.5 per cent; 95 per cent CI 23.7-35.3 per cent) of the 241 who went directly to an Accident and Emergency department without GP referral required admission, this was true for only eight (0.5 per cent; 95 per cent CI 0.2-0.9 per cent) self-referred patients attending Minor Injury Units. Four of the latter admissions were for trauma-related problems and required stays of less than 24 hours. Of the patients attending the Deal and Folkestone Minor Injury Units who were interviewed, only 195 (47