The Royal College of Emergency Medicine has been
campaigning since June 2013 to improve emergency care in
the A&E departments of the UK.
Key to this has been our STEP campaign – highlighting the
need for sustainable staffing, tariff reform and terms that
support a work-life balance, the eradication of exit block and
primary care co-location.
The rationale for the campaign is predicated
on three key determinants of system
performance – patient demand, hospital
capacity and the rate at which patients
progress through A&E. So we focus on
demand, capacity and flow.
This paper gives an overview of some of the
key data behind the College’s arguments as
seen through the lens of winter.