well further to these comments i had a rare treat the other day a relative of a patient (who actually warranted a trip to a + e) was amazed and finally understood why we are having problems after quickly explaining that once we arrive at hospital there is a black hole of time where the patient falls into and the hospital accept the patient we have to wait to handover it dawned on the relative we are being held to ransom by hospitals trying to massage there 4 hour targets and not breaching patients and the stress levels are getting higher my best comment yesterday was from the triage sister at one of our lesser visited a+e first words out of her mouth were yes i have seen you twice but i have patients in the waiting room to be seen to first at which point she walked one through infront of our low o2 sats patient sob who had several bouts of vaso vagel oh forgot to mention ca lung once finally triaged 15 minutes later she wandered off into the distance and shouted you will have to make your own bed if you dont want to be stood in the corridor all night yeeeheee happy christmas sister