NICE March 2018
- This guideline makes recommendations around organisation and delivery of emergency and acute medical care for people aged over 16 in the community and in hospital. It aims to reduce the need for hospital admissions by giving advanced training to paramedics and providing community alternatives to hospital care.
- The Guideline makes a series of recommendations and is accompanied by a number of reviews of the evidence including
- 02. Non-emergency telephone access and call handlers
- 05. GP extended hours / 06. GP-led home visits / 07. GP access to laboratory investigations / 08. GP access to radiology
- 10. Community-based pharmacists
- 12. Alternatives to hospital care
- 13. Community rehabilitation / 14. Community palliative care
- 15. Advance care planning
- 17. GPs within or on the same site as emergency departments
- 18. Minor injury unit, urgent care centre or walk-in centre
- 20. Physician extenders ( Advanced Nurse Practitioners, Physician Associates and Advanced Clinical Practitioners)
- 23. Liaison psychiatry
- 25. Admission through elderly care assessment units
- 35. Discharge planning / 36. Standardised discharge criteria / 37. Post-discharge early follow-up clinics
- 38. Integrated care
- 39. Bed occupancy
