The access solutions meeting was instigated off the back of a damning Auditor General report into the state's four major hospitals, as well as numerous and deeply concerning reports around patient access block.

But it was always about more than just the RHH. Dubbed at the time as an opportunity to set out the platform for better outcomes for all Tasmanian patients, it is clear now - five months on - that this platform has crumbled.

Or as ACEM president Dr Simon Judkins put it, the situation facing all Tasmanian emergency departments has significantly deteriorated.

The number of admitted patients stuck in the ED, awaiting an inpatient bed has reached unprecedented levels. Between the RHH and Launceston General Hospital, Tasmania boasts Australia's two worst-performing EDs in regards to access block and 24 hour wait times. This cannot continue.

Yet the data has also reinforced what's been long understood, but perhaps not as well recognised. That the pressures facing the LGH are just as bad, if not worse, than the situation in the state's South.

So where is the Northern access solutions meeting? Where is the statewide strategy the ACEM has again called for to ensure patient and staff safety is a guarantee - not just a target?

Who will ensure these changes occur and who will be held accountable if the failings continue?

The ACEM has made it very clear that what's occurring in our EDs are the result of blockages that originate in the management of inpatient capacity.

The problems might manifest in the ED, but they are beyond the ED's control. So when Health Minister Sarah Courtney meets with the ACEM on Friday definitive objectives must be outlined.

The steps forward must be open for Tasmanians to track and hold decision makers to account and most importantly, any agreed solutions must be actioned in the state's North.