A departments already straining from winter demand ‘A are having to address increasing demand, the ambulance services are struggling in many parts of the country and we have a number of issues to deal with, which we are tackling.’ Also speaking at the conference, dr clifford mann, president of the college of emergency medicine, said increased pressure was partly due to ambulances being called by nhs 111 operators. However sir bruce said forward planning meant the nhs should cope better with a spike in demand for a services cheap louis vuitton bags this winter. Measures included a flu plan announced in april and a system to help trusts which were struggling to plan for winter, launched in june. A 400 million injection of funding from the department of health in june also helped preparation, he said. Another 300 million boost in october assisted with staffing and bed capacity. Sir bruce said:’We’ve started to address winter much sooner than in any of the other years. ‘In winter we know that the demand on A changes. ‘So while the activity might be slightly lower than during the summer, the proportion of people who need admission is higher.’ He said high expectations from the public and budget cutbacks were also making it more difficult for the nhs to succeed. Sir bruce defended proposals to overhaul the health system to create ‘supercentre’ specialist a departments. The keogh review, published last november, advocated the concentrating of accident and emergency http://www.pania.co.uk/ services into a few specialist hospitals. He said:’There has been a slow and inadvertent deception that all A are equal.They are not, and people in the know know that.’ He also said that demographic changes has placed greater strain on the nhs and that younger people had ‘an expectation of an immediacy of service’. Dr clifford mann, president of the college of emergency medicine, speaking at the same conference, said:’I think the system is under pressure but it’s working pretty well.’ He said that increased pressure was partly due to ambulances being called by nhs 111 operators. Earlier this week it was reported that casualty departments were forced to close their doors to ambulances nearly 100 times last month as they failed to cope with soaring patient numbers, alarming figures show. In total, around 27, 000 patients were stuck inside the backs of ambulances outside a units for at least half an hour because staff were too busy to take them in a third more than this time last year. Scroll down for video Sir bruce said a are having to address increasing demand, the ambulance services are struggling in many parts of the country In the worst cases they were turned away altogether. And in early december, more than 35, 000 patients were forced to wait more than four hours in a the worst figure on record separate statistics reveal. Experts warned that the’bleak’ figures were indicative of a’crisis’ in the nhs and showed the system was’cracking under extreme pressure.’ And they say the situation could worsen over the next month. Nhs chiefs finally released the data indicating how hospitals are coping with the pressures of winter five weeks later than planned yesterday. They show the situation is far worse compared with this time last year.Waiting times data is normally released on a weekly basis from the start of november.