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Stop telling people to go to A&E!

454 replies

Miriad · 26/05/2024 13:39

I see it on here a lot. Someone is getting fobbed off by their GP and not getting diagnosed. So they get told to go to A&E, where they have the ability to do blood tests and urine tests and scans to figure out what’s going on.

I’ve been sobbing in agony for three weeks and my GP isn’t helping me, and I can’t get another GP appointment for a fortnight, so posters advised me to go to A&E.

I waited six hours only to get yelled at by an angry doctor, saying my condition is neither an accident nor an emergency. According to him I don’t need urgent treatment even if I’m crying with pain - because pain isn’t urgent. If I’m stable and not at risk then I need to go home and see my GP.

A&E can not be used to bypass a useless GP and access tests and scans. They will not diagnose you or refer you. Their job is to give you the minimum care to make you stable so you’re not at risk, then send you home.

So stop telling people to go there. Maybe in the olden days you could go there for help if your GP was rubbish, but not any more.

OP posts:
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Colombie · 26/05/2024 15:14

I'm really sorry this happened to you. I would try 111 again and tell them A&E sent you home.

There's a disconnect between the 111 algorithm that sent you to A&E and the person or system in A&E. It's really frustrating and so hard to handle when you're in pain.

Skybluepinky · 26/05/2024 15:14

Lots have GP service as well as a&e, as in lots of areas u can’t get a gp appointment.

Miriad · 26/05/2024 15:13

Hobbitfeet32 · 26/05/2024 15:05

Has the painkiller helped?

Yes it’s eased the pain a bit… until it wears off.

I’ve had tests from the nurse which are clear. Had antibiotics and thrush pessary even though I tested clear - no improvement. Now they’re just shrugging and saying I need to see a GP but it’s weeks for an appointment.

The pain is getting worse and worse, it’s ruining my life and I can’t work or even sit on a chair. I was sobbing in agony last night so I followed advice to go to A&E. They were furious that I wasn’t in urgent need and had come about an ongoing problem.

OP posts:
whatageareyou · 26/05/2024 15:12

I think you just got really poor treatment OP. I don't think it's reflective of how others would be treated

Allthegoodnamesarechosen · 26/05/2024 15:09

‘In Italy, France, Spain, Germany, Netherlands (which I visit and where friends and family live) medical services are easily accessed so a&e departments are not in emergency mode. We should ask ourselves how we've got here and demand an immediate response from the next Labour government. ‘

in all those countries, those who are ‘able’ to subscribe to Health Insurance by a regular financial contribution are obliged to do so _ and that means almost everyone. The health services therefore have greater resources than a taxation only funded service.

Why do I think the next Labour Government won’t be introducing a similar scheme as a priority?

Hobbitfeet32 · 26/05/2024 15:05

Has the painkiller helped?

Movinghouseatlast · 26/05/2024 15:03

You can get antibiotics for UTI's online without a prescription. I got some from Boots and collected them the next day but lots of the on line pharmacies do them.

It turned out I actually had vaginal atrophy and HRT has sorted me out.

Miriad · 26/05/2024 14:58

I woke up in excruciating pain one morning and couldn't get an appointment with my GP so I went to A&E
My pain became so much worse last night, I called 111 and they didn’t offer an OOH GP, they told me to go to A&E. A&E confirmed that I’m stable and gave me a painkiller, but no diagnosis or treatment, they just got really angry that I’d gone there when I wasn’t at immediate risk. I thought severe pain was an emergency but they said it isn’t.

OP posts:
ThinWomansBrain · 26/05/2024 14:56

most of the "shall I go to A&E get a mixed bag of replies form Yes/No to call 111.
Mine are generally along the liens of "it doesn't sound like an accident or an emergency"

Nicelynicelyjohnson · 26/05/2024 14:54

I was disagreeing with you to start with, but now I am agreeing that you should not be going to A&E for a diagnosis of a ongoing issue.
I am "lucky" where I am that you can often get a same day appointment for a potentially serious issue (for example my DD had a tick bite and got seen that afternoon), although it's not always at your own surgery - getting a routine appointment is a totally different ball game (impossible).
Sudden onset of pain though, or severe pain and not been able to see anyone at surgery, then sadly, I'd go to A&E.
(I wouldn't ask on mumsnet though!)

Goslingsforlife · 26/05/2024 14:51

Miriad · 26/05/2024 14:46

They can't do investigations into chronic illness in A&E, it's not set up for that. They deal with presenting problems, in this case pain, and your GP does the rest.
Well then posters need to stop telling people to go to A&E for a diagnosis if their GP won’t help them.

i get you are frustrated but your shoddy experience is not the fault of MN user suggesting a&e at times

Aurle · 26/05/2024 14:51

If you think it could be a uti I recommend if you have one a sexual health clinic, when I had mysterious pain, trouble peeing etc they saw me, did swabs, bloods etc and then posted the prescription to me (as I lived a decent drive away from the clinic)

yhk · 26/05/2024 14:50

I don't visit the doctor often, but when I've phoned up and been unable to secure an appointment they have told me to contact 111.

When I have done that, they have always offered me an appointment at another surgery the same day. Is this not common? I'm in London.

Personally I wouldn't visit A&E unless it was life threatening or something that required immediate attention (broken bones etc).

Babycatsmummy · 26/05/2024 14:50

I was really ill 2 summers ago with a UTI, which I'm prone to and under a consultant. I have a pop up on my medical record at my surgery to give me antibiotics without an appointment if I bring a sample in to be tested and it shows up on a dip test that I have an infection and I'm symptomatic.
My body just seemed to have stop responding to the antibiotics I was normally given and I woke up in excruciating pain one morning and couldn't get an appointment with my GP so I went to A&E. I was there around 9 hours and had blood tests, sample sent off and was given pain relief and felt a little better. I was told by the Dr I could go home so off I went. A few hours later, I received a phone call from my consultant telling me to get myself back to A&E immediately as I had uro-sepsis and needed a 7 day course of IV antibiotics. By this point, the pain killers had worn off and I was the pain was more extreme.

The NHS can sometimes be wonderful, especially if you are seen by a medical professional who still cares about their patients and hasn't been dragged down by the pressures faced by the ever mounting patients and workload. But sadly those are very rare and you almost always end up seeing overworked Drs who are pressured to discharge as soon as possible.

YouveGotAFastCar · 26/05/2024 14:47

Wouldn’t you try the out of hours GP before A&E?

I'm sorry that you felt he was unreasonable and angry, but A&E is massively stretched too. It must make them dizzy how many people don’t need to be there; but by being there, are making it so much worse for the doctors and nurses and the other patients.

Miriad · 26/05/2024 14:46

They can't do investigations into chronic illness in A&E, it's not set up for that. They deal with presenting problems, in this case pain, and your GP does the rest.
Well then posters need to stop telling people to go to A&E for a diagnosis if their GP won’t help them.

OP posts:
sueelleker · 26/05/2024 14:44

Jigsawa · 26/05/2024 13:43

Sorry for your experience OP but you're right, A&E is an entirely separate service than GPs. People seem to think they can "escalate" their need but the hospital is not "above" the GP - they have different thresholds, different practices and cannot replace a GP service.

Let's hope we get some more funding to GPs very soon. In the meantime, I understand chemists have now been granted greater powers in treating people too so that's another option.

Hope you're feeling better soon

Pharmacists can prescribe things like some antibiotics. They can't supply prescription-only painkillers.

Movinghouseatlast · 26/05/2024 14:43

I have had chronic pain recently, a frozen shoulder. I couldn't sleep for the pain, couldn't move my arm, was having to be washed and dressed. I was also crying with pain. It sounds like such an inoccuous thing but the pain is off the scale. It's got me thinking.

I had to wait 2 months for a cortisone injection after which I got my life back and could start working again. But to be unable to work for those months has a financial impact on the overall economy when you multiply it by all the people waiting. It doesn't seem like joined up thinking to me.

It's shocking that unless what you have is life threatening you seemingly can't be seen these days.

GoogleWhacking · 26/05/2024 14:41

Have you tried an consult on the NHS app? 111? A&E stands for accident and emergency, pain for over a month is neither of these I'm afraid.

Also you say they gave you painkillers, so they didn't actually ignore you and do nothing did they? They can't do investigations into chronic illness in A&E, it's not set up for that. They deal with presenting problems, in this case pain, and your GP does the rest.

I'm really sorry you are in pain, it sucks, but you need to access care via the GP.

karottybagel · 26/05/2024 14:40

No one HAS to do what a random person on the Internet tells them to

Bustarold · 26/05/2024 14:40

This whole thread reads like what would happen in a war or emergency setting or a third world country. Not in one if the richest countries in the world. What a disgrace, and none of us should just accept this is how it is. In Italy, France, Spain, Germany, Netherlands (which I visit and where friends and family live) medical services are easily accessed so a&e departments are not in emergency mode. We should ask ourselves how we've got here and demand an immediate response from the next Labour government. Not accept the situation and judge people for going to a&e!

Hobbitfeet32 · 26/05/2024 14:39

Is the paracetamol working? Can you get any stronger painkillers? You said that people can’t afford private healthcare. Can you afford to see a GP privately?

Willyoujustbequiet · 26/05/2024 14:38

SilentSilhouette · 26/05/2024 14:32

SUDDEN severe pain is an emergency.

Ongoing pain is not, especially if the OP had not taken a pain killer.

@Miriad go to the doctors surgery and insist on seeing a doctor. This is far more effective at getting an appointment than phoning. In the mean time keep taking pain killers.

No, there are numerous conditions that may start off by appearing to be relatively innocuous but are still life threatening.

Any severe pain of an undetermined cause requires prompt assessment.

pinkfondu · 26/05/2024 14:38

Eviyanne · 26/05/2024 13:58

A&E need to understand why patients are presenting there. If you cannot see a gp when you’re ill what else are you supposed to do?

Pressure needs to be put on GP practices to start seeing patients again (my GP surgery won’t see you at all since covid, and if you’re very ill they send you to A&E, you can’t win!).

I’d complain about the dr who was rude to you. In your situation I’m not surprised you went to A&E, I would have done the same, and I would advise it to others.

Call 111

SilentSilhouette · 26/05/2024 14:32

Willyoujustbequiet · 26/05/2024 13:55

Severe pain is an emergency. It could be any number of things that would be life threatening.

I would urge anyone with severe pain to go to A&E

SUDDEN severe pain is an emergency.

Ongoing pain is not, especially if the OP had not taken a pain killer.

@Miriad go to the doctors surgery and insist on seeing a doctor. This is far more effective at getting an appointment than phoning. In the mean time keep taking pain killers.

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