What is same day emergency care ?
Same Day Emergency Care, previously known as Ambulatory Care is not new but does continue to evolve as a concept. The underpinning principle is that coordinated access to assessment, diagnostics and treatment can enable some patients to avoid an overnight hospital stay (admission). Over time, many clinical conditions have shifted from traditional inpatient care to outpatient and same day – DVT and PE are clear examples.
UKAOS members are working with colleagues in acute medicine and emergency care teams to develop guidance and pathways that will support the implementation of ambulatory care pathways for oncology patients. We are also sharing examples of new and innovative AO services.
Please have a look at the links below to find an introduction to SDEC services, some guiding principles and practice examples.
If you would like to add to this information and /or share your SDEC examples, do please contact us.
We will be adding to this area as services develop ,so please revisit regularly for updates.
Same Day Emergency Care, previously known as Ambulatory Care is not new but does continue to evolve as a concept. The underpinning principle is that coordinated access to assessment, diagnostics and treatment can enable some patients to avoid an overnight hospital stay (admission). Over time, many clinical conditions have shifted from traditional inpatient care to outpatient and same day – DVT and PE are clear examples. ‘Same Day Care’ is best viewed as a spectrum of service that might support a patient in receiving same day urgent care in a variety of settings including:
• ED
• GP same day appointment
• Urgent Treatment Centre
• Community 2hour Urgent Response and Hospital at Home
• Hospital Same Day Emergency Care (SDEC)
Each of these services has a defined role which may overlap and often appear confusing . Furthermore, access may vary dependent on local geography and service configuration. It is important to note that cancer patients may benefit from all of these options at some time in the cancer journey.
Please follow this link for further information on the structure and startegy of SAMEDAY care.
Please follow this link NHS SAMEDAY strategy - A framework for the development and delivery of same day emergency care.
Follow the links below to find Case Study examples of services that deliver SAMEDAY Acute Oncology care.
1. University Hospitals Sussex Trust: Acute Oncology Same Day Emergency Care (AOSDEC) service
2. Weston Park Cancer Centre: Oncology SDEC across South Yorkshire and North Derbyshire Cancer Alliance
3. Royal Surrey FoundationTrust: Oncology Same Day Emergency Care (OSDEC) trial.
4. Whittington Health NHSTrust: Cancer patients in medical ambulatory care
5. Sandwell and West Birmingham NHS Trust: Acute Oncology at the front door
6. Merseyside and West Lancashire Teaching Hospital Trust: Oncology SDEC
1. Royal Berkshire Foundation Trust: Query Neutropenic Sepsis Pathway through SDEC utilising Single Point of Access
Single point of access overview
A SPoA simplifies access to services by offering clinicians advice and guidance to support onward referral, ensuring patients get the right care for their needs quickly and safely, to improve patient outcomes regardless of where they present. As a partnership between community, ambulance, primary care, acute services and social care that brings together a multidisciplinary team (MDT), the SPoA can prevent avoidable ambulance dispatches and conveyances, emergency department (ED) attendances and hospital admissions.
UKAOS members are working with colleagues in acute medicine and emergency care teams to develop guidance and pathways that will support the implementation of ambulatory care pathways for oncology patients.
The Pathway for Cancer Patients Presenting with Unsuspected Pulmonary Embolism is first pathway to be published.
Click on the image below
The following guidelines are in development and will be released in the near future:
- ♦ Ambulatory Management of Low Risk Febrile Neutropenia
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There is an ever increasing evidence base to support the introduction of Same Day Emeregincy Care Services for Acute Oncology Patients.
Our November learning hour focused on the introduction of a dedicated SDEC service in Plymouth.
Link to Presentation Slides
Please do contact us if you would like us to add information and links to any relevant education/training courses that you provide or are developing
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