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Two-Thirds of Self-Referrals Could Be Treated Elsewhere: Think ABC Before A&E

  • 3 min read

In 2025, ankle sprains, viral infections, and diarrhoea are among the most common self-referrals we see at A&E.

Two in three people (approximately 63%) who self-presented at Accident and Emergency (A&E) in NHS Greater Glasgow and Clyde (NHSGGC) between April and October 2025 could have been treated elsewhere, according to our figures.

Of the 31,483 individuals who self-presented at A&E across the health board during this period, the majority (20,215) had injuries or illnesses that did not require emergency care.

A self-presentation is when someone attends an A&E without prior clinical consultation, such as with a GP or NHS 24 (via 111). NHSGGC is urging the public to help change this trend in winter.

Dr Claire Harrow, Deputy Medical Director for Acute Services, said: “Every day, dozens of people are coming to A&E with conditions that could be managed safely and more quickly elsewhere.

“This not only means longer waits for them, but can also risks delays for those with life-threatening emergencies.”

A&E is intended for life-threatening conditions and the most serious injuries. In such cases, people should call 999 or go to A&E immediately.

Top minor injuries and illnesses that could be treated elsewhere

NHSGGC has identified the most common minor injuries and illnesses leading to unnecessary A&E attendances. These include:

  • Sprain and strain of ankle, knee, wrist, or foot
  • Superficial injury of the head
  • Open wound of finger(s) without damage to nail
  • Low back pain
  • Urinary tract, viral or acute upper respiratory infections
  • Diarrhoea and gastroenteritis
  • Closed fracture of the lower end radius or finger
  • Nausea and Vomiting

These conditions can often be managed at home, by community pharmacies, GPs, or Minor Injuries Units, rather than A&E.

Dr Harrow continued: “Unless you have a serious injury or your condition is life-threatening, A&E is not the best place to go. If you don’t need to be there, you may be redirected elsewhere.

“There are quicker ways to access the care you need. These include treating from home using the NHS inform website or NHS 24 Online app, visiting your local pharmacy, booking a GP appointment, or calling NHS 24 on 111.”

NHSGGC’s ABC model for accessing the right care:

  • Ask yourself: Can I treat this at home? Visit NHS inform website or use the NHS 24 Online app for advice on treating illnesses and injuries from the comfort of your own home.
  • Be aware: Local GPs, pharmacies, dentists, and opticians offer a wide range of healthcare services, sometimes without an appointment.
  • Call 111: If it’s urgent or you’re unsure, call NHS 24 on 111 for guidance on the best place to get care.

Unless it’s an emergency, think ABC before going to A&E.

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