NHS bosses in Devon say they are bracing themselves for yet another busy winter, with hospital admissions expected to spike as the weather turns cold.
Health trusts have drawn up detailed plans for the coming months, diverting patients away from packed A&E departments and offering online consultations with local GPs.
But doctors say many people are still confused about where to go for the right sort of treatment.
Some GP surgeries are able to extend their opening hours this year thanks to extra money from the Government, and more services are now available online. But the sector remains extremely stretched.
Hospitals were also hit hard by the weather back in February and March, with appointments and operations cancelled and A&E departments struggling to keep up.