There has been much discussion and interest about improving the outcomes of emergency medical admissions; this may have focused on reform of Acute Medicine delivery via an acute medical admissions unit
(AMAU) [4-6], or with other structural reforms [7, 8], or the presence of senior consultant interventions .
We built the acute medical admissions unit
specifically for overflows like this and even left space in the foyer because we knew we would have blips from time to time.
Dr Jonathan Potter, clinical director of the RCP's clinical effectiveness and evaluation unit, said: "Despite improvements in facilities and staffing, hospitals still need to address working arrangements to ensure that senior doctors are readily available to provide a consultant-led service in acute medical admissions units
seven days a week."