students from the UK and overseas are often seeking healthcare on their own for the first time in their lives. University practices offer same day surgeries and this means they do not use A&E inappropriately in hours. we can back this up be the number who use it out of hours inappropriately. These are often vulnerable young adults who do not understand the NHS and do not look after themselves properly once they start university. these are not all well healthy young adults and mental health problems affect 25% of them. The changes to funding that is planned is very worrying and will probably ultimatley cost more than it saves.