System Design and Integration

System Design, Integration and Service Configuration

This section contains information and resources regarding the configuration of emergency care services:

• UK NHS Ambulance Services pre-alert guideline for the deteriorating adult patient
• Reconfiguring Emergency Medicine Services (May 2022)
• Security and Restraint in the ED (March 2021)
• 2019/20 RCEM Urgent Treatment Centre Survey Report (Dec 2020)
• Nursing Workforce Standards for Type 1 Emergency Departments (October 2020)
• Raising a concern – ‘Whistleblowing’ (May 2020)
• RCEM position statement – Service Reconfiguration (Jan 2019)
• Urgent Treatment Centres: Principles and Standards (NHS England, Jul 2017)
• The Keogh Urgent and Emergency Care Review (NHS England, Aug 2014)

Revised operating framework – Regional Trauma Networks (20th Dec 2010)

Sir David Nicholson has launched the Operating Framework for the NHS in England 2011/12 setting out the key priorities for the NHS over the next year. Find the details here. Page 43 (para 4.52) details commitments to the NHS on the establishment of Regional Trauma Networks. Please note that there is a typo at the end of the first sentence, which should read 2011/12 (rather than 2010/11). All regions should be moving trauma service provision into regional trauma network configurations in 2011/12. Previous updates:

• Explanatory Letter from Prof Keith Willett
• National Audit Office: Major Trauma Care in England (Feb 2010). Links to NAO website.
• Regional Trauma Systems: Interim guidance for commissioners. Report from the Intercollegiate group for trauma standards (Dec 09)
• Major Trauma Networks: FAQs. A summary of developments in trauma networks prepared by the NW Regional Chair, Patrick Nee, for colleagues in the North West, which is of interest and relevance to all Fellows and Members (Sep 2009).