RT Journal Article SR Electronic T1 Strategic planning and response to COVID-19 in a London emergency department JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 567 OP 570 DO 10.1136/emermed-2020-209797 VO 37 IS 9 A1 Kerrie Whitwell A1 Rachel Maynard A1 Natalia Barry A1 Victoria Cowling A1 Tara Sood YR 2020 UL http://emj.bmj.com/content/37/9/567.abstract AB For many of us in emergency medicine, rising to the challenge of the COVID-19 crisis will be the single most exciting and challenging episode of our careers. Lessons have been learnt on how to make quick and effective changes without being hindered by the normal restraints of bureaucracy. Changes that would normally have taken months to years to implement have been successfully introduced over a period of several weeks. Although we have managed these changes largely by command and control, compassionate leadership has identified leaders within our team and paved the way for the future. This article covers the preparation and changes made in response to COVID-19 in a London teaching hospital.