james gagg

The association between long emergency department stays and inpatient length of stay: a retrospective cohort study | BMC Emergency Medicine | Springer Nature Link. Published today by my residents. Another harm of long ED stays… 1/n link.springer.com/article/10.118…

@mattdiscombe @RCollEM This is the downside of exclusively focusing on four hours. Meanwhile 12 hours from arrival will be ignored and the sick, elderly and mentally ill will continue to fester in corridors and waiting rooms. There was a choice, and political optics won over ethical care

"There's not a lot of privacy or dignity" A nurse-in-charge at the emergency department of the Royal Victoria Hospital speaks to UTV about the daily reality facing patients and staff.

A predictable surge in norovirus is plunging Emergency Departments further into crisis because of a failure to prepare for winter. Our full response to the latest NHS England statistics on seasonal pressures can be found here: rcem.ac.uk/press-release/…

Our statement on the Medical Training (Prioritisation) Bill, which is being debated in the House of Commons today: rcem.ac.uk/press-release/…

Thank you to @age_uk and @BeccyCooper4Lab for hosting an important event in parliament this week on the crisis of corridor care in the NHS. Our Vice President, Dr @jamesgagg, represented RCEM and engaged with MPs, along with health care sector leaders, to raise what our members, their colleagues and our patients are facing in Emergency Departments across the UK. Some took home some important reading - the APPG's report on Corridor Care, which was complied by the College. Have you read it? If not, read it here: rcem.ac.uk/wp-content/upl…

The sickest patients in A&Es across the country are facing long waits for an inpatient bed on a ward. This must change. RCEM Vice President @jamesgagg told @BBCSussex this morning why Emergency Departments are in a year-round crisis, and how it can be fixed.

It’s been brutal out there in many EDs … rcem.ac.uk/press-release/…

@mattdiscombe They may well be dealt with within 4hrs - only a third get admitted to a bed in 4hours, an important distinction.

What's happening in major A&Es only. Less than a third of patients deemed ill enough to require a hospital bed are being dealt with in 4hrs.

Four hours A&E performance dropped to 73.8% in December. But this is better than previous winters (so far), in fairness

🚨 Late‑breaking abstract submissions are now open for RCEM’s Annual Conference 2026! 📍 ICC Birmingham | 28–30 April 2026 Late‑breaking abstracts are designed for brand‑new, high‑impact research findings that emerged after the regular abstract deadline. Researchers with innovative and timely findings are strongly encouraged to apply 🎥 Professor @mattreed73, Chair of the RCEM Research Committee, shares the benefits of submitting a late‑breaking abstract in the video below. 📩 Submit your work here: rcem.ac.uk/flagship/abstr…

The ease in pressure on EDs over the festive period must be replicated throughout the year in order to get the hospital system back on track. That's our key message in response to NHS England’s latest situation report, published today (8 January), which covers 28 December-4 January. They showed that bed occupancy, delayed discharges and ambulance handover times have all degraded significantly. Read our full response here: rcem.ac.uk/press-release/…

🎆✨ Happy New Year from RCEM! 🎉 As we welcome 2026, we want to thank every Emergency Medicine clinician, everyone working in Emergency Departments, and especially those on New Year’s Eve and New Year’s Day shifts. 🙌 Your dedication to patient care, education, and innovation throughout 2025 has been incredible and continues to inspire us. This year, we’ll keep advocating for you, supporting your work, and driving progress for our specialty. 💪 Together, we can make 2026 a year of collaboration, resilience, and positive change in EM. Wishing you a healthy, fulfilling, and successful year ahead! 🌟

Become our next CPD director! Are you passionate about shaping professional development in Emergency Medicine? We’re looking for a dynamic leader to chair our Educational Resources Committee and drive our CPD strategy. Click here to view what's involved: rcem.ac.uk/wp-content/upl… This is an honorary role with expenses covered. Open to all current College members with relevant experience. Don't miss out, apply by 19 January 2026.

'What rating would you give Wes Streeting for how he's approaching this?' Richard and ＠ranvir01 are joined by the President of the Royal College of Emergency Medicine, Dr Ian Higginson, who warns corridor care in NHS hospitals has been alarmingly ”normalised”. The Health Secretary pledged to end corridor care in hospitals in England by the next general election.

“The recent industrial action has distracted from the fact that large parts of the NHS and social care system more or less shut down for several days over Christmas – and this just stores up trouble for the weeks ahead." RCEM President Dr Ian Higginson speaks ahead of the annual shutdown of parts of the health service due to Christmas. Read more here: rcem.ac.uk/press-release/…

Time to be Scrooge. Now the strikes are behind us that-which-shall-not-be-named is about to start … although I don’t hear the same level of concern being expressed …

"So-called ‘corridor care’ can only be stopped in the corridors of power" That's the message we hope MPs will take from the festive greetings cards RCEM has sent every single sitting member in the country. Read more here: rcem.ac.uk/press-release/…

High-sensitivity troponin has transformed MI detection, but front-door loading and unselective testing risk overdiagnosis & missed pathology. Our @EJ_EmergencyMed viewpoint article out today argues for reclaiming clinical reasoning in ED chest pain care journals.lww.com/euro-emergency…

The APPG on Emergency Care’s report on corridor care, complied by The Royal College of Emergency Medicine, contains a raft of recommendations to address the crisis in Emergency Departments. The Health and Social Care Secretary has agreed to meet to discuss the report. Have you read it? If not, read it here: rcem.ac.uk/press-release/… @APPGEmgcyCare @DrRosena

Patients are consulting AI more and more before attending ED. What does the research say, and how should clinicians respond? Some great advice on what to do when this happens. @stemlyns stemlynsblog.org/your-patient-a…