The NHS, often hailed as the pride of Britain, provides health services that everyone living in the UK can use without being asked to pay the full cost of the service. "Emergency medicine in the NHS is facing one of its most challenging times in our history," Dr Ian Higginson, vice-president at the Royal College of Emergency Medicine, said. "We are having to treat patients in corridors, which is unsafe and undignified for those who need care." There have been reports of patients waiting 24 hours to get a hospital bed, and of families forced to drive the unwell and elderly to the hospital in a state of emergency because no ambulance arrived. "We're unable to offload the ambulances who are bringing more patients to us, so they're queuing in our car parks. Then we can't get the ambulances out to patients who need them because they're stuck in our car parks,” Dr Higginson said.

Isabella Higgins, ‘Britain's NHS nightmare: How COVID-19, cost-cutting and burnout pushed the UK's health system to the brink’, ABC

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The Princess Royal’s Official Engagements in December 2023

05/12 With Sir Tim As President of the Mission to Seafarers Limited, attended a Festival of Nine Lessons and Carols at All Hallows by the Tower, followed by a Reception at Trinity House in London. 🎶🎄

06/12 As Patron of the Cranfield Trust, attended a Seminar and Reception at Freemasons’ Hall. 🏛️

07/12 As Patron of the Royal College of Emergency Medicine, attended the Annual Diploma and Awards Ceremony at Central Hall Westminster. 🎓💊

13/12 As Patron of Catch22, visited Include London. ⚖️

As President of Racing Welfare, attended a Beneficiaries’ Christmas Luncheon at Epsom Racecourse. 🐎

As Chancellor of the University of London, attended a Dinner at Mansion House, to mark the 200th Anniversary of Birkbeck. 🎓🍽️

14/12 As Court Member of the Fishmongers’ Company, attended the Annual General Meeting and Luncheon at Fishmongers’ Hall. 🎣

20/12 unofficial With Sir Tim Attended the annual Christmas Lunch at Windsor Castle with other members of the royal family 🍽️🎄

24/12 unofficial Attended the Christmas Eve service at St Mary Magdalene church in Sandringham with her husband Sir Tim, King Charles and Queen Camilla. ⛪️🎄

25/12 unofficial Attended the 9am Christmas Day service at St Mary Magdalene church in Sandringham with her husband Sir Tim and other members of the BRF. ⛪️🎄

unofficial Attended the 9am Christmas Day service at St Mary Magdalene church in Sandringham with her husband Sir Tim and other members of the BRF. ⛪️🎄

Total official engagements for Anne in August: 11

2023 total so far: 467

Total official engagements accompanied by Tim in August: 2

2023 total: 92

"Most injuries we are seeing come as a result of being crushed under the rubble of collapsed buildings following bombardment and the vast majority of those injured are women and children. Often this happens when the patients are sleeping in their homes and subsequently, we see severe head, torso and limb injuries. To effectively deal with such volume and severity requires continuous operating theatre and critical care capacity. This demand for high acuity care frequently outstrips our ability to provide it and therefore we are endlessly having to make impossible decisions as to which patients should be prioritised because they have the greatest chance of survival."

Lovely address from our Patron HRH The Princess Royal @RoyalFamily to our membership at our #RCEMcpd conference, thanking them for choosing a career in #EmergencyMedicine: "The nation owes you a debt of gratitude." 20 April 2023.

© Royal College of Emergency Medicine

Cool. Cool, cool, cool, totally co*throws things*

The combination includes the cat virus gaining the dog pathogen's spike protein, making it more infectious, said the scientists from the UK and Cyprus in the study, warning of a "significant risk" of the outbreak spreading further. "We report the emergence of a novel, highly pathogenic FCoV-CCoV recombinant responsible for a rapidly spreading outbreak of feline infectious peritonitis (FIP), originating in Cyprus," said the team including from the University of Edinburgh in UK. Infection is spreading fast and infecting cats of all ages. "This is exemplified by the recent confirmation of a first UK-imported case with further investigations into other cases ongoing," they said. According to experts, there is currently no evidence that dogs or humans can be infected, while there is no reason for worried cat owners to keep their pets inside and away from other animals at present. "If the cat has not travelled to Cyprus or been in contact with other cats that have visited Cyprus, the risk is minimal," Alexandros Chardas, Lecturer in Veterinary Anatomic Pathology, and Dr Sarah Tayler, Lecturer in Small Animal Internal Medicine, from the Royal Veterinary College, were quoted as saying to The Independent.

Founded in 1326 by Adam de Brome under the patronage of Edward II, Oriel College (The Provost and Scholars of the House of the Blessed Mary the Virgin in Oxford, commonly called Oriel College, of the Foundation of Edward the Second of famous memory, sometime King of England), is the 5th oldest constituent college of the University of Oxford, and the oldest of the royal colleges.

As such, Oriel has also been known as King’s College and King’s Hall, and the reigning monarch of the United Kingdom (now His Majesty King Charles III) is the official ’Visitor’ of the College.

The College of the Blessed Mary began with a Provost and just 10 Fellows (called ‘Scholars’), all graduates, who studied Theology, Law and Medicine. Soon after its foundation though, Adam de Brome acquired for the college a property called ‘La Oriole’ on the site of the present Front Quadrangle, and gradually the college came to be called by that name ('La Oriole’ referring to an oratoriolum, or oriel window, forming a feature of the property).

Whilst Oriel remained a small body of graduate Fellows until the 16th century, by the late 18th to early 19th centuries the College is considered to have led the way in reforming academic standards in Oxford and also in a religious revival known as the ’Oxford Movement’. Many great names arrived, among them Dr Thomas Arnold (later Headmaster of Rugby College), and the Blessed John Henry Newman (later Cardinal Newman). By the late 1800s however, Oriel was perhaps better known for prowess at rowing, football and cricket, than in final exams.

The main site of the College incorporates four medieval halls: Bedel Hall, St Mary Hall, St Martin Hall and Tackley’s Inn; the last being the earliest property acquired by the college and the oldest standing medieval hall in Oxford.

The buildings of Oriel College were used as a location for Hugh Grant’s first film, ’Privileged’ (1982), as well as ’Oxford Blues’ (1984), ’True Blue’ (1991) and ’The Dinosaur Hunter’ (2000). Episodes of the television crime series ’Inspector Morse’ were also filmed at the College; though the opera-loving detective’s final scene in ’The Remorseful Day’, the episode in which Morse (played by John Thaw) died, was filmed at Exeter College.

Oriel’s colours are two white stripes on Oxford Blue, (used also on the college scarf, sports clothing and oar blades); and notable people associated with Oriel, include: Sir Walter Raleigh (16th-century explorer); John Keble, E.B. Pusey, and John Henry Newman (later, Cardinal Newman; principal founders of the Oxford Movement); and two Nobel Prize recipients: Alexander Todd (Chemistry) and James Meade (Economics).

Although King Edward II was favourably disposed towards the plans Adam de Brome had formulated for Oriel, the founding of the College coincided with the collapse of Edward’s authority (followed by the King being deposed and murdered), and it was only by dealing with Hugh Despenser, the emerging focus of political power, that Oriel received its ‘royal’ charter on 21 January 1326.

De Brome was the first Provost of the College, and was as energetic in finding the funds to add to its endowment as he was in negotiating the turbulent political situation between the end of the reign of Edward II and the start of Edward III’s.

Adam passed on June 16, 1332. He rests in St Mary’s Church, Oxford.

the arms of the Royal College of Emergency Medicine has a ‘wound man’ as one of its supporters

Earlier today the vice president of the Royal College of Emergency Medicine said ministers were in denial over the extent of problems facing hospital A&E departments. (See 11.19am.) At the Downing Street lobby briefing this morning the prime minister’s spokesperson tried to avoid sounding complacent, but he did claim the NHS has the funding it needs this winter. He told journalists:

We are confident we are providing the NHS with the funding it needs, as we did throughout the pandemic, to deal with these issues …

We have been upfront with the public, long in advance of this winter, that, because of the pandemic and the pressures it’s placed in the backlog of cases, that this would be an extremely challenging winter. And that is what we are seeing.

When it was put to him that the queues at A&E departments showed that the NHS was not getting the funding it needed, the spokesperson did not accept that. He said the government had always said the post-pandemic NHS backlogs would increase before they started to come down. He went on:

We have continued to put billions of pounds of additional funding into the NHS – £7.5bn for adult social care and for delayed discharge over the next two years. And there’s £14.1bn in additional funding to improve urgent and emergency care and tackle the backlogs.

These people are on a different planet

How To Cope When Your Life Changes Irrevocably, Dramatically and Completely But In An Instant

Vajrin Malin qualified as a doctor from Bristol Medical School in 1985. His postgraduate medical training was mostly in London, initially in Infectious Diseases. This took him to a lecturer position in Zimbabwe for two years where he had an interest in TB in HIV. He then undertook a PhD on TB vaccine design and finally completed his training including Infectious Diseases, Respiratory and General Medicine. He recently retired from 20 years as Respiratory Consultant in Bath. He's had a lifelong interest in training and education. In addition to his time in Africa, he was College Tutor for the Royal College of Physicians, Foundation Programme Director, Director of Medical Education in his hospital trust and Associate Postgraduate Dean for Health Education England (HEE) South West. He sat on the council for the NACT UK holding the office of Honorary Treasurer then Honorary Secretary. His HEE responsibilities included providing professional support for postgraduate trainees (PSW) and Supported Return to Training (SuppoRTT). He's taught in Uganda, he has been a NACT Eugene Meyer Travelling Fellow to North Carolina and written several documents for NACT. He was a keen triathlete competing in Ironman events, marathons and long distance cycle holidays with his wife and friends. He was ordained and given the name Vajrin (previously Adam) in the Western Buddhist Order (now Triratna) 16 years ago. 

  Sadly, in February 2020, whilst undertaking a 3000km off-road cycle trip the length of New Zealand, he fell 20m down the gorge leaving him permanently paralysed from his chest down. However, he's had excellent rehabilitation, initially in Auckland and later Salisbury and Stoke Mandeville spinal units. After a stormy period in the first year of his spinal cord injury (four neurosurgical operations for a swollen spinal cord - SPAM). He is now back working one day a week for HEE seeing trainees and running a South West programme on supporting trainees who’ve had a break of 3 months or more. His interests include health and well-being, coaching (ILM5 trained), burnout, educational leadership and educational systems.

  Selection of articles

Supporting Locally Employed Doctors (LEDs) across the UK: The non-consultant non-training doctors. NACT UK 2017 (currently being updated)

Putting an end to Black Wednesday: improving patient safety by achieving comprehensive trust induction and mandatory training by day 1 - Clinical Medicine 2016

Vaccinia expression of mycobacterium tuberculosis antigen 85 and ESAT-6 secreted proteins - Microbes Infect. 2000

Pneumocystis carinii pneumonia in Zimbabwe - Lancet 1995

Leprosy in reaction: a medical emergency. Lesson of the Week - British Medical Journal 1991

Check out this episode!

Become a member of the ROYAL COLLEGE in the UK, EDINBURG, IRELAND, CANADA without examination.

The importance of MRCP is in its recognition abroad. A Member of the ROYAL COLLEGE is given a higher status and a higher pay package in gulf countries than MD general medicine even in Indian hospitals. There is a better job opportunity for members of the royal college.

Court Circular | 28th February 2024

Buckingham Palace

The King was represented by the Rt. Hon. Carwyn Jones (former First Minister of Wales) at the Service of Thanksgiving for the Life of the Lord Morris of Aberavon KG (former Secretary of State for Wales, Attorney-General and Lord-Lieutenant of Dyfed) which was held at St. Margaret's Church, Westminster Abbey, London SW1, today.

The Princess Royal was represented by the Hon. Dame Shân Legge-Bourke.

The Duke and Duchess of Gloucester were represented by Admiral the Lord West of Spithead.

St. James's Palace

The Princess Royal, Patron, the Royal College of Emergency Medicine, this afternoon attended the Emergency Medicine Trainees' Association Annual Conference at Hilton Newcastle Gateshead, Bottle Bank, Gateshead, and was received by His Majesty's Lord-Lieutenant of Tyne and Wear (Ms. Lucy Winskell).

Her Royal Highness, Royal Patron, Motor Neurone Disease Association, later attended a Rugby League Reception at Leeds Rhinos Rugby League Football Club, Headingley Rugby Stadium, St. Michael's Lane, Headingley, Leeds, and was received by His Majesty's Lord-Lieutenant of West Yorkshire (Mr. Edmund Anderson).

Navigating Success: Unveiling the Benefits of MRCP 1 Courses in the UK

In the pursuit of a career in internal medicine, the MRCP (Membership of the Royal Colleges of Physicians) examinations serve as pivotal milestones. Among them, MRCP Part 1 stands as the gateway to further progression. For aspiring physicians in the UK, enrolling in dedicated Mrcp 1 courses UK offers a structured approach to preparation and a multitude of benefits. Let's uncover the advantages of undertaking these courses and how they pave the path to success.

Structured Curriculum: MRCP 1 courses in the UK offer a meticulously crafted curriculum designed to cover the breadth and depth of topics essential for the examination. From basic sciences to clinical application, candidates receive comprehensive guidance that ensures no pertinent area is left unaddressed.

Expert Guidance: Renowned medical educators and clinicians lead MRCP 1 courses, providing candidates with access to expert guidance and mentorship. These instructors offer invaluable insights, exam strategies, and clinical pearls honed through years of experience, empowering candidates to navigate the complexities of the examination with confidence.

Interactive Learning Environment: MRCP 1 courses foster an interactive learning environment where candidates engage in discussions, case-based learning, and interactive sessions. This collaborative approach not only enhances understanding but also promotes peer learning, critical thinking, and clinical reasoning skills essential for success.

Comprehensive Study Materials: Enrolled candidates gain access to a wealth of study materials, including textbooks, online resources, and practice questions tailored to the MRCP 1 curriculum. These resources supplement classroom teaching, allowing candidates to reinforce their understanding, identify weak areas, and track their progress effectively.

Focused Exam Preparation: MRCP 1 courses streamline exam preparation by providing structured study schedules, revision plans, and mock exams that simulate the actual testing environment. This focused approach enables candidates to familiarize themselves with exam formats, time management strategies, and question styles, optimizing their performance on exam day.

Networking Opportunities: Participating in SCE Test facilitates networking with fellow candidates, clinicians, and faculty members. These networking opportunities not only foster professional relationships but also provide avenues for mentorship, collaboration, and peer support throughout the preparation journey and beyond.

Enhanced Confidence: Through systematic preparation, expert guidance, and ample practice, candidates enrolled in MRCP 1 courses gain confidence in their knowledge, skills, and abilities. This heightened confidence mitigates anxiety, boosts morale, and instills the belief that success in the MRCP 1 examination is not only attainable but also well within reach.

Career Advancement: Successful completion of the MRCP 1 examination opens doors to a plethora of career opportunities, including specialty training, academic pursuits, and professional recognition. The credential serves as a testament to candidates' commitment to excellence in internal medicine and propels them towards fulfilling and rewarding careers.

In conclusion, MRCP 1 courses in the UK offer aspiring physicians a structured pathway to success in one of the most critical examinations of their medical careers. By harnessing the benefits of expert guidance, interactive learning, and comprehensive resources, candidates can navigate the complexities of the MRCP 1 examination with confidence and emerge as competent and compassionate physicians poised to make significant contributions to the field of internal medicine.

Over 250 patients died in a week due to long A&E waits in England: Study

A new estimate from the Royal College of Emergency Medicine (RCEM) indicates that more than 250 patients per week in England may have died unnecessarily last year due to extended waits for a bed in A&E. According to the RCEM study, patients face increased risk after spending hours in A&E, especially after a decision has been made to admit them. Data shows that only 70.9% of patients attending…

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Transforming Kidney Care: Dr. L H Hiranandani Hospital Establishes a Cutting-Edge Benchmark in Kidney Transplantation

In the healthcare domain, blending compassion with innovation, Dr. L H Hiranandani Hospital emerges as a towering symbol of excellence. Situated in Mumbai's core, this institution has consistently reshaped patient care and treatment, particularly within the realm of kidney health. With a heritage deeply entrenched in compassion and a dedication to pushing the boundaries of medicine, Dr. L H Hiranandani Hospital is synonymous with cutting-edge kidney care. Spearheaded by the esteemed Dr. Sujit Chatterjee, CEO of Hiranandani Hospital, its kidney transplant program has established a groundbreaking standard in medical advancements. A Revered Heritage

Even before its foundation was laid, Dr. L H Hiranandani Hospital was envisioned as more than a mere physical edifice. It was destined to mirror the remarkable journey of its visionary namesake, Dr. L H Hiranandani. Born in 1917 in Thatta, Sind, his trajectory from modest beginnings to a trailblazing medical professional is truly inspirational. Having completed his medical education in 1942, he pursued advanced studies in England, achieving the esteemed Fellowship of the Royal College of Surgeons. Returning to India, he sparked a transformation in the Department of Ear, Nose, and Throat (ENT) at The Topiwala National Medical College and B.Y.L Nair Hospital. A Pillar of Exceptional Kidney Care

Dr. L H Hiranandani's legacy of pioneering innovation and advancement in medicine is perpetuated by Dr. Sujit Chatterjee CEO of Hiranandani Hospital. Dr. Chatterjee's visionary guidance has steered the hospital's kidney transplant program to unmatched levels of excellence. Acknowledged for his expertise in the field, Dr. Chatterjee has overseen a team of devoted experts who have achieved remarkable success rates in kidney transplant procedures, salvaging numerous lives and instilling renewed hope in patients and their families.

Becoming Experts in Kidney Transplants

Under Dr. Chatterjee's leadership, the kidney transplant program at Dr. L H Hiranandani Hospital Kidney Transplant showcases a blend of exceptional quality and compassion. Every transplant procedure is meticulously planned, leveraging cutting-edge technology while prioritizing the patient's individual requirements. The hospital's unwavering commitment to ethical practices and patient well-being ensures that each transplant transcends a routine medical procedure, profoundly impacting someone's life. Surpassing Excellence: Dedication to Compassionate Care

The kidney transplant program at Dr. L H Hiranandani Hospital Kidney goes beyond mere medical expertise; it's dedicated to changing lives. The hospital's unwavering commitment to top-tier patient care, alongside a heritage steeped in innovation and compassion, positions it as a beacon of hope for individuals seeking kidney treatments. As the hospital continues to pioneer advancements in kidney care, it remains a profound tribute to the visionary impact of Dr. L H Hiranandani's legacy.