped them out and he has been as happy as Larry (whoever Larry is :-) ) I don't like using A & E but if your daughter is suffering this badly if not going private, I would go to A & E how can your doctor allow them to abscess and still not take them out, gosh, I know they whipped them out too quickly in my day but....... seems like your daughter needs them out, it's not right to suffer like this. :-(

Not the best answer but you can speak to local private hospital and get a "quote " for surgery for the future. Although I appreciate that isnt cheap and if I remember correctly you daughter is a single MUm so probably short of money.
I would go to A+ E now

Her immune system is already under stress from her unhealed wound so isn't going to cope with fighting any other infection especially repeated attacks, she should get the treatment she needs without expense coming into it, most pain meds cost very little.

If she isn't eating then she will be less able to cope with the added demands on her body.

Go to AED and get help there.

Do not go to A&E unless she has a quinsy insist on an ENT referral. If she is having it as often as this she wil be advised to have a tonsillectomy.

> She has now developed Quinsy. (Abscesses on her tonsils).

I ended up in hospital with septicaemia in 1985 with Quinsies.  Once I was released they offered to have them out I aid no, and was ill again within a few weeks. 

Ended up with two months off work all told and warnings at work due to excess sick leave.

I would certainly be asking fro them out as once you have quinsies I was told that they become pocked and a reservoir for infection.

If you truthfully feel that your daughter's condition is either an accident or emergency, then by all means go to A & E.  Otherwise don't.  As we all know from recent press coverage many A & E depts. are overstretched - the knock-on effect is that seriously ill patients are having to wait far too long for treatment......sometimes with devastating outcomes.....

Having had dental abcesses I would say that at their peak yes they are an emergency.  I have been unable to eat drink or sleep for over 24 hours due to a lack of pain relief as i was trying not to od on ibuprofen.  I managed the pain once before and did end up oding on painkillers so if that is the only way to get appropriate pain relief it absolutely is an emergency.  I sat in A & E for 3 hours in manchester on a Saturday night to be seen at around midnight and considered it a small price to pay.