Neil Dignon

Glasgow Royal ED, EMRS Scotland. Opinions ? Run a carbon test on my jaw. Its all been said before

[Neil Dignon @NDignon]

@kurtstat When I was a JHO at Trafford General it was all dealt with over a shared breakfast
I listened, learned then got telt what to do
Price of everything, value of nothing…

[Emergency Medicine Journal @EmergencyMedBMJ]

#Feb2026 #NewResearch

📌 Understanding corridor and escalation area care in 165 UK emergency departments: a multicentre cross-sectional snapshot study

🔗 https://t.co/sygVyybwqR

We’re pleased to share a landmark multicentre study led by the RCEM Trainee Emergency Research Network (TERN) that provides the most comprehensive national snapshot to date of escalation area and corridor care across UK emergency departments.

📊 Key outcomes from this national study:

• Across 165 UK type 1 EDs, 10 042 patients (17.7%) were receiving care in escalation areas — spaces outside the usual clinical footprint such as corridors, waiting rooms, repurposed clinical areas and doubled-up cubicles — at five snapshot points in March 2025.

• The proportion of patients in escalation areas ranged over time from ~15.5% to over 21%, with the highest use at the end of a clinical night shift.

• Non-clinical spaces (including corridors and waiting rooms) consistently made up the majority of escalation area care, representing over half of the patients in these settings.

• ED occupancy pressures were stark: occupancy ranged from about 1.0 to 2.4 patients per cubicle, and up to 26% of sites had no resuscitation cubicles available at certain snapshots — raising patient safety concerns.

• Patients awaiting an inpatient bed consistently outnumbered those in escalation areas, highlighting flow and discharge challenges as central contributors to corridor care.

• Both paediatric patients and those with mental health presentations were found to be receiving care in escalation areas across all snapshots, despite national guidance recommending against it.

• The proportion of patients in escalation care varied regionally, with the highest rates observed in Northern Ireland and lower rates in parts of south-west England.

📌 Why this matters:

This study demonstrates that escalation area care, including corridor care, is not an occasional exception but a routine part of emergency practice across much of the UK, despite national guidance stating it should be avoided.

Providing safe, high-quality care in spaces not designed for clinical observation or treatment presents significant challenges for patient dignity, monitoring and staff workflow. The findings underscore the urgent need for system-level solutions focused on improving patient flow, reducing inpatient boarding times and expanding capacity.

👉 Read the full article for detailed methodology, outcomes and suggestions for future research — and join the conversation on how we can translate this evidence into better emergency care practice.

#EmergencyMedicine #EMJ #HealthcareResearch #PatientSafety #QualityImprovement #NHS

@RCollEM @richardbody @drsarahedwards

[Neil Dignon @NDignon]

@RusEmbUSA N
A

[Royal College of Emergency Medicine @RCollEM]

"Without government action, the cost will continue to be measured in lives"

The deaths of more than 800 people in Scotland last year were associated with long waits in A&E, RCEM is set to reveal today.

Read more here:
https://t.co/XOKy868u9z

[Medics Against Violence @MAVscotland]

We have two amazing job opportunities @MAVscotland to join our award winning by Navigator and Youth Navigator programmes in Edinburgh and Aberdeen. Take a look , share 👇🏻

[Medics Against Violence @MAVscotland]

A reminder that this amazing job closes on Tuesday 10th June don’t miss your chance to support young people and be part of something really innovative with @MAVscotland #ontheedge

@St_Rochs @callum2591

[OLA Sports Hub @hub_ola]

Today saw our 2014s compete in the annual Matthew Carney Tournament organised by OLM. Superb effort by OLA team with some outstanding performances. Well done to all. A superb event as always and thanks to all the volunteers who make the event such a memorable occasion each year

[Prof Christine Goodall @DrGoodalltweets]

You might have heard me on the radio last week with @callum2591 when we mentioned this new @MAVscotland programme. It’s got huge potential and we need another School Navigator to add to the team to drive it forward

Please share with anyone who might be interested.

[Neil Dignon @NDignon]

@DrGoblin3 If you’re asking that question of yourself then you’re probably not

[Medics Against Violence @MAVscotland]

Great to see this in print and while this isn’t the end of the story it does show the impact that social support in the ED can make.

“All’s he ever done was kept his word to me. That’s all it took, was somebody actually keeping your word, believe in you.” Nav patient

[Neil Dignon @NDignon]

@henrywinter Ahahahaha 👏🏻

[Neil Dignon @NDignon]

https://t.co/cuGqFviRnD

[Neil Dignon @NDignon]

@barneyronay My 10 and 14yr old boys lean towards Liverpool. I don’t really have a dog in the fight
We all absolutely love Nunez
The bringer of chaos
Thanks - great piece 👏🏻

[Emergency Medicine at the Deep End @EMAtTheDeepEnd]

A week to go until the next meeting of @EMAtTheDeepEnd. Looking forward to hearing from a range of perspectives, and the usual robust discussion, on a key issue in emergency care.

[Retrieval 2027 @_retrieval]

#retrieval2025 is not just a Medical
Conference, it’s the opportunity to meet and learn from multi-professional PH and retrieval colleagues from across the world, striving to improve the quality and acuity of clinical care delivery in all environments…

https://t.co/iNzgfc2kes

[Retrieval 2027 @_retrieval]

Good morning from sunny Scotland…🏴󠁧󠁢󠁳󠁣󠁴󠁿

Registration for #retrieval2025 now open:

https://t.co/iNzgfc2kes

#letsgo

[𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic @sib313]

the NHS response to every winter A&E crisis is "we have plans".

This is the wrong response.

To paraphrase Yoda: "there is no plan, there is only do or not do."
...

[Neil Dignon @NDignon]

@ParamountPics @SEGA If you need a medical advisor for 4 …

#SonicMovie3

(you need to fill the bag)

[Ian Higginson @RCEMpresident]

https://t.co/c66AugqRE2. For every 72 people waiting 8-12 hours before admission there is one additional death within 30 days.

[Richard Lyon @drrichardlyon]

Latest @airambulancekss paper on the pre-hospital care of penetrating neck injury https://t.co/hQhNv7BOEA