Hi. This about A&E. I feel a few easy things could improve a patient's experience. I was taken to A&E by ambulance yesterday with severe abdominal pains. On arrival the ambulance crew gave details to the sister. She did not once look in my direction let alone say hello. She then walked past me, again totally ignoring me and signalled to the paramedics to put me outside a cubicle in majors till it became free. It did and they wheeled me in there leaving me with a kind remark. I don't know how long I was in there without anyone coming in. The pain was terrible and at times I was howling. I began to think no one would ever come. Eventually a nurse (agency I think) came in and said "has no one been in to you?" She then asked me about my pain and went straight to get me pain relief from the doctor. Then the doctor came and saw to me very well. They were both kind and attentive and professional. I do feel however, that acknowledgement of my existence on arrival and a set of obs taken would have made me feel I was being cared for. A hello and a smile and some reassurance I know from my own nursing days go a long way to making the patient feel more comfortable instead of a bit of a nuisance. A small thing but invaluable and doesn't cost anyone anything. Oh and they weren't particularly busy.