1. Wide variation in the quality of Emergency General Surgery (EGS). 2. A huge clinical service - one of most common reasons for admission to a surgical bed. 3. ASGBI recognises critical need for dedicated clinical leadership of EGS -not simply the ‘on-call’ consultant. 4. Care of emergency admissions often takes second place to care of elective patients. 5. Clear and identifiable separation of delivery of emergency and elective care