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1000 Lives Plus offers ongoing support to organisations who are implementing NICE Guidance (50) on acutely ill patients in hospital. This is an area which requires high levels of co-ordination across a hospital (senior management, medicine, surgery and critical care), but which offers some of the greatest benefits to patients. Patients who become acutely ill whilst on wards benefit from early recognition and intervention with rapid treatment and escalation if needed. The aim is to avoid further deterioration and possibly death. Link 1000 Lives Plus - Rapid Response to Acute Illness Learning Set
The DECS Strategy sets out the broad vision and direction for the modernisation of unscheduled care services in Wales. A key aim of the DECS Strategy is to rebalance the unscheduled care system so that people access care at the appropriate level for their care needs. Link Delivering Emergency Care Services (DECS) Strategy

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The NICE clinical guideline describes how patients in acute hospitals should be monitored to help identify those whose health becomes worse and how they should be cared for if this happens. The advice in the guideline covers: all adult patients in hospital, including patients in the emergency department being admitted to hospital and those being moved between departments. External link NICE Guideline: CG50 Acutely ill patients in hospital
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Unscheduled Care Conditions

 Some conditions (the list is not exhaustive) that present as an emergency and for which a delay in treatment affect outcomes are:
  • Acute Myocardial Infarction
  • Asthma
  • Diabetic ketoacidosis (DKA)
  • Epilepsy
  • Fractured Neck of Femur
  • Head Injury
  • Meningitis
  • Mental Health
  • Older People
  • Sepsis
  • Stroke
  • Trauma
  • Upper Gastrointestinal Bleeding (UGIB)
 

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