Dan GrimmerRobust plans at the James Paget University Hospital, in Gorleston, have reduced the impact of winter pressures on its services at a time of unprecedented demand, according to bosses.Dan Grimmer

Robust plans at the James Paget University Hospital, in Gorleston, have reduced the impact of winter pressures on its services at a time of unprecedented demand, according to bosses.

The trust admitted 400 emergencies in one week over Christmas for the first time ever and the hospital's A&E department has seen a big rise in fractures and dislocations caused by the ice and snow, with an increase of 14pc in overall emergency admissions.

The trust has been on black alert status three times during the past week and some operations have been cancelled.

Wendy Slaney, chief executive of the trust, said: 'Our services are very busy, but we are managing demand. Despite the additional winter pressures, staff continue to give care of the highest order, whilst remaining focused on the safety of patients.

'People in the local community can play their part in easing pressure on the Trust's services by using them responsibly.'

People should only attend A&E if they need emergency attention for a serious medical condition, accident or trauma. The doctors and nurses there are equipped to deal with serious emergency cases. Attending A&E may place an additional burden on staff and the most serious cases will be given priority.

Those with minor ailments can contact NHS Direct on 0845 4647 and discuss their condition with a trained nurse. They should also consider taking advice from their local pharmacist, or GP surgery, many of whom now offer extended opening hours.