I have recent experience of Kings casualty?it was always bad in terms of waiting time and facilities in the past. The department seems to be straining, probably because of the volumes. That's down to a variety of reasons, which I shan't postulate here. Where I have seen improvement is on the wards?ok it might just be the wards I have dealt with (Cardiac & Vascular) but there seems to have been an improvement in the attitude of Doctors and Nursing Staff, and more importantly the standard of care. In the past I have encountered aloof and arrogant doctors, and "attitude" from the nursing staff, and auxiliaries. This time round I have only encountered professional, caring, and communicative people, which is such a relief!