Senior doctors at Middlemore say working conditions are so unsafe, a trainee teaching programme should be scrapped.

A letter signed by 60 doctors is asking for the hospital's training accreditation to be revoked.

It also follows a damning review which found its ED was dysfunctional and overcrowded.

Association of Salaried Medical Specialists Executive Director Sarah Dalton told Kate Hawkesby they're at the point where they can do nothing more to make the service safe.

She says this is a cry for proper resourcing and a road map out of these problems, and that Middlemore has lost sight of clinically informed decision making

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