SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

No. Standard Adapted from source
15
(where the service accepts children),
including:
Basic life support;
Recognition of serious illness and injury;
Pain assessment;
Identification of vulnerable patients
At anytime the service is open at least one
registered healthcare practitioner is to be
trained and competent in intermediate life
support and paediatric intermediate life
support, where the service accepts
children.
All registered healthcare practitioners
working in urgent care services to have
direct access referral to specialist on-call
services when necessary, and the right to
refer those patients who they see within
their scope of practice.
requirements for units which see the less
seriously ill or injured
RCPCH (2012) Standards for children and
young people in emergency care settings
Healthcare for London (2010) A service delivery
model for urgent care centres
The College of Emergency Medicine (2009)
Unscheduled care facilities: minimum
requirements for units which see the less
seriously ill or injured
Supporting information:
[DN: Should examples of referrals to specialist services being included - include mental health,
maternity services, elderly and dementia care, allied health professionals, social and voluntary
services, general dental services, pharmacy services, and community nursing.]
Patients requiring referrals for routine outpatient appointments are to be discharged back to their
GP.
Figure 7.13: Shaping a healthier future urgent care centre standards, supporting services
No. Standard Adapted from source
16
Urgent care services to have arrangements
in place for staff to access support and
advice from experienced doctors (ST4 and
above or equivalent) in both adult and
paediatric emergency medicine or other
specialties without necessarily requiring
patients to be transferred to an emergency
department or other service.
Healthcare for London (2010) A service delivery
model for urgent care centres
Supporting information:
Where possible advice from adult and paediatric emergency medicine is to be given from the partner
emergency department.
Arrangements are to be in place to access specialist advice from other speciality teams required.
Access to support and advice could refer to telephone and or remote access to digital images and x-
rays.
Where specialist input has been sought, clinical responsibility for the patient remains with the urgent
care service clinician.
Equivalent to ST4 is a career grade doctor (staff doctor, speciality doctor, associate specialist or
other non-training grade doctor), with clinical competencies at least equivalent to a trainee at ST4
level.
17
Single call access for mental health
referrals to be available during hours the
urgent care service is open, with a
maximum response time of 30 minutes.
2011 Adult emergency services standards
Developed by the paediatric clinical expert
panel
RCPCH (2012) Standards for children and
young people in emergency care settings
Supporting information:
Including access for children and adolescent mental health (CAMHS) (or adult mental health
7a. Clinical vision, standards and service models 110