It sometimes feels like last winter just carried straight on through the summer and our emergency teams on all of our sites have had no let up. However, this week the pressure felt like it ramped up a further notch, with extremely high levels of emergency attendances at our EDs in Burton and Derby and also an increase in emergency admissions. I want to take the opportunity to thank all of our teams who work on the front line responding to patients when they need us the most. This is obviously in the Emergency Departments but also in our acute assessment areas, our speciality wards, diagnostics, as well as our discharge and patient flow teams. Just about everybody has a part to play in managing this important part of our service and it’s not just frontline clinical staff either but also our catering, cleaning and admin and clerical colleagues too.