http://www.independent.co.uk/news/uk/politics/nhs-explainer-why-are-we-experiencing-an-ae-crisis-now-9961468.html Why are we experiencing an A&E crisis now? A very busy HNS Since the 1980's, when it became the policy to close hundreds of the smaller hospitals and create super size “centres of excellence” at a few locations around the country with the rather naive assumption that “Bigger is better”, we have had an “A&E crisis”, which has not been limited to the A&E departments but has percolated throughout the hospital system. This A&E crisis, was exacerbated throughout the 1990's with the fallacious proposition, that in order to solve the problem it was essential to introduce more and more layers of management, introduce “targets” to monitor performance of departments and individuals, and to pour money into the system. A fiscal policy which mainly went into financing the expanding bureaucracy rather than improving the standards of care. ...