I agree not sure why moving a patient 300 yards up a corridor neccesitates an ambulance. It's not ideal but I have done worse myself whilst i was a nurse in order to get the patient the right treatment. As someone who went to 'the dark side' of management and worked to try and address some of these A&E problems I was really frustrated by the way nobody would take any reaponsibility for what happened. In my book we shouldn't need bed managers if people pulled together, also getting medics/ surgeons to actually assess patients could really move things on but just doesn't happen. Nobody sees A&E as their problem whereas it just so happens to be everyone's problem. Personally I was left pretty jaded and upset. there was no real drive to think about patients in all of this (but who am I to comment as a mangager i had my heart surgically removed on day one) Too much taking home of bat and ball going on.