FIVE YEARS AGO Hospital chiefs admit they need a bigger A&E unit after it reached crisis point. The lack of beds and over-stretched services forced West Hertfordshire Hospitals NHS Trust to suspend services for adults with minor injuries or illnesses several times this week. Patients have faced long waits to see a doctor and others have described how there were trolleys queuing up outside the A&E ward with patients waiting to be seen. David Gaunt, divisional director for unscheduled care at Watford General Hospital, admitted the hospital needs a bigger A&E department to cope with patient demand.