Royal Bolton Hospital was forced to activate the highest alert level this week after services came under 'immense pressure'.

And now people are being asked to play their part and only attend hospital if it is urgent.

Francis Andrews, Medical Director at Bolton NHS Foundation Trust, said: “Over the past few days we have been operating in incredibly challenging circumstances, with several services under intense pressure.

“As a result, on Monday October 9, we declared our highest alert level so that we can focus all of our efforts on safely providing essential services.

“We have well tested plans in place that will enable us to be there for our patients, but we would ask for people across Bolton to support us during this difficult period.

“They can do this by only attending our Emergency Department if it’s a life or limb-threatening emergency, and if their condition is non-urgent, seeking help through 111.nhs.uk, their GP or local pharmacists.

“We know we have asked a lot of our staff and public over recent months, and will likely continue to throughout winter, so would like to thank everyone for their support.”

People  are being asked to only use hospital services that are absolutely needed.

The number of people attending Bolton’s  A&E is extremely high.

People who do not have an urgent need are being warned they could face extremely long waits while those who need the help most are treated.

The public is asked to use the right services for the right treatment.

People are being asked to attend for urgent and emergency care if they are suffering from severe chest pain, have difficulty breathing, bleeding that cannot be stopped and broken bones.

People are advised to attend their GP if they have persistent pain such as an earache or if their child is feverish.

If people have diarrhoea, vomiting, headaches, tummy upsets, insect bites and severe coughs they are advised to attend a local pharmacy.

Finally, people are being advised to self-care if they have minor bruises, coughs, or colds.

However, if people are unsure about which service, they need they can contact 111.

A spokesperson for the trust said: “Our focus right now is on maintaining our essential services safely to allow us to care for people in the right place at the right time.

“It isn’t just one service experiencing isolated pressure, but there are a number of things happening that have resulted in us needing to take action.

“No matter how busy our Emergency Department is, the most seriously ill and injured patients will always be seen immediately.

“If you choose to visit us and do not need urgent or emergency treatment, you will be safely supported to access an alternative service.”

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