Urgent care

Junior and consultant doctors will be striking this month

Doctors in England are set to strike on 19, 20, 21, 22 September. For the first time in the history of the NHS, junior doctors and consultants will be coordinating industrial action and be striking at the same time on 20 September.

The NHS is working hard to keep patients safe during the strikes, but it is facing record demand so please use the right service for your needs. While the NHS in London has prepared extensively, significant disruption to services is expected during this time.

To ensure safe care continues to be available for those with urgent and life-threatening healthcare needs, the NHS will prioritise emergency care during strike action.

A&E departments will be extremely busy and you may have to wait longer to be seen. Some planned appointments and operations may also need to be rescheduled to a later date.

It is really important that you continue to attend appointments as normal unless you hear otherwise. You will be contacted directly if your appointment needs to be rescheduled. We will only cancel appointments and procedures where it is necessary and will reschedule immediately, where possible.

If you need urgent care but it is not a life-threatening emergency, get advice first by visiting NHS 111online, or call 111 if you cannot access the internet.

You should only call 999 in a life-threatening medical or mental health emergency if someone is seriously ill or injured and their life is at risk – such as a heart attack or someone has stopped breathing.

Remember local pharmacists and GPs can deal with a wide range of non-urgent issues and could help you get treated more quickly. Urgent GP appointments will continue to be available seven days a week and many pharmacies are open late and on weekends.

If you do need to get to hospital, please take advice from NHS 111 or 999 operators first. Our A&E departments will be extremely busy and patients may have to wait longer to be seen.

The NHS is also asking the public to play their part by taking simple steps during industrial action to look after themselves, loved ones and checking in on vulnerable family members and neighbours.

Our A&E departments and 999 responders are facing extremely high demand at the moment. It may mean patients will have to wait longer to be seen.

Patients will be seen in order of clinical need. Unfortunately, this means those with more minor ailments who do not require urgent medical attention will face longer waiting times as the sickest patients will need to be treated first.

You should only attend A&E if you need immediate care for something that is very serious or life-threatening.

Knowing your best route to urgent care can help you find the treatment you need faster.

If you feel unwell or have a minor injury, your local pharmacy can offer advice and some medicines. This can help you treat your condition yourself at home. Pharmacists can also help you see the right person, if you need to see someone else.

If you have a more serious illness, you should visit your GP practice website or NHS 111 online for advice. If you cannot access the internet, call 111 or your GP practice directly.

A 999 call should only be used for life-threatening emergencies or serious injuries.

Mental health crisis: if you need urgent help because you are worried that you might harm yourself or someone else call the numbers here as soon as possible, based on the area that you live in.

Click here if you need urgent dental care.

Pharmacists are experts in medicines who can help you with NHS prescriptions as well as support for minor health concerns. They are able to assist when you need advice and treatment that day, such as coughs, colds, sore throats, tummy trouble or aches, sprains and other pains.

If symptoms suggest it’s something more serious, pharmacists have the right training to make sure you get the help you need. In some cases pharmacists can also help get you emergency medicine.

Many pharmacies are open until late and at weekends. You do not need an appointment. You can find a local pharmacy here.

In some cases if you contact your GP practice with a minor illness that can be assessed and treated more quickly by a local pharmacist, (with your consent) they will send an electronic referral to the community pharmacy of your choice for a same day consultation.

Your GP surgery should usually be the first place you contact if you have particular concern about your health. You can book an appointment on their website or by phoning them. They can also offer appointments out of hours and on weekends and bank holidays.

Your GP practice can help you with prescriptions or consultations with the right medical professional like a GP, nurse or physiotherapist. Sometimes you won’t even need to leave home.

Antibiotics do not work on winter viruses like colds and flu so do not ask for them.

GP appointments are available every weekday evening between 6.30pm-10pm (8pm in Hackney and City of London), and between 8am-8pm on weekends and bank holidays (9am-5pm on Saturdays in Hackney and City of London).

If you live in the City of London, Hackney, Tower Hamlets, Waltham Forest or Newham you can book these appointments by calling your own GP practice as usual during working hours or, if you can’t wait till the next day or following Monday, by calling 111 out of hours.

If you live in Barking and Dagenham or Havering you can get an evening or weekend appointment by calling 020 3770 1888 from 8am to 8pm every day. In Redbridge call 020 3649 4499 or, if you can’t wait till the next day or following Monday, by calling 111 out of hours.

In these three boroughs you can also get help with minor injuries and illnesses at our community Urgent Treatment Centres at Barking Community Hospital and Harold Wood Polyclinic. These are open 8am-9pm, seven days a week. You can call NHS 111 to book an appointment or walk in and wait to be seen. You do not need to be registered with a GP.

If you have an urgent but not life-threatening medical need, make sure you visit NHS 111 online first rather than going straight to A&E. NHS 111 online will help you right away and if needed, a healthcare professional will call you.

NHS 111 online makes it easier for you to get the treatment you need in the right place at the right time. The service can also direct people to urgent treatment centres (or walk-in centres), GPs, pharmacies, emergency dental services or other more appropriate local services.

NHS 111 online can also tell you where to get help for your symptoms, how to find general health information and advice, where to get emergency supplies of your prescribed medicines and how to get a repeat prescription.

Visit 111.nhs.uk

If you cannot use the internet, call 111. NHS 111 will help you right away and make sure you speak to a healthcare professional or book you an appointment at an urgent treatment centre, emergency dental service, or GP. They can even book you an appointment at A&E if necessary.

You should only call 999 if someone is seriously ill or injured and their life could be at risk. You should call immediately if you or someone else is having a heart attack or stroke. You should also call 999 if someone has had a major trauma, such as a road traffic accident or has sustained a serious head injury.