Ealing Hospital is under fire yet again after being labelled one of the worst performers in the country for urgent and emergency care.
The Healthcare Commission last week released results of a patient survey for emergency care in the UK.
And the Uxbridge Road hospital has been ranked in the bottom league after patients gave it low marks in areas such as the percentage of people seen by a clinician within an hour of arriving at accident and emergency department.
Dilmohan Singh Bhasin, who lives in Southall said: "I'm not surprised at these figures. I took my wife Manmohan to A& E six weeks ago with a severe nosebleed and after four hours we were not seen by one clinician.
"We were actually asked to come back when a consultant would be available. This is just passing the buck."
The hospital trust also got poor scores for the percentage of out-of-hours GP calls which were engaged or abandoned.
Earlier this year, the Healthcare Commission released a survey labelling Ealing Hospital the worst in the country.
A spokesperson for the trust said its A&E department scored well in areas such as seeing patients within the treatment waiting target of four hours.
It also scored well for the quality and safety of its service.
"We recognise that many patients' overall experience of our A&E and the low numbers of patients being treated within an hour of arrival in the department are issues which need to be addressed.
"The reasons for poor returns on these scores probably reflect the fact that our A&E department was designed in the 1970s to treat only a fraction of the 100,000 plus people we see every year."