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Health Anxiety clogging up A&E

594 replies

Influencerofcrap · 13/02/2025 16:18

Im really pleased that finally someone within the NHS has come out and said this.

Having been treated myself in A&E, in the corridor (outside triage) due to lack of cubicles, I was genuinely shocked at the amount of patients that attended who shouldn’t have been there. I’m not talking about those that were genuinely ill and couldn’t see the GP and had no other choice but the ones that were clearly anxious about their health and symptoms that didn’t warrant an A&E visit. They were all sent on their way but it still was time that was taken away from those patients that genuinely needed help. I wonder what the answer is to this, because something has to change.

Health anxiety not emergencies clogging-up A&E

Health anxiety - not emergencies - clogging up A&E, doctors warn

Patients are demanding urgent and immediate care when it is not always what they need, doctors say - and it's making the NHS winter crisis worse.

https://news.sky.com/story/health-anxiety-not-emergencies-clogging-up-aande-doctors-warn-13308195

OP posts:
Midnightlove · 13/02/2025 21:02

TakeMeToTheSeahorseDisco · 13/02/2025 17:08

I don't normally comment on stuff like this but the generalisation around anxiety really grinds my gears.

Ive had anxiety for 20 years, been on and off medication, I've tried everything I can, CBT, hypnosis, the list is very long.

There are no "mental health services". Unless you pay privately, which is crippling, if you have poor mental health, tough.

So, I'm really happy for those of you who have never had the misfortune of having anxiety or any other mental health problem, slamming those of us that do, or giving your helpful suggestions of "go for a walk" because you have. no. idea. And be bloody thankful you don't! Because it's hell and we're not treated, just medication thrown at us.

And before anyone jumps on me, I dont go to A&E because I'm worried about my health, I absolutely hate hospitals and would rather be anywhere else. So, if I'm ever in A&E it's because I'll have been dragged there!

I just couldn't scroll by all of the mindless generalising comments about people who have anxiety, once again being bad mouthed by people who are lucky enough not to understand it.

Edited

Absolutely agree

Sushu · 13/02/2025 21:03

xRobin · 13/02/2025 20:54

I did. I asked a pharmacist. He advised I monitor it and if I felt x, y or z symptoms got worse then to escalate it.
Like I said, what would A&E have done? Nothing.

But your theory is “why should I sit at home and practice patience and self-care when I have THE RIGHT to go to an ACCIDENT AND EMERGENCY department and take up a bed and make them put me on IV antibiotics and fluids because I can’t handle a fucking cold”.

I’m angry because people like you are wasting medical professionals’ time and you have convinced yourself that you’re not so you continue to do so and spew some bullshit about “I continue to follow my consultant”.

How do you make a doctor prescribe IV antibiotics? Emergencies aren’t just strokes and heart attacks. There are plenty of infections that are very serious and require A&E.

Marmalade1987 · 13/02/2025 21:05

GinghamGreengage · 13/02/2025 20:51

Thanks for taking the time to explain. I have read the IAPT handbook and am aware of the stepped care model, but you explained it clearly from the perspective of someone in the role.

In a previous job I worked closely with CAMHS for years. All the mental health clinicians I’ve met were great at their jobs WHEN the patient reached the top of the waiting list. I would far rather a young person see a CAMHS professional in a quiet clinic than wait for 12 hours in a noisy A&E environment under bright lights, often seeing patients with serious injuries having their obs taken in the main waiting room and being interviewed by police etc. I have, though, been that senior teacher who has made an urgent referral for a severely depressed child (under 16) and been told it would be 2 weeks before first contact. Most of the time these teenagers had already been seen by their GPs.

What do schools do in that situation? Parents complain about school because they’re terrified for their child, so inevitably a member of the senior leadership team will advise parents to take the child to A&E to have them seen more quickly.

I am not blaming NHS managers either. The problem lies with systematic and reckless underfunding over 14 years.

100% and whilst step 1-3 are under resourced and underfunded I can’t describe how bad that gets at step 4 which is what the student n you describe needed. Step 4 is for severe and enduring and where crisis services sit and the waits just get worse.

i recall a couple of years ago there were less than 10 MH professionals covering the entire area with a population of over 70,000 😞

Interested in this thread?

Then you might like threads about this subject:

xRobin · 13/02/2025 21:06

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soupyspoon · 13/02/2025 21:06

Amazed at people getting angry at other people visiting A+E on the advice and guidance of health care professionals such as GP (mine told me that I shouldnt try to make appointments with them for severe abdominal pain but to go to A+E), or 111 (every interaction Ive had with them they have sent an ambulance for me who have taken me to A+E) or consultants whose treatment management guidance is being followed

No you cant always stand outside of the GP surgery to wait for appointments as they are phone only and you cant get through

RosesAndHellebores · 13/02/2025 21:06

What did people with health anxiety do before the NHS? Was health anxiety so big an issue before the NHS?

I genuinely believe that a social insurance system like in other parts of the first world would help greatly. Where a small amount of money has to change hands and is then reclaimed. Obviously with safeguards for the economically vulnerable.

cerisierblossom · 13/02/2025 21:08

@xRobin again, a post full of presumptions.

The first time, I was practically passing out. It was a Saturday evening, I was vomiting, couldn't keep anything down, I had a blinding headache and a fever of 40°. 111 said they would be sending an ambulance, I said no and got a lift into a&e where I was then given antibiotics and fluids.

The second I had gone to bed around 5:30pm with a blinding headache and didn't like the light. My mum came up about three hours later and I was unresponsive so she called 999 because she was concerned I had meningitis. (Because of the sensitivity to light).

In both cases I was seen pretty much immediately and the doctors in A&E confirmed I/my mother had done the right thing, and I was incredibly apologetic.

I definitely am not a person who "cannot be bothered to get out of bed for my GP's opening hours". Outside of my sinus issues I rarely see my GP, or use the NHS at all.

You just sound incredibly judgmental and bitter about other people daring to access the healthcare they pay for.

xRobin · 13/02/2025 21:08

Sushu · 13/02/2025 21:03

How do you make a doctor prescribe IV antibiotics? Emergencies aren’t just strokes and heart attacks. There are plenty of infections that are very serious and require A&E.

I’m aware of that. If you’d read my earlier comment you’d have seen my 1 year old nephew died of Meningococcal Septicaemia after waiting in A&E for 16 hours for antibiotics because the staff were swamped with people like this poster who is a literal adult with a cold.

cerisierblossom · 13/02/2025 21:09

@xRobin I live in a rural area.

The boots pharmacy closes at 1pm on a Saturday and reopens on a Monday morning. The other pharmacies are Monday-Friday. My closest Asda pharmacy is 25 miles away.

soupyspoon · 13/02/2025 21:09

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You sound like you're giving yourself a heart attack, you need to calm down

I dont know about the person you're quoting but pharmacists wont touch me as I have a history of conditions, not for UTIs (history of kidney infections) not for sinus infections (chronic condition)

ArabellaScott · 13/02/2025 21:09

Wafflesandcrepes · 13/02/2025 20:02

As for posters who advocate 111 doing triage, this is basically the system that’s in place in my parents’ local hospital in France. A&E doors are closed and only open if the local phone triage system says you can come.

When my mum started feeling unwell with an almighty backache, we called. We were dismissed by a person reading questions off a cheat sheet. My mum died in absolutely atrocious pain at home with my now traumatised father by her side. She was screaming the place down. We suspect an aortic dissection.

So no, a backache can’t always wait. And no to A&E only seeing patients triaged via the phone. It doesn’t work.

I'm so sorry. Flowers

cerisierblossom · 13/02/2025 21:10

@soupyspoon I'm exactly the same.

Pharmacy won't touch me because of my history of steroid nasal sprays making it worse. But I guess I should've just hoped my 40° fever broke and I didn't die, and got myself online to the GP at 8am on Monday.

GretchenWienersHair · 13/02/2025 21:10

xRobin · 13/02/2025 20:48

Incredibly unwell 😂 what a hypochondriac.

This is an idiotic comment.

xRobin · 13/02/2025 21:11

soupyspoon · 13/02/2025 21:09

You sound like you're giving yourself a heart attack, you need to calm down

I dont know about the person you're quoting but pharmacists wont touch me as I have a history of conditions, not for UTIs (history of kidney infections) not for sinus infections (chronic condition)

See, now that in itself is excessive isn’t it? I sound like I’m giving myself a heart attack.
Honestly some people on MN bewilder me.
Maybe if I sound like I’m giving myself a heart attack I should pop down to the local A&E.

GinghamGreengage · 13/02/2025 21:13

thegirlwithemousyhair · 13/02/2025 20:37

I have family in the NHS and their experience is that many ppl in A&E really dont need to be there. What are A&E going to do that your GP isnt ? M,ost hospitals have a same day emergency care unit which can be accessed relatively easily without the need to go to A&E. Plus the chances are that if its not an emergency the hospital will simply refer you to your GP. Attending a GP's surgery and asking for an appointment is a damn sight easier than waiting 2 or 3 hours in A&E.

I’m not sure where in the country people are waiting 2-3 hours in A&E. Last time I needed antibiotics I absolutely couldn’t get a GP appointment, so I phoned 111 and was directed to urgent care. It was Thursday lunchtime and the estimated wait time was 14 hours.

I have a card in my purse that gives the recommended dosage of antibiotics for an acute inflammatory episode - I have no lymph nodes in one arm due to the “health anxiety” that turned out to be breast cancer. I’d left it for a few days and hoped for the best because I couldn’t see or talk to a GP. But the pesky thing got worse. Damn those 32.missing lymph nodes.

I had no intention of bothering A&E with this infection that I have been repeatedly told by doctors could easily become sepsis, because after all, I didn’t have blood spurting or bones sticking out. Back to 111 and a GP called me the next day to prescribe the antibiotics as stated on the card in my purse.

I could have just not bothered the NHS and died of sepsis quietly in my bed. That would have brought down the waiting list.

xRobin · 13/02/2025 21:14

cerisierblossom · 13/02/2025 21:09

@xRobin I live in a rural area.

The boots pharmacy closes at 1pm on a Saturday and reopens on a Monday morning. The other pharmacies are Monday-Friday. My closest Asda pharmacy is 25 miles away.

So now you’re backtracking from saying all pharmacies were closed on the weekend so you had to go to A&E to now there was a pharmacy open until 13:00 but you still had to go to A&E?

cerisierblossom · 13/02/2025 21:15

@xRobin no. You're misunderstanding due to your hysterical state.

The pharmacy closed at 1pm on the Saturday.

I became very unwell (as in, couldn't manage it at home) at around 7pm. I started vomiting and paracetamol was no longer doing anything. My mum called 111 at around 10:30pm when I wasn't able to stand properly.

I think you need to take some time away from this thread.

Toddlerhelpplease123 · 13/02/2025 21:16

Tbh I dont think its just the patients who are anxious.

Never been in a&e so many times in my life since having children. GP and 111 here will just not even see a child half the time and say straight to a&e.

xRobin · 13/02/2025 21:19

GretchenWienersHair · 13/02/2025 21:10

This is an idiotic comment.

I’m sorry but calling yourself incredibly unwell and deserving of being in A&E because you’ve got green snot, earache and a headache is absolutely behaving like a hypochondriac.

cerisierblossom · 13/02/2025 21:21

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niadainud · 13/02/2025 21:22

I do think they should try to improve the service you get from 111 - that might prevent a few people from turning up at A&E unnecessarily.

I phoned them once at about 3am when I had horrendous stomach pain from either food poisoning or a gastric bug, and the advice was, "Don't eat any hot or spicy food." As if I was about to order a curry at 3 o'clock in the morning.

xRobin · 13/02/2025 21:25

cerisierblossom · 13/02/2025 21:15

@xRobin no. You're misunderstanding due to your hysterical state.

The pharmacy closed at 1pm on the Saturday.

I became very unwell (as in, couldn't manage it at home) at around 7pm. I started vomiting and paracetamol was no longer doing anything. My mum called 111 at around 10:30pm when I wasn't able to stand properly.

I think you need to take some time away from this thread.

cerisierblossom · Today 20:56

** I did self care at home. I did it for four days. It was a weekend. I called 111 and they directed me to A&E, because the pharmacies weren't open.
Should I have waited another two days just in case?

Despite my hysteria, I don’t think I’m misunderstanding your dire need for attention.
You practiced self-care for 4 days. That means you avoided the opportunity to visit the pharmacy on Tuesday, Wednesday, Thursday, Friday and even Saturday morning to then suddenly need A&E on Saturday night?

You’ve been commenting on this thread for 5 hours hun, I think it might be you that needs time away from your phone and maybe pick up a self-help book.

cerisierblossom · 13/02/2025 21:26

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xRobin · 13/02/2025 21:28

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xRobin · 13/02/2025 21:31

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