Residents are being reminded to only call 999 today (Wednesday) if they are critically unwell or there is risk to life as ambulance workers stage another day of strike action.

The North West Ambulance Service has reminded people to only call 999 today (January 11th) with life-threatening situations.

GMB members are staging a 24-hour strike today and Union members from 7am until 7pm.

A spokesperson from the North West Ambulance service said: "The GMB union and Unison members confirmed their members will take part in strike action This is in dispute with the government over pay.

"Ambulances will still be available to respond, although they will be prioritised for life-threatening injuries and illnesses.

"Typical emergencies include cardiac arrest, loss of consciousness, fits that aren't stopping, breathing difficulties, severe bleeding or allergic reactions and serious head injuries.

"If they require hospital treatment, patients should also consider taking alternative transport such as a taxi or getting a lift from family or friends.

"Equally, they should use 111.nhs.uk their GP or local pharmacy for help with non-urgent health concerns."

Ged Blezard, Director of Operations, said: "We have tried and tested plans to manage any disruption, including industrial action, however, it's important to understand there will be an impact on the public.

"We want you to continue to ring 999 if you are in a life-threatening situation. However, we are advising patients, that they should consider other forms of transport if they still need to go to a hospital.

"We are maximising our own resources, using private providers and military support where appropriate and working closely with our Trade Unions to provide cover for the most serious emergencies. We are also working with our healthcare partners to maintain patient safety during these periods of industrial action."

"Also, if you have already called 999 to request an ambulance, please only call back if your condition has worsened or to cancel the ambulance. Repeatedly calling 999 can block phone lines for other emergencies. 

"If you need urgent care – use the symptom checker at NHS 111 online, which will direct you to the most appropriate support. Again, you should call on friends or relatives for transport if necessary."

NHS 111 Online can tell you:

• Where to get help for your symptoms, if you're not sure what to do
• How to find general health information and advice
• Where to get an emergency supply of your prescribed medicine
• How to get a repeat prescription

If you are calling us about a mental health concern, please use the mental health crisis lines available in your area:

Cheshire and Wirral – 0800 145 6485

Rachel Harrison, GMB National Secretary, said: "After twelve years of Conservative cuts to the service and their pay packets, NHS staff have had enough. 

"The last thing they want to do is take strike action, but the government has left them with no choice."