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there were fears, too, about the impact that record summer temperatures could have on services, with older people and those with particular health conditions especially vulnerable. a&e at a surrey hospital this morning. hello. how are you? the challenge, as usual, is finding space for new patients and transferring those who need it to the wards. we are often coming in in the morning with 25 to 35 patients waiting for a bed. they say there are no longer seasonal differences. there would be a winter and a summer in hospitals. and that s something that we haven t seen for many years, and covid and the heat wave just makes it even worse. i ve been at this hospital for 16 years, and i ve never seen it as busy as it is now. ambulance services across england are on the highest state of alert and under extreme pressure. with covid staff absences a factor.