[PDF] Why does winter in A&E get worse every year?

Royal College of Emergency Medicine - RCEM
Royal College of Emergency Medicine
Publication date:
12 April 2016


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.