A new Urgent and Emergency Care Centre, including our new Adult Emergency Department entrance, will open at Queen’s Medical Centre on the morning of Tuesday 18 December 2018.
This is the most significant development for urgent and emergency care at Nottingham’s hospitals in 15 years, and aims to further improve patient and staff experience and the timeliness of patient care.
The changes include:
- A new Urgent and Emergency Care Centre (UECC) – which will bring adult emergency patients through a single entrance at QMC
- A new Urgent Treatment Unit, which will combine our minors’ service with the NEMS primary care service
- An expanded Majors’ Department – with 50% more cubicle capacity to tackle overcrowding within the department (from 20 to 30 cubicles)
- A new Lyn Jarrett Clinical Decision Unit, which will provide emergency care for patients who require a length of stay of up to 12-hours
- Older Persons’ Decision Unit, which will provide specialist frailty services
- A new Medical Ambulatory Care Unit
- A dedicated entrance for Children’s Emergency Department
Alongside these changes, our Acute Medicine service is also changing to support the UECC development. In addition to the Medical Ambulatory Care Unit, Acute Medicine will also create a B3 Acute Medicine Assessment Unit (comprising Receiving and Admissions areas) and C5 Acute Medicine Short Stay ward.
The Trust has also implemented new and streamlined surgical pathways (for Head and Neck, Neurosurgery and Spines and Orthopaedics patients) directly from the ‘Front Door’ and is offering alternative pathways for patients to improve the timeliness of care.
The expansion of our Emergency Department and transformation of our urgent and emergency pathway has been possible thanks to £4.5million national winter capital monies, awarded to Nottingham earlier this year.
Dr Mark Simmonds, Deputy Divisional Director for Medicine at Nottingham University Hospitals NHS Trust (NUH), said: “We need an Emergency Department and urgent care facilities that are the right size and design to meet the increase in demand we are experiencing year-on-year and to address the overcrowding in the department that our patients and their families all too often experience.
“Alongside the increase capacity in our ED (notably by 50% in Majors), we are also re-engineering all aspects of our Urgent and Emergency Care pathways. We presently have lots of access routes into our hospitals for emergency patients, which can lead to inconsistent practices and processes, and experiences for our patients.
“To maximise the safety of our patients and simplify our emergency pathways, our new Urgent and Emergency Care Centre will bring all emergency patients arriving at QMC through a single access point for a rapid acuity screening assessment by a senior decision-maker.
“At this screening, patients will be briefly assessed to ensure that they do not have immediate Emergency Medicine needs and then be redirected rapidly to the appropriate specialty assessment area.”
Dr Frank Coffey, Emergency Department Consultant and Head of Service, said: “What we have now is a much nicer environment for patients to receive care and treatment and for our staff to work in. We have worked really hard to maximise the involvement of patients and staff in the improvements we have made. We have listened carefully to this feedback and ideas, as well as national best practice so that we can design and develop urgent and emergency care services that are better for patients and staff.
“Our services remain very busy and winter is here. We ask the people of Nottingham to help us by considering if they really need to come to QMC or if there are other more suitable ways to get care. There are lots of ways to access NHS healthcare, including via GPs, local pharmacies, and via the non-emergency number 111 instead of 999. NHS 111 is free to call and is available 24 hours a day, 7 days a week. The city centre’s Urgent Care Centre is open 7am to 9pm daily and can help with any urgent problems that are not life-threatening, with no appointments needed.”
Nottingham University Hospitals NHS Trust is one of the biggest and busiest acute hospitals in England, employing 15,000 staff. We provide care to over 2.5million residents of Nottingham and its surrounding communities and specialist services to a further 3-4million people from neighbouring counties.
The Trust has three main sites:
- Queen’s Medical Centre (QMC) – where our Emergency Department (A&E) major trauma centre and Nottingham Children’s Hospital are located. The QMC is also home to The University of Nottingham’s School of Nursing and Medical School
- Nottingham City Hospital – where our cancer centre, heart centre and stroke services are based, and where we focus on planned care and the care of patients with long-term conditions. This site also supports our urgent and emergency care pathway
- Ropewalk House – where we provide a range of outpatient services, including hearing services
We have national and international reputations for specialist services such as stroke, renal, spinal, breast, neurosciences, cancer services and trauma.
The Trust’s annual turnover is just under £1billion. We have approximately 1,700 beds (87 wards).
We are at the forefront of many research programmes and new surgical procedures.
In partnership with The University of Nottingham we host the NIHR Nottingham Biomedical Research Centre carrying out vital research into hearing, digestive, respiratory and musculoskeletal diseases, mental health & technology and imaging.
As a teaching trust we have a strong relationship with The University of Nottingham and other universities across the East Midlands, playing an important role in the education and training of doctors, nurses other healthcare professionals.
We are part of the London 2012 Olympic legacy and offer services at the National Centre for Sport and Exercise Medicine – East Midlands, based at Loughborough University.
NUH was the hospital in the third series of the award winning BBC2 ‘Hospital’ documentary.
Edited and broadcast within weeks of filming in January and February 2018, ‘Hospital’ brought audiences closer to the staff and patients who every day receive life-changing care at Queen’s Medical Centre and Nottingham City Hospital. In six, hour-long episodes, ‘Hospital’ showed the extraordinary work of some of NUH’s 15,000 staff as they push the boundaries of what is possible with cutting edge treatments and life-saving operations.
To find out more about our hospitals, please visit our website www.nuh.nhs.uk. You can also follow @nottmhospitals on Twitter.