The way people access A&E services is changing to keep patients and NHS Scotland safe this winter – making sure everyone gets the right care in the right place.

A&E departments remain open for those who have a life-threatening emergency. However, to ensure patients have the fastest access to the treatment they need, anyone with a non-life threatening condition are now to be directed to the right NHS service for them. In hours access to General Practice is unchanged and remains the first port of call for the majority of urgent care issues.

If A&E is the most appropriate place to provide the right care, patients will either be directly referred to A&E by NHS 24 or to a telephone or video consultation with a senior clinical decision maker.

The remote consultation approach is designed to avoid unnecessary waits in crowded waiting areas and offer care much closer to home whenever possible. If senior clinical decision makers determine the patient needs to go to A&E, they may be offered an appointment to attend, and the team will know to expect them so they can be seen directly at that time.

NHS 24 on 111 is also there for those who need urgent medical attention but can’t wait for their GP practice or dentist to re-open.

Those with life-threatening conditions including suspected heart attacks or strokes, severe breathing difficulties, severe bleeding, or severe injury should continue to go straight to A&E or call 999. ''

This new way of delivering urgent care has been designed to help people get the right care in the right place this winter, at time when there is increased pressure on NHS services.

The public are now being asked to:

  • use the NHS inform website to access advice on common symptoms, guidance for self-help and where to go if further medical care is needed

  • contact their local GP practice during the day for an appointment or over-the- phone advice

  • call 111 day or night when they think they need A&E but it is not life-threatening

  • call 111 and select the Mental Health Hub to access mental health advice and guidance or call the Breathing Space telephone helpline on 0800 83 85 87

  • call 111 or use NHS inform out of hours when they are too ill to wait for their GP practice to open, or for worsening symptoms of COVID-19

  • use to access the location of their local minor injuries unit for non- life threatening but painful injuries such as a deep cut, a broken or sprained ankle or a painful burn injury

Health Secretary Jeane Freeman said:

The NHS is always there for you. However, for many of us, A&E is not the right place for the care we need. That is why we are making it easier to get the right care in the right place. If you think you need to go to A&E for care that is not life-threatening, the NHS 24 telephone service on 111 will be available day and night to direct you to the care you need.

Your GP Practice is also always there for you and can be contacted for urgent but non-life threatening conditions. However, in an emergency, you should continue to call 999 or go to your nearest A&E department.

By doing so, we will continue to help our doctors and nurses through this pandemic, and ensure A&E provides the fastest and most appropriate care for people when they really need it. Help us keep you and our NHS safe by making the right call at the right time to access the right care in the right place for you and your family.”

NHS Fife Medical Director, Dr Christopher McKenna, said:

A&E is always there for those who need it and in a life-threatening emergency, you should always go to A&E or dial 999.

If you need urgent medical attention and it’s not life-threatening, calling NHS 24 on 111 in the first instance means you will be able to be assessed over the telephone and referred to the right healthcare professional.

This can avoid unnecessary trips to hospital and allow you to access care as close to home as possible.”

Anyone with symptoms suggestive of COVID-19 should not attend A&E and must adhere to public health advice. They should contact the NHS to arrange to be tested - either online at, or by calling 0800 028 2816.

For further information on where to access the right medical care, visit

Santa is coming to Dunshalt this Saturday (19th) and will be going round the village, leaving the Hall at 3.30.

Scottish and Southern Electricity Networks (SSEN) are taking forward plans to reinforce the existing 275kV overhead line to enable operation at an increased voltage of 400kV. As such in lieu of being able to hold face to face public consultations in the local area, we are hosting a number of virtual consultation exhibitions to provide greater detail about this project.

The virtual consultation events have been designed to be as interactive as face to face events, allowing for presentation of key project information and plans, as well as providing an opportunity to ask questions about the project. Visitors will be able to engage directly with the project team, via a live chat function, where they can ask any questions they might have about the project and share their feedback on the current proposals:

1 September 2020   2pm - 4pm

2 September 2020   4pm - 6pm

3 September 2020   5pm - 7pm

To find out how you can join the interactive virtual consultation visit the project website:

If you have any questions, please do not hesitate to contact Community Liaison Manager Louise Anderson
Tel: 07384 454233
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Muchty Heritage 2021 Calendar now on sale, with many interesting old photos of Muchty and Dunshalt. For full details contact Muchty Heritage at This email address is being protected from spambots. You need JavaScript enabled to view it..

The Stagecoach 23 travels through 4 local authority areas and is under threat. Fife Council only extends as far as Burnside and we need a service that carries on to Kinross and beyond. A petition has been launched that calls on the four Councils to collaborate with Stagecoach to retain the 23.

It's at

Please sign and get your friends and neighbours to sign and publicise it as much as possible and let's hope it has some effect.