Time to stop the term 'Virtual Wards' - patients and their families find it confusing (as do clinicians). Hospital at Home describes what we do, links to a global evidence base and a world wide network of clinicians, researchers and societies who all use 'Hospital at Home'

It’s less than 6 weeks until SAMBrighton, on 10-11 October. Great programme, fabulous speakers, wonderful chance to spend time with your acute medicine friends. 12+ CPD. points More info and registration sambrighton.org

Many agree with diagnosis. At heart demand exceeded capacity for too long. Investment at heart of any recovery. No sign that on way. Without situation will remain dire. Degrading care and harm to patients. Blame will soon shift. bbc.co.uk/news/articles/…

Dr Nick Murch, president of the Society for Acute Medicine, said the new NHS figures "demonstrate the scale of the short-term challenge" news.sky.com/story/sir-keir…

Antihypertensive therapy in hypertensive ED headache patients is associated with *increased* hospital admission AND ED length of stay, but *no* difference in headache pain levels This issue of Acute Medicine Journal ⤵️

“Acute Medicine research has a vital role in improving NHS care; scope for collaboration with general physicians through Royal College of Physicians” Super talks & great discussion - pleasure to take part. Thanks for invite #SAMBrighton SAM Online Tim Cooksley Vicky Komrower/Price. now [email protected] Liz Sapey

At the heart of this appalling new normal is a system where demand continues to exceed capacity. No hospital can ‘play ball’ whilst functioning at 100% capacity We are hurtling into months of chaos as this winter will be a new terrifying nadir Tim Cooksley inews.co.uk/news/health/pe…

SAM Pres Nick Murch - uptick in flu cases already being "felt in urgent and emergency care where delayed assessment...and degrading corridor care is continuing" Royal College of Emergency Medicine Adrian Boyle telegraph.co.uk/news/2024/11/3…

SAM have launched their SAM survey. PLEASE can all people who work the majority of their clinical time in acute medicine complete this - you do NOT have to be a SAM member. surveymonkey.com/r/5737SS8

"Despite the positive rhetoric around tackling waiting lists, our concern is that the government continues to avoid acknowledging overtly that there will be no elective recovery without emergency care recovery” says SAM immediate past president Tim Cooksley bbc.co.uk/news/articles/…

"The extra cases of winter viruses... mean many hospitals will fall into critical incidents and patient safety will be compromised - not as result of hard working staff not putting it first but because hospitals simply cannot cope" Tim Cooksley tells The i Paper

There is insufficient workforce and capacity to meet the demands of an increasingly ageing population...with simply no resilience to cope with any excess strain. The sooner the Government acknowledges this reality and need to find social care - the better for everyone Tim Cooksley

Another winter of discontent looms for NHS urgent and emergency care bmj.com/content/388/bm… As the crisis deepens, the solutions take more time and resources to implement; neither of which are politically desirable. However, this is the stark reality that needs to be accepted.

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, including social care, that focuses on increasing capacity and workforce is required

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

A real concern here is that when flu season settles people will feel major NHS crisis is over and emphasis for urgent action reduced. It won't be. It isn't the fundamental cause of current emergency. Adrian Boyle Royal College of Emergency Medicine Dr Rachel Clarke Shaun Lintern

💬 ‘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 in Manchester, tells Paul Gallagher the Prime Minister risks an ‘eternal crisis’ in the NHS without urgent reform trib.al/fWhyQam

“These findings, while shocking, are not unexpected. The issue of corridor care is one we, and many others, have raised consistently over recent years — not just months” - Dr Nick Murch, president of SAM, on Royal College of Physicians snapshot survey on corridor care dailymail.co.uk/health/article…

Editorial Update. We thank Dr. Tim Cooksley for his exceptional leadership of the Acute Medicine Journal. We now welcome Dr. Ascanio Tridente as our new Editor – a leader in acute & critical care, research & innovation. Read more 👉 f064t.r.bh.d.sendibt3.com/mk/mr/sh/1t6AV… #AcuteMedicine

“This situation, where over a million older patients are known to have endured prolonged periods of over 12 hours in EDs, frequently in unsuitable and undignified settings such as corridors, is a matter of grave concern” says SAM president Dr Nick Murch theguardian.com/society/2025/m…