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The clinical cost of waiting too long for urgent treatment in an ED is all too long for service. Following media headlines, pooled with powerful political agenda lead to, in the late 1990s and the early 2000s many ED in the UK were struggling with high demand and poor patient flow. During this period it was commonplace for emergency care patients to be kept on trolleys awaiting hospital admission for over 12 hours, and sometimes up to 72 hours. The NHS plan (Department of Health 2000), states that no-one should wait more than 4 hours in the ED. High profile negative press coverage and public opinion meant this issue became a priority for the government...
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