Emergency Department

Accident and emergency departments at The James Cook University Hospital  in Middlesbrough and the Friarage Hospital in Northallerton provide emergency care 24 hours a day, 365 days a year.

Emergency Department James Cook

Latest figures show we treat more than 127,000 patients a year across both sites and we are among the best performing trusts for ensuring accident and emergency (A&E) patients are seen within four hours  – a national target set by the Department of Health.

In April 2012 The James Cook University Hospital was formally designated as a major trauma centre  for the southern part of the Northern region.

Regional major trauma centre

The hospital is part of a network of  major trauma centres across the country ensuring patients with serious and life-threatening injuries are treated quickly in a specialist hospital where expert staff are available round the clock.

Like other hospitals we have seen very high levels of people coming through our doors but we are doing everything we can try to deal with the increasing service pressures.

The James Cook University Hospital

The James Cook University Hospital is a regional level 1 trauma centre as well as a supra-regional spinal injury centre.

The 24-hour service includes:

Children's area emergency dept

  • Major trauma resuscitation – Level 1 trauma receiving unit supported by 24 hour CT
  • Major incident response
  • Full adult and paediatric resuscitation
  • Minor injury and illness assessment
  • Consultant led ‘see and treat’ assessment.
  • Decontamination facilities
  • Rapid access to diagnosticsEmergency dept screen
  • Dedicated area for children and their families
  • 24/7 access to liaison psychiatry
  • Hospital Intervention Liaison Team – drug and alcohol support

James Cook Hospital map (148kb)
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Friarage Hospital

Accident and emergency Friarage Hospital

The accident and emergency department at the Friarage Hospital is the smallest 24 hour ‘major’ unit in England. It receives an unselected casemix from a population of 120,000.

The catchment area is predominantly rural, covering a large geographical area from the North Yorkshire Moors to the heads of Wensleydale and Swaledale. It also includes the large military bases at Catterick, RAF Leeming and RAF Dishforth.

The 24-hour service includes:

  • Assessing and treating adults with serious injuries and illnesses
  • Assessing and treating  adults with minor injuries and illnesses
  • Assessing and treating children with minor injuries

Important information on temporary service changes at the Friarage

There are some temporary changes planned to services provided at the Friarage from 27 March 2019.

  • The accident and emergency (A&E) service at the Friarage Hospital will temporarily change to an Urgent Treatment Centre (UTC)

  • Patients requiring critical care will be cared for at The James Cook University Hospital or Darlington Memorial Hospital.

Find out more…


Clinics are held at James Cook,  the Friarage,  Redcar Primary Care Hospital, East Cleveland Primary Care Hospital in Brotton and Guisbrough Primary Care Hospital.

Eye casualty

Eye scanner

Eye casualty at James Cook is open seven days a week and is staffed by ophthalmic nurse practitioners who deal with any eye emergency presenting in the eye outpatients department from:

  • 8am to 4.30pm – Monday to Friday
  • 8am to 12noon – weekends and bank holidays

Outside of these hours patients should present to A&E.

Patients should only attend the department if they have a true eye casualty complaint such as an acute injury, foreign body or acute loss of vision. For less serious or general eye complaints please visit a local optician.

Choose the right NHS service and help ease the pressure on A&E

  • You should call the NHS 111 service if you urgently need medical help or advice but it’s not a life-threatening situation.
  • If your injury or illness is not serious you can go to an urgent care centre which could save you a long wait and will help staff in A&E concentrate on people with serious and life-threatening conditions.Emergency dept
  • To find out more about out of hours GP services in the area visit the Northern Doctors website.
  • For urgent dental advice call 0300 123 1933.
  • Can’t get an appointment with your GP? Call NHS 111 to access South Tees Access Response (STAR) GP hubs on evenings and weekends.
  • Find you nearest urgent care centre – search by postcode on NHS Choices

Related services

You may also be interested in these related services from South Tees Hospitals NHS Foundation Trust: