A consumer survey of Hutt Hospital A and E department was carried out to determine demographic characteristics of attenders, their reasons for attending the department and the involvement of the GP in emergency care. Relative to population norms, the predominant users were males, aged 15-29 years, and Maoris. Ninety-one percent of attenders were registered with a GP, however 28% of these were not local practices. Out of hours contact with a GP was successful for 69%. Fifty percent of respondents considered the A and E department the most appropriate place for seeking treatment, mainly because of x-ray facilities. Other reasons given for attending were: availability (24%), accessibility (16%). Cost of GP services was a reason in only 9%. The survey indicates a need to educate the public on A and E department functions. General practitioners need to improve the public's perception of their availability and role in emergency service provision.