BBC Newsnight spends 12 hours at six hospitals with the longest delays handing over patients. to A&E.
Ambulance services are under intense pressure, with record numbers of callouts and the most urgent, category-one, calls last month.
At Royal Cornwall, 25 ambulances were queuing by the afternoon, three for at least 10 and a half hours But the minutes and papers from their directors' meetings reveal the scale of the crisis, in stark language.
"We can't just open up into a corridor in an emergency department where there isn't space," he told Newsnight."What's better is if we can discharge patients from hospital, create that space so we unblock our emergency departments and allow ambulances to hand over their patients seamlessly.
"The ultimate safety net for the NHS is the fact that patients who are severely ill or injured can access an emergency ambulance in a timeframe appropriate to their clinical condition. "It simply cannot be acceptable to allow the ambulance service to be compromised to the current extent, day after day, while those solutions are introduced."
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