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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think some things should just be turned away from A&E?

317 replies

ifallinlove · 14/07/2026 13:41

I saw a channel 4 video about a day in a&e during the heatwave.

The first guy seen was a bloke who had decided to walk across hot tarmac to get food while at the beach and now had burns on the bottom of his feet.

He said he had “forgotten to get shoes”. I’m sorry but it’s been 35 degrees for at least two weeks now. There is no way on earth that you “forget” to put shoes on. He made the decision to do it and now sought emergency care.

AIBU to say things like this should be redirected to minor injuries and the appropriate referrals made from there? It’s his own stupidity taking up a bed in a&e!

OP posts:
XenoBitch · 14/07/2026 21:04

ThreadGuardDog · 14/07/2026 20:59

Absolutely this. Triage missed an advanced lung cancer in my DH’s case. He was discharged with pain killers and a referral for physio for a trapped nerve. He was dead a couple of months later.

Sorry to hear that. That is awful Flowers

Tryagain26 · 14/07/2026 21:03

I don't think that being a self inflicted injury should make any differences most accidents are self inflicted in a way, because they are often caused by carelessness, but that doesn't mean they shouldn't be treated.
Burns can quickly become infected and cause sepsis if not treated properly. And not all areas have minor injury clinics anyway.

ThreadGuardDog · 14/07/2026 21:02

notatinydancer · 14/07/2026 20:49

That is not a decision for a receptionist to make.

Maybe not, but receptionists have seen their fair share. It’s not ideal but heigh ho.

ThreadGuardDog · 14/07/2026 21:01

XenoBitch · 14/07/2026 20:52

YABU
Stupidity and carelessness is a common reason for people to end up in A&E but the reason does not matter... the treatment of their injury does.

Totally agree. The concept of A&E being a safety net is lost on MN.

ThreadGuardDog · 14/07/2026 20:59

XenoBitch · 14/07/2026 20:56

Even triage can get it wrong.
I broke my foot, could walk on my heel but not my whole foot. The triage nurse outright accused me of making it up and said I was walking fine... then said I did it on purpose (how?). She begrudgingly booked me in to have an x-ray.
It is a shame she did not see me hobble out in a boot with crutches, and a follow up appointment to the fracture clinic.

Absolutely this. Triage missed an advanced lung cancer in my DH’s case. He was discharged with pain killers and a referral for physio for a trapped nerve. He was dead a couple of months later.

ThreadGuardDog · 14/07/2026 20:58

user293948849167 · 14/07/2026 20:53

I think everyone should be seen and triaged, then after that some people should be turned away. I would say burnt feet is exactly the kind of thing A&E is for though even if it was caused by stupidity

So when they’re turned away, where do you suggest they go ? Given that a GP appointment is often too late to stop a condition turning from minor to needing inpatient or similar treatment ?

XenoBitch · 14/07/2026 20:56

user293948849167 · 14/07/2026 20:53

I think everyone should be seen and triaged, then after that some people should be turned away. I would say burnt feet is exactly the kind of thing A&E is for though even if it was caused by stupidity

Even triage can get it wrong.
I broke my foot, could walk on my heel but not my whole foot. The triage nurse outright accused me of making it up and said I was walking fine... then said I did it on purpose (how?). She begrudgingly booked me in to have an x-ray.
It is a shame she did not see me hobble out in a boot with crutches, and a follow up appointment to the fracture clinic.

user293948849167 · 14/07/2026 20:53

I think everyone should be seen and triaged, then after that some people should be turned away. I would say burnt feet is exactly the kind of thing A&E is for though even if it was caused by stupidity

XenoBitch · 14/07/2026 20:52

YABU
Stupidity and carelessness is a common reason for people to end up in A&E but the reason does not matter... the treatment of their injury does.

notatinydancer · 14/07/2026 20:49

Blueyblueyblue · 14/07/2026 13:54

I was sent to A & E by the practice nurse. I had, what I thought was fairly mild breathlessness. The receptionist at A & E took one look at me and asked if my GP was closed.

I was subsequently admitted to hospital with multiple blood clots in both lungs.

This is the difficulty with turning people away. Who wants to take that risk?

Edited

That is not a decision for a receptionist to make.

Backedoffhackedoff · 14/07/2026 20:41

ThreadGuardDog · 14/07/2026 20:35

A&E and walk in acute care both missed my husbands’ lung cancer. He didn’t even get the courtesy of a chest X-ray , despite presenting with what I now know were classic signs of the disease that they should have picked up on from the start. The only reason I didn’t sue them after he died (less than a month later after being admitted as an emergency when he collapsed) was that I don’t believe in profiting from the NHS’s mistakes. And neither did he.

Edited

Why do you think you could’ve sued them though, and why do you think it would’ve been successful?

what all these “I went to a&e with a cut lip and it turned out I had cancer” takes sort of miss the point that a&e isn’t there to diagnose chronic conditions. Cancer is not something you treat in emergency medicine. These are long term specialist treatment plans (as you obv know better than most) it isn’t a failing of a&e not the diagnose chronic conditions

ThreadGuardDog · 14/07/2026 20:35

Backedoffhackedoff · 14/07/2026 17:34

What can you sue a&e for for turning you away?

A&E and walk in acute care both missed my husbands’ lung cancer. He didn’t even get the courtesy of a chest X-ray , despite presenting with what I now know were classic signs of the disease that they should have picked up on from the start. The only reason I didn’t sue them after he died (less than a month later after being admitted as an emergency when he collapsed) was that I don’t believe in profiting from the NHS’s mistakes. And neither did he.

ThreadGuardDog · 14/07/2026 20:31

HalzTangz · 14/07/2026 18:59

I think as long as they have paid national.onsurance they should be allowed treatment, anyone not paying NI should be billed

So disabled people who can’t work because they’re too disabled to work shouldn’t be treated because they’ve never paid national insurance ? You might want to rethink that.

hahabahbag · 14/07/2026 20:03

Many city hospitals have a minor injury unit and an out of hours gp service all on the same campus, makes so much sense

Partingofthewaves · 14/07/2026 20:01

ifallinlove · 14/07/2026 19:00

The key being that you were sent there by a GP!

Yes but how do you know how people arrive at A&E? You can’t tell by looking at them. Someone else may have taken themselves there with the same symptoms and they wouldn’t be wrong to do so.

MeridaBrave · 14/07/2026 19:54

I mean I think things that are not urgent and a GP should be able to deal with can be turned away, eg someone needing an antibiotic. But they come to A & E as hard to get GP appointment.

But burns on feet even if he is a total idiot surely he needs treatment.

Askingforafriendtoday · 14/07/2026 19:48

ifallinlove · 14/07/2026 15:12

I’m just a normal person who is aware that when it’s hot, it’s too hot to walk barefoot on tarmac.

If it “burnt down to the bone” that implies a long, long time stood on the surface. It don’t occur to him at any point to slip a pair of shoes on?

See my post about people with diabetes, diagnosed or undiagnosed

Allseeingallknowing · 14/07/2026 19:39

LaurieFairyCake · 14/07/2026 19:36

Allseeingallknowing

but I didn’t have that 😂 I had sciatica

Ok, but sciatica can be serious too!

MerryUmberHedgehog · 14/07/2026 19:38

Do you mean things or people?

User573359 · 14/07/2026 19:38

I don't think self inflicted injuries should be turned away, burns on foot could become sepsis. Would they turn away self harming in this case?

However, I do think that those attending should only be allowed carers, and not their whole family. It should be headphones only for devices, long chatty phonecalls should be taken outside etc it's these small things that make A&E unbearable and noisy, and I think some people thrive off the attention and A&E visit gives them.

Askingforafriendtoday · 14/07/2026 19:37

AgeingDoc · 14/07/2026 17:37

I've not read the whole thread so apologies if this has already been pointed out, but burns to the soles of the feet can be anything but a minor injury. In fact the national guidance for emergency department staff/GPs from the British Burn Association is that all burns to certain parts of the body, including the feet, should be at least discussed with a specialist in a Burns Care service.
I think this demonstrates quite well actually that people are not always very good at determining what is and isn't "bad enough" to go to the ED. People get it wrong fairly often and yes, it's frustrating if departments are full of patients who don't really need to be there. Some EDs now have Urgent Treatment Centres adjacent to them or GPs and other primary care staff working within the department so that patients can be directed to the best service from triage which I think is a very sensible system.
But people get it wrong the other way too and don't seek emergency treatment for things that they really should. I think most of the ED staff that I know would say that they would rather see people that don't need to be there than miss those who really do.
The reasons why people attend EDs inappropriately are complex and have been around for a very long time, though without doubt difficulties accessing GP care have made things worse in recent years. But people shouldn't be afraid to seek care if they think they need it. I have seen quite a few threads on here recently where posters have been berated for going to the hospital or the GP for things that other posters have incorrectly deemed to be trivial. I don't think many people actually see a trip to the ED as a fun day out and we do need to find ways of improving emergency and urgent care. But making moral judgments about people's injuries and illnesses and deciding who "deserves" medical care really is a very slipperly slope that we should not be going down.

Edited

Exactly

LaurieFairyCake · 14/07/2026 19:36

Allseeingallknowing

but I didn’t have that 😂 I had sciatica

Allseeingallknowing · 14/07/2026 19:31

LaurieFairyCake · 14/07/2026 18:55

I’ve been for 2 stupid reasons myself. One I collapsed in the street in absolute agony in what I thought was my stomach, a colleague was with me and called an ambulance. I literally couldn’t talk with the sudden stabbing pain. I had a womb infection (PID). Doctors didn’t know what it was but ruled out appendicitis and bowel obstruction and put me on an antibiotic drip, was literally fine in a few hours

The second was even more stupid, I couldn’t feel my butt, thought it had just gone to sleep. 8 hours I waited at home, pins and needles in top of legs and lower back but complete numbness on whole bum. Finally went in to A and E as I googled and it came up with something serious (cauda equina). Got there, was seen very quickly as A and E was empty. Doc shoved her fingers in my butt and my butt resisted. She said it’s definitely not that (thank god) but was sudden sciatica.

now I’d never had either of these above conditions before and with HINDSIGHT they’re not remotely serious but sudden onset incoherent pain or what felt like paralysis was really frightening.

Cauda equine is extremely serious!

daughterfromhell · 14/07/2026 19:14

ifallinlove · 14/07/2026 15:19

Of course it is. People abuse a&e and we should have a zero tolerance policy for it.

The policy needs to be around whether an illness or injury is appropriate for A&E. How a person gets the illness or injury is not relevant at all to that clinical decision.

Nofeckingway · 14/07/2026 19:09

It is a reflection on the difficulty of getting a GP appointment when you need one . Knowing that it may be weeks mean people with abdominal pain or unexplained swelling , etc. are worried about their condition worsening . And the man with burnt feet did have an accident so rightly went there . Left unattended or not dressed properly could lead to serious infections or complications.