Drop off in A&E attendances worrying. We are open to treat your heart attack, stroke or sepsis. Suspected Covid 19 cases are isolated from 'normal' A&E business and cohorted on our wards. We're still on duty to save your life.

I can't express highly enough how impressive the teamwork at RCHT has been to prepare for the worst whilst hoping for the best.

Music to make us smile. Our friends in Derriford ED showing their talents. And kudos to the Plymouth Uni students for an incredibly professional job mixing the audio and videos. Love this!

Brilliant piece of fly on the wall TV news by Rob Taylor. And so good to see Olga demonstrating the use of lung ultrasound, an investigation she is pioneering Cornwall.

We are deeply saddened to hear that Dr Clifford Mann OBE, NHS National Clinical Advisor for Accident and Emergency Care, has passed away. He will be sorely missed by us all. england.nhs.uk/2021/02/dr-cli…

The emergency medicine residency interview

Should emergency departments move patients to other wards even when there's no bed space available? 🏥 Louella Vaughan assesses the evidence on the ‘continuous flow model’ and argues for further caution before rolling out such a model in the #NHS. nuffieldtrust.org.uk/news-item/shou…

This is Aintree Hospital where sockets have now been installed in the corridors, with signs marking out different bed spaces This is the new normal for hospitals and no one sees it ending any time soon

“I don’t think I heard quite the grasp of the fact that this is a really, really difficult situation” King’s College Hospital CEO Prof Clive Kay tells #BBCLauraK that he doesn’t think PM Rishi Sunak seems to understand the level of problems in the NHS bbc.in/3inz2Vi

Unprecedented? The NHS crisis in emergency care was entirely predictable | The BMJ bmj.com/content/380/bm…

theguardian.com/society/2023/j…. Bit grim, but many of us will recognise this

Where we create capacity matters as we have a mainly hierarchical structure to emergency admissions, with conversion rates between. Make an ED space and offload 2 ambulances before it is the limiting factor. Make a social care bed and offload 200.

Solidarity #doctors

There is a structural problem with Anaesthetics here too (and several others). The requirement to effectively apply twice to progress (at entry and at ST4) as opposed to run through training supports this bottle neck for trainees who have already committed to the speciality.