Urgent and emergency care improvement
The resources below provide guidance and support to drive continuous improvement in urgent and emergency care services.
Delivery plan for recovering urgent and emergency care (UEC) services
To support recovery, the UEC plan sets out a number of ambitions, including:
- Patients being seen more quickly in emergency departments: with the ambition to improve to 76% of patients being admitted, transferred or discharged within four hours by March 2024, with further improvement in 2024/25.
- Ambulances getting to patients quicker: with improved ambulance response times for Category 2 incidents to 30 minutes on average over 2023/24, with further improvement in 2024/25 towards pre-pandemic levels.
Read and download: Delivery plan for recovering urgent and emergency care services
Demand and capacity
- Demand and capacity emergency department model: This model will help you to understand the demand and capacity needs of type 1, 2, and 3 emergency departments (ED) – including MIUs.
- Improvement guidance for writing a criteria led discharge policy: guidance on writing a patient discharge policy on criteria led discharge
- Rapid improvement guide: criteria led discharge: easily accessible approaches and principles for the implementation of criteria led discharge
- Hospital discharge and community support guidance: this guidance sets out how NHS bodies and local athorities can plan and deliver hospital discharges.
- Ten best practice initiatives: initiatives that demonstrably improve flow and improve discharge
- Managing transfers of care – A high impact change model: support for local system partners to improve health and wellbeing, minimise unnecessary hospital stays and encourage them to consider new interventions.
Getting it Right First Time (GIRFT)
- Getting it Right First Time Academy of resources: Getting it Right First Time Academy of resources provide useful clinical resources including best practice pathways, case studies, and guidance documents for surgical and medical specialties as well as cross-cutting workstreams such as clinical coding and litigation.
- GIRFT Summary Emergency Department Indicator Table (SEDIT): the Summary Emergency Department Indicator Table (SEDIT) is an easy-to-use, online depository of emergency medicine data, including novel metrics, that is updated monthly and is available to all NHS colleagues.
- Online improvement tool helps ease pressure in emergency departments (ED): An online improvement tool from the GIRFT and UEC teams is helps to enhance capacity in hospital emergency departments and admissions wards. Alternatives to ED (A-tED) uses a simple scoring system to rate and compare accessibility to services patients use as an alternative to attending their ED. A sister tool – Alternatives to Admission (A-tA) can also be utilised.
Same day emergency care (SDEC)
- What is same day emergency care? Video describing the principles of same day emergency care.
Winter Improvement Collaborative
- Urgent and emergency care improvement guide to contact hubs for primary, ambulance and clinical calls
- Urgent and emergency care improvement guide to direct access
- Urgent and emergency care improvement guide same day emergency care flow
- Urgent and emergency care improvement guide same day emergency care pathways
- Urgent and emergency care improvement guide specialty support to the urgent and emergency care pathway/internal professional standards
- Transfers of care hub: staff action cards: action card for transfers of care hub teams.
- Better Care Fund policy framework 2022-2023: guidance for Better Care Fund implementation.
- Standard guidance: ambulance clinician (on scene) referral to same day emergency care: guidance will help ambulance providers with designing and implementing direct referrals into same day emergency care (SDEC).
- Virtual ward resources: multiple resources to support virtual wards.
- Project reset in emergency medicine: patient FIRST: patient FIRST is a support tool designed by clinicians, for clinicians. It includes practical solutions that all emergency departments could consider.
- Provider collaboration review: Urgent and emergency care: review to show the best of innovation across systems under pressure to drive improvement.