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April 2016

14 April - Today we issued press statements on the February 2016 A&E performance figures and our statement on the downgrading of Chorley A&E.

February 2016

23 February - Today we issued a press statement responding to recent appeals from hospitals in England and Wales, in the face of demand pressure, urging patients not to attend A&E unless emergency care is needed

Press Statement Junior Doctors Contract.

January 2016

28 January - Today we launch the CLEAR Campaign; a five point plan to improve emergency mental health care.  Endorsed by the Royal College of Psychiatrists, the five point plan calls for the following five CLEAR steps to be taken: Co-location of Liaison Mental Health Services, Liaison Services 24/7, Education of all ED Staff, Adequate Access for Adolescents, Right Person to the Right Place of Safety. Our press release and campaign information can be found here.

December 2015

22 December - Today we launch two reports on how care can be improved for homeless patients in A&E. Our press release on our work with the Royal College of Physicians and the Faculty of Homeless and Inclusion Health on this issue, along with the reports, can be found here.

18 December - we wish to help disseminate this message from the Department of Health on the Ebola virus.

9 December - We have issued this statement indicating our support for a Department of Health initiative aimed at reducing the harm of people trafficking and modern slavery.

7 December - We have released this position statement with the Royal College of Anaesthetists on Emergency Airway Management.

1 December - We have issued this statement today together with the Royal College of GPs on the urgent care services.

November 2015

College Winter Flow project launched

27 November - We have today launched our Winter Flow Project, looking at system wide pressures impacting upon the emergency care system over the approaching winter. Our initial report can be read here, and the accompanying press statement can be seen here.

NCEPOD report launched - 'Just Say Sepsis!'

24 November - On Tuesday, NCEPOD released their report looking at the management of patients with sepsis. Many RCEM fellows, including the president, Cliff Mann, were involved in the analysis of 551 cases.

The patients were all admitted to hospital and reviewed by a member of the intensive care team.  The report has looked, where possible, at pre-hospital care by the GP or ambulance service, care in the ED, medical receiving unit, wards and intensive care.

The report is hugely relevant to EM as 75% of cases were admitted via the ED, 81% of whom had sepsis, severe sepsis or septic shock during their time in the ED.

10% of patients presenting to the ED had delayed triage and 17.8% had no vital signs recorded in their ED notes.  Early recognition of sepsis is linked to improved survival and therefore early triage and measuring vital signs are key to making an early diagnosis of sepsis and severity – not just at triage but also when assessed by the doctor in the ED.

Only 28.1% of ED patients with sepsis received antibiotics in under an hour of arrival to the ED which is similar to the findings of the RCEM national audit reports.  Worryingly, a third waited longer than 3 hours and 20% longer than 6 hours.

The full report contains much more information, interesting case reports and recommendations for overall improvement in sepsis care and is available at NCEPOD’s website www.ncepod.org.uk

RCEM would also like to draw attention to two documents: ‘SEPSIS – a toolkit for emergency departments’ and ‘Emergency Department management of Paediatric Sepsis’.  They were co-authored with the UK Sepsis Trust and contain practical information on how to identify sepsis patients quickly in the ED without the need to wait for blood tests and therefore enable treatment to be started as soon as possible. They are available here: http://sepsistrust.org/clinical-toolkit/

Response to the proposed industrial action by junior doctors

19 November - We have issued this statement today in relation to the outcome of the junior doctors ballot.

Service of thanksgiving for Dr Beth Christian

10 November - Fellows and Members may wish to know that a service of thanksgiving for the life of Dr Beth Christian will be held in London at 11am on Saturday 5th December at St Barnabas Church, Dulwich.

Beth was an Emergency Medicine Consultant and fellow of the College; she died at the end of 2014.

All who wish to celebrate her life and work are welcome to attend.

The church is on Calton Avenue, Dulwich, SE21 7DG and is a short walk from North Dulwich railway station.

It would be helpful if those planning to attend could email aghobart@gmail.com to assist with planning for likely numbers.

Further information can be found via this link.

RCEM responds to the latest announcements from the Department of Health in relation to junior doctors' contracts

4 November - We have issued this statement in relation to the letter the Health Secretary has sent today to junior doctors, outlining further details of the proposed new junior doctor contracts.

RCEM and Urgent Health UK release joint statement on the need for the co-location of urgent care services with A&E

4 November - We have issued this statement together with Urgent Health UK, making the case for the co-location of urgent care services with Emergency Departments.

October 2015

UPDATED College responds to comments made by NHS Wales Chief Executive regarding A&E patient attendances.

28 October - We have released this updated statement in response to the comments made by the Chief Executive of NHS Wales.

College publishes new report: Exit Block: Hospital Demand Pressures and Delayed Transfers of Care

25 October - We today published our latest report, an analysis of NHS data which sheds light on the impact on A&E department performance of the availability of acute beds and the provision of home-care packages and nursing home placements. The report can be downloaded here.

Press release: the College comments on Monitor's cost assurance programme

23 October - Our statement, outlining that current systems are no longer fit for purpose, and what needs to happen instead, is here.

Message from the Chief Medical Officer - Flu vaccinations

13 October - We would encourage all our Members to be vaccinated against influenza this winter. Please read here a letter received from the Chief Medical Officer, along with a briefing from Public Health England.

Response to Secretary of State's letter to the BMJ Junior Doctors' Committee Chair

8 October 2015 - We have released this statement in reaction to the letter the Secretary of State sent today to the Chair of the Junior Doctors' Committee in relation to junior doctors' contracts.

September 2015

ED Capacity Management Guidance

The Royal College of Emergency Medicine in Scotland today publishes in conjunction with the Scottish Department "Emergency Department Capacity Management Guidance"ED . This guidance proposes the development of a standard operating procedure to avoid crowding by proactively managing capacity in the Emergency Department within the Scottish Governments context of the 6 Essential Actions to Improving Unscheduled Care.

The guidance also includes escalation steps that can be taken when crowding occurs.

To access this document please click here.

To read the accompanying press statement please click here.

RCEM comments on the doctors contract negotiations
The Royal College of Emergency Medicine has been concerned about the progress of the contract negotiations for consultants and junior doctors for some time. We have called for contracts to reflect the pressures faced by those working in high frequency and high intensity specialties, including Emergency Medicine. As a result we co-ordinated a letter to the Secretary of State urging a restart of negotiations and wrote in a similar vein to the British Medical Association. In the interests of transparency and fairness we have published both our letter to the Secretary of State and the Chair of the BMA.

To read this statement please click here.

RCEM President’s speech at the King’s Fund

22 September 2015 – the President of the Royal College of Emergency Medicine today gave a speech at the Kings Fund making the case for other essential services like out-of-hours primary care for urgent conditions, community pharmacy services, community mental health teams, links to palliative care teams and district nursing teams to be co-located with A&Es, to create A&E ‘hubs’.

This approach takes advantage of the power of the A&E ‘brand’, which patients know and trust.

A video explaining the brand and co-location of services is available on the College’s Youtube page here.

The full press release associated with the President’s speech can be read here.

RCEM launches STEP campaign in Wales

16 September 2015 - We are today launching our STEP campaign in Wales, focussing on issues around A&E staffing; terms, working conditions and funding; the problem of Exit Block; and calling for primary care co-location. A copy of the full campaign report, in both English and Welsh, can be found here, and our press release can be found by clicking here.

RCEM responds to article in the Guardian newspaper relating to the number of patients attending A&E who could be treated by a pharmacist

10 September - The Royal College of Emergency Medicine has issued this statement in relation to the article.

Launch of the Royal College of Emergency Medicine's Exit Block animation video

3 September - The Royal College of Emergency Medicine has today launched this animation video summarising the problem of Exit Block and what needs to be done about it.

RCEM statement following the publication of Monitor's report, A&E delays: why did patients wait longer last winter?

3 September - The Royal College of Emergency Medicine has issued this statement welcoming Monitor's report.

RCEM and Care and Support Alliance statement welcoming the publication of NHS England’s Safer, faster, better: good practice in delivering urgent and emergency care guidance report

1 September – The Royal College of Emergency Medicine and the Care and Support Alliance have issued this joint statement welcoming NHS England’s guidance report on patient flow.

July 2015

RCEM statement following final confirmation from the Privy Council of the College's transition to the 'Royal College of Emergency Medicine'

22 July - The Royal College of Emergency Medicine has released this statement in relation to the news that our transition from College to 'Royal College' is now complete.

RCEM President and EuSEM President response to a letter published in the Deutsches Aerzteblatt journal

21 July - The President of the Royal College of Emergency Medicine, Dr Cliff Mann, and the President of the European Society for Emergency Medicine, have written this letter to the Deutches Aerzteblatt journal, in response to a recent article which appeared in the journal.

RCEM Statement on the Secretary of State for Health's speech at the King's Fund

16 July - The Royal College of Emergency Medicine has released this statement in response to the Health Secretary's speech at the King's Fund this morning. The full text of the statement is as follows:

Royal College of Emergency Medicine’s response to the Secretary of State's speech today at the King's Fund

The Royal College of Emergency Medicine welcomes the announcement today that the government intends to negotiate a new contract for hospital doctors recognising the intrinsic unfairness of current contracts for those doctors and specialties that already provide a 7 day service, including evenings, nights and weekends.

The College has campaigned on this issue for more than two years and its argument was accepted by the Secretary of State in Parliament in November 2013. 

Dr Clifford Mann, President of the Royal College of Emergency Medicine said: “Full recruitment and retention into emergency medicine with the consequent savings on locum costs will only occur when employment contracts offer an equitable work life balance for those who undertake to provide direct patient care irrespective of day of week or time of day."

Launch of the Faculty of Physician Associates

2 July - The Royal College of Emergency Medicine has released this statement welcoming the launch of the new Faculty of Physician Associates.

June 2015

Royal College of Anaesthetists, The First Patient Report of the National Emergency laparotomy Audit (NELA)

30 June -
The Royal College of Emergency Medicine has released this statementin support of this report published by the Royal College of Anaesthetists.

Launch of the College's A&E Fact Sheet for England

23 June - The Royal College of Emergency Medicine is today launching its A&E Fact Sheet for England, along with a video, The Facts about A&E, at a reception in the House of Commons. Full details can be found here.

Press release - NHS England asks NICE to suspend its safe staffing programme

5 June 2015 - The Royal College of Emergency Medicine has released this statement in relation to the news that NHS England has asked NICE to suspend its safe staffing programme.

Press release - Changes to reporting of the four hour standard

4 June 2015 - The Royal College of Emergency Medicine has released this statement in relation to the announcement today by NHS England that the four hour standard for A&Es will now be reported on a monthly basis.

Time to Act: Urgent Care and A&E - the patient perspective

3 June 2015The Royal College of Emergency and the Patients Association are today releasing their joint report, Time to Act - Urgent Care and A&E - the patient perspective. The report can be read here, and the associated press release is here.

Press release - The Royal College of Emergency Medicine has this press statement in response to The Nuffield Trust report on Health and Social Care Priorities for the Government 2015-2020.

May 2015

Press release - National Clinical Audit Results

29 May 2015 - The Royal College of Emergency Medicine has issued these press statements in relation to the 2014/15 national clinical audit results:

Press release - A&E Inquiry Findings Published by the Northern Ireland Human Rights Commission

28 May 2015 - The Royal College of Emergency Medicine has issued this press statement in relation to the publication yesterday of the findings of NIHRC's inquiry into A&E.

Press release - Formation of a new government

20 May 2015 - The Royal College of Emergency Medicine has this press statement following the formation of a new government.

Press release - Scotland government's new action plan for Emergency Departments

13 May 2015 - The Royal College of Emergency Medicine in Scotland welcomes the announcement today by the Scottish government of a new action plan, featuring six essential actions to be taken, to deal with the challenges facing Scotland’s Emergency Departments. Read our press statement here.

Press release - RCEM President's appearance on BBC1's the One Show, 5 May 2015

5 May 2015 - RCEM President Dr Cliff Mann will tonight be appearing on BBC1's the One Show. Full details are on our statement here.

March 2015

Press release - Extraordinary General Meeting of Members called for 21 May 2015

27 March 2015 - This meeting has been called as the College wishes to make amendments to both the Charter and Ordinances to reflect the grant of permission by the Sovereign to re-name the College "The Royal College of Emergency Medicine". Click here for the full press release.

The STEP Campaign Scotland

24 March 2015 - The Royal College of Emergency Medicine today launches its STEP campaign in Scotland. We have been calling for action to address the significant challenges facing Scotland’s Emergency Departments (EDs), and whilst some important progress has been made, much work remains to be done to provide the safe and quality service that our patients require, and to which we aspire. To rebuild the Emergency Medicine service the College is calling for four steps to be taken. Staffing levels must be safe and sustainable, terms, working conditions, and funding should be fair and effective, exit block and overcrowding must be tackled and primary care facilities should be co-located with ED services

The College urges the Scottish Government, politicians and NHS leaders to work together to take the four steps needed to rebuild emergency care.  To read the campaign please click here.

Download the press release here.

February 2015

Exit Block in Emergency Departments - 6 month review

13 February 2015 - This winter, performance against the 4 hour standard has deteriorated across all four nations of the UK. This means Exit Block has worsened. In September 2014, we launched our Exit Block campaign.  Six months on, with the recent winter pressures and increasing A&E attendances, we are reaffirming our commitment to this issue.

This new report brings together the latest research on crowding and Exit Block in EDs, including national statistics on the impact of Exit Block, alongside personal accounts from A&E consultants of the impact of crowding and Exit Block in their departments. The launch of our report comes just after the Secretary of State for Health, Rt. Hon. Jeremy Hunt MP,  announced the UK government’s plans to reduce the number of avoidable deaths in the NHS. Tackling exit block must be part of this initiative as it accounts for hundreds of deaths per year.

To read this report please click here

Royal Title for the Royal College of Emergency Medicine

5 February 2015 - The College is delighted to announce that it has been granted the title ‘Royal’. The College will now be known as ‘The Royal College of Emergency Medicine’. Please read the press release here for further details.


RCEM Statements to April 2015

2015

Press release - Extraordinary General Meeting of Members called for 21 May 2015

This meeting has been called as the College wishes to make amendments to both the Charter and Ordinances to reflect the grant of permission by the Sovereign to re-name the College "The Royal College of Emergency Medicine". To read the full press release please click here.

Press release - The STEP Campaign Scotland

The Royal College of Emergency Medicine today launches its STEP campaign in Scotland. We have been calling for action to address the significant challenges facing Scotland’s Emergency Departments (EDs), and whilst some important progress has been made, much work remains to be done to provide the safe and quality service that our patients require, and to which we aspire. To rebuild the Emergency Medicine service the College is calling for four steps to be taken. Staffing levels must be safe and sustainable, terms, working conditions, and funding should be fair and effective, exit block and overcrowding must be tackled and primary care facilities should be co-located with ED services

The College urges the Scottish Government, politicians and NHS leaders to work together to take the four steps needed to rebuild emergency care.  To read the campaign please click here.

Download the press release 


Press release - Leicester Hospitals' campaign - Everybody Counts

The College has issued a statement supporting and promoting a campaign and video by Leicester Hospitals to deal with the problem of Exit Block. The full statement is here.


Press release - NHS Resilience planning for early 2015/16 - 
Press statement - NHS Resiliance


Press release - Publication of the Nuffield Trust's report, What's Behind the A&E Crisis? - 
Press Statement - Nuffield Trust report


Press release - 
RCGP report, The Future of GP Out of Hours Care

The College has issued a statement welcoming the report by the Royal College of General Practitioners, The Future of GP out of Hours Care. Read our statement here.


Press release - reform of the marginal tariff

The College has issued a press statement this morning welcoming the announcement by NHS England and Monitor in which the marginal tariff is revised from 30% to 70%. Read our full statement here.


Press release - Exit Block in Emergency Departments - 6 month review

This winter, performance against the 4 hour standard has deteriorated across all four nations of the UK. This means Exit Block has worsened. In September 2014, we launched our Exit Block campaign.  Six months on, with the recent winter pressures and increasing A&E attendances, we are reaffirming our commitment to this issue.

This new report brings together the latest research on crowding and Exit Block in EDs, including national statistics on the impact of Exit Block, alongside personal accounts from A&E consultants of the impact of crowding and Exit Block in their departments. The launch of our report comes just after the Secretary of State for Health, Rt. Hon. Jeremy Hunt MP,  announced the UK government’s plans to reduce the number of avoidable deaths in the NHS. Tackling exit block must be part of this initiative as it accounts for hundreds of deaths per year.

Please read the press release here

To read the report please click here

Press release - Royal Title for the Royal College of Emergency Medicine

The College is delighted to announce that it has been granted the title ‘Royal’. The College will now be known as ‘The Royal College of Emergency Medicine’. Please read the press release here for further details.

Press release - House of Commons Select Committee report

Click here to read the College's press release following a report by the House of Commons Public Accounts Committee,Financial Sustainability of NHS Bodies, which covers funding arrangements for emergency care.

Press release - Reduction in the use of police cells for people suffering a mental health crisis

The College has released this press release regarding measures to reduce the use of police cells for people suffering a mental health crisis.

Press release - Time to Act - the view from the front line - 6 January 2015

The College of Emergency Medicine has released this press statement regarding the significant pressures A&E departments continue to face across the country.

Archived News

News and statements from the College pre-2015 can be found here.