These days the idea that if you are well enough to go home, you were not ill enough to be in A&E is wildly inaccurate.
I've spent most of the day in A&E today and both ambulance crews had to plot to work out how i could spend that time on a bed/trolly and not on a chair and it was still a gamble. I can't sit on a normal chair anymore but taking a powerchair to hospital is a logistical nightmare if you need to be ambulanced in. I wouldn't have lasted 10 minutes (though also I wouldn't be able to just walk out either!)
I went AWOL from A&E this evening, though in my case I was awaiting discharge and TTO meds.
I spent an hour waiting an ambulance then another 20 minutes awaiting the right ambulance as the one they sent was not appropriate (which happens but I did specifically say to 111 I would need the ambulance in question, but this was not passed on. Crew 1 did confirm had it been it would have saved them coming out from Far Away Town 1, instead of the right truck from Nearby City 2).
Once on the ambulance I spent 15 mins in transit and 2 hours on the ramp.
3 hours in resus (because thats where there was a space), most of it on a trolly bed that caused me serious pain (I have a specially designed wheelchair to support me, which of course a trolly bed does not have, but you can't take a wheelchair with you).
Then a further 9 hours, mostly awaiting re-tests and then 3 hours waiting for discharge with people ignoring me or running in, saying 'well you can go but just wait a minute for discharge and meds... ill be back in a sec' and then fucking off for another hour.
They could have said 'come back tomorrow for the meds' and could have been honest. I actually told the cardio chap at 3.30pm who said i could be discharged and take home meds, that it'd be 7.30pm before I got the meds and he laughed and said 'oh no you can just grab them and go....'. Mm!
I would estimate that 5 hours of my time in a&e taking up a space, was simply spent waiting a signature and a box of pills, and this is not a good use of resources at all!
No doubt someone will tell me I should have waited but to wait would have meant probably 8pm and likely a 'oh no that dr has gone now have to wait for the next ones rounds, you'll be staying the night' and in my case:
They can't meet my dietary needs (I had two hypos and was verging on hypo the entire time, and starving, as all the food they have is high sugar/carb).
They can't meet my care needs (I spent 5 hours covered in my own piss as a result)
They can't meet my physical support (seating/mattress, skincare, positioning) needs.
Hospital poses a far higher infection risk than home.
Hospital poses a far higher stress risk than home.
So I gave up and went home and I'll sort the meds with my GP on tuesday if OH can't pick them up tomorrow.