If ED referred all the postural hypotensive young teenage girls who had vasovagals after getting out a hot shower to the first fit clinic, you wouldn’t be able to move for referrals.
Also even if it was a first fit, it was yesterday and nothing else has come of it acutely. It’s got no place in the ED. It wouldn’t even necessitate bloods (other than for the courtesy of another HCP in an outpatient basis).
And finally, in my experience, a lot of EDs can’t even refer to the first fit clinic anymore due to funding cuts. So rocking up to A&E on statistically the busiest weekend in the year (last night I had patients waiting 11 hours to see a doctor), it’s a recipe for spending the day only to be told to see your GP.