Emergency Department

The accident and emergency department at The James Cook University Hospital  in Middlesbrough provides emergency care 24 hours a day, 365 days a year.

Emergency Department James Cook

Latest figures show 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.

The James Cook University Hospital is the 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)
In order to view PDF documents you will need Adobe PDF Reader

Friarage Hospital

Temporary service changes at the Friarage

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

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

Find out more…

When can I use the Friarage Urgent Treatment Centre?

The Urgent Treatment Centre is open 24 hours a day, seven days a week.  You do not need an appointment to attend. You can walk in to the UTC, or you may be directed there by NHS 111.

What can I use the Friarage Urgent Treatment Centre for?

In the Friarage Urgent Treatment Centre (UTC), adults and children can be treated for:

  • Strains and sprains
  • Suspected broken limbs
  • Minor head injuries
  • Cuts and grazes
  • Bites and stings
  • Minor scalds and burns
  • Ear and throat infections
  • Skin infections and rashes
  • Eye problems
  • Coughs and colds
  • Feverish illness
  • Abdominal pain
  • Vomiting and diarrhoea

We can now treat children with minor illnesses such as fever, rashes and earache.

The Friarage UTC is NOT able to treat life-threatening injuries or illnesses such as:

  • Severe chest pains
  • Unconsciousness
  • Severe breathing difficulties
  • Uncontrollable bleeding


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: