Where I am in Yorkshire the a&e is about 18-20 miles away. I mean, sure we have lots of minor injury centres, but nowt that could cope with more than a cut finger or sprained ankle to be honest. Having said that, the local ambulance station is very quiet (I observed with them) because a lot of people have their own transport compared to living in the city. Maybe this observation is wrong - I dunno, but what I do know is that if you had to survive on public transport where I live, it would be a very depressing existance. (but that's another story)