-
Topics
- All Topics
- Self Care
- Blood & Skin
- Cancer & Screening
- Cardiovascular & Respiratory
-
Children & Family
- Child Emotional Wellbeing & Mental Health
- Children, Young People & Family
- Domestic Violence & Abuse
- Female Genital Mutilation
- Gender Identity
- Homelessness
- Learning Disabilities & Neurodevelopmental Disorders
- Migrant Health
- Safeguarding Adults
- Safeguarding Children
- Sexual Health
- Social Prescribing
- Speech & Language Therapy
- Diabetes & Endocrine
- Diagnostics & Investigations
- Frailty & Complex Care
- Gastroenterology, Colorectal, Renal & Urology
- Head, Neck & Eyes
- Infectious Diseases
- Mental Health
- MSK
- Neurology & Neurosurgery
- Nutrition & Weight Management
- Obstetrics & Gynaecology
- Social Care & Safeguarding
- Urgent & Emergency
- Pathways
-
Medicines
- Community Pharmacy
- Controlled Drugs Accountable Officer
- Electronic Prescription Service
- Infections and Antibiotics
- Medicines Compliance
- Medicines Management Teams: NCL
- Medicines Optimisation Prescribing Policies
- Medicines Supply Issues
- Opioids and Dependence-forming Medications
- Patient Group Directions
- Prescribing Guidelines
- Prescribing Quality Scheme (PQS)
- Prescribing Recommendations (NPR)
- Prescribing Watch
- Self-Care Medicines Scheme (SCMS)
- Shared Care
- Fact Sheets
-
Practice Management
- Cancer Care Resources
- Deadlines
- Enhanced Services
- General Practice Access Support
- General Practice Staff Survey
- Greener NCL: Sustainable General Practice
- Hospital Bypass Contacts
- Immunisations & Vaccinations
- Interface Consensus
- Practice Vacancies
- Referral Support
- Research Opportunities
- Submit a Patient Safety Incident Report
- Submit a Quality Alert
- Support for Staff
- Veterans’ Healthcare
- Education
- Digital
Same-Day Emergency Care: RFL
NCL WideSame-day emergency care (SDEC) is the provision of same-day care for patients with acute conditions who would otherwise need hospital admission or emergency assessment in ED.
Patients presenting with relevant conditions can be rapidly assessed, diagnosed and treated without being admitted to a ward. If clinically safe to do so, they will go home the same day.
At RFH, patients can be referred to either ED SDEC or Medical SDEC.
ED SDEC
ANP/consultant-led service for patients presenting with conditions within one of the defined ambulatory pathways:
- DVT
- cellulitis
- PE
- pyelonephritis
- abscess
- ureteric colic.
ED SDEC is open seven days a week, from 8am-5.30pm. Referral is via the ED consultant (pathway-led patients only).
Medical SDEC
Acute medicine service for patients requiring urgent review who would otherwise likely need admission or ED assessment, who don't have one of the ED SDEC pathway conditions.
Please note: for elderly/frail patients please refer to the TREAT service for assessment and admission avoidance.
Medical SDEC is open Monday to Friday, from 9am to 5pm. Referral is via the Medical Registrar (non pathway-led patients).
Eligibility Criteria
Inclusions
Patient:
- has an acute condition that either fits one of the ED SCEC pathways or requires urgent assessment by the acute medicine service to prevent admission
- is able to sit in the waiting room independently and transfer with minimal assistance
- is >18 years old.
Exclusions
Patients:
- who are clinically unstable (NEWS2 >5)
- have infection control issues (COVID-19, D&V, etc.)
- have acute confusion or severe dementia.
How to Refer
Locations
Unit details
Resources
Related Services
Barnet Hospital Adult Assessment Unit Hub
AAU provides rapid access to medical ambulatory pathways and virtual wards for acute and elderly care BarnetEnfieldChronic Kidney Disease Integrated Service
Chronic Kidney Disease Service NCL WideSame-Day Emergency Care: NMUH
Same-day emergency care (SDEC) for patients with acute medical conditions who would otherwise be admitted to hospital or ED NCL WideSame-Day Emergency Care: UCLH
Same-day emergency care (SDEC) for patients with acute medical conditions who would otherwise be admitted to hospital or ED NCL WideSame-Day Emergency Care: WH
Same-day emergency care (SDEC) for patients with acute medical conditions who would otherwise be admitted to hospital or ED NCL WideTransient Ischaemic Attack Clinic: RFL
For those with or at risk of TIA NCL WideTREAT HOT Clinic: RFL
Service for patient >80 years with complex needs including high risk of falls, off baseline mobility or unresponsive to oral antibiotics NCL WideVascular Services: UCLH
Vascular services at UCLH NCL WideRelated Topics View All
Urgent & Emergency Care for Adults
Emergency, rapid access and urgent care servicesFrail & Elderly
Information about frail and elderly services across NCLReview date: Saturday, 25 January 2025