12. February 2026

The emergency department is bleeding out – Staff demand immediate action

Date

12. February 2026

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The safety of staff and patients at the emergency department of Landspítali in Fossvogur is constantly at risk. It is not possible to guarantee infection protection, fire protection or privacy. Staff and patients are therefore in circumstances where the risk of infections, accidents, violence and other serious incidents is obvious and ongoing. This situation has been evident for years but has been ignored by health authorities. Action must be taken now, otherwise the consequences of previously unknown and terrible scale will occur.


This is among what was presented at the joint meeting of the staff trade unions of the emergency department that was held on Wednesday, February 11. Present at the meeting were the Efling union, the Icelandic Nurses Association, the Icelandic Medical Association, the Icelandic Hospital Workers' Union and Sameyki. A huge crowd attended the meeting, about 180 people, and the sound was heavy among the people.


At the meeting the staff of the emergency department described the circumstances in such a way that no one who was listening should be distracted by thoughts that an emergency situation was occurring there. The department's response capacity is limited due to the large number of admitted patients there, who should be transferred to the appropriate wards in the hospital. Staff described fatigue, anxiety, sorrow and anger about the circumstances, as well as pride, solidarity, and a desire to be able to do their work in humane conditions. The demand is that until the municipal authorities respond to the information we previously provided about the situation and instead make improvements, for the benefit of staff, patients, relatives and society as a whole.


The fund approved unanimously, with a strong parliamentary resolution in which the situation was described and demands for actions were presented. The resolution can be read below. 


Resolution of the meeting of the strike action committee of Landspítali

11. February 2026


The conditions in the emergency department of Landspítali in Fossvogur are so serious that every day they threaten the safety of patients and staff in the emergency room and in an unmanageable danger. This has long been public and recognized by the hospital's management, the office of the chief medical officer and health authorities, without any satisfactory response being taken. 


The daily number of admitted patients far exceeds what the premises, layout and safety systems can tolerate. The consequence is that neither patient safety nor staff safety, adequate infection control, fire protection or privacy can be ensured. The hospital has been at the highest state of readiness for more than a full year without the health authorities responding. The inaction reflects the lack of resources and the shortcomings that the State Audit has pointed out. 


The Director of Health confirmed in a memorandum on June 2, 2022 that the emergency department did not meet professional requirements due to bottlenecks, an excessive number of patients and understaffing, and that it was impossible to ensure patient safety or service quality. The Director of Health said at that time that it would actually be most appropriate to close the department because of danger and unacceptable conditions, but also acknowledged that this would not be a realistic option since the department is the only one of its kind in the country and provides essential services. 


These serious statements from the Director of Health were ignored. Since then the situation has not improved, but has worsened. 


Over 100 patients are on average being housed in a space designed for 36. Isolation is impossible, restless or unstable patients are not guaranteed safety and oxygen cylinders together with other equipment are like raw material on the corridors of the emergency department with obvious fire and explosion risk. This is a serious safety threat for staff and patients, and with this number of patients the working conditions for staff are completely unacceptable.


The emergency department has for a long time been caring for admitted patients who should have been taken to the appropriate wards. It is not the role of the emergency department to run a duplicate ward on top of emergency services. This hampers the emergency department's response capacity and prevents staff from having the space and peace to perform their statutory duties in the reception and treatment of the injured and critically ill.


Staff were forced to work in conditions that go against their professional knowledge and recognized standards for good and safe health care. Such a situation is unacceptable and has lasting and negative effects on staff and the quality of service. 


Staff and patients are placed in situations where the risk of infection, accidents, violence, and serious consequences is obvious and ongoing. 


In December, eight employees were found with concealed weapons. This underscores the consequences of infection control and equipment not being in compliance with laws and regulations. Inaction in construction and investment in health facilities has created a systemic problem that now appears in a clear and dangerous manner in emergency care. 


We demand that the workplace complies with laws on health practices, safety and equipment and that immediate action be taken because there is a persistent and worsening emergency situation and we must already respond.


We also demand that those parties who bear legal responsibility respond immediately and follow up on the comments, inspections and committee findings that have previously been presented:


  • The Office of the Director of Health should follow up on improvements after being delayed when they assessed the department's conditions.
  • The Labour Inspection Authority conducts a comprehensive inspection of staff equipment and responds to violations of occupational safety laws. 
  • Health supervision takes into account circumstances regarding health conditions and infection prevention. 
  • Fire safety inspection follows its own assessment of fire risk due to oxygen equipment and fittings. 
  • Data protection can assess the circumstances with regard to the privacy and protection of patients. 
  • Health authorities conduct an assessment of injuries and mortality of patients with regard to length of stay in emergency care.


The safety of patients and staff must no longer be a sacrifice. It is completely unacceptable that these conditions have been allowed to persist for years despite repeated warnings. Instead of promises we demand improvements. Those who manage and supervise the health system must take responsibility and exercise their authority immediately.


Resolution sent to: 


Office of the Chief Medical Officer
Labor Inspection
Health Inspection Reykjavik
Fire Department of the Capital Area
Data Protection
Directors of Landspítali
Ministry of Health 

Ministry of Finance 

Prime Minister's Office 

Welfare Committee of the Althing 

Finance Committee of the Althing 

Copy: Media 

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