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Emergency Department Capacity Management Guidance

Official Print Publication Date
Website Publication DateAugust 02, 2016


ISBN 978 1 78652 306 8 (Web only publication)
PPDAS 70455

This document is also available in pdf format (575KB)


Foreword by the Cabinet Secretary for Health, Wellbeing and Sport

1. This guidance

2. Background


3. The 6 Essential Actions to Improving Unscheduled Care

Essential Action 1. Clinically focused and empowered management
Essential Action 2. Capacity and patient flow
Essential Action 3. Managing the patient journey rather than bed management
Essential Action 4. Medical and surgical processes designed to pull patients from ED
Essential Action 5. Seven-day services
Essential Action 6. Ensuring patients are cared for in their own homes

4. Developing a standardised process for managing ED capacity

Decision to admit
Early notification
Escalation steps to eliminate crowding

5. Summary

6. Tips for implementation

1. Working group
2. Senior leadership
3. Clinical engagement
4. Test and measure
5. The 6 Essential Actions to Improving Unscheduled Care
6. Clinically agreed local definitions
7. Clear decision matrices
8. Clinical responsibility
9. Implementing stage 3

Appendix. Membership of ED Capacity Management Expert Group