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Another complicating factor is that A&Es get paid per attendance on a sliding scale. It generates a fair bit of cash for larger trusts.
Last time I handled A&E data I think it was £29 the moment somebody walks through the door and £99 the moment they touch a trolley (not including any requirement for secondary care). That was a long time ago though so numbers have probably changed
I witnessed this the other week, making my way down to Seven Sisters tube on the way home from watering a mate's plants.
Two people - who obviously know each other - say hi and then the one leaving the tube says to her mate entering: "anywhere where you off?". Her mate (looking well, cheery, laughing, smiling, eating a box of chips): "oh I'm off to A&E... yeh I just don't feel quite right".
I get this:
but, come on, if we all went to A&E on those days when we didn't "feel quite right"...