🏥 It's important to assess for both #frailty & #delirium at the front door. 📕 Study: Clinical Frailty Scale (CFS) & 4AT have complementary value in predicting hospital admission in older #ED patients 🔗 sciencedirect.com/science/articl… #CFS #4AT

thetimes.com/uk/healthcare/… 12 hours stays (from time of arrival) must have the same attention as four hours. This is where the harm is ☹️

Awesome night seeing Slipknot last night.

Just finished watching the 2nd best Christmas movie (Elf) and am now watching the absolute best Christmas movie (Muppets Christmas Carol).

Little Owl, incoming 🚀 #wildlifephotography

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-depa…

The issue is flow. Always flow. 12 hour+ waits for an inpatient bed. Medical and surgical ward rounds in the emergency department. Not normal. Not good for patients. Not good for staff.

That’s my NYE outfit sorted!

3 in a shift?! Looking more like 3 an hour for many of us. Flu EVERYWHERE right now.

This new year will definitely be the one in which I lose weight, exercise more, eat better, drink less, keep up with a skincare routine, keep on top of my emails & my appraisal portfolio, keep the house organised, spend less & stick with my hobbies. No really it will…

People that understand tax (ie not me), does the earnings for the year April to April include what you *earned* or what you were actually *paid*? Eg the bit I earned before the April cut off wasn’t paid until the end of April, is it included? (No P60 as I left end of March).

"How has this been allowed to happen again?": RCEM President demands answers as winter crisis deepens. With hospitals declaring critical incidents due to flu surges, staff sickness, and high patient numbers, we call for urgent action to prevent further harm. Read in full:

We have joined with The RCN and others in writing to Wes Streeting to ask him to compel NHSE to routinely publish ‘corridor care’ data. Only then will the true scale of the issue, and the associated risk it creates, be known.

Following the College’s Council meeting this morning we are pleased to announce that Dr Ian Higginson Ian Higginson 🌈 has been appointed as the next President of RCEM.  For now he is President Elect, and will officially take over from Dr Adrian Boyle Adrian Boyle after our AGM in

Yep, that’s me done. I’m out. Thanks Twitter (def not X), it’s been emotional. See you all over on Blue Sky.

Data continues to show overcrowding in UK EDs. Despite 100s of associated deaths each week still not seeing evidence it’s up there as a priority across all 4 nations. Unambitious plans have failed. Will the new 10 year plan show more commitment to actually get to grips with it?

EMCEF Belfast 28-29th March: Day 1 CPD, day 2 skills & procedure workshops. Only £55 a day or £80 for both. Bargain price to hear some brilliant EM speakers (& me!). emcef.com/emcef-49---emc…

This is for anyone writing a policy document on UK emergency care. 1. How does it help an older person on a trolley in a corridor at 2am on Sat morning? 2. How does it help a person in MH crisis needing admission on day 2? If it doesn’t, start again.