Table 1.

Medical conditions suggested as suitable for same day emergency care

ConditionConsiderations
Abnormal liver function testsaRequires access to appropriate imaging modalities
AnaemiaaRequires access to appropriate pathways for investigation of underlying cause
AscitesaRequires access to appropriate imaging modalities for assessment, and procedural skills for management
Cellulitis (limb)aMay require pathways for outpatient intravenous antibiotic therapy
Severe cases may require admission
DiabetesaRequires exclusion of diabetic ketoacidosis/hyperosmolar hyperglycaemic state
End-of-life careaRequires access to specialist multidisciplinary care
Requires appropriate facilities for patient comfort and privacy
Requires consideration of patient wishes
Falls including syncope or collapseaRequires exclusion of significant underlying cardiovascular cause of fall or collapse
Requires through assessment to exclude acute illness precipitating fall (that may necessitate hospital admission)
Requires access to falls assessment and therapy services, and return to adequate mobility for discharge
First seizure/seizure in known epilepticaRequires full recovery from seizure
GastroenteritisaMay require period of intravenous treatment
Requires appropriate infection control measures
Hypoglycaemia in patients on hypoglycaemic agentsaRequires full recovery from hypoglycaemic episode
Inflammatory bowel diseaseaSymptoms and severity may necessitate inpatient care
Known oesophageal stenosisaRequires appropriate pathways for management
Lower respiratory tract infectionaRequires identification of patients with higher mortality risk
Non-specific abdominal painbRequires appropriate local pathways, including involvement of surgical specialties and access to appropriate imaging
Non-specific chest painbRequires identification of high-risk patients with chest pain
PEG-related complicationsaRequires appropriately trained staff
Dependent on local PEG reinsertion policy
Pleural effusionaRequires access to appropriate imaging modalities for assessment, and procedural skills for management
Transient ischaemic attack (TIA)aMay be appropriately managed through outpatient pathways, eg dedicated TIA clinic
Venous thromboembolism including deep vein thrombosis and pulmonary embolism (PE)aRequires identification of instability and raised mortality risk in suspected PE
Access to appropriate imagining pathways
  • aDenotes conditions where NHS Ambulatory Emergency Care Network estimates ≥60% patients likely to be suitable for SDEC;12

  • bdenotes 'urgent care sensitive' conditions.46 Surgical, obstetric/gynaecological, or mental health related conditions have not been included here.