Urgent service providing same-day care for patients with acute medical conditions.

Able to carry out urgent diagnostics if required (e.g. MRI, CT, Doppler, ultrasound, echo and ECG). 

Please note: this service does not include intravenous antibiotics administration, please see OPAT service.

Eligibility Criteria

Inclusions

Patients who can most likely be managed without an overnight stay, for example:

• low-risk chest pain (pain free)
• pulmonary embolism
• pleural effusion
• acute headache (non-trauma)
• collapse
• lower GI haemorrhage
• anaemia requiring same-day intervention
• mild community-acquired pneumonia (CAP)
• unilateral lower limb swelling (potential DVT/cellulitis)
• new hypertension
• suspected pyelonephritis
• abnormal blood test results
• infections

The service is non-pathway driven, so please call and discuss.

Exclusions

• those who require intravenous antibiotics administration
• NEWS ≥ 5 or 3 in one parameter
• patients requiring urgent suspected cancer investigations 
• patients awaiting specialty review without acute component 
• patients for Holter monitors
• sodium <125
• potassium >6.5
• lactate >4 (unless seizure related)
• ongoing chest pain, high Trop T and ECG changes
• requirement for primary Mental Health Team assessment or under MHA section
• under-18s

How to Refer

Call the service for triage. 8am-8pm, seven days a week

Locations

Same-Day Emergency Care