4 November 2025
As Scotland’s Emergency Departments experienced the worst September on record for performance, the Royal College of Emergency Medicine has asked the government ‘where is the tangible plan for winter?’
The figures, released today (4 November 2025) by Public Health Scotland, come as Health Secretary, Neil Gray, is reported to have said waiting times in A&E are ‘below the levels we all wish to see’.
The PHS data, for the month of September, reveals 6,427 patients waited 12 hours or longer in an Emergency Department before being admitted, discharged, or transferred.
That’s around one in every 19 people and the highest number who experienced this wait for the month of September since records began in 2007.
The data, for major EDs in Scotland, also showed that in September 2025:
- 12-hour waits were almost 34 times worse than in September 2018 – that’s despite the number of people attending EDs only increasing by 4.5% in the same period
- One in eight people (15,348) waited eight hours or more to be discharged or transferred – the worst September on record
- 63.7% of patients were seen within four hours – again, the worst September on record and is far below the government’s target of 95%
- There was an average of 1,955 beds occupied by people healthy enough to be discharged – a decrease of only nine compared to the previous month
The new data comes shortly after RCEM published its political manifesto for Scotland, urging all political parties to end overcrowding in EDs, and provide enough Emergency Medicine staff to deliver safe and sustainable care, along with adequate resources to ensure equitable care throughout the emergency care system.
Meanwhile, recently published analysis from the College revealed there were more than 800 deaths associated with long A&E waits before admission last year.
Dr Fiona Hunter, RCEM Vice President for Scotland, said: “These figures prove what I and many other EM clinicians already know – that we are in crisis and the depths of winter, when the inevitable seasonal pressure hits, is yet to arrive.
“Our members and their Emergency Medicine colleagues tell me about the relentless pressure their hospitals are under and the impact this has on patient care – people are being treated in ambulances, in corridors, and other inappropriate spaces.
“Our EDs don’t have elastic walls. These are visual signs our hospitals are full to bursting– we can’t move patients from our departments into wards because of a lack of available inpatient beds.
“On top of dealing with system pressures, our clinicians are facing violence and aggression from those we are trying our best to care for – that can be caused by frustration over long waits. It’s beyond unacceptable.
“We know that Scottish Health Secretary understands the scale of the issue, and just today acknowledged that ‘ED performance is below where it should be’.
“But we are yet to see any tangible plan from the government about how it intends to tackle the season ahead – which will be nothing short of challenging.”