One man has been injured after a car crashed into a bus stop outside a busy Accident & Emergency Department in the early hours of the morning.
The crash happened close to Russells Hall Hospital in Dudley.
Ambulance crews at the hospital were flagged down by a member of the public at about 2.55am on Saturday morning.
The occupant of the car, a man in his 20s, had suffered a potentially serious head injury and was taken into Russells Hall for stabilisation.
The health trust responsible for Russells Hall Hospital says the capacity situation there has 'de-escalated' but remains fragile.
Earlier today the trust asked the ambulance service to divert ambulances away from the hospital and told patients to come in only if they had a life-threatening emergency.
The Dudley Group NHS Foundation Trust says it has declared a major internal incident in A&E. It says it is the first time in almost four years it has happened.
In a statement the Chief Executive, Paula Clark, said:
'We do not have staffing issues at the hospital. We have been experiencing high levels of emergency admissions since the middle of December 2013 and the capacity issues have come to a head today.
As well as asking patients to only come to A&E if they are facing life threatening conditions, to help us manage the situation, we have asked West Midlands Ambulance Service to divert ambulances away from Russells Hall Hospital.
We have asked the local authority to help us discharge additional patients to nursing homes and care homes, more than they would ordinarily do.
We have cancelled outpatient clinics and postponed planned operating lists to get as many medical staff as possible to wards to manage the safe discharge of patients.
Emergency patients may have to wait many hours to be admitted to hospital. We are managing the situation from minute to minute and will keep patients informed.'
Patients are being asked to only visit A&E at Russells Hall Hospital unless they are facing a life threatening condition.
The hospital says that it is experiencing unprecedented pressure on its emergency services. It says unless patients have a genuine emergency they are asked to go to their walk in centre, GP or visit their local pharmacist.
“We are at level four capacity which means we have extreme pressure on our services, and so patients who come to our A&E department will have a very long wait,” said chief executive Paula Clark. “We would urge patients to think twice before using the emergency services at Russells Hall Hospital.”