Adrian Boyle @RCEMpresident Twitter profile

Last Seen Profiles

@Hellsing4L

@zumbipacas1

@NicolaF93495

@AktivWinti

@CAMERAonCampus

@GiraffeCyclist

@stevie_mckenna

@YukinoseKumochi

@AlixOldfield2

@44DCoordinator

@omanpo_miIk

@FoundersMin

@Kamran_Mast1

@RIHI10_

@nana_partizan

@HanoverHussy

@JimScalpert

@Missyts1159899

@xrio_shirakawa_

@TheFarmSoftball

@Mikfinoallafine

@BauerHockey

@enhasoshi

@makotokiryuu

@FunkusMonkus69

@TheLTDA

@AndyRil72799936

@pocomi_chi

@GoldFish_96

@RalphLauren

@SerenaMaeve

@Franchesca28388

@vantaekimm

@Guyer_Soccer

@mentedovilaoo

@Takkar_Rt

Adrian Boyle

@RCEMpresident

1 year

Thank you @RishiSunak , @SteveBarclay @willquince and @Helen_Whately for inviting @RCollEM to this meeting. We are pleased that emergency care is recognised as a priority. This is fixable.

125

83

880

Adrian Boyle

@RCEMpresident

3 years

For EM/ Acute care staff- A simple guide to the initial assessment of patients concerned about symptoms and the AZ vaccine. Huge thanks to ⁦ @Sue_Pavord ⁩, ⁦ @bhwords ⁩ and the EHP for a speedy helpful response. Will get link once on the website ⁦ @RCollEM ⁩

24

461

771

Adrian Boyle

@RCEMpresident

3 years

I am so saddened by the death of our past President Dr Cliff Mann. His passing is a huge loss to EM and the NHS. Our thoughts are with his family and Taunton colleagues. His charm, integrity and way with a simile will be remembered forever. @RCollEM

30

78

631

Adrian Boyle

@RCEMpresident

1 year

Sorry to see another band 7 EM nurse leave. The cake says it all

4

90

611

Adrian Boyle

@RCEMpresident

1 year

This is not inevitable. We knew flu was coming, we knew we didn't have enough beds, we knew too many people are in hospital awaiting social care and we knew we didn't have enough staff. Go figure 🤷‍♂️

Winter set to be worst ever for A&E waits, health leaders warn

Demand for hospitals driven by winter illness means the NHS is being "pressurised like never before".

www.bbc.co.uk

17

202

602

Adrian Boyle

@RCEMpresident

3 years

Today is the funeral service for Dr Cliff Mann our ex President All our thoughts are with his wife Rhona, daughters Rebecca and Grace along with his other family, friends and colleagues at Musgrove Park Hospital. RCEM and the EM world has lost one of the greats ⁦ @RCollEM ⁩

10

85

589

Adrian Boyle

@RCEMpresident

2 years

@RCollEM I am finding it increasingly difficult to accept the lack of focus on the health care crisis that is Emergency care. Ambulance delays, patients held in ambulances, trolley stays & corridor care is becoming normalised in a truly shocking way. We must & should do better. @RCollEM

18

210

562

Adrian Boyle

@RCEMpresident

4 years

Manjeet was the Lead examiner for our Fellowship exam. He put so much into his role and there are so many trainees and now Consultants who benefited from his support. The specialty, his team and RCEM will miss him very much @RCollEM @UHDBTrust @RCEMdean @EmilyBeet1

University Hospitals of Derby and Burton NHS FT

@UHDBTrust

4 years

It is with deep sadness that we share the news that we've lost a colleague. Mr Manjeet Singh Riyat was a hugely respected Emergency Consultant at Royal Derby Hospital

666

2K

9K

17

101

407

Adrian Boyle

@RCEMpresident

3 months

Damn. Perils of cycling on gritty roads. Will be out of action for bit. Care has been excellent at @CUH_NHS though none of my colleagues wanted to do the FIB block and debated orthogeriatric referral 😳

283

11

402

Adrian Boyle

@RCEMpresident

1 year

Unprecedented? The NHS crisis in emergency care was entirely predictable | The BMJ

Unprecedented? The NHS crisis in emergency care was entirely predictable

The problems in emergency care are fixable, but it requires political will and investment, writes Adrian Boyle The past decade has seen progressively more severe winter crises in the NHS. This winter...

www.bmj.com

12

164

375

Adrian Boyle

@RCEMpresident

2 months

Yep

11

93

344

Adrian Boyle

@RCEMpresident

3 years

Thank you for all the lovely messages. Very pleased indeed. This is very much Team EM recognition. Thank you to everyone in emergency care who has been working tirelessly over the last year.

Royal College of Emergency Medicine

@RCollEM

3 years

A huge congratulations to @RCEMpresident , who has been awarded an MBE in the Queen's Birthday Honours list for services to Emergency Medicine during the pandemic.

26

36

264

47

21

328

Adrian Boyle

@RCEMpresident

4 years

We have put out a statement today because we cannot return to crowded Emergency departments and corridor care. Has always been bad for patients but Covid-19 makes it an unacceptable risk for patients and staff @RCollEM

Royal College of Emergency Medicine

@RCollEM

4 years

“Going back to how we used to operate is not an option – patients will die if we do." @RCEMPresident on our latest position statement ‘ #COVID19 : Resetting Emergency Department Care’

7

179

279

11

139

324

Adrian Boyle

@RCEMpresident

1 year

Clinical today. A welcome and unexpected reprieve from crowding and exit block. The clinicians were able to look after sick people promptly in proper clinical areas. The effect on staff morale has been immediate

12

25

315

Adrian Boyle

@RCEMpresident

11 months

Today is Emergency Medicine day. Thank you to all the clinicians looking after patients today. It’s a tough career, and not for the faint hearted, but always interesting and rewarding. I couldn’t imagine doing anything else

5

81

310

Adrian Boyle

@RCEMpresident

2 years

Thank you to everyone working. Lights always on…

5

53

285

Adrian Boyle

@RCEMpresident

4 years

There is significant unmet need in acute psychiatry services. Building up & EDs struggling. This tracking screen of an ED shows a unique situation for any specialty - represents 40+% of cubicles New needs, unmet needs & lack of community F2F ⁦ @rcpsych ⁩ ⁦ @RCollEM

11

97

282

Adrian Boyle

@RCEMpresident

4 years

Thank you to all the doctors rotating out of EM this August. You have worked with us in extraordinary times which we will all remember forever. 💙🏅And welcome to all our new trainees - new to EM or new to our departments. Interesting times ahead. @RCEMLearning here to support.

3

69

259

Adrian Boyle

@RCEMpresident

11 months

Few people outside EM understand what actually happens. Poor understanding leads to poor decisions. A Sankey chart is an excellent way of quickly communicating the complexity and effectiveness of an ED. This is my ED in 2021.. #resusciateemergencycare #ICEM2023

14

79

251

Adrian Boyle

@RCEMpresident

9 years

The Telegraph have published my letter. I append the full text here http://t.co/leBmEGvxOW

16

379

246

Adrian Boyle

@RCEMpresident

2 months

@LawrenceDunhill 1. It's really depressing that the focus is on 76%. This will inevitably focus effort on the 'quick wins' and discharged patients. Meanwhile there is deafening silence about the utterly miserable 12 hour (from time of arrival) stays.

4

84

235

Adrian Boyle

@RCEMpresident

1 year

Thank you to everyone working in Emergency Medicine today (and our friends working before hospital and after ED) Was planning to be alongside you, but double lined a Covid test.

11

4

228

Adrian Boyle

@RCEMpresident

2 years

@NuffieldTrust @DrLKVaughan 1/n Let's grab a cuppa and chew over this. First off, patients in emergency departments are experiencing very long stays, at a scale that is much worse than we've ever seen. There were more 12 hour (from decision to admit) waits in Sept 22 than ever before.

6

127

221

Adrian Boyle

@RCEMpresident

4 years

We need senior management teams to have effective escalation plans to prevent crowding & nosocomial infection in our EDs & MAUs You cannot social distance in a corridor & we must offload ambulances. Flow thro’ NOT warehousing @NHSProviders @NHSEnglandNMD @AoMRC @acutemedicine

Royal College of Emergency Medicine

@RCollEM

4 years

As attendances at EDs continue to rise, we’re beginning to see a return to crowding. Read our latest guidance on what to do if your ED is becoming crowded again after the initial COVID period here:

8

162

245

6

119

221

Adrian Boyle

@RCEMpresident

3 years

As we in the UK are feeling more optimistic about the Covid pandemic, many of our staff must be deeply worried about relatives & friends in India. We must all acknowledge colleagues anxieties & concern & show sensitivity & support. @RCollEM #RCEMempower @BAPIOUK @EMTAcommittee

4

43

215

Adrian Boyle

@RCEMpresident

3 months

3 weeks after the hip and clavicle fracture, convalescence is going well. I’ve always admired the work of TARN but never thought I’d end up on the database. I’ve had so many lovely messages from inside and outside the EM world, 🙏

30

5

206

Adrian Boyle

@RCEMpresident

6 months

Extraordinary attempt to break the world record for CPR training in Hyderabad today, over 2200 candidates. It’s a glorious way to start an EM Conference. Hats off to the Society for Emergency Medicine in India SEMI #EMCON

4

38

205

Adrian Boyle

@RCEMpresident

1 year

@KirstyChallen @Microbedoc2 A typical year in a typical ED.....

9

59

204

Adrian Boyle

@RCEMpresident

10 months

@theipaper Unworkable, ineffective and possibly discriminatory. I wouldn't tell the media how psychiatrists or GPs should run their service. Not sure why @MaxPemberton thinks he can comment on EM 🤨

6

20

198

Adrian Boyle

@RCEMpresident

7 months

Big shout out to all the SAS doctors working in EM. You really are an essential part of our departments, quietly going about your business, thank you! #SASWeek23

2

48

198

Adrian Boyle

@RCEMpresident

3 years

Ambulances not able to offload create ‘second victims’- patients still at home needing an ambulance to get the care they need. Why the queue? Because the ED has no place to put new pts. Why ? Because the dept is full of patients needing ward beds. Exit block dangerous @RCollEM

Paul Kerr

@pkthinks1

3 years

@mlchealth @BBCNewsNI Dreadful crowding #EM causing shocking ambulance waits not confined to one Trust, patients in some units waiting over 2 days for admission today, COVID patients an added pressure, but we need Beds #capacity to move the patients to and nurses to care for them #manpower @healthdpt

1

8

38

8

73

194

Adrian Boyle

@RCEMpresident

4 months

Wishing a happy Christmas to everyone looking after patients in Emergency Departments today. You are providing a valuable service to your community. Thank you 🙏

5

14

191

Adrian Boyle

@RCEMpresident

6 years

Many many congrats Cliff @DrCJM OBE. Much deserved for all your excellent work for @RCollEM

11

43

186

Adrian Boyle

@RCEMpresident

4 years

As hospitals start work on getting services reopened we need speedy consideration as to how we keep patients and staff safe in EDs. Crowding and corridor care incompatible with IPC considerations (as well as there being all the other harms we pointed out pre Covid!!) @RCollEM

Royal College of Emergency Medicine

@RCollEM

4 years

“We can’t have people having to social distance at Tesco but in the ED waiting room being packed up against people because there is nowhere to sit.” @RCEMPresident in @HSJnews about the importance of preventing ED overcrowding in the fight against #COVID19

0

145

215

2

81

186

Adrian Boyle

@RCEMpresident

3 years

Exit block - patients stuck in the Emergency department waiting for a bed is what is crippling our EDs and leading to ambulance offload problems. 12 hours stays highest ever. We need beds for new patients so social care needs additional support so timely safe discharge possible

Irfan

@dr_irfan_malik

3 years

Thanks for these comments @KatherineRCEM

0

2

14

2

62

183

Adrian Boyle

@RCEMpresident

3 years

New Year Day run checking the physical home of RCEM still here! 2021 will & should bring many changes. Thank you to everyone for working so hard in emergency care. We are proud of how we have adapted & value collaborating with others to get the best for patients ⁦ @RCollEM ⁩

7

8

183

Adrian Boyle

@RCEMpresident

3 years

No ED wants to leave ambulance patients outside. It happens because there is nowhere for the pt. Most often due pts still in the department waiting for a bed-because not enough beds & not enough community capacity for discharges - a whole system failure - exit block @RCollEM

Sean McGovern

@smcg600

3 years

I have not seen the letter. NIAS waits outside ED's is a red flag symptom of a whole system in distress and this cannot be dealt with in isolation. ED's are overcrowded due to prolonged waits of patients waiting admission and not patients who are inappropriately using the ED !

6

19

89

3

51

178

Adrian Boyle

@RCEMpresident

3 years

RCEM recognises the need to offload patients so that they can get care & the ambulance can get back out to help others There must be similar focus on ‘offloading’ EDs - exit block crippling our ability to function safely. ⁦⁦⁦ @RCollEM ⁩ ⁦

Ambulance waiting times in parts of England 'off the scale'

Data leaked to BBC News shows a rise in the number of hours before patients are offloaded.

www.bbc.co.uk

4

67

168

Adrian Boyle

@RCEMpresident

5 years

Crowding in ED corridors causes: 1. ⬆️mortality 2.⬆️morbid 3.⬇️patient dignity 4.delays to analgesia 5.delays to assessment 6.delays to treatment 7.⬆️complaints 8.⬆️litigation& institutional harm 9. ⬆️staff attrition &harm 10. ⬆️⬆️harm to our NHS #nhslongtermplan Please fix it!

2

119

165

Adrian Boyle

@RCEMpresident

1 year

RCEM’s patient advocacy continues. Pleased that problems in Emergency Care are recognised at the highest level. This is a fixable problem @RCollEM @RCEM_VP

4

27

167

Adrian Boyle

@RCEMpresident

4 years

‘Stay home, save lives’ is the core message but it is really important that people with potentially serious conditions still access healthcare. @RCollEM @RCPCHPresident @RCPLondon

Ian Higginson 🌈

@RCEM_VP

4 years

EDs are still open for serious illness and injury as well as COVID. Don’t be frightened to come in. We’ve got this. #EDhereforyou @RCEMpresident @RCollEM @RCEMPolicyVP @VP_Scot_RCEM @VP_NI_RCEM @UHP_NHS

20

268

682

1

124

166

Adrian Boyle

@RCEMpresident

4 years

Nurse begs hospital bosses to 'see for themselves how unsafe it is' | ⁦ @RCollEM ⁩ - crowding & it’s disgraceful outcome -corridor care is our number 1 concern. It is dangerous & demoralising for everyone & just not right ⁦ @RCEMPolicyVP ⁩

4

79

159

Adrian Boyle

@RCEMpresident

4 years

The impact of Covid is felt most in deprived communities. The most deprived 10% use A&E twice as much as the less deprived 10%. We must use the spotlight of Covid to address health inequalities - including access to care. @RCollEM @RCPLondon

BBC Newsnight

@BBCNewsnight

4 years

“[ #Covid19 ] is going to have an impact for a very, very long time.” @RCollEM President @KatherineRCEM tells #Newsnight “we don’t know what the next months are going to hold... we are going to have to keep managing patients as though they have the potential to be carrying Covid”

3

42

60

3

72

156

Adrian Boyle

@RCEMpresident

29 days

There's been a bit of recent interest in long Emergency Department stays and risk of mortality. NHSE and DHSC have been trying to reduce the problems in Emergency Department with their Recovery Plan and the recently released Planning Guidance. So how's it going? a 🧵

4

103

149

Adrian Boyle

@RCEMpresident

4 years

Happy Christmas to all the EM teams out there working today @RCollEM

3

25

142

Adrian Boyle

@RCEMpresident

4 years

Emergency Medicine teams up & down the country are working incredibly hard to cope with demand. We have become everyone’s safety net- we can never say we are full. But we are not a political football nor are we ‘ Casualty’ @CNagpaul PLEASE get our name right - ED or A&E @RCollEM

The BMA

@TheBMA

5 years

Responding to news that the Prime Minister is taking urgent steps to head off winter pressures in the NHS, @CNagpaul says it ‘shouldn’t take a general election to take stock of how bad the situation’s become’, warning of an unprecedented crisis this winter

4

94

114

5

54

144

Adrian Boyle

@RCEMpresident

3 years

Patient safety is compromised by clinicians working in crowded departments with too few staff. Doctor staffing will improve in August but our nursing teams are exhausted. @RCollEM

Shaun Lintern

@ShaunLintern

3 years

Watchdog warns ‘exceptional’ summer pressure on the NHS is affecting patient care

2

68

97

10

50

142

Adrian Boyle

@RCEMpresident

2 months

. Hmm, I doubt alcohol is a leading cause of long stays in our emergency departments. Lack of inpatient beds and failure to reform social care might be more of a problem? But these cost, whereas blaming the intoxicated public is free

Mark Drakeford blames drunks for missed A&E target in Wales

The outgoing first minister says "many people" in hospital are there because they have drunk too much.

www.bbc.com

9

36

142

Adrian Boyle

@RCEMpresident

9 years

Great letter in the telegraph today from doctors in training http://t.co/6YtGRrwHki

3

251

139

Adrian Boyle

@RCEMpresident

2 years

Just a reminder of what we have said and still say. @RCEMPolicyVP @RCollEM

Irfan

@dr_irfan_malik

3 years

President of the Royal College of Emergency Medicine Dr Katherine Henderson clarifies that it is the sickest, most vulnerable, ambulance bound patients requiring admissions that have the most impact on A&Es rather than those unable to get face to face appointments with their GP

11

173

485

3

48

141

Adrian Boyle

@RCEMpresident

1 year

Thank you for covering this. I seriously doubt this pressure and crowding is confined to Liverpool, this is an emerging and avoidable public health crisis.

Liam Thorp

@LiamThorpECHO

1 year

In an A and E department of a Liverpool hospital, people are lying in pain on the floor, waiting hours to be seen by a doctor This is a daily reality of the NHS crisis (thread)

695

5K

10K

9

44

141

Adrian Boyle

@RCEMpresident

6 years

Top tips for keeping the team happy. Functions of a team leader on night shift at the Trauma centre - choc, Jaffa cakes, biscuits and fruit +++

8

20

138

Adrian Boyle

@RCEMpresident

6 years

Delighted to be visiting No10 again to make the case for emergency care @RCollEM #RCEMsolutions

3

27

139

Adrian Boyle

@RCEMpresident

3 years

Crowding occurs because of ‘exit block’ - we struggle to offload ambulances if we have no space, we have no space because there is no flow to the wards. Occupancy data hides the complexity of the current situation e.g. red & green beds mean less usable capacity. @RCollEM

Royal College of Emergency Medicine

@RCollEM

3 years

Yesterday we asked MPs to consider overcrowding in EDs before casting their vote on the #TierSystem tonight. THIS is the reality across the country 👇 Empty hospitals do not have long ambulance queues like this, waiting to offload patients.

6

104

291

5

47

136

Adrian Boyle

@RCEMpresident

6 years

Today been an imp day for @RCollEM -signif number of EM CDs (68!) in Eng& Wales wrote to @theresa_may to express their extreme concern re safety in our EDs. V pleased to speak on behalf all our colleagues in ED -messages clear &constructive #RCEMsolutions @BBCNewsnight tonite

Royal College of Emergency Medicine

@RCollEM

6 years

“Our emergency departments are not just under pressure, but in a state of emergency. This is not just business as usual and these figures make clear the scale of the situation." Our response to today's performance figures.

2

210

159

7

93

132

Adrian Boyle

@RCEMpresident

6 years

We are facing biggest challenges to practice safely in our EDs ever in this century. Not of our making but due tothe chronic downward spiral of cuts to NHS funding.We will pull thru this because of passion& commitment for now! More beds, staff & social care needed #RCEMsolutions

Royal College of Emergency Medicine

@RCollEM

6 years

Our view on the current pressures facing our Emergency Departments:

4

86

72

5

101

133

Adrian Boyle

@RCEMpresident

3 years

@DrLindaDykes This is exactly what we @RCollEM have said should not happen and have been repeated told not being recommended to regions/ Trusts. They will fill up and distracts from sorting the actual problem of flow both out of ED and out of the hospital @NHSEngland

6

45

133

Adrian Boyle

@RCEMpresident

8 months

Yup, tell me that emergency department crowding isn't dangerous. I dare you, I double dare you

Health Services Safety Investigations Body (HSSIB)

@theHSSIB

8 months

🆕Our latest national report brings together the findings of three interim reports, published over the last 15 months, focusing on the harm caused by delays in handing over care from ambulances to emergency departments. #NHS #PatientSafety >>

2

58

71

2

41

130

Adrian Boyle

@RCEMpresident

6 years

Here is what it means to be an EM physician! #em50 @rcollem

6

82

129

Adrian Boyle

@RCEMpresident

4 years

For the avoidance of doubt- Emergency departments remain open for all ill and injured patients and have systems for safely looking after people with suspected COVID-19.

4

50

127

Adrian Boyle

@RCEMpresident

1 year

Too many people are staying too long in our emergency departments. This is not inconvenient, it’s dangerous. But here’s the thing, it’s fixable. Increase capacity at the back door and we can improve flow

5

39

127

Adrian Boyle

@RCEMpresident

6 years

Toughest of times for us all quantified ever more powerfully. Staff in EDs & across the NHS doing their very very best to maintain safety. We will get through this terrible phase due to professionalism , dedication and sense of duty. But not sustainable! @RCollEM #RCEMsolutions

Royal College of Emergency Medicine

@RCollEM

6 years

Our Winter Flow data shows average 4 hour performance in the week up to 31st December at just 75.16% - worse than at the same point last year.

6

73

36

6

133

125

Adrian Boyle

@RCEMpresident

2 months

@LawrenceDunhill 2. 76% applies to all Emergency Departments, but this includes Eye Units, Minor Injury Units and Urgent Treatment Centres. I don't care very much if someone waits 4 hours and 5 minutes with a sprained foot, but I get upset if a 85 year old 12 hours on a trolley in a corridor

3

26

120

Adrian Boyle

@RCEMpresident

6 years

Incredibly sad case that may have a very adverse and lasting effect on how we practice medicine in the UK. @RCollEM committed to working hard to help solve the challenges created. #BawaGarba

Jack Adcock: Doctor struck off over six-year-old's death

Jack Adcock, six, died hours after being admitted to hospital with sickness and vomiting.

www.bbc.com

8

69

120

Adrian Boyle

@RCEMpresident

3 years

Unclear why this is not more of a scandal than it is. ‘A&E busy’ is a ‘so what’ headline but the real headline is patient harm & staff morale tumbling. We need integrated adequately resourced provision of U&EC systems nationally. Core provision in public’s eyes. @RCollEM

JP Loughrey

@Jploughrey

3 years

with marked increases in 8 and 12 hour waits, and the two biggest hospitals in Scotland reporting 4hr performance in the mid 50% range, can we please accept that wide scale change is required, and now? @VP_Scot_RCEM @RCEMpresident

7

20

82

7

48

120

Adrian Boyle

@RCEMpresident

8 years

Our letter today in the Times valuing all our colleagues - irrespective of nationality

3

135

116

Adrian Boyle

@RCEMpresident

11 months

If you want gain support in tackling ED crowding, use powerful data and keep the message simple #resuscitateemergencycare ⁦ @RCollEM ⁩

3

35

112

Adrian Boyle

@RCEMpresident

3 years

Thread on why Emergency Departments so busy. Concern is that ‘all roads lead to ‘ the ED when the whole system under stress. Problem is we end up overwhelmed and unable to provide a high quality safe service for Emergency patients. @RCollEM

Royal College of Emergency Medicine

@RCollEM

3 years

1/19 NEW ANALYSIS🚨: RCEM's very first acute insight series is now live! Today's analysis -carried out by @RCEMPolicyVP & Kelly Sarsfield from the Policy Team- examines why we've witnessed a surge in ED attendances and admissions over recent months.

13

189

276

5

36

117

Adrian Boyle

@RCEMpresident

2 years

Can we agree that even the official but wildly ‘tip of the iceberg’ data show there is a problem with flow! What has changed? The answer is bed availablity- staffed beds. ⁦ @RCollEM ⁩ ⁦⁩

10

66

117

Adrian Boyle

@RCEMpresident

7 months

The #RCEMasc was amazing. We had eminent Profs presenting alongside bright medical students on topics as diverse as migrant health, carbon monoxide, sepsis, cyber security, hidden trauma in older people, REBOA, smoking cessation and many more. It was glorious

4

22

116

Adrian Boyle

@RCEMpresident

1 year

The RCEM Christmas Card. Wishing all our friends and supporters a merry Christmas. Let's hope 2023 gets better for our patients and staff

6

23

113

Adrian Boyle

@RCEMpresident

4 years

NI emergency departments under 'extreme pressure'. We cannot keep this up - we need a fit for purpose healthcare system. We cannot keep apologising to patients about a system that does not work. We must work with others to fix it but it must be fixed⁩

NI emergency departments under 'extreme pressure'

Increasing numbers of children and older people are attending departments and being admitted.

www.bbc.co.uk

6

44

113

Adrian Boyle

@RCEMpresident

4 years

Crowded Emergency Departments must be addressed. Hospital Boards need to recognise the patient safety risk and make sure the whole system helps unblock ED cubicles. Wrexham Maelor Hospital patients 'waiting on trolleys for hours'

Wrexham Maelor Hospital patients 'waiting on trolleys for hours'

Inspectors demand action at Wrexham Maelor Hospital after an unannounced visit.

www.bbc.co.uk

5

59

112

Adrian Boyle

@RCEMpresident

5 years

Terrible terrible atrocity in #SriLanks Our thoughts with families of those affected and @RCollEM @RCEM_VP friends in Sri Lanka @SriLankaEM as well all in hospitals trying so hard to save lives and care for injured. We send you our best wishes in face of such inhumanity

2

30

111

Adrian Boyle

@RCEMpresident

7 years

St James late shift in Leeds - wishing you all very best for Xmas and 2017 #makingEMgreat

5

30

108

Adrian Boyle

@RCEMpresident

3 years

We are a precious resource of emergency 24/7 care looking after the acutely ill & acutely injured, the acutely distressed and the acutely vulnerable. Everyone under pressure at the moment but we are here for you. #EMday @RCollEM @EuropSocEM

ACEM

@acemonline

3 years

Today is Emergency Medicine Day, a @EuropSocEM initiative to unite people and decision-makers to think about emergency medicine and care, and to consider the critical need across the world for access to such care and the systems, people and structures that sustain it. #EMday

3

49

92

0

37

109

Adrian Boyle

@RCEMpresident

18 days

This seems short sighted, pennywise and poundfoolish. I haven't seen the financial arguments and justification, but I have heard that lots of staff have found this invaluable. We recommended tailored pathway for support as part retaining staff in Jan 24.

1

32

109

Adrian Boyle

@RCEMpresident

2 years

We agree! There is a serious patient safety concern with ED crowding and exit block causing harm and ambulance offload delays which also cause direct and indirect (the unknown patient at home ) harm. This is a health system problem and needs addressing as such @RCollEM

0

34

108

Adrian Boyle

@RCEMpresident

2 years

Shoulder to shoulder with our ambulance colleagues over the need for flow. Crowding is bad for patients and staff.

Association of Ambulance Chief Executives

@AACE_org

2 years

. @AACE_org welcomes @RCollEM 's report on Emergency Department crowding. Read our statement and the latest in RCEM's Acute Insight Series; "Crowding and its Consequences" here. #CrowdingKills

1

21

23

0

36

107

Adrian Boyle

@RCEMpresident

2 years

Ambulance crews and EM teams are in an impossible situation. There is an urgent need to create capacity. @RCollEM

Adrian Boyle

@RCEMPolicyVP

2 years

This is only going to get worse. This is not about low acuity patients, drunks or lack of access to GPs. People are dying because there simply isn't enough capacity in the system. #crowdingkills @RCollEM

12

231

460

4

30

102

Adrian Boyle

@RCEMpresident

2 years

So important to have the harm of long delays in the Emergency department described so clearly. Now we need to take action to improve patient safety. Flow matters! @DrChrisMoulton @RCollEM

Emergency Medicine Journal

@EmergencyMedBMJ

2 years

#OnlineFirst Delays to hospital inpatient admission for patients in excess of 5 hours from time of arrival at the ED are associated with an increase in all-cause 30-day mortality @jones_prof @DrChrisMoulton @sib313 @RCollEM @EMTAcommittee 🆓 📖

4

165

230

2

44

105

Adrian Boyle

@RCEMpresident

3 years

The last thing we need at the moment is lots of senior staff in the NHS - consultants & others -having to worry about the LTA & their pension! There is a workforce crisis, a ton of work to do & everyone tired. We need senior staff expertise more than ever. Own goal? @RCollEM

Royal College of Emergency Medicine

@RCollEM

3 years

Changes to pension tax could have a serious impact: "Failing to address the workforce crisis does our staff a disservice as does making significant changes to the pension taxation rules which may further fuel the staffing crisis." @RCEMpresident

2

20

38

5

38

100

Adrian Boyle

@RCEMpresident

17 days

Well done for reading the room and promptly responding. Clearly this is a valued service, and important at a time when clinicians do not feel valued. 🙏

4

16

100

Adrian Boyle

@RCEMpresident

5 years

What happens in EDs is intrinsically linked to how well other parts of the system are performing & resourced – perhaps more so than any other service. EDs are the NHS’s ‘canaries in the mine’; pressure in the whole system shows up starkly in EDs #RCEMCARES

Royal College of Emergency Medicine

@RCollEM

5 years

"With over 100,000 vacancies across the NHS, too few beds, and a crisis in social care, what this report really shows is that difficulties in A&E are reflective of failures in the wider system." @RCEMPresident on @CareQualityComm 's #StateOfCare report:

1

37

65

2

40

98

Adrian Boyle

@RCEMpresident

5 years

For the record - 1996 , four people sat first ever FRCEM equiv exam(FFAEM then)in UK. I name - Aidan Gleeson, Gordon McNaughton, Andy Volans .. and me! It was stressful but we managed somehow. And just look at us now. Extraordinary progress for a young specialty

Dr Immad Qureshi

@AMColian

5 years

@RCEMpresident @tajekbhassan "That day there was a Scotsman, an Irishman, an Englishman and there was me." Now we are everywhere, and we are proud #FRCEM #RCEMDiploma18

2

0

11

5

21

95

Adrian Boyle

@RCEMpresident

5 years

Wow! In 1991 started here in Leicester Registrar, left in 1999,went back to help in 2004. Amazing place.ED sees 250,000 pts /yr. State of art design! Fantastic staff somestill there Thanks Richard Wright, Riaz Mohd & many others ! #makingEMgreat #memories #fewdaysRCEMPres

9

10

96

Adrian Boyle

@RCEMpresident

2 years

I want to extend my heartfelt apologies to the affected candidates. Our top priority is to support them at this difficult time and ensure this does not happen again. I want to thank the wider EM community for the outpouring of support they have shown to these candidates. @RCollEM

Royal College of Emergency Medicine

@RCollEM

2 years

An update on the March 2022 FRCEM SBA exam results situation:

2

9

16

9

27

94

Adrian Boyle

@RCEMpresident

3 years

There is only harm associated with ambulances queuing to offload & long waits for admission. There is no upside. This affects the most vulnerable - the patients sick enough to need inpatient care. It has to be a priority to solve. Bed capacity is critical @RCollEM @RCEMPolicyVP

Royal College of Emergency Medicine

@RCollEM

3 years

12-hour waits hit their peak despite a decrease in A&E attendances Read @RCEMpresident 's comments on November's performance figures below. #NHS #EmergencyMedicine #crowding #EmergencyDepartments

1

35

56

2

39

95

Adrian Boyle

@RCEMpresident

2 years

Telling it how it is. A crisis needs crisis management but there is very little political interest. We need a transparent debate about priorities recognising how stretched services are. No one plans to be an emergency patient but everyone of us can become one & need UEC @RCollEM

Royal College of Emergency Medicine

@RCollEM

2 years

Watch @RCEM_VP on @BBCBreakfast (part 1) discussing the extreme pressures facing the ambulance services and the Urgent & Emergency Care System, what the pressures mean for patients, and how staff are coping. #NHS #crisis #ambulance #emergencycare

8

46

98

5

31

94

Adrian Boyle

@RCEMpresident

7 months

The team did a great job getting me into the right places. We made sure that the EM voice is heard loud and clear. #resuscitateemergencycare

Royal College of Emergency Medicine

@RCollEM

7 months

Labour Party Conference over and out! @RCEMpresident had numerous engagements over three days with MPs, college presidents, health leaders and journalists. Focussing on what is most important to our members & our priorities to #ResuscitateEmergencyCare .

0

10

72

1

9

94

Adrian Boyle

@RCEMpresident

7 years

1. Extraordinary heroism of our police & em services in face of anoth awful terrorist atrocity. Well done too all NHS EDs and trauma system

Frank Gardner

@FrankRGardner

7 years

V impressive response from @metpoliceuk and ambulance service to #LondonAttacks Armed police on scene in 8 minutes.

40

400

1K

0

45

93

Adrian Boyle

@RCEMpresident

4 years

Balancing risk. We must not return to crowding & patients in corridors & we want patients with serious symptoms to come to the ED. We must make it safe for them & support efforts to deliver some urgent care differently. @rcgp @RCPLondon @OxfordEM @RCollEM

Royal College of Emergency Medicine

@RCollEM

4 years

"The worry is that that some people may not be getting the getting the medical care that they need." @RCEMpresident on today's performance figures in England:

0

6

15

1

26

89

Adrian Boyle

@RCEMpresident

6 years

We are going to need to be completely honest on the consequences if we continue on lowering our standards - poorer patient experience, greater harm to patients, increased risk of staff burnout, increased litigation risk and costs to @NHSResolution - 280 charac not enough!

1

56

89

Adrian Boyle

@RCEMpresident

2 years

Emergency department crowding causes harm to the patients we can see & those we can’t - waiting in the community. It harms staff. Why are we not facing up to the real data & committing to eliminating crowding. Understanding the size of the problem a good place to start. @RCollEM

Adrian Boyle

@RCEMPolicyVP

2 years

Thanks! No one needs to stay 12 hours in an ED, least of all sick people who need to be admitted to hospital. Our crowding and ambulance handover delays is (almost) uniquely awful for a European country. @RCollEM

0

11

43

3

33

92

Adrian Boyle

@RCEMpresident

4 years

Making the case for better PPE for frontline staff. @4hrEmergencyDoc @RCollEM

Stewart Maclean

@stewartmaclean

4 years

TONIGHT-Extended Newsnight with @maitlis : Govt pledges £330bn to save economy - is it enough? What next for pandemic? Is NHS ready? We speak live to @jreynoldsMP @cbicarolyn .. WHO's Dr Margaret Harris @Jeremy_Hunt @ChrisCEOHopson @KatherineRCEM PLUS @rabbisacks on how we can cope

0

5

8

5

32

90

Adrian Boyle

@RCEMpresident

6 months

This will, inevitably, lead to long and harmful stays in emergency departments. This, in turn, means queues of ambulances waiting outside hospitals. Few other comparable countries tolerate this. #resuscitateemergencycare

NHS struggling to open extra winter beds and fill staffing gaps

Hospitals in England warn a lack of funds means they must scale back on extra beds and recruitment.

www.bbc.co.uk

6

51

87

Adrian Boyle

@RCEMpresident

4 years

Our campaign has eliminating corridor care at its heart. Nearly everything else flows from this Crowding & managing patients in corridors has blighted our service for too long. Get this right & much will improve. Get it wrong & add a pandemic & things will become unsustainable

Royal College of Emergency Medicine

@RCollEM

4 years

We're pleased to announce RCEM CARES - our new campaign to end corridor care and make our Emergency Departments better. Find out more at #RCEMCARES

3

117

173

4

36

90

Adrian Boyle

@RCEMpresident

9 years

Very proud & privileged to be able to raise the first ever toast at the CEM dinner tonight in the House of Lords to the Royal College of EM

22

80

88

Adrian Boyle

@RCEMpresident

5 years

Not often you are lucky enough to wish the brilliant @RCEM_VP happy birthday on @RCollEM Council day !! Many happy returns Chris Moulton #RCEMicon Has helped me hugely to #makingEMgreat

19

2

88

Adrian Boyle

@RCEMpresident

6 years

What an incredible honour to be able to celebrate the father of Emergency Medicine. Thank you @LeedsCivicTrust @LeedsHospitals Maurice Ellis appointed as first ever consultant in 1952 and President setting up CSA in 1967 now @RCollEM #trueicon

1

24

88