Its the winter and we know we will have the annual statements from the NHS stating A&E are over stretched and urging people to seek alternate advice.  

The questions is when do we know something is serious or not.  It is  likely that some will queue at the tirade desk and insist on seeing someone.  what is worrying is the person who does not go, and the situation is far more serious.  

How does the NHS make sure the most vulnerable do not slip through the net.  Unless the most vulnerable do attend, we will never know.