A leaflet has been published giving guidelines on what to do if people have health problems.

Many people are turning up at casualty when a simple trip to the doctor would suffice.

The Step-By-Step campaign has been launched by Developing Patient Partnerships and can be viewed at www.dpp.org.uk. More information is available on 020 7383 6144, or by emailing msmith@bma.org.uk

Step one Can I deal with it myself?

Keep a well-stocked medicines cabinet and many problems, like splinters or small cuts, may be dealt with at home. If not, visit your pharmacy for on-the-spot advice and treatment for complaints including tummy troubles, sports injuries, allergies and coughs and colds.

Pharmacists can offer advice on remedies that are available to buy without the need for a prescription, and they will also advise if further medical attention is needed.

Step two Do I need more advice and treatment?

Call NHS Direct on 0845 4647 or your GP for advice. You can also visit the NHS walk-in centre, in Carfax Street, Swindon, for treatment from a nurse for complaints including sprains, cystitis, earache, colds and flu.

You won't need an appointment. The centre is open every day from 7am to 10pm.

Step three Is it an emergency?

If the situation is critical or life threatening go to the Great Western Hospital A&E department, or call 999.

Emergencies include loss of consciousness, heavy bleeding, suspected broken bones, chest pain for 15 minutes or more, breathing difficulties, overdose or swallowing something harmful.

Casualty and 999 services are for emergency situations. Using them for any other reason will prevent those with life threatening conditions from getting care.

You will also be wasting your time in A and E when you will get quicker treatment in a walk-in centre.