"There were times when we were operating at the margins of safety."

Bernadette Garrihy, emergency medicine consultant, explains why she signed a letter with other senior West Midlands doctors, expressing concerns about patient safety in the region's A and E departments.

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'Toxic overcrowding' in A & E

Number 10 has said the performances of Accident and Emergency "has actually exceeded the 95% standards for people admitted or discharged within four hours." But 20 A & E's from the West Midlands say they cannot guarantee safe care for patients.