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"The media is full of pictures of patients in corridors; long queues of ambulances outside EDs and stories of horrific patient experiences: this is seen and experienced by frontline staff every day. It is an appalling situation. Dr Rachel Clarke Shaun Lintern

A real concern here is that when flu season settles people will feel major NHS crisis is over and emphasis for urgent action reduced. It won't be. It isn't the fundamental cause of current emergency. Adrian Boyle Royal College of Emergency Medicine Dr Rachel Clarke Shaun Lintern

Should patients seen in #SDEC #AmbulatoryCare receive #VTE prophylaxis? Our data Warwick Med School OUH show VTE rate in SDEC as high as hospitalised patients. Ability to ambulate does NOT equal reduced VTE risk. SAM Online UK Hospital at Home Society Tim Cooksley authors.elsevier.com/sd/article/S15…

How bad is this year's winter NHS crisis? Well, analysis suggest A&E delays could be causing 50 deaths a day Senior doctors warn of "dangerous" and "degrading" conditions and express frustration that no end is in sight to the annual cycle of chaos

"This was predictable and inevitable given that hospitals were bursting at the seams before quad-demic. Fundamental issue is a continued lack of capacity: a tough flu season must be used as a political excuse for current situation" Tim Cooksley tells Chris Smyth Shaun Lintern

Thoughts and best wishes of SAM Online to AMU nurse, her family and colleagues after this terrible incident. Wishing her a speedy recovery.

"Flu did not cause hospital crisis" "Fundamental issues remain unsolved" "We're going to get into an even worse situation this time next year. That's very difficult to perceive...somehow I feel it will be." Tim Cooksley tells hanna geissler Royal College of Emergency Medicine Adrian Boyle Shelagh Fogarty

The winter A&E crisis became serious in 2013/14 as austerity took hold. Ministers acted too late and did too little. A tragic and avoidable political failure Deaths in corridors and miscarriages in waiting rooms: the NHS’s A&E crisis thetimes.com/article/aca7f0…

Immensely important and harrowing report from The RCN. The appalling harm to patients and the moral injury to teams looking after is intolerable. Disturbingly these incidents are predictably increasing as the number of patients experiencing corridor care continues to rise. Dire.

Really great to see corridor “care” being highlighted as a terrible way to treat patients in national news. Let’s make sure that those patients suffering indignity in make shift cupboards and hastily made “off the clock” areas with little privacy or staffing aren’t missed.

Is it really sensible to have the same person in charge of both the grooming gangs and social care reviews? Any idea that social care investment and reform not pushing down the road is not credible now. David Oliver (also on Blue Sky) Dr Rachel Clarke

Low-risk febrile neutropenia: does combined chemotherapy/immune checkpoint inhibitor necessitate a change in approach? link.springer.com/10.1007/s00520…

It’s official 💫! Jamie MJ Weaver & I will now be co-leading The Christie International Fellowship Programme for Medical Oncology. 🧑‍⚕️We’re happy to have 40+ clinical fellows across various tumour groups, contributing to cancer care & research. Watch the space…more to come 🌏!

My The BMJ piece this week David Oliver: Losing too many NHS hospital beds has been an act of avoidable self-sabotage with predictable consequences bmj.com/content/388/bm…

New missives from the Department of Health and NHS England provide little ‘guidance’ as to how the most dangerous and shameful issues facing Emergency Departments – corridor care and excessive pre-admission waits – are going to be tackled, says RCEM Read Adrian Boyle's

David Oliver: Losing too many NHS hospital beds has been an act of avoidable self-sabotage with predictable consequences bmj.com/content/388/bm…

Shame that this important work was being led by a Minister Andrew Gwynne MP who has a complete disregard for his constituents, decency and the fundamentals of public health.

#ICYMI No sign of winter pressures easing. A&Es bear the brunt of a gridlocked system. Hospitals are running dangerously close to capacity, thousands of people each day remain in hospital when they could go home and the system is grinding to a halt. Full article:

“It's been underinvested in, steadily, for years & years...across governments, across many years — and you have to see it to believe it" Outgoing NHS England chair Richard Meddings talks to Sunday Times Oliver Shah thetimes.com/article/ee6890…

🚨 READ ALL ABOUT IT ▶️ ▶️ ▶️ Decompensated cirrhosis: an update of the #BSG X #BASL admission care bundle, recently published online in the journal! 🚨 Stuart McPherson (Stuart Mcpherson) and colleagues provide an update to the original 2014 bundle, to incorporate recent advances in