Patients at Royal Bolton Hospital's A&E are being warned the department is very busy - with waits for non urgent treatment being at least four hours.

Bolton NHS Foundation first put out the warning last night when waiting times reached 14 hours.

Bosses described the department as 'extremely busy'.

They stated: "Our Emergency Department is currently experiencing extremely high levels of activity. Waiting time is approx. 4+ hours."

Trust bosses are urging people to use other services including http://111.nhs.uk, pharmacy and the GP.

But added that "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."

The department deals with life-threatening emergencies such as:

Severe chest pains

Difficulty breathing

Bleeding you can’t stop

Possible broken bones

Loss of consciousness

Stroke symptoms

Severe tummy pain or headache

A child who is very unwell

In a statement said: "Choosing the most appropriate place for care allows our ambulance and emergency department staff to concentrate on people whose lives are at risk, and can potentially save you a long wait.

"Our Emergency Department is not an alternative to a GP appointment.

"If your GP is closed you can go to 111.nhs.uk or call 111, which will direct you to the best local service."