Busy, chaotic, department frequently overstretched and rampant staffing issues, particularly with nurses. Not unusual to start a night shift with >150 patients waiting to be seen, some for more than 10 hours, with a skeleton crew of approx. 4 doctors to include one covering resus.
Generally decent senior support but consultants occasionally disappear for prolonged periods and can be hard to reach. On the plus side, I found the senior staff were generally eager to teach, especially practical skills such as USS, local nerve blocks and joint reductions.
I frequently found that all medical beds, all surgical beds and all frailty beds are taken up. The hospital almost never goes on divert so even when 10+ ambulances are queuing up outside more will keep arriving. I have seen patients sitting in A&E for over 36 hours waiting for a bed.
Profoundly stressful and left me questioning whether or not I had any place being a doctor. Would not reccommend as sole A&E experience.