Over the last eight weeks, half of ambulances arriving at Shropshire’s two A&Es have had to wait al least 30 minutes to hand over their patients to hospital staff. The Shrewsbury and Telford Hospital Trust has been the fifth worst performing acute NHS Hospital Trust in England during the winter so far. While ambulances are waiting to discharge their patients into the care of A&E staff, they are not available for other emergency calls. This increases the delays that injured or seriously ill people in Shropshire experience, especially in rural areas. We also know that delays in handover can lead to worsened health outcomes for patients. We urgently need to solve the problems in handover at the two A&Es. We need a return to locally based paramedic services including first responders and strengthened Minor Injury Units. We can’t go on like we are. We can’t go on with A&E responses failing the people of Shropshire.