Urgent clinical advice
What is same day emergency care (SDEC) and how does it link with ambulatory emergency care services?
Same Day Emergency Care (SDEC) - an umbrella term for the units who see patients on a same day basis at Frimley Park and Wexham Park hospitals.
- Ambulatory emergency care unit (AECU)
- Surgical emergency unit (SEU)
- Urgent gynaecology care centre (UGCC)
- Paediatric assessment unit (PAU)
These same day emergency care (SDEC) services aim to see and treat patients who would have previously been admitted by providing rapid clinical assessment, diagnostic service and treatment targeted at attempting to discharge patients the same day, avoiding the need for any unnecessary overnight stay.
To discuss the units in more detail, please contact: Sean Harding, consultant nurse acute care: s.
Specialty | Name of unit | Days / times available | Contact details | Further guidance on how to access or use service | Acceptance / inclusion criteria |
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Medicine (FPH) |
Ambulatory emergency care unit (AECU) Frimley Park |
Monday to Friday Weekends: |
Outside of these hours contact the on-call medical registrar available through switchboard - 0300 614 5000 |
All referrals to acute medicine and ambulatory emergency care between After acceptance, please complete the referral form available on DXS under 'ED and Urgent Care' landing page and email to: fhft. For practices that do not have DXS please use this AECU referral form. Senior medical presence cannot always be guaranteed on the unit. PLEASE NOTE - You MUST call the above number first. The AECU is NOT a walk-in service. |
This phoneline takes ALL referral calls to acute medicine and will decide if appropriate for ED or AECU. Please see below AECU inclusion / exclusion criteria. AECU inclusion criteria:All medical conditions will be considered for referral. If uncertain whether a patient is suitable for referral, discuss the case with the AECU / medical team (registrar or consultant). AECU exclusion criteria:
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Surgery (FPH) |
Surgical emergency unit (SEU) |
Open 7 days a week: 7am - 9pm GP referrals - SAU is accessed through entrance C at FPH |
Referrals line (Surgical SHO): 0300 613 3393 If unavailable please call surgical SpR: 0300 613 3737 |
ALL acute referrals to general surgery should go via 0300 613 3393 There is also a 24hr surgical helpline for patients: The line is manned by the SEU nursing team to give advice to patients that have been an inpatient within the last 28 days about wounds, drains, medications etc. (excluding issues around future appointments, repeat prescriptions and sick / fit notes). |
This phoneline takes ALL acute referral calls for general surgery and urology and will decide if appropriate for ED or SEU. Please see below SEU inclusion / exclusion criteria. SEU Inclusion Criteria:
SEU Exclusion Criteria:
If the Trust is under extreme pressure these patients will be individually assessed for suitability by the emergency surgical team (EST) Consultant or Registrar) If a patient is clinically unstable or no space in SEU then the patient will be booked to ED. |
Gynaecology (FPH) |
Urgent gynaecology care centre (UGCC) (Previously known as: early pregnancy unit (EPAU/EPU). Location : Outpatient department 4 |
7 days a week Monday to Sunday: 8am - 8pm |
Early pregnancy / UGCC admissions: 0300 613 6418 For early pregnancy : Please complete referral form on DXS and email to: fhft. Once received, the team will then contact the patient to attend. For practices that do not have DXS click here for Early Pregnancy Referral Form |
ALL acute referrals to gynaecology should go via this number.
**PLEASE NOTE – UGCC / Early pregnancy IS NOT a walk-in service. |
This phoneline takes ALL acute referral calls for gynaecology and will decide if appropriate for ED or UGCC. Please see below UGCC inclusion/exclusion criteria. Early pregnancyUGCC inclusion criteria:
Emergency gynaecologyUGCC inclusion criteria:
UGCC Exclusion Criteria:
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Paediatrics (FPH) |
Paediatric ambulatory unit / advice line (PAU) |
24/7 Location: PAU |
Call 07881 352600 Out of hours - Please call via the switchboard 0300 614 5000 and ask for the paediatric registrar - bleep 5100
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All Acute Referrals to Paediatrics: 07881 352 600 |
All referral calls will be answered and either accepted for same day care or advice will be given. Please see below for inclusion/exclusion criteria. Inclusion Criteria: • All acute medical referrals of children and young people up to the age of 16 years will be considered apart from the exceptions below. If uncertain whether a patient is suitable for referral, please discuss the case with the Paediatric Consultant Hotline - 07881 352 600. • Please refer young people between 16-18 years with a new diagnoses of Diabetes or Cancer, or who present with a problem related to a condition for which they are still under Paediatric Outpatients. Exclusion Criteria: • Young people between 16-18 years (see above) • Time-critical conditions, requiring immediate treatment upon arrival at hospital. Please send them to ED. In these cases ED must be pre-alerted. • Babies under 10 days of age with feeding difficulties or jaundice are usually seen on the Post Natal ward. |
OTHER FPH urgent care services (including the frailty details below): | |||||
Frailty (FPH) |
Integrated frailty liaison team at FPH |
7 days a week: Monday to Sunday: 7am - 5pm |
Integrated frailty liaison team coordinators - |
Please refer to speciality guidelines and pathways on DXS. |
This phone line will take referrals for anyone aged over 65 presenting with a frailty crisis and will decide if appropriate for ED or frailty. Frailty inclusion criteria:Patients aged over 65 years who score positively on the frailty indicator tool, with a Rockwood score of 5 and above, who present with the following frailty crisis:
Frailty exclusion criteria:
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Specialty | Name of unit | Days / times available | Contact details | Further guidance on how to access or use service | Acceptance / inclusion criteria |
---|---|---|---|---|---|
Medicine (WPH) | Ambulatory Emergency Care Unit (AECU) |
Mon - Fri: 09.00 – 21.00
Wknds & BH: 09.00 - 21.00 |
07384 527 685or via switchboard (0300 614 5000).
(Outside of these hours calls are taken by the site manager available through switchboard - 0300 614 5000 or on-call Med Reg via switchboard Bleep 4724). |
ALL referrals to Acute Medicine & Ambulatory Emergency Care (in the hours specified) need to go via the referral line (07384 527 685). After acceptance, please complete the referral form available on DXS under ED and Urgent Care Landing Page and email to: Ambulatory medical referrals For Practices that do not have DXS click here for the AECU referral form. Senior medical presence cannot always be guaranteed on the unit. * PLEASE NOTE - You MUST call the above number first. The AECU is NOT a walk-in service. |
This phoneline takes ALL referral calls to acute medicine and will decide if appropriate for ED or AECU. Please see below AECU inclusion/Exclusion Criteria.
AECU Inclusion Criteria: All medical conditions will be considered for referral. If uncertain whether a patient is suitable for referral, discuss the case with the AECU / Medical team (Registrar or Consultant available via the referral line if needed). AECU Exclusion Criteria: · Any patient presenting with a time critical condition, requiring immediate treatment upon arrival at hospital, MUST continue to be pre-alerted to ED.· Any patient with suspected (or confirmed) Covid-19 symptoms e.g. 'Flu-like illness; New onset dry, persistent cough; Fever.· Any patient presenting with a frailty syndrome should be referred via the Community Frailty Assessment Pathway.· Abdominal pain.· Active cardiac chest pain with or without ECG changes.· Active diarrhoea.· Active PR bleed.· Lower Back pain.· Complications following a recent surgical procedure.· Fall with suspicion of fractures, multiple fractures or c-spine tenderness.· Head injury.· Acute confusion or Mental health problems.·Suspected Neutropenic sepsis.· Pregnant patients presenting with PV bleeding or a condition best managed by maternity.·Under 16 yrs old (or 16-17 yrs and known to the paediatric team).·Urinary retention.·Patients seen in an outpatient setting with a documented decision to admit by their speciality team.·Any other presentation considered unsuitable for referral, by the AECU/medical team |
Surgery (WPH) | Ward 2 –Surgical Emergency Unit- SEU |
Mon-Fri: 08:00-20:00 GP Referrals -08:00-18:00(if outside these hrs, pts. will be directed to ED) Location: Ward 2 |
Advanced Clinical Practitioner: 07468 354436 (Outside these hours calls are taken by the Surgical SHO on-call Bleep 4422 via switchboard – 0300 614 5000). |
ALL Acute referrals to General Surgery should go via this number (07468 354436). |
This phoneline takes ALL Acute referral calls for General Surgery and Urology and will decide if appropriate for ED or SEU. Please see below SEU inclusion/exclusion criteria SEU Inclusion Criteria: - General Surgical and urology presentations. - Breast problems:
SEU Exclusion Criteria:
If the trust is under extreme pressure these patients will be individually assessed for suitability by the Emergency Surgical Team (EST) consultant or Registrar) If the patient is clinically unstable or no space in SEU the patient will be booked into ED. |
Gynaecology (WPH) |
Urgent Gynae Care Centre (UGCC) Previously known as: Early Pregnancy Unit (EPAU/EPU).
Location: Gynaecology Outpatients Department |
7 days a week: Mon - Sun 08:00 - 20:00 |
Early Pregnancy/UGCC : 0300 615 4429 For Early Pregnancy: Please complete referral form on DXS and email to: fhft. Once received, the team will then contact the patient to attend. For Practices that do not have DXS click here for Early Pregnancy Referral Form |
ALL Acute referrals to Gynaecology should go via this number
**PLEASE NOTE UGCC/Early Pregnancy IS NOT a Walk in Service |
This phoneline takes ALL Acute referral calls for Gynaecology and will decide if appropriate for ED or UGCC Please see below UGCC inclusion/exclusion criteria.
Early Pregnancy UGCC Inclusion Criteria: · Up to 15+6 weeks. From 16 weeks onwards, send to maternity assessment centre (MAC) (phone: Wexham Park- 0300 615 4520). · Please do a urine pregnancy test and ensure patient is pregnant. · If possible send Serum HCG and Serum Progesterone. This helps to speed up diagnosis and discharge. Emergency gynaecology UGCC Inclusion Criteria: · Over 16 years of age.· Any gynaecology related symptoms that need urgent management.· Post operative patients up to 14 days with surgical related complications (not for suture removal)· Only mobile, stable and independent patients.· Bleeding after recent pregnancy where retained products of conception is suspected.·Acute Batholin’s abscess UGCC Exclusion Criteria: · Pregnancy more than 16 weeks – Please refer to MAC.· Haemodynamically unstable patients.·Any suspected surgical or medical patients.· Post-menopausal bleeding - Please refer to rapid access clinic.· Any patient who is not mobile and independent and cannot sit unaided in a chair. |
Paediatrics (WPH) | Paediatric Ambulatory Unit/Advice Line (PAU) |
24/7 Location: PAU |
Call 07919 175 643. Mon-Fri 09:00 - 18:00 (GP hotline)Out of hours - Please call via the Switchboard (0300 614 5000) and ask for the Paediatric Registrar Bleep 4516. | All Acute Referrals to Paediatrics: 07919 175 643 |
All referral calls will be answered and either accepted for same day care or advice will be given. Please see below for inclusion/exclusion criteria. Inclusion Criteria: • All acute medical referrals of children and young people up to the age of 16 years will be considered apart from the exceptions below. If uncertain whether a patient is suitable for referral, please discuss the case with the Paediatric Consultant Hotline - 07919 175 643. • Please refer young people between 16-18 years with a new diagnoses of Diabetes or Cancer, or who present with a problem related to a condition for which they are still under Paediatric Outpatients. Exclusion Criteria: • Young people between 16-18 years (see above) • Time-critical conditions, requiring immediate treatment upon arrival at hospital. Please send them to ED. In these cases ED must be pre-alerted. • Babies under 10 days of age with feeding difficulties or jaundice are usually seen on the Post Natal ward. |
OTHER WPH urgent care services (including the frailty details below): | |||||
Frailty (WPH) | Integrated Frailty Liaison Team |
Mon - Sat: 07:30 - 18:00 Sun: 07:30 - 16:00 |
Consultant: 07787 275775
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All referrals should go via this number. |
This phone line takes referral calls for anyone over 65 years and will decide whether appropriate for ED or Frailty team.
Exclusion criteria
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Emergency department (ED)
If you are referring to SDEC please ensure that you follow the appropriate referral process and if you direct to specialty, please ensure that the speciality has accepted the patient before sending them with a letter.
A referral form is now available on DXS for ED. This has been developed to improve communication between primary and secondary care and should follow a phone call being made to the specialist and not be instead of. It ensures patients being referred to hospital as an emergency have the relevant supporting documentation and ‘hand over’ from primary care colleagues.
The form can be found on DXS landing page “ED and URGENT CARE” or can be found by searching with the terms “FHFT ED”, “Emergency”.
The ED form has an option at the top for users to choose which site they would like to refer to and the respective email address for WPH or FPH, the form. This form can be emailed directly from DXS to the specified ED nhs.net inbox these inboxes are:
Frimley Park Hospital: fhft.
Wexham Park Hospital: fhft.
Please consider the Urgent Care (UCC) and Treatment Centres (UTCs) where appropriate.
Location | Days / time available | Contact details | Further guidance on how to access or use service | Acceptance / inclusion criteria |
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Bracknell Healthspace - UCC |
This minor injury service is available: Monday to Sunday X-ray access is available: Monday to Friday and Sunday (not available Saturday) NB that the last accepted x-ray slot is 7.30pm, to allow for maintenance of the equipment prior to close. |
The minor injury pathway is accessible via:
Please note that the clinician phone number is not for public use or circulation - for clinicians only |
This is a Minor Injury service only. Patients with minor illness that attend will be assessed and redirected to their GP practice or pharmacy. The minor injury service is led by specialist nurses with prescribing capability. The clinicians provide telephone and video consultations in addition to face to face. The service accepts walk-ins, but if possible, please contact the clinician in charge via the mobile number 07773 018190 to support virtual management or a booked appointment. |
Some common conditions or illnesses that can be treated at Bracknell Urgent Care Centre include:
We are unable to see patients for the following:
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Slough UCC |
Monday to Sunday 3 Priors Close |
Full service details |
Accessible via:
This is a booking service only for face to face appointments - there is no call back service. If you are unable to book, the service is at capacity and an alternative service needs to be found. DO NOT direct patients to walk in or call the unit to refer patients if unable to book. Minor illness centre, does not accept minor injuries. No x-ray available. There is NO on-site parking apart from disabled blue badge holders |
Residents of Slough can visit the Slough Urgent Care Centre for minor illnesses needing same-day care such as:
Exclusions:
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