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What is Same Day Emergency Care and what doctors should apply?

  • August 24, 2022

One of the various strategies the NHS uses to ensure that patients receive the proper care at the appropriate location and time is same-day emergency care (SDEC). By lowering wait times and hospital admissions, where necessary, it seeks to improve both patient care and the healthcare system as a whole.

For emergency patients who would otherwise be admitted to the hospital, SDEC is the provision of same-day care. Patients who appear at the hospital with relevant conditions can be swiftly evaluated, diagnosed, and treated without being admitted to a ward under this care model, and if it's clinically safe to do so, they can leave the hospital and go home the same day their care is provided.

How does SDEC work?

Patients can be referred to SDEC treatment through different routes, including:

  • Following streaming or triage in emergency departments (EDs)
  • Direct referral from GPs
  • Direct transfer from ambulance services
  • Direct referral from NHS 111

Some of the many types of SDEC treatment include:

  • Medical
  • Surgical
  • Specialists (e.g. Paediatrics and Gynaecology etc.)

The ambitions from the NHS Long Term Plan note that all hospitals with a 24 hour ED (type 1) will:

  • Provide SDEC services at least 12 hours a day, 7 days a week
  • Provide an acute frailty service at least 70 hours a week, with the aim to complete a clinical frailty assessment within 30 minutes of arrival in the ED/SDEC unit
  • Record all patient activity in EDs, urgent treatment centres and SDECs using same day emergency care data sets.

Who should apply?

Doctors with experience in Emergency Care, Acute/Internal Medicine or General Medicine can apply for positions within SDEC. You will have the opportunity to manage a range of acute medical problems and to develop your clinical leadership within these areas.  This includes developing SDEC specific clinical pathways to complement those already in operation (suspected deep venous thrombosis, low risk chest pain).

You will be expected to manage patients as part of a wider team comprised of senior Advanced Nurse Practioners, GP with Specialist Interest, supported by dedicated nursing staff. 

How can we help?

If you’re an international doctor looking to relocate to the UK please email your CV to [email protected] and we can support you in securing an NHS post and on your journey to relocate to the UK.

Are you a member of our Facebook group? When you join IMG Advisor, you join a community of doctors all looking to relocate to the UK and join the NHS. We post a series of vlogs and blogs to the group every day. We will also be on hand to answer all of your relocation queries.

Subscribe to our YouTube channel! We have over 100 videos on everything you need to know about relocating to the UK and joining the NHS!

Listen to BDI Resourcing on the go to IMG Advisor the Podcast. You can find us on Apple Podcasts, Spotify, Stitcher and Buzzsprout. We have a number of episodes with tips and advice on relocating to the UK and the routes you can take to achieve this.


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