You see...the problem is that the A&E don't know what we have seen the patient has been like at home. So if we successfully treat a patient, then the hospital are often surprised that we have done such a good job. (Sometimes A&E staff do see us as just stretcher bearers...) So sometimes we'll come in with a patient that we are really rather worried about - while the hospital sees a patient who is stable, only because we stabilised them... Meh.