This episode synthesizes the November 2021 Royal College of Emergency Medicine (RCEM) Best Practice Guideline on Patient Care in the Emergency Department (ED). The guideline was developed in response to key inquiries, including the Francis Report, to re-emphasise a culture where a safe, committed, compassionate, and caring service is paramount, shifting focus from purely target-based metrics. It serves as a comprehensive checklist for medical and nursing staff to benchmark, audit, and improve patient experience and quality of care.