There is pressure at every point of the system. People need urgent, an emergency care by definition, quickly. And more and more they ain't getting it. What's really particularly troubling me in these days is that the evidence of actual patient harm as a direct result of this is starting to pile up. The eneges is in a really gravean really perilous state. We now have the royal college of emergency medicine, which represents a and e doctors across the u k,. They estimate there are 500 excess deaths a week - mainly attributable to many delays across the system.

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