Increased demand for healthcare services in winter exerts severe pressure on the NHS, increasing inpatient bed pressures in emergency departments and wards. Impaired flow due to high bed occupancy adversely affects urgent, ambulatory and elective pathways across medical and surgical specialities.
It is crucial for the NHS to plan to meet the inevitable seasonal pressures and this guide reflects best practice nationally.
This guide, developed by clinicians describes good practice guidance. For example hot clinics, early supported discharge surge management as well as outlining some key approaches to avoid unnecessary admissions, reduce length of stay and promote efficient patient flow throughout the hospital
We have developed this guidance in collaboration with the ambulatory emergency care steering group, NHS England, Ambulatory Emergency Care Network and Acute Frailty Network as part of a series of publications supporting providers to deliver ambulatory emergency care and/or same day emergency care services.