‘Ring before visit to A&E unless it’s very serious’

PEOPLE with non-lifethreatening conditions are to be asked to make an appointment ahead of attending accident and emergency units in Wales, the Health Minister has said.

Vaughan Gething said people will be asked to phone first before attending as emergency services are remodelled to respond to coronavirus.

The “phone-first” triage system, which – as revealed in the Echo last week – will be trialled at Cardiff and Vale University Health Board from next month, will direct people to a service for their condition or injury.

Those suffering lifethreatening emergencies such as symptoms of a stroke, loss of breathing or a suspected heart attack should still call 999.

“The NHS has had to adapt quickly to respond to the pandemic, while keeping staff and patients safe and continuing to deliver the urgent and emergency care services people need,” Mr Gething said.

“We have looked very closely at how people access urgent and emergency care services, in response to the risks and restrictions the pandemic has brought.

“Lockdown saw a sharp reduction in attendances at emergency departments, and a large increase in people accessing support and advice remotely via NHS 111 and online services.

“As attendances begin to return to more normal levels, these changes in how people have been accessing services over recent weeks is something leading clinicians say must be maintained.”

The Welsh Government said evidence suggests a proportion of people who come to an emergency department do not require the expert care provided by healthcare professionals there.

Instead, they would benefit from either self-care, or accessing advice, health or social care in other parts of the system, it said.

In the past month, as emergency departments have returned to a normal range of activity, some health boards have reported people queuing outside units as a result of reduced space inside due to social distancing.

Cardiff and Vale University Health Board’s “CAV 24/7 phone service” will direct people to “the right advice or treatment in the right place”, the Welsh Government said.

This could mean they are encouraged to self-care, or be alerted to a service in their local community.