For example North West London Hospital NHS Trust, which runs Northwick Park Hospital is one of the five worst Trusts for A&E waiting times in the country. All hospital trusts in England have been set the target of seeing 95 of A&E patients within four hours but in 2013 14 in North West London just 87 of patients were seen within four hours. With the downgrading of the A&E department at Ealing and Central Middlesex, pressures on Northwick Park Hospital will be even greater.