Intended for healthcare professionals

Letters Recalibrating the four hour target

Recalibrating the four hour target: juggling with lives

BMJ 2019; 367 doi: (Published 29 October 2019) Cite this as: BMJ 2019;367:l6245
  1. James M Ryley, foundation year 2 doctor
  1. Royal Stoke University Hospital, Stoke on Trent ST4 6QG, UK
  1. james.ryley{at}

As mentioned by Kar,1 four hour targets—where 95% of patients attending emergency departments should be admitted, transferred, or discharged within four hours—are now being used as measures of success or, more accurately, being used to penalise struggling trusts. My local trust was fined …

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