CARLISLE'S A&E department is under significant pressure as a result of this week's heatwave.
The North Cumbria University Hospitals NHS Trust is reporting a rise in the number of people attending A&E at the Cumberland Infirmary and Whitehaven's West Cumberland Hospital.
As temperatures reach their hottest this year, staff are urging patients to only attend in emergencies and promoting the other services that may be more suitable.
Ali Budd, director of nursing, said: “While it may seem unusual for our services to be so busy in the summer months, there are a number of factors contributing to the high demand we are seeing.
"Hot weather can exacerbate some health conditions and for vulnerable people, such as those who are young, frail or elderly, it can be particularly dangerous.
"Dehydration can lead to serious complications."
She added that an increase in tourists also has an impact, and is anticipating additional demand due to this weekend's Kendal Calling festival.
She urged people to follow hot weather advice and use GPs, pharmacies and other services if it is not serious or life-threatening.
Professor John Howarth, deputy chief executive, added: “Staff across our hospitals and community services are working extremely hard to maintain safe patient care."
"I would like to say a huge thank you to each and every one of them for their dedication under these challenging circumstances.”
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