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The NHS document outlining the operational pressures escalation levels (Opel) system explains that Opel 4 means that decisive action must be taken … to recover capacity and ensure patient safety in the face of rising system pressure. That black alert is what most of the 23 trusts have gone onto this week, though some have described it as a serious internal incident or in similar terms. The Royal College of Emergency Medicine, which represents A&E doctors, warned that the already chaotic situation in the NHS could get even worse as the winter weather worsens and that the A&E system is at risk of breaking. Theresa May faced a barrage of questions from Jeremy Corbyn during PMQs on the NHS. Photograph: PA Emergency departments are overflowing with patients, internal major incidents are being declared around the country and staff in emergency departments are struggling to cope with the immense demand being placed on their services, said Dr Taj Hassan, president of the Royal College of Emergency medicine. These crowded environments are stretching the clinical workforce to their limits and, more importantly, at times are unsafe for patients. He urged ministers and NHS Really interesting leaders to draw up an urgent action plan to rescue A&E care to avoid the quality of care patients receive starting to deteriorate. Without dedicated funding and planning, both patients and staff will increasingly suffer, he added. However, it is you could try here understood that reports of a package of emergency funding for A&E units are wide of the mark and that the Department of Health will not be producing any more money, despite mounting problems. On Tuesday the Royal United hospital in Bathclosed its Paulton Birth Centre for two weeks, which is usually used by women having a low-risk pregnancy who want a natural birth, and begun using it to house medical patients instead.

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