This survey provides clear evidence that England's health and care system is heading in the wrong direction.
Standards of care are deteriorating in many parts of the country as the NHS is dragged down by a toxic mix of cuts and re-organisation.
England's A&E departments are suffering their worst winter for a decade, with more people waiting longer than four hours to be seen or on trolleys in corridors.
Ministers must urgently wake up to these warnings and ensure there are enough staff on the ground across the NHS to provide safe care.
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