theres a similar situation in SE london - kings and the maudsley are opposite each other with A&E right across the road from the maudsley practically waving distance apart but they still have to use ambulances to transfer (if there's room there!). Complete tangent, but Tom do you find you (or your colleagues) have to do lots of transfers of pt's (esp children) out and around to different hospitals due to bed shortages?? Seem to have to do it alot where I work and wonder if its the case in most areas. Nearly finished book and is v good x