4hr performance is used as a measure of how emergency departments are functioning but it reflects the whole system. increasing the pressure on clinicians and a disproportionate focus on the less sick drives poor behaviours and doesn't serve the patients who need the most.

is it time World Rugby consider using the spider cam to help ref the scrums. it's an area of danger to players and twisting forces make it worse.

And the winner is...

🌟 Dr Vicki Burnham 🌟

Congratulations! #UHNMStars

Good luck everyone tonight.

Ahead of the UK general election, we're calling for all political parties to commit to working to #EndSewagePollution .

We know this can happen, but it will need five things to make the UK's waters healthy and safe for people and nature 🌊

#ESPmanifesto | Surfers Against Sewage

English rugby is digging its own grave, led by people that do not understand the art of the game. It’s steeped in tradition and heritage which is out dated and the very thing shackling the game. The game is coached at step 2/3, lowest common denominator. Never step one, game…

For those who work in health and care in England and want to develop/further a career in leadership for quality improvement. The NHS Leadership Academy NHS Leadership Academy 💙 is offering a series of 18 month funded QI apprenticeships. On offer are:
Level 3: Improvement Technician
Level…

I have nothing but praise for all the event team Swim England today.
worst case scenario for them and all were absolutely brilliant.the response from Yorkshire Air Ambulance
and Yorkshire Ambulance was top notch as well.
my thoughts with the swimmer involved.

Following enquiries on tomorrow's forecasted wind conditions at Rother Valley we'd like to reassure those planning to attend that we're monitoring conditions closely and as it stands, the Open Water National Masters Champs will go ahead.

We'll be in touch should anything change.

just heard a story of a medical transport company who charge for carriage of service dogs, BY THE LEG!

one of the most amazing moments is seeing a friend you have known through the whole of training finally get a consultant job with you. congratulations DrTJB and welcome to Royal Stoke ED UHNM

today has been a good day.
swim in coniston this morning and home to swim in a gala with the eldest.
I shall now sleep

very excited by my train snack courtesy of Passyunk Avenue

despite inability to book train tickets and cancelled train
made it to town for a face to face Royal College of Emergency Medicine corporate governance meeting.

Junior Doctors are planning industrial action between 11-15 April.

Patients are asked to choose services wisely during the Easter Bank Holiday and take simple steps to help ensure care is available to patients who need it most.

Here's a message from from Dr Mark Poulson.

Well, here we are. the @bma junior doctors strike has just started in an effort to restore pay.
it is not business as usual at your local hospital. a lot of effort and planning has gone on to mitigate but please choose well.

What an amazing prize, my daughter has learnt so much reading the little wandle series.

This will be an excellent session. Walsall have done fantastic work in promoting the use of their discharge lounge to improve quality of care.

It is important this information is available to truly reflect pressures in Urgent Care.
BUT
Must be published on same page as other metrics to reflect a whole system view and #transparency