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Same Day Emergency Care (SDEC)

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What is SDEC?

The provision care for patients who need urgent same day but not emergency care. SDEC allows patients to be rapidly assessed, diagnosed and treated with out being admitted to a ward. If safe to do so, patients will go home the same day their care is provided.

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Who’s it for: AHPs

Referrals by Hospital

AHPs can refer patients straight to SDEC Clinics via the ‘Phone’ tab of Consultant Connect. See our page 📡Consultant Connect for more information on how to use this tool.

Hospital	Service	Opening times	Mode of referral	Referral criteria	Location
Kings	Acute Medicine SDEC	8am - 8pm, 7 days a week	Consultant Connect → Acute Medicine SDEC - Denmark Hill	• Ambulatory / baseline mobility / can transfer with assistance of 1 • < NEWS 5 ( no single news > 2) • Not in mental health crisis • Does not require isolation for IPC precautions • 16 years old or over • Accepted by the speciality • Not decision to admit	Ground floor Hambleden wing, KCH Denmark Hill, SE5 9RS
	Acute Surgical SDEC	8am - 8pm, 7 days a week	Consultant Connect → Acute Surgical SDEC - Denmark Hill	• As above for Acute Medical SDEC Plus: • Not actively withdrawing from alcohol	Ground floor, Golden Jubilee Wing, KCH Denmark Hill, SE5 9RS
	Multi-Speciality SDEC	8am - 8pm, Monday - Friday 8 am - 4pm, Saturday & Sunday	Contact on-call Registrar for relevant speciality via switchboard → 020 3299 9000	• As above for Acute Medical SDEC Plus: • Over the age of 17	First floor, Golden Jubilee Wing, KCH Denmark Hill, SE5 9RS
GSTT	Acute Medicine SDEC	8am - 8pm, 7 days a week	Consultant Connect → Acute Medicine SDEC - GSTT	• Ambulatory / can transfer with max. assistance of 1 • GCS = 15, Sats ≥88%, HR >40 and <150 (If known) • Clinical Frailty Scale (CFS) ≤5 • Not in mental health crisis • No alcohol/drug intoxication or withdrawal • 16 years old or over • Accepted by Acute Medicine	Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas’ Hospital, Westminster Bridge Road, SE1 7EH
	Acute Surgical SDEC	8am - 8pm, 7 days a week	Consultant Connect → Acute Surgical SDEC - GSTT	• NEWS≤3 • Functionally able to sit in a waiting room • Surgical condition suspected (as per Surgical SDEC SOP)	Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas’ Hospital, Westminster Bridge Road, SE1 7EH
	Multi-Speciality SDEC	9am - 5pm, Monday - Friday	Contact on-call Registrar / CNS for relevant specialty via switchboard → 020 7188 7188	• For same day or next day specialty-specific assessment/ investigation/ treatment required, or flare of condition in a patient known to the specialty	Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas’ Hospital, Westminster Bridge Road, SE1 7EH
	Acute Medicine SDEC DVT & Cellulitis	8am - 8pm, Monday - Friday	Consultant Connect → Acute Medicine SDEC - DVT & Cellulitis GSTT	• Suspected lower limb DVT • Suspected lower limb cellulitis (requiring iv antibiotics)	Multi-Specialty Assessment Unit (MSAU), Ground Floor, Lambeth Wing, St. Thomas’ Hospital, Westminster Bridge Road, SE1 7EH
	Acute Medicine Older Persons Unit (AOPU)	8am - 6pm, Monday - Friday 10am - 6pm, Saturday & Sunday	Patient attends via ED or referred by @home team for onward referral to AOPU	• Aged ≥ 65 with a Clinical Frailty Score (CFS) ≥ 5, or from a care home • NEWS2 ≤4 • Discharge potentially possible within 24 hours	Admissions Ward, Ground Floor, Lambeth Wing, St. Thomas’ Hospital, Westminster Bridge Road, SE1 7EH
UHL	• Hyperemesis Gravidarum • Atrial Fibrillation • Headache • DVT • Pulmonary Embolism • Pyelonephritis • Uncontrolled Hypertension • Chest Pain (<45 years old) • Cellulitis • Symptomatic Anaemia • Renal or Ureteric Colic • Abnormal Blood Results	8am - 8pm, Monday - Friday 8am - 6pm, Saturday & Sunday	Call → 080 4538 0451	General exclusion criteria: • NEWS2 >4 (or 3 in one parameter) or requiring O2 • Non-Ambulatory • Infectious disease risk (COVID19, Influenza, Diarrhoea, Vomiting etc.) • Failed Discharges from hospital • Intoxicated • Delerium or acute mental health as primary presentation. (NB presence of a mental health condition should not exclude a patient if presenting condition is suitable for SDEC) • More appropriate care pathway (Pharmacy first, UCR team, MECS, UTC)

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