Just yesterday someone I know saw a very (90ish) elderly man fall in the shopping centre precinct. Very obviously broke his hip, was screaming in pain and laying on the cold pavement. Ambulance service apparently said it would be 3 hours or more. No idea of the outcome but I think that it is utterly unacceptable for someone of that age and vulnerability to not get help when they need it.
A friend's dad died after waiting 6 hours on the floor at home. He hit his head and bled into his brain. He was in too much pain from maybe rib fractures to move. He was a completely well man in his 70s. While they were waiting he became cold, confused and then unconscious. The ambulance service rang back periodically and were updated but didn't arrive until he'd gone past the point of being helped. His family had to support him through that with no support themselves.
We needed an ambulance for a family member with severe breathing difficulties when the ambulance service was on strike (winter 2022). They had low oxygen and the GP was v worried. We had to sort it all out ourselves and it was terrifying. It ended up with a prolonged hospital stay for double pneumonia.
I have actually been changed by these experiences and I no longer have any faith that help is available for those who need it when they need it.
I find it hard to take training at work seriously for example when you know the infrastructure won't support you in a timely manner.
It should not be a completely lottery in the UK in 2025. Some people will get gold standard responses and life saving treatment, and others will be left to deteriorate and possibly die in the cold and in pain. And that's not to do with triage or priority but availability of resource.
It's a strategic funding choice.