Why can delays persist even when individual parts of an urgent and emergency care pathway work well? Stevan Bruijns examines the gaps between emergency care, acute care and discharge, and the often unrecognised work of bed and site managers who connect them.
Emergency Department Management
Evidence from academic studies, professional bodies, coroners, NHS trusts and patient-safety investigators increasingly links corridor care and prolonged emergency department boarding with avoidable harm. Stevan Bruijns asks whether the evidence now warrants a formal public inquiry.
What does medical boarding cost patients and the wider emergency care system? Stevan Bruijns reviews regional data linking boarding with mortality, longer stays and ambulance delays, then explores the limitations of the evidence and the argument for action within acute trusts.
Emergency Department Management
Why is it so difficult to build an emergency department rota that meets weekend demand? Stevan Bruijns explores full-time and part-time staffing, the separation of substantive, locum and longer-term costs, and what a more complete workforce business case should consider.
Emergency Department Management
Clinician productivity depends on the conditions in which teams work. This article challenges the use of patients-per-hour targets in isolation and explores how space, staffing, diagnostics and crowding should shape the conversation about emergency department performance.
Emergency Department Management
An emergency care perspective on NHS England’s December 2025 corridor care guidance. The article examines its exclusions, board accountability and escalation tools, alongside the gap between stronger governance and the resources needed to eliminate corridor care.
Practical perspectives on trauma care and team leadership.
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