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Frailty and deconditioning on the acute take: why the first hours after admission matter

Deconditioning in older patients can begin within hours of hospital admission. A new Clinical Medicine (ClinMed) journal article from Dr Bhagya Arun and Dr Siobhan Lewis in Cardiff explores why the first hours on the acute take matter – and how simple, practical actions can protect independence, safety and patient flow.

Hospital Corridor

Corridor care: a last resort, or the new normal?

Following the publication of a Health Services Safety Investigations Body (HSSIB) investigation report, RCP clinical director for patient safety and clinical standards, Dr Zuzanna Sawicka, reflects on the growing impact of corridor care.

Doctors in discussion

Spotlight on local innovation – why local training pathways are no longer ‘alternative’

Dr Nanda Kishore Nalla FRCP, consultant in acute medicine, associate director of medical education for locally employed doctors (LEDs) and lead for CESR (Certificate of Eligibility for Specialist Registration) programme in acute internal medicine (AIM), talked to us about Nottingham University Hospitals NHS Trust’s training programme for LEDs and portfolio pathway (formerly CESR) doctors.

Medical Team In Hospital

Spotlight on local innovation – rethinking discharge planning through criteria-led discharge in Southend

In our latest Spotlight on local innovation blog, Dr John Day, consultant in general medicine, infectious and tropical diseases at Southend University Hospital, explores how criteria-led discharge (CLD) improves patient flow, enhances resident doctor training and empowers teams to make safe, timely discharge decisions.

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Why we built an alternative IMT pathway

As phase 2 of the medical training review gets underway, RCP censor Dr Dan Furmedge FRCP, consultant physician at Guy’s and St Thomas’ and training programme director for internal medicine training in south London, reflects for the RCP next generation campaign on how a practical, high-quality, alternative IMT pathway is offering fairness, structure and career progression for doctors without a training number.

Doctors looking at notes

Spotlight on local innovation – supporting locally employed doctors in Southend

In this Spotlight on local innovation blog, Dr Sidra Rahman, locally employed doctor lead and locum consultant at Mid and South Essex NHS Foundation Trust, reflects on how the organisation is reshaping its support for locally employed doctors (LEDs) by building community, strengthening induction and supervision and addressing long-standing barriers around funding, portfolios and career progression.

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Respiratory bootcamp: closing the confidence gap

In this RCP next generation campaign blog, Dr Claire Froneman and Dr Emma Moore share how they developed a respiratory bootcamp at Dartford and Gravesham NHS Trust, offering structured medical training that builds confidence and improves patient safety. The project was highly commended in the RCP’s virtual poster competition 2025.

Festive Crafts Xmas Shot

The most wonderful time of the year: reflections on winter pressures, prevention and helping others

In a special end-of-year blog to celebrate the festive season, Dr Zuzanna Sawicka, RCP clinical director for patient safety and clinical standards, reflects on the little things that we can all do to support each other and the NHS this winter.

Healthcare worker with patient

Future care planning in Wales: building a system that listens and responds

Talking about the future – particularly when progressive illness is involved – is never easy. Professor Mark Taubert, consultant physician in palliative medicine at Velindre University NHS Trust and NHS Wales clinical lead for future care planning, outlines how Wales has reshaped its national approach, placing person-centred care, equity and shared decision making at its core.