Emergency escalation protocol

Your Safety Comes First

Our service is designed to provide safe, high-quality, GP-led care for women. However, it is important to understand that we are not an emergency service and cannot respond to urgent or life-threatening situations.

If you believe you are experiencing a medical emergency, you must call 999 or attend your nearest Accident & Emergency (A&E) department immediately.

Delaying emergency care to contact a GP—online or in person—may put your health at risk.

When To Seek Emergency Care

You should seek immediate medical attention via 999 or A&E if you experience symptoms such as:

  • Chest pain, difficulty breathing, or shortness of breath 
  • Sudden weakness, numbness, or difficulty speaking 
  • Severe abdominal pain or uncontrolled bleeding 
  • Loss of consciousness or seizures 
  • Signs of a severe allergic reaction (anaphylaxis) 
  • Suicidal thoughts or immediate mental health crisis 
  • Any symptom that feels sudden, severe, or life-threatening 

If you are unsure, NHS guidance is clear: it is always safer to treat it as an emergency.

Urgent (Non-Life-Threatening) Concerns

For urgent medical concerns that are not life-threatening, you should contact:

  • NHS 111 (available 24/7) 
  • Your local GP practice 
  • An urgent care centre or walk-in centre 

Our service may not be able to provide same-day urgent care, and we do not operate as an urgent response service.

Our Role As A GP-Led Service

We provide planned, structured, and continuous care, not emergency or acute response services.

Our GPs in London and across the UK are responsible for:

  • Assessing and managing non-emergency medical concerns 
  • Identifying when symptoms require escalation 
  • Advising patients to seek urgent or emergency care when appropriate 
  • Coordinating follow-up care after an emergency has been addressed 

If, during a consultation, your GP identifies a potential emergency, you will be advised to seek immediate care via NHS emergency pathways.

Escalation During Consultations

If a concern arises during your consultation that requires urgent or emergency attention:

  • Your GP will clearly advise you on the level of urgency 
  • You may be asked to call 999 immediately or attend A&E 
  • Where appropriate, you may be advised to contact NHS 111 for urgent guidance 
  • Our team may assist with clinical documentation or referral information, but we do not arrange emergency transport or direct hospital admissions 

This approach aligns with NHS general practice standards, where patient safety and timely escalation are prioritised.

Our Service Model & Clinical Responsibility

We operate as a GP-led network, working with independent clinicians and partner locations across the UK.

  • Consultations are delivered by qualified, GMC-registered GPs 
  • In-person care may take place within partner facilities or third-party clinical environments 
  • Each clinician is responsible for delivering care within their professional and regulatory framework 

While we coordinate care and provide a central point of contact, emergency services are always delivered through NHS pathways (999, A&E, NHS 111).

We do not replace emergency services, hospital care, or urgent NHS access points.

After Emergency Care

Following any emergency or urgent medical event, we encourage you to return to your GP for:

  • Review and follow-up of your condition 
  • Ongoing management and monitoring 
  • Coordination of any further investigations or specialist referrals 

Our role is to ensure your care remains continuous, coordinated, and clearly understood after the immediate risk has been addressed.

How This Relates To Our Services

This page should be read alongside:

  • What We Treat – conditions appropriate for GP-led care 
  • What We Don’t Treat – conditions requiring urgent, emergency, or specialist services 

If your symptoms fall outside our scope or require urgent attention, we will always guide you to the most appropriate and safest care pathway.

Important Reminder

If you are in doubt about your symptoms:

👉 Call 999 or go to A&E immediately
👉 Or contact NHS 111 for urgent advice

Your safety is always the priority.