Staff are working under incredible pressure to look after the patients in our care. Many people are talking about," said Prof Chris Moulton, the vice-president of the Royal College of Emergency Medicine (RCEM), which represents A&E doctors. He was then called back to work at midnight because so many patients needed help, and stayed until 4am. The SAM represents doctors who care for patients admitted to hospital as medical emergencies but who do not need surgery. "Big issues are currently nursing staffing levels, with extra beds being opened around hospitals to cope with winter surge and.