Closing A&E departments can lead to more patient deaths at nearby hospitals, a US study claims
{"Image ImageDescription": "File photo dated 07/04/11 of an ambulance outside the entrance to an Accident &amp; Emergency department as the ambulance service is on the verge of &quot;breaking down&quot; because staff are suffering high levels of stress amid long working hours and tight targets, according to a new report. ... Ambulance staff 'at breaking point' ... 11-04-2014 ... London ... UK ... Photo credit should read: Rui Vieira/PA Wire. Unique Reference No. 19539770 ... Issue date: Friday April 11, 2014. A survey of 1,300 ambulance staff by Unison found that one in five described their work-life balance as &quot;terrible&quot;. A third said they had taken time off work in the past year because of stress, while some revealed they were &quot;suffering in silence&quot; because they were scared to report health problems. Unison's head of health, Christina McAnea, said: &quot;The Government needs to take work related stress in the ambulance service seriously or it will break down. &quot;Our members accept that their jobs can be physically demanding and challenging. However, some now tell us they are suffering from heart palpitations, flashbacks, nightmares, migraines, depression and an overall feeling of despair. As a result, many are actively looking to leave the profession.&Oacute; See PA story INDUSTRY Ambulance. Photo credit should read: Rui Vieira/PA Wire", "Image Make": "NIKON CORPORATION", "Image Model": "NIKON D3", "Image Orientation": "Horizontal (normal)", "Image XResolution": "312", "Image YResolution": "312", "Image ResolutionUnit": "Pixels/Inch", "Image Software": "Adobe Photoshop CS2 Windows", "Image DateTime": "2014:05:06 15:37:15", "Image Artist": "Rui Vieira", "Image YCbCrPositioning": "Co-sited", "Image Copyright": "PA Wire/Press Association Images", "Image ExifOffset": "1660", "EXIF ExposureTime": "1/640", "EXIF FNumber": "11", "EXIF ExposureProgram": "Aperture Priority", "EXIF ISOSpeedRatings": "500", "EXIF ExifVersion": "0220", "EXIF DateTimeOriginal": "2011:04:07 13:02:46", "EXIF DateTimeDigitized": "2011:04:07 13:02:46", "EXIF ComponentsConfiguration": "YCbCr", "EXIF CompressedBitsPerPixel": "4", "EXIF ExposureBiasValue": "0", "EXIF MaxApertureValue": "3", "EXIF MeteringMode": "Pattern", "EXIF LightSource": "Unknown", "EXIF Flash": "Flash did not fire", "EXIF FocalLength": "25", "EXIF SubSecTime": "14", "EXIF SubSecTimeOriginal": "14", "EXIF SubSecTimeDigitized": "14", "EXIF FlashPixVersion": "0100", "EXIF ColorSpace": "sRGB", "EXIF ExifImageWidth": "312", "EXIF ExifImageLength": "312", "EXIF SensingMethod": "One-chip color area", "EXIF FileSource": "Digital Camera", "EXIF SceneType": "Directly Photographed", "EXIF CVAPattern": "[0, 2, 0, 2, 0, 1, 1, 2]", "EXIF CustomRendered": "Normal", "EXIF ExposureMode": "Auto Exposure", "EXIF WhiteBalance": "Auto", "EXIF DigitalZoomRatio": "1", "EXIF FocalLengthIn35mmFilm": "25", "EXIF SceneCaptureType": "Standard", "EXIF GainControl": "Low gain up", "EXIF Contrast": "Normal", "EXIF Saturation": "Normal", "EXIF Sharpness": "Normal", "EXIF SubjectDistanceRange": "0"}