IntroductionSame-day emergency care is one of the many ways the NHS isworking to provide the right care, in the right place, at the right timefor patients. It aims to benefit both patients and the healthcaresystem by reducing waiting times and unnecessary hospitaladmissions.In our organisation patients presenting to the emergencydepartment (ED) with common medical conditions like chestpain / shortness of breath (SOB), palpitations, headache, chestinfection or deep vein thrombosis / pulmonary embolism wereinitially triaged in ED streaming. There were delays due toinitial assessment by emergency care doctors and subsequentassessment by the on-call medical team.We developed a pathway of direct referrals from ED streamingto ambulatory care for clinically suitable patients with commonconditions like chest pain, palpitations, headache or SOB / chestinfection. The aim was to avoid unnecessary hospital admissionsand therefore reduce the risk of infections and de-conditioning forpatients, improve patient experience by reducing waiting times,improve patient flow and reduce congestion in the ED, and achievefinancial benefits and cost savings for the hospital.
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