Accident and Emergency: A look behind the scenes on one day

As A&E departments attempt to deal with over a million more patients than three years ago, BBC ONE's Inside Out was given access to 10 different A&E departments on the same day.

Ahead of a review being carried out by NHS Medical Director Prof Sir Bruce Keogh about the future of emergency provision in hospitals, the BBC was given day-in-the-life snapshot of A&E services in England.

HEARTLANDS HOSPITAL, BIRMINGHAM

Staff in accident and emergency wards are increasingly having to deal with patients with alcohol-related problems. One unit in Birmingham claims one man has visited more than 250 times in the last few years.

JAMES PAGET HOSPITAL, GREAT YARMOUTH

Even before the seasonal influx of tourists, Great Yarmouth's hospital struggles to cope with the demands of the town's population, and with problems recruiting enough A&E doctors.

QUEEN ELIZABETH HOSPITAL, GATESHEAD

Doctor Bob Jarman at the Queen Elizabeth hospital believes that the number of patients coming in at all times of the day and the complexity of their conditions has increased in recent years and points to the rising number of elderly patients and the number of alcohol related cases.

WIGAN INFIRMARY

Inside Out went to Wigan Infirmary's A&E department, giving a snapshot into the daily work that goes into running a busy unit.

QUEENS MEDICAL CENTRE, NOTTINGHAM

With pressure to hit patient waiting time targets, Queens Medical Centre is trying out a number of new ideas to ease the pressure on overworked staff. Rob Sissons also looks at how the hospital is responding to the challenges facing A&E departments this coming winter.

ADDENBROOKE'S HOSPITAL, CAMBRIDGE

Staff at the accident and emergency department of Addenbrooke's are presented with a range of challenges from drunken patients to those with minor injuries and primary care needs. Dr Rob Major says that it is important to balance high standards of treatment while maintaining the speed with which patients are seen.

CROYDON UNIVERSITY HOSPITAL, LONDON

BBC London's Inside Out team spent 24 hours at Croydon hospital's accident and emergency department to look at the pressures faced by staff.

THE ROYAL CORNWALL HOSPITAL, TRELISKE

The Royal Cornwall Hospital at Treliske has struggled to keep waiting times below the national four hour target. The BBC's Inside Out South West programme spent a day in the unit to find out why.

DONCASTER ROYAL INFIRMARY

Inside Out followed a busy shift at Doncaster Royal Infirmary's A&E department, meeting staff and patients to try to discover where the pressure points lie. Clinical director at the hospital, Mr Abdul Jalil, says that A&E is seeing more patients with complex medical problems which puts pressure on beds.

DO NURSES LEARN ENOUGH ABOUT BASIC HOSPITAL CARE?

Inside Out takes two nurses who trained in 1968 back to the wards to meet today's nursing recruits and see what current training is like. The two nurses, Trudy O'Connor and Deborah Harrison, suspect standards have slipped since the days of matrons.

CAN LOCAL DOCTORS TAKE THE PRESSURE OFF A&E?

Inside Out looks at what the recent changes in the NHS and GP commissioning mean for patients

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