Hold the Line — Bristol Royal Infirmary A&E

Department state

Bed occupancy94%

Critically high. No buffer.

Staff available71%

2 nurses approaching limit

Dept. pressure38%

Rising steadily

Ambulance queue

3 ambulances waiting handover

Context

Trust statusBlack

Highest escalation level

GP surgeriesClosed

Bank holiday. Redirecting to A&E.

Average wait time

Current average wait

3.2hrs

4-hour target: 95% seen within 4 hours — last met: 2019

Active patients

Triage ID Presenting Waiting

Event log

Simulation over — Bristol Royal Infirmary A&E, 2 Jan 2024

You lasted 4 minutes. The morning shift is 12 hours. It starts again at 7am.

You were running Bristol Royal Infirmary A&E on January 2nd, 2024. Post-New Year surge, blocked beds, GP surgeries closed for the bank holiday.

Average wait hit 9 hours 20 minutes by midday. 4 ambulances on divert. 31% of patients waited over 12 hours. Staff worked through without breaks.