We actually have to go round to peoples' houses and take them to the GP. The GP is not allowed to leave his office unless it's a real emergency, in which case we pick him up at his office. This way the patient don't have to go to the a&e, but can be seen by someone they probably know, and quite a few don't go to the hospital at all. But of course, if the doc says they have to, we take them in. It actually works well, in a strange way