Scotland A&E system ‘at risk of collapse’ this winter, RCEM warns

Thousands of patients left waiting 12 hours EVERY SINGLE MONTH

The Royal College of Emergency Medicine is raising the alarm ahead of winter, as new stats show that Emergency Departments (EDs) are struggling more than they were this time last year.  

The latest data, from Public Health Scotland, showed that in September 2026 8,441 patients (6.7% of total attendances) at major EDs waited more than 12 hours before being admitted, discharged or transferred. 

That’s almost 2,000 more than in September 2025.  

RCEM is calling on the Scottish Government to tackle the bed capacity issue which is largely driving many of these long waits and for a reduction in corridor care by 50%.

When patients at the ‘back door’ of the hospital can be discharged in good time, it allows A&E to admit new patients into beds, freeing up Emergency Care space.  

Meanwhile, just 60.6% of patients waited fewer than four hours – well below the 95% target set by the NHS.  

Dr Fiona Hunter, RCEM Scotland Vice President, said: “Throughout 2026, EDs have been in a state of crisis with absolutely no room to stretch when extra pressure comes our way. 

“Thousands of patients each month have been waiting for more than half a day in our EDs. That’s thousands of our own parents, children, brothers and sisters experiencing agonising waits because of a total breakdown in patient flow. 

“As these latest figures show, our Emergency Departments (EDs) are far from ready for the surge in demand which we know will come when winter hits, as it does every year. 

“Last winter was incredibly tough – both for patients and for the staff trying their best to look after them. We are entering the cold months now in a worse state than this time last year, despite promise after promise that things would be different. 

“We once again call on the government to urgently send support our way in the form of improvements to the ‘back door’ of our hospitals. Lives are at stake, and without immediate intervention, EDs are at risk of collapse.”  

Today’s data also showed that:  

  • An average of 1,973 inpatient beds were occupied by patients medically fit to be discharged 
  • 12-hour waits in September 2026 were 28 times higher than September 2019 
  • 19,589 patients waited more than eight hours – the highest number on record 

More performance data here

Published by

davepickering

Edinburgh reporter and photographer

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