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"A&E" was composed as a collaborative effort between Alison Goldfrapp and Will Gregory in 2007 in a recording studio near Somerset, England. Its lyrics were inspired by Goldfrapp's visit to the emergency department of a hospital on a Saturday afternoon.

The doctors "pumped her up with loads of painkillers" and she described the situation as a "bit surreal." According to Goldfrapp, the song is a metaphor for a horrible relationship. The track describes Goldfrapp reflecting on a bad situation which resulted in an "accident and emergency."

The situation made her "feel blue" and at the end of the song she concludes that finally "the pain has started to slip away" even though she admits there might be "pills at work."

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