Fantastic to see the updated BSG/BASL decompensated cirrhosis admission bundle in print at FG - practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter fg.bmj.com/content/earl...

"This important data further illustrates the importance of timely acute care and the harm caused from prolonged waits This is a personal tragedy for too many families. It is impossible to over-emphasise that this number will be rising." @acutemed2.bsky.social www.independent.co.uk/news/uk/pati...

“There must be a point where we go beyond analysis and accept that this is a serious problem that needs urgent political action.” RCEM's President responds to ONS research concluding patients who wait in A&E for more than two hours are exposed to an increasing risk of death - tinyurl.com/5fkpp4b6

'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed' Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform https://buff.ly/4j5qNYj

"The reality for patients and staff is corridors full of patients experiencing degrading care, being treated in the backs of ambulances because there is simply no space in hospital, & the immense physical & emotional harm that inevitably results" Dr Tim Cooksley on the appalling NHS winter crisis.

"The reality for patients and staff is corridors full of patients experiencing degrading care The fundamental issue is that there is a continued lack of capacity throughout the year - a tough flu season must not be used as a political excuse for the current situation" www.bbc.co.uk/news/article...

inews.co.uk/news/health/... As Keir Starmer says we are all desperate for a plan the NHS can unite behind. This has some important elements; but for many in NHS this is not it. A coherent co-ordinated whole-system approach that focuses on increasing capacity and workforce is required.

"The media is full of pictures of patients in corridors; long queues of ambulances outside of emergency departments and stories of horrific patient experiences: this is seen and experienced by frontline staff every day. It is an appalling situation."

@bbclaurak.bsky.social importantly quoting @acutemedicine.bsky.social @theguardian.com @andrewgregory.com concern to Wes Streeting this morning "the grave concern is that this fails to recognise that, without emergency care recovery, this elective plan will inevitably and predictably fail".

Another winter of discontent looms for NHS urgent and emergency care www.bmj.com/content/388/...

"The innovative elements of the plan are welcome.. without emergency care recovery, this elective plan will inevitably and predictably fail. The concept of continuing to ringfence elective beds whilst patients are dying, receiving degrading corridor care is immoral" @acutemed2.bsky.social

🚨 Snapsot below from staff struggling tonight. You can see in the West Midlands there are over 180 ambulances stuck at hospitals...114 over an hour. Second image shows waits in York A&E...longest for a bed is over 40hrs

Critical incidents in hospitals up and down country. All services under immense pressure with no light at end of tunnel. Just when we think it can't get worse: it somehow does. Appalling for patients and scandalous entirely predictable situation.

Current pressures are grim. Not sure this type of message helps. Vast majority of people value their health services and only utilise when in need. That vast minority who do ring 999 for a stubbed toe will continue to do so irrespective. Messaging risks influencing wrong group.

General Practice doesn’t fit a marketised model of care, so it’s being killed, & the effects are spilling into the 1 remaining bit of the NHS anyone can access. Cooksley is spot on. The patient-blaming angle (including from government’s NHS director) is idiotic. amp.theguardian.com/society/2024...

Incredible UK A&E healthcare staff will be under immense pressure over the next few weeks. We are resharing our ED Crowding Guidance. It is necessary due to a lack of action from the Government, policymakers and healthcare leaders. rcem.ac.uk/emergency...

Call to arms for Acute Medical Consultants! We need help with ST4 interviews. Please can you let us know if you are able to help. Panel verification – 8th January 2025 – 15th January 2025 Interview – 10th – 14th February 2025 lasepgmdeevents.hee.nhs.uk/events/midla...

We are on the Metro front page and in other media channels today because we have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation". 👇 Links in next post.

At the worst-performing NHS hospitals, 1 in 4 patients have to endure 12 hour waits in A&E after arriving. Long delays are causing thousands of avoidable deaths. Story with @gwjournalism.bsky.social www.thetimes.com/uk/healthcar...

NEW: Acute Med trainees get *30 days a year* of protected self-development time, which will be time-tabled & off-rota SEPARATE to 30 days of SL/year Used for - gaining POCUS compentencies - Pursuing a special skill or sub-speciality interest of their choice - any QI or leadership experience

Many hospitals will undoubtedly fall into critical incidents and patient safety will be compromised the frustration is that this is not unexpected given the longstanding issues with workforce, capacity, community services & a crisis in social care @acutemed2.bsky.social inews.co.uk/news/health/...

"The extra cases of winter viruses...mean many hospitals will fall into critical incidents and patient safety will be compromised – but not as a result of hard-working staff not putting patient safety first but because the hospitals simply cannot cope" @acutemed2.bsky.social @theguardian.com

"The stark reality is not that hospitals and staff on the frontline are manipulating targets, but that they are simply unable to deliver safe care even when trying their utmost to do so given the impossible situations they are in" @acutemed2.bsky.social www.bbc.co.uk/news/article...

Here’s all the Acute Med lot I could find on here - for anyone interested! Will try and keep it up to date :) go.bsky.app/TLGKXzY

Each winter in the past decade has become slightly worse and that trend, which has not been reversed, has resulted in a dire situation that may not yet have reached its nadir. A continuum of often predictable perfect storms has caused a struggling system to reach collapse www.bmj.com/content/384/...

These are desperate times and getting worse. "Review" is stalling nonsense. Solutions are known; but expensive and will take years to deliver recovery. Each year those tough choices are avoided and we have superficial policies and delay (and will ultimately remove) any hope of improvement.

Pressures throughout the system are perfectly and bleakly illustrated in urgent and emergency care where patients experience appalling conditions Extra cases of winter viruses mean many hospitals will fall into critical incidents @acutemed2.bsky.social tells @inews.co.uk inews.co.uk/news/health/...

"It's an ongoing crisis which remains far from being resolved effectively. The extra cases of winter viruses mean many hospitals will fall into critical incidents given the relentless challenges we have faced all year round @acutemed2.bsky.social says. @rcem.bsky.social www.bbc.co.uk/news/article...

The @acutemedicine.bsky.social launched today! If you spend most of your time working in Acute Medicine, please take a few minutes to fill this out: www.surveymonkey.com/r/5737SS8. We're keen to get responses from the whole MDT, and you don't have to be a SAM member to have your voice heard

Any plan that fails to do this is doomed, further increasing the misery of patients waiting prolonged periods for elective procedures and those experiencing appalling overcrowded conditions in emergency care @acutemed2.bsky.social says. @andrewgregory.com @rcem.bsky.social @shaunlintern.bsky.social