The new Chief Inspector of Hospitals has called for hundreds of patients to join inspection teams as part of hospital assessment reforms.
As the NHS marks its 65 anniversary, what does the future hold for the health service?
Patients who need care packages before they go home are being housed in a hospital building intended for closure last year.
In his first press conference after taking the job as Chief Inspector of Hospitals, Professor Sir Mike Richards pledged the review teams will be "robust, fair and transparent".
– Professor Sir Mike Richards
Today I am issuing a call for inspectors. I want assistance in this inspection process.
I want to start building a small army of inspectors.
These inspectors need to come from different walks of life; some of them will be practising clinicians who will come and do two or three inspections a year, some others will be retired clinicians but importantly we are also seeking patients and carers and we will provide training.
We will assess whether services are safe, effective, caring, responsive and well led.
So far today the accident and emergency department at Queen Elizabeth Hospital Birmingham has treated a total of 235 patients.
Today is unlikely to beat Monday's hospital record of 325 patients in 24 hours.
After a lot of tests Clare Stajlla headed home from the Queen Elizabeth A&E.
She had suffered a bite but was allergic to antibiotics - doctors at the A&E told her she could stay overnight for treatment and observation, but that it could mean up to a week in hospital.
She decided instead to wait and hope the bite healed without the need to be admitted and to avoid the possible side effects - which included kidney failure at the extreme end.
Clare had spent a little over four hours in A&E from check-in to leaving this evening.
Sister June Sargeant, who ITV News met at the end of her nightshift this morning, is back on shift and currently too busy to talk.
This evening her colleague said a surge of major trauma patients would make for a hectic overnight period in the A&E unit.
Aysha Rafi has left A&E with a box of medication within 40 minutes of arriving at QEHB.
She came to the hospital with a referral for a bite or sting on her foot and says her decision to go to A&E was the right one.
Rhianna Wade came in to A&E last week with chest pain. She had called an ambulance and was seen treated and discharged within four hours.
This time she walked in to the minor injuries clinic and was waiting for half an hour to be seen.
She said she wasn't sure what would happen next or when she would be seen.
Aysha Rafi had a sting or a bite - she is not sure which - on her foot on Friday.
Over the weekend she noticed it swell up and by Tuesday it was throbbing to the point of severe discomfort.
This afternoon she went to a walk-in service which is part of a Boots pharmacy in Birmingham city centre.
Nurses there said she should come to A&E because the swelling was moving around the foot and away from the initial sting.
Aysha is now waiting to see a triage nurse.