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President of the Royal College of Emergency Medicine, Dr Clifford Mann, has said it "comes as no surprise" that A&E departments in England are now performing at their worst level since February 2010.
Newly-released figures show just five out of the 138 trusts in England met the government's target of seeing 95 per cent of A&E patients within four hours.
Dr Mann said staff working in emergency departments are under "relentless pressure" and the college is becoming "increasingly concerned about the risk of burn-out for the medical and nursing teams working so hard to deliver the service."
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Lancashire NHS Trust said they do not have enough emergency doctors and "there are no other safe options for delivering care".
The cracks are showing in England's struggling A&E departments, writes Rachel Younger - and the latest figures show how deep they go.