1. there is more than enough research work done on this (cultural values), so dont waste your time.
2.people go to A&E because they believe it is the correct thing to do for them.
Education at the initial registration with the healthservice might help.
thoughout most of the rest of the world patients go directly to a specialist or A&E, how could a new arrival know to do otherwise?
3. the NHS culture of targets makes it too easy to admit a patient rather than taking time to address their problems.
I wonder if we are looking at the wrong 'culture'?