I have been sent to A and E by my GP for three varying reasons within the last year. The very first was interesting because they lost me....
I was initially triaged and told that I would need further treatment and should return to the third-world waiting room until I was called. The waiting area was packed with people, some crying, some shouting, some sitting on the floor gently bleeding or vomiting.
After sitting in A and E for six hours I managed to stagger up to the Reception desk and politely asked if they could indicate when I may be seen. A very cross clerk obviously thought that I was trying to push myself up the queue. They asked when I was admitted and I gave the time. They nodded and then did a double-take when it dawned on them that I had indeed been sitting, waiting (in pain) for more than six hours. They had the grace to apologise and explained that somehow I had been lost and soon afterwards I was taken off to a small room where I waited for several hours to see a doctor who ordered tests. Whilst being wheeled for my tests, the porter (must have been new) took a run at a cable under a rubber cover which was across our path. The wheelchair couldn't ride over this obstacle but I carried on, being almost flung out of it. I just managed to grip the arms but was on the edge of the chair. I was in pain anyway but this rather compounded everything!
It was over twelve hours before I was diagnosed and discharged which like no time at all compared to many stories here.
On one of my other visits I was in an ambulance called after my conversation by telephone with my GP. Due to the enormous backlog of patients, I sat in the ambulance with very pleasant Australian paramedics for over two hours until there was a knock on the door and someone called my name. A Consultant (consultants running in and out of ambulances?!) entered, examined me, then took bloods. An hour later I was admitted and the staff could not have been better. This part of the hospital was clean and appeared well run but A and E, well, it really was awful.
Another visit was a day jobby. Sent to an A and E part of the hospital that was by now expecting me, I had bloods taken almost immediately but then there was rather a lull - of 9 hours where I sat but no one offered any food or drink, As I had come to hospital from the GP's surgery, I had not brought my own which, from past experience, I try to do! I was eventually seen and discharged some ten hours later.
All of the above, whilst not as dreadful as others, show that our NHS is on its knees. It runs on the goodwill of most of the staff. A and E is for what it says on the tin. The country needs educating that minor conditions are not for A and E. People are very entitled now and feel that they deserve to be seen and that is not the case.
Just as GP's are not an A and E service, A and E is not a minor service. If the public could be educated as to where they should go and for what, a little of the chaos could possibly be avoided.
One other thing: whilst in the main A and E waiting area I sat in front of a couple with a child. They were complaining to each other about the wait (and really, who can blame them). After half an hour or so they had a discussion and concluded that they didn't want to wait any longer (as they were becoming hungry) and agreed that they would leave now and perhaps return in the morning if their child was no better. I watched them walk away and they did not speak to the Reception staff to explain that they had decided to leave so that must have caused problems for the poor doctor due to treat them. They had been in Accident and Emergency! If their child was ill they were in the right place but surely needed to see a doctor. If not, they should not have been there. I rest my case!