It would help a great deal if certain patients didn't insist on going to hospital, when they have no obvious need to. Also, some of the feedback I am getting from crews on my sector is that the staff on reception at certain hospitals are actively ignoring ambulance crews, and dealing with "self presenters" first. And the final insult: a week or so ago, one of "my" hospitals was having serious delays of up to two hours due to lack of staff and no beds. So what did the staff at the hospital do to alleviate the problem? Yup - they all stopped work and had a mass meeting to discuss the problem. That really helped!