Patients with long-term conditions have self-management plans, including urgent contact number for advice.

Local directories of services linked to care advice and navigation services, eg NHS 111, are comprehensive, localised and regularly updated.

Direct admission to acute medical services from GP and community services is maximised to prevent overuse or duplication in emergency departments.

Acute medical units are appropriately sized for admissions of up to 72 hours and have adequate core equipment.

Acute medical units are staffed by multidisciplinary teams to match demand profiles over 7 days.

Acute medical services have access to primary care summary records.

Same-day emergency care units are led by acute medicine, with access for medical specialities.

Access times for urgent and emergency investigations are uniform across the emergency and urgent care ‘floor’.

Medical specialities plan daily ‘in-reach’ to acute medical units.

Multidisciplinary board rounds, ward rounds and handovers are delivered on all medical units in line with recommendations

Pre-emptive discharge planning begins on admission, with planned follow up.

Medicines discharge services are maximised.