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The Guardian - UK
The Guardian - UK
Politics

Emergency medicine is in crisis – why is this allowed to continue?

Staff nurses working in the corridor in the Acute Dependency Unit at St George's Hospital in Tooting, south-west London.
‘The compassion and empathy of the nurses saved me.’ Photograph: Victoria Jones/PA

The experience of working in A&E described by Sophie (Patients are dying in A&E corridors – but I’ve seen how things could be different, 11 June) will be familiar to every member of staff working in a UK emergency department. Not only are patients dying on our corridors with no privacy or dignity due to lack of space and hospital beds, but we know that many more will die later as a consequence of their prolonged emergency department stay (More than 1,300 deaths a month in England due to long A&E waits, figures suggest, 8 June).

I have been an emergency physician for more than 30 years during which time the advances in emergency medicine have been life changing, with acute interventions for once untreatable conditions such as stroke and heart attacks now routinely available. Unfortunately despite all of the advances in medical science, in England in 2026, we are now unable to provide even the most basic, humane emergency care. The government appears to be prepared to accept these deaths and when we repeatedly try to raise the alarm we are told NHS performance is improving as there are fewer patients waiting in A&E for more than four hours. However those are the well patients who will go home, while the seriously ill patients wait for up to 48 hours for admission to a bed – something that would have been unimaginable a few years ago. I am amazed on a daily basis by the resilience of the patients and staff in the face of this disaster, but fail to comprehend why this national crisis is allowed to continue.

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