A record number of people are presenting to NSW emergency departments and many are waiting longer for treatment - a situation doctors say is unsustainable.
The latest official data, released on Wednesday, shows there were more than 756,000 attendances at hospital emergency departments across the state in the first three months of 2019.
That was 42,247 - or almost 6 per cent - higher than during the same period in 2018 and the busiest quarter on record.
NSW Health said the early flu season was already being felt as more patients headed to emergency with respiratory illnesses, fever and infections.
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