It's a very broad question. The below article goes some way to explain the main causes of the current A&E crisis. The list is by no means exhaustive, but it should give you the general gist.
http://www.independent.co.uk/news/uk/politics/nhs-explainer-why-are-we-experiencing-an-ae-crisis-now-9961468.html
http://www.independent.co.uk/news/uk/politics/nhs-explainer-why-are-we-experiencing-an-ae-crisis-now-9961468.html
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