that was nhs england macca boss professor stephen powys explaining how some of the a&e changes lie mightled out over the summer and if seen be rolled out over the summer and if seen to be successful, nhs england will say to ministers, this is the way to go. we want the four hour a&e target replaced with something different. this hasjust been announced, but is there any reaction to this? well, in the run-up to this announcement over the last few weeks, there was speculation the royal college of emergency medicine representing a&e doctors, came out and said they were concerned about this. they say the 95% for our target at a&e may be old, going back 15 years, but everyone understands it. hospitals use it as a way of trying to improve the flow from a&e through the hospital, and changing it, they say, could cause confusion and will result in less good patient care. it could well be controversial politically, as well, with nhs england may be being accused of shifting the goalposts because they are avoiding hitting targets or haven't hit targets for the last couple of years, and it will be a d