Accident and emergency departments are a barometer for the whole NHS - and the latest waiting time statistics show the system is under extraordinary pressure.
So why is that?
:: Population
The population is rising and it's getting older. Frailer patients have more complex medical problems that are likely to require admission to hospital.
:: Pressure on GPs
Long waits to see a GP are driving more patients with trivial problems into A&E.
Doctors say around a third of the patients arriving don't actually need emergency care. But many patients would rather wait four hours in A&E than four days to see their GP.
:: Alcohol Abuse
Alcohol is adding to the pressure on units. Patients who have nothing wrong with them - apart from being drunk - are taking up beds.
Many ambulance services are setting up booze buses staffed by paramedics to help free up beds. But it's not enough.
:: Social Care Stretched
There is a severe shortage of social care beds, largely because of local authority cuts.
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Gallery: When Should You Go To A&E?
Unresponsive - Loss of consciousness
Confusion - Acute confused state and fits that are not stopping
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