A&E Crisis: Senior Doctors Warn of Rising Risks for Elderly Amid Long Waits and Overwhelmed NHS

May 6, 2025
A&E Crisis: Senior Doctors Warn of Rising Risks for Elderly Amid Long Waits and Overwhelmed NHS
  • The RCEM has called for the implementation of 'front door frailty screening' in A&E departments, a practice already being adopted in Scotland to better address the needs of older patients.

  • Senior doctors are sounding the alarm over patient safety as over one million elderly individuals are facing long waits in A&E, a situation that is particularly worsening for older patients.

  • Dr. Adrian Boyle, president of the Royal College of Emergency Medicine (RCEM), emphasized that the healthcare system is failing vulnerable patients, resulting in long and degrading waits in emergency departments.

  • Recent studies reveal that the likelihood of experiencing a 12-hour wait in A&E increases significantly with age, affecting 15% of those aged 60-69 and 33% of patients aged 90 and above.

  • To address these challenges, improvements must focus on reducing waiting lists and enhancing access to GP appointments, which are crucial for decreasing unnecessary A&E visits.

  • In response to the crisis, the UK government has committed £26 billion to NHS and social care over the next two years, aiming to reduce A&E waiting times and enhance patient care.

  • Despite ongoing efforts, Streeting acknowledged that some patients may still face long waits and trolley care during the upcoming winter, highlighting the persistent challenges in A&E services.

  • Dr. Anu Mitra noted some improvements in assessments for older patients, but stressed the need for continued focus on their care amidst the challenging environments of emergency departments.

  • Research indicates that many older patients are not receiving essential health screenings in A&E, with only 16% screened for delirium and fewer than half screened for fall risks.

  • Dr. Nick Murch from the Society for Acute Medicine expressed grave concern over the prolonged wait times, indicating a systemic failure in healthcare delivery that jeopardizes timely care for older patients.

  • He warned that prolonged stays in A&E can be dangerous for older adults, increasing their risk of health complications and subsequent emergency visits.

  • A report by the Royal College of Nursing highlighted that 70% of nurses care for patients in overcrowded or inappropriate settings, including hallways and converted spaces, exacerbating the crisis.

Summary based on 6 sources


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