Government’s first NHS priority must be to stop emergency crowding – health boss

·1-min read
Staff in the clinical hub of the emergency department at the Royal Alexandra Hospital in Paisley (Jane Barlow/PA) (PA Archive)
Staff in the clinical hub of the emergency department at the Royal Alexandra Hospital in Paisley (Jane Barlow/PA) (PA Archive)

Stopping “dangerous” crowding in emergency departments should be the Government’s number one priority in hospitals as pressures mount on the NHS throughout winter, a health executive has warned.

The Royal College of Emergency Medicine’s chief executive, Gordon Miles issued his warning after a report found thousands of deaths were caused by crowding in emergency departments.

Dr Miles said demand and capacity in emergency care are “severely mismatched”.

“Emergency departments now sustain other parts of the healthcare system and are the first port of call for many patients, despite not always being the most appropriate place to receive care,” he added in a letter to The Sunday Times.

“There is an urgent need to plan for our future healthcare requirements — and eliminating dangerous crowding in emergency departments must be the number one priority.”

The college’s report published days earlier suggests at least 4,519 patients died as a result of crowding and 12-hour stays in A&E departments in England in 2020-2021.

It said the discovery adds to NHS England’s own findings that one in 67 patients staying in the emergency department for 12 hours comes to excess harm.

After its publication, the college called on the Government to publish a long-term workforce plan, including provisions to retain existing staff who are reaching burnout and obtaining new recruits.

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