Cop out maybe, but consider this. People call for an ambulance to see a doctor. I am not a doctor. I can however drive them to hospital to see a doctor. People become happy. Happy people don't try to hit me/complain about me. Sure - I *could* sort out the wheat from the chaff, I could tell the people with verrucas that they don't need an A&E. Then I get a complaint against me for 'refusing to take a patient'. Then I get disciplined. And that is without acepting that perhaps my training isn't enough to leave all but the most minor injuries at home. Besides - leaving someone in A&E for four hours might then educate them a little into going there inappropriately. Call it negative reinforcement...