The scope of services covered by the programme are Type One*– Emergency Departments (EDs) within NHS Wales and over-time its applicability will be considered for other forms of EDs and allied services, such as dedicated urgent or ambulatory care centres.
The collaboration includes the Welsh Government; the National Programme of Unscheduled Care; the National Collaborative Commissioning Unit; Improvement Cymru, NHS Wales Delivery Unit, Digital Health and Care Wales and each of the NHS Wales health boards and trusts (with the exception of Velindre University NHS Trust):
Even the phrase Emergency Department (ED) is open to interpretation, with a variety of practitioners, activities and structures currently deployed within EDs across Wales. Some capabilities in terms of staff group and supporting services form an integral part of the ED, while in other settings those services are independently managed, but commit extensive resources to the ED.
The early phases of the development of the Framework are focused on gathering information into a rich picture or description of the present state. Therefore, in simple terms whatever is currently deployed ‘between the front door and the back door of an ED’ is within the scope.
This will become more clearly defined as the work develops but at the outset is expected to encompass engagement with EDs at:
Although these main EDs are the focus of the work, there will obviously be close working relationships with other sites, such as Community Hospitals and those hosting allied urgent care services such as Minor Injury and Illness Centres.
* Type 1 departments are what most people might traditionally think of as an Accident and Emergency service. They are major emergency departments that provide a consultant-led 24-hour service with full facilities for resuscitating patients, for example patients in cardiac arrest.