Medics remind people to use GP and pharmacy services unless they have a genuine accident or emergency

Patients wait in A&E at Bradford Royal Infirmary

Patients wait in A&E at Bradford Royal Infirmary

First published in News Bradford Telegraph and Argus: Photograph of the Author by , Bradford Chief Reporter

People living in the Bradford and Airedale area were among the most likely in England to go to major accident & emergency departments last year.

The findings of the Health and Social Care Information Centre (HSCIC) have led health bodies to remind people only to use the service in genuine accident or emergency.

The HSCIC’s statistics also reveal that children aged nine or under made up 18.5 per cent of attendances in 2012/13 at Bradford Royal Infirmary A&E – more than any other age group.

That compares with 14.7 per cent under-nine A&E visits nationally and 13.6 per cent at Airedale Hospital’s emergency department.

The HSCIC also looked at how many people visited a major A&E department, broken down by the now defunct Primary Care Trust (PCT) areas.

For every 1,000 people living in the Bradford and Airedale area, 339.3 visited A&E, compared to a low of 19 per 1,000 in Luton and a high of 424.8 per 1,000 in the Manchester PCT area.

Bradford and Airedale PCT was ranked 27th, out of 151 across the country.

Nationally, there were 18.3 million attendances at A&E departments between April 2012 and March 2013, a four per cent increase on the previous year. Of those, 135,347 were at BRI and 55,721 were at Airedale General Hospital.

And in the district, as across the country, under nines and those aged 20-29 were most likely to use A&E at both hospitals.

A spokesman for Bradford Teaching Hospitals NHS Foundation Trust said: “Over the last three years we have experienced a 4.3 per cent year-on-year rise in the number of patients seeking treatment from our emergency department.

“Demand is high with more than 135,000 people attending the emergency department every year and daily attendances now range from between 350 to 420 patients. We urge people who don’t have an obvious life-threatening illness or injury to access advice from non-emergency organisations such as calling 111 or by contacting their local pharmacist or GP surgery.”

At A&E departments at both BRI and Airedale there were more male patients than female, most people attended on Sundays and more than 95 per cent of people spent fewer than four hours at A&E.

Dr Andrew Catto, executive medical director for Airedale NHS Foundation Trust, said: “The majority of our attendances from younger patients are for minor illness and injury. Among the zero to nine-year- olds the most common diagnoses are lacerations, head injuries and respiratory conditions.

From the 20 to 29-year-old age group, the most common diagnoses are sprains, lacerations, dislocations, fractures and joint injuries.

“A&E is for accidents and emergencies only, such as severe chest pain, difficulty breathing and broken bones. Some GPs have extended their opening hours at weekends and evenings to provide patients with an alternative to A&E when they are not seriously ill.”

Throughout January, Bradford City and Bradford Districts CCGs – which replaced PCTs in April last year – funded the opening of 44 GP surgeries across the district on Saturdays.

A spokesman for NHS Bradford City and Bradford Districts CCGs said: “Many people who attend hospital A&E departments don’t really need to go to hospital.

“People who want more information to help them make the right choice can visit nhsstaywell.org – which is an easy-to-access resource for winter health advice.”

The reasons for national visits to A&E were broken down into categories including deliberate self-harm, assault and firework injury, with the highest category listed as ‘other’ – making up 69.5 per cent of attendance reasons.

e-mail: julie.tickner@telegraphandargus.co.uk

Comments (14)

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9:23am Wed 29 Jan 14

tinytoonster says...

they go so they can dodge paying for medicines.
time to start saying no!!
they go so they can dodge paying for medicines. time to start saying no!! tinytoonster
  • Score: 6

9:43am Wed 29 Jan 14

Avro says...

If say a £10 a fee was inrotroduced that is based on a real need to visit A&E, it would instantly halve the number of visits.

Most things that are free get taken advantage of because this very fact..
If say a £10 a fee was inrotroduced that is based on a real need to visit A&E, it would instantly halve the number of visits. Most things that are free get taken advantage of because this very fact.. Avro
  • Score: 5

9:47am Wed 29 Jan 14

Joedavid says...

If not an A&E then send them away to the GP or Pharmacy.
If not an A&E then send them away to the GP or Pharmacy. Joedavid
  • Score: 8

10:52am Wed 29 Jan 14

yorksviking says...

maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.
maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E. yorksviking
  • Score: -3

11:47am Wed 29 Jan 14

dellorri says...

yorksviking wrote:
maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.
I have to agree with you there, the whole appointments system is in disarray.
Booking on the day is absolutely useless, and as for booking advance appointments, are we supposed to know a week in advance we are going to be ill?
I feel a lot of problems are bought on by people visiting the GP for what are really trivial matters, in the same way that the A&E units are being used, in past times, a good dose of common sense and knowledge about home first aid could deal with many of lifes LITTLE problems. Now it seems at the first sign of a sniffle, it's off to the DRs with little johnny or Mary, taking up valuable resources which could be better used.
[quote][p][bold]yorksviking[/bold] wrote: maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.[/p][/quote]I have to agree with you there, the whole appointments system is in disarray. Booking on the day is absolutely useless, and as for booking advance appointments, are we supposed to know a week in advance we are going to be ill? I feel a lot of problems are bought on by people visiting the GP for what are really trivial matters, in the same way that the A&E units are being used, in past times, a good dose of common sense and knowledge about home first aid could deal with many of lifes LITTLE problems. Now it seems at the first sign of a sniffle, it's off to the DRs with little johnny or Mary, taking up valuable resources which could be better used. dellorri
  • Score: 6

11:56am Wed 29 Jan 14

Joedavid says...

yorksviking wrote:
maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.
Change your GP should that be case.
[quote][p][bold]yorksviking[/bold] wrote: maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.[/p][/quote]Change your GP should that be case. Joedavid
  • Score: 5

12:46pm Wed 29 Jan 14

Bone_idle18 says...

Joedavid wrote:
yorksviking wrote:
maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.
Change your GP should that be case.
Exactly, I can generally get an appointment the same day in IDLE. Sometimes within an hour.

Even then, I'd only go to A&E if I'd broken something or had lost a limb because I'm not an idiot!
[quote][p][bold]Joedavid[/bold] wrote: [quote][p][bold]yorksviking[/bold] wrote: maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.[/p][/quote]Change your GP should that be case.[/p][/quote]Exactly, I can generally get an appointment the same day in IDLE. Sometimes within an hour. Even then, I'd only go to A&E if I'd broken something or had lost a limb because I'm not an idiot! Bone_idle18
  • Score: 6

1:49pm Wed 29 Jan 14

The Hoffster says...

tinytoonster wrote:
they go so they can dodge paying for medicines.
time to start saying no!!
Surely there's forms to be filled to say whether you're employed or unemployed?

Or isn't that the case ?
[quote][p][bold]tinytoonster[/bold] wrote: they go so they can dodge paying for medicines. time to start saying no!![/p][/quote]Surely there's forms to be filled to say whether you're employed or unemployed? Or isn't that the case ? The Hoffster
  • Score: 1

3:24pm Wed 29 Jan 14

Farsley Bantam says...

dellorri wrote:
yorksviking wrote: maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.
I have to agree with you there, the whole appointments system is in disarray. Booking on the day is absolutely useless, and as for booking advance appointments, are we supposed to know a week in advance we are going to be ill? I feel a lot of problems are bought on by people visiting the GP for what are really trivial matters, in the same way that the A&E units are being used, in past times, a good dose of common sense and knowledge about home first aid could deal with many of lifes LITTLE problems. Now it seems at the first sign of a sniffle, it's off to the DRs with little johnny or Mary, taking up valuable resources which could be better used.
In my experience it's little Mohammed and three generations of his family who all come for a day out at the BRI because one of them got a paper cut.
[quote][p][bold]dellorri[/bold] wrote: [quote][p][bold]yorksviking[/bold] wrote: maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.[/p][/quote]I have to agree with you there, the whole appointments system is in disarray. Booking on the day is absolutely useless, and as for booking advance appointments, are we supposed to know a week in advance we are going to be ill? I feel a lot of problems are bought on by people visiting the GP for what are really trivial matters, in the same way that the A&E units are being used, in past times, a good dose of common sense and knowledge about home first aid could deal with many of lifes LITTLE problems. Now it seems at the first sign of a sniffle, it's off to the DRs with little johnny or Mary, taking up valuable resources which could be better used.[/p][/quote]In my experience it's little Mohammed and three generations of his family who all come for a day out at the BRI because one of them got a paper cut. Farsley Bantam
  • Score: 9

4:20pm Wed 29 Jan 14

alive and awake says...

Has the T&A got a new reporter from Mars? you have only to have the miss fortune to go to A&E to see what the problem is. A tribe of 8 roll up with a girl who might be having her first period. Or 10-12 roll up with young son with belly ache.
Has the T&A got a new reporter from Mars? you have only to have the miss fortune to go to A&E to see what the problem is. A tribe of 8 roll up with a girl who might be having her first period. Or 10-12 roll up with young son with belly ache. alive and awake
  • Score: 11

5:32pm Wed 29 Jan 14

The Hoffster says...

alive and awake wrote:
Has the T&A got a new reporter from Mars? you have only to have the miss fortune to go to A&E to see what the problem is. A tribe of 8 roll up with a girl who might be having her first period. Or 10-12 roll up with young son with belly ache.
Lol ! :D
[quote][p][bold]alive and awake[/bold] wrote: Has the T&A got a new reporter from Mars? you have only to have the miss fortune to go to A&E to see what the problem is. A tribe of 8 roll up with a girl who might be having her first period. Or 10-12 roll up with young son with belly ache.[/p][/quote]Lol ! :D The Hoffster
  • Score: 4

7:52pm Wed 29 Jan 14

jh137 says...

Anyone who has had the misforture to need A & E can see what's going on. Its the overburdoned staff I feel for.
Anyone who has had the misforture to need A & E can see what's going on. Its the overburdoned staff I feel for. jh137
  • Score: 3

8:40pm Wed 29 Jan 14

steve10 says...

yorksviking wrote:
maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.
My wife had to go to A&E because she could not get into our GP surgery no matter how she pleaded even tears could not get her an appointment.

She ended up in so much discomfort and pain that at 3.30am we went to A&E and was treat to the best care you can get, they where discussed at her treatment (or lack of it ) from our GP and said not to worry about going to A&E as lots of people use it when they can't get a GP appointment.

Then to cap it all she was told off by her stroppy doctor for going to the hospital !! .

Airedale A&E where fantastic and had her on the antibiotics she required there and then NOT A WEEK LATER.
[quote][p][bold]yorksviking[/bold] wrote: maybe if one could get an appointment with ones GP in LESS than 27/28 days, fewer people would go to A&E.[/p][/quote]My wife had to go to A&E because she could not get into our GP surgery no matter how she pleaded even tears could not get her an appointment. She ended up in so much discomfort and pain that at 3.30am we went to A&E and was treat to the best care you can get, they where discussed at her treatment (or lack of it ) from our GP and said not to worry about going to A&E as lots of people use it when they can't get a GP appointment. Then to cap it all she was told off by her stroppy doctor for going to the hospital !! . Airedale A&E where fantastic and had her on the antibiotics she required there and then NOT A WEEK LATER. steve10
  • Score: 0

1:00am Thu 30 Jan 14

Macky1 says...

A&E stands for ACCIDENT and EMERGENCY. Not GP, Dentist, Drunk Tank, Interpreting Service, Social Club, Chemist, Salvation Army and numerous other misconceptions. Use this valuable resource wisely people of Bradford as one day it could be you who REALLY needs it...........
Oh, and please don't ring 999 for an emergency ambulance for a nose bleed, cough, paper cut etc. or you could delay early treatment to a true EMERGENCY.
If we all use common sense then the overburdened, underfunded services can be used safely for the purpose they are intended.
A&E stands for ACCIDENT and EMERGENCY. Not GP, Dentist, Drunk Tank, Interpreting Service, Social Club, Chemist, Salvation Army and numerous other misconceptions. Use this valuable resource wisely people of Bradford as one day it could be you who REALLY needs it........... Oh, and please don't ring 999 for an emergency ambulance for a nose bleed, cough, paper cut etc. or you could delay early treatment to a true EMERGENCY. If we all use common sense then the overburdened, underfunded services can be used safely for the purpose they are intended. Macky1
  • Score: 1

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