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Royal Stoke A&E

Royal Stoke University Hospital is a regional centre for emergency and major trauma care.

We are here for people in need of highly-specialised emergency care when time matters and lives are saved thanks to the skill, experience and commitment of our teams.

Our Emergency Department is one of the busiest in the country which regularly sees 400 or more patients per day.

Only come to our ED at Royal Stoke Hospital if it's for serious, life-threatening conditions that need immediate medical attention such as persistent severe chest pain, loss of consciousness, acute confused state, severe blood loss, serious burns, broken bones, suspected stroke.

For non-emergencies, there are a variety of appropriate and timely services for patients who require urgent and emergency care which is not life threatening and will be able to help resolve your issue much quicker than ED which can be busy and subject to long waits.

You should only call 999 or visit the ED in a real emergency.

Registration

Unless you arrive by ambulance then when you arrive at A&E you will be asked to register at reception where you will be asked for a number of details including your personal information, GP details and why you have attended the emergency department.  

Patients are seen in order of priority not time of arrival. We aim to see all patients within four hours however the department can sometimes be extremely busy so please be patient as we work to assess and treat everyone.

Everyone is assessed on clinical need so people will not always been seen in the order that they arrive.

During periods of exceptional demand you may need to wait in our Ambulance Assessment Area or corridor. You will be cared for by a dedicated nurse at all times so ask them for help if you have any concerns.

We see people in order of urgency and people who are seriously ill or injured, maybe taken directly to resuscitation or our majors department before you are seen.

Initial assessment 

An experienced nurse or doctor will see you and assess your condition before directing you to the appropriate area of the department. At this point you may be discharged with advice and/or medication and treatment if required. We aim to make this assessment within 15 minutes.

Treatment

Minor injuries and illnesses will be treated in our Minors area and more serious complaints will be seen in our Majors or Resuscitation areas. All children under the age of 18 will be sent directly to our Children's A&E. In all these areas you may be seen and treated by a doctor, an Emergency Nurse Practitioner or an Advanced Nurse Practitioner.

Please remember that waiting times can differ between treatment areas and specialists, so other people may be called more quickly than you.

Minors – provides assessment and diagnosis followed by referral or treatments to all patients attending with minor injuries.

Majors - all patients attending with moderate to serious health complaints will be assessed and diagnosed in majors followed by referral or treatment. Patients who are referred to this area of care can be unstable, unable to mobilise, require immediate treatment or medication and have been assessed by the triage nurse as suitable for this service.

Resus – the resuscitation area is used for the treatment of trauma victims, those requiring treatment for life threatening illness or injury and those who require direct monitoring and immediate life/limb saving interventions.

Patients arrive by helicopter as well as by ambulance. The helipad is situated immediately outside the doors of the Resus area.

Support in this area is also from critical care staff, stroke services and all specialities within the hospital.

Clinical Decisions Unit - a dedicated area patients can access while waiting for further tests and investigations to be completed or for mobility/physiotherapy assessments.

Discharge or admission

You will either be discharged from the department or admitted to the hospital.

Discharged patients will leave with advice and/or medication and treatment with a letter being sent to your GP outlining what has happened or if any follow up is required.

If it is decided that you require further treatment you may be admitted to the hospital. You will be referred to a relevant specialist team who will take over your care.

If you need to be admitted to the hospital for further treatment or investigation the emergency department staff will liaise with the appropriate inpatient team to ensure your admission is as smooth as possible. Alternatively, staff may arrange for you to be seen in an appropriate outpatient clinic at another time.

Waiting Times

Our aim is to see all patients within four hours in the department but at peak times of demand, you may be required to wait to be assessed or triaged while we see people with serious illness or injury.

During periods of exceptional demand you may need to wait in our Ambulance Assessment Area or corridor. You will be cared for by a dedicated nurse at all times so ask them for help if you have any concerns.

 

Waiting, in any circumstances, is far from ideal and is not how we prefer to treat our patients but would like to reassure you that during these times patients receive appropriate levels of care and are continually reviewed.

Children's A&E at Royal Stoke

The children's emergency department is open seven days a week, 365 days of the year and can be accessed from the main waiting area in the Emergency Department.

In most situations children will be assessed, treated and discharged in Children's A&E. However a few will require a further period of assessment or treatment in the Children's Assessment Unit (CAU) which is linked directly or as an inpatient on one of the children's wards. As routine, information can be shared with your child's General Practitioner and school nurse or health visitor. Other services that can help your family may also be contacted.

Ambulatory care is about providing same-day emergency care. Our Ambulatory Emergency Care Centre offers easy access to diagnostic tests and review by hospital consultants in one place. It is a way of providing safe care, designed around your needs. 

The service also aims to prevent unnecessary hospital admissions and provide a better experience for you. The centre is focused on providing the right care for patients in the right place.

Four main groups of patients are seen in the centre:

  • Patients with medical conditions needing emergency care who are referred by their GP
  • Patients redirected from our emergency department
  • Patients who have been in hospital in acute medical wards, 'stepped -down' to support early discharge
  • Patients discharged from acute medical wards with outpatient investigations requiring review and possible further intervention

This is a day-treatment service so you may be required to come back the following day.

Location

Royal Stoke University Hospital 

Address

Ambulatory Emergency Care Centre

Trent Building

Royal Stoke University Hospital

Newcastle Road

Stoke-on-Trent

ST4 6QG

Telephone

01782 671700​


Opening hours

The centre is open Monday to Friday: 8am – 8pm

Frequently Asked Questions

What is ambulatory emergency care?

Ambulatory emergency care is a patient-focused service where some conditions may be treated without the need for an overnight stay in hospital. You will receive the same medical treatment you would previously have received as an inpatient. The aim of this service is to provide you with the care required to treat your condition during scheduled ambulatory care opening hours. You will be able to return home; if further treatment is required you will be asked to return to the unit to receive this.

What advantages does ambulatory emergency care offer me?

The Ambulatory Care Unit provides a new way of ensuring that all our patients receive timely assessment. Despite not being admitted as an inpatient you will still have access to the same calibre of medical and nursing care that you would experience on one of our wards. If appropriate, you will be able return to your own home, even if further treatment is required on another day.

What can I expect?

On arrival you will have an initial assessment within 15 minutes by a nurse or be reviewed by an acute care consultant. You may have a range of investigations and treatments arranged, the ultimate aim of which is to allow you to return home safely. We strive to deliver a compassionate, safe and reliable service. 

During your visit we will ask you to fill in a short questionnaire to tell us about your experience of this service. Please help us to continue improving 
and developing the care we provide by giving us your valuable feedback. Please do not hesitate to alert a member of staff if you have any concerns, questions or requests.

Will I need to return to the hospital once I am sent home?

You may be asked to attend a clinic within the ambulatory emergency care centre or return to another hospital department for further investigations. An appointment for this will be given to you before you leave. If you are unable to keep this appointment please telephone us on 01782 671700 so that we can rearrange this for you.

What do I do if I feel unwell once I have returned home?​

Please call 01782 671700 if you are concerned in any way about your condition once you return home.

The paediatric department is open seven days a week, 365 days of the year.

The paediatric care team deliver a high standard of holistic care providing assessment and diagnosis followed by referral or treatments to all patients and their families attending with ailments and injuries.

The children's area is separate from the adult area, and can be accessed from the main waiting area in the Emergency Department. The area is made up of a large family waiting area, with plenty of toys and activities, four brightly decorated assessments rooms, a triage room, and a distraction treatment room. The paediatric department is directly linked to x-ray for those children who require imaging.

Children are assessed, treated and discharged in the majority of situations, however a few will require a further period of assessment or treatment in the Children's Assessment Unit which is linked directly or as an inpatient on one of the children's wards which are just above us. As routine, information can be shared with your child's General Practitioner and school nurse or health visitor. Other services that can help your family may also be contacted.

Within the Emergency Department there is a dedicated area patients can access while waiting for further tests and investigations to be completed or for mobility/physio assessments. This area is called the Clinical Decisions Unit (CDU).

The Clinical Decisions Unit delivers a high standard of holistic care providing continuing assessment and diagnosis followed by referral or treatments to all patients attending with who are stable but require an increased time of assessment.

The dedicated clinical decisions team is made up of a multi professionals including nurses, doctors health care support workers and assessment staff.

The Major Care area delivers a high standard of holistic care providing assessment and diagnosis followed by referral or treatments to all patients attending with moderate-serious health complaints. Every day the Major Care team see more than 80 patients.

The Major Care Centre (B Bay) is situated in the centre of the Emergency Department. This area is open 24 hours a day, seven days a week. It is directly linked to x-ray for ease of access to those patients who require imaging.

Patients who are referred to this area​ of care can be unstable in their presentation, unable to mobilise, require immediate treatment or medication and have been assessed by the triage nurse as suitable for this service.

This area is made up of 18 assessment cubicles and two private rooms. The team is made up of nurses, health care support workers, doctors, advanced nurse practitioners, consultants and GPs.

The minor injuries team deliver a high standard of holistic care providing assessment and diagnosis followed by referral or treatments to all patients attending with minor injuries. Every day the minor injuries team treat more than 100 patients.

The Minor injuries department (C Bay) is open 24 hours a day, seven days a week. C Bay has its own dedicated seating area in the main reception.

The area is made up of six assessment cubicles, a shower and treatment room, a wound closure room, a dedicated eye examination room, a plastering room and a clinical room. It is directly linked to x-ray for ease of access to those patients who require imaging.

The dedicated team is made up of Emergency Nurse Practitioners, nurses, health care support workers, physio practitioners, consultants and Doctors.

The resuscitation area is used for the treatment of trauma victims, those requiring treatment for life threatening illness or injury and those who require direct monitoring and immediate life/limb saving interventions.

Patients arrive by helicopter as well as by ambulance. The helipad is situated immediately outside the doors of the Resus area.

This area is made up of eight assessment cubicles, one of which is dedicated children's area. The Team is made up of nurses, health care support workers, doctors, advanced nurse practitioners and consultants. Support in this area is also from critical care staff, stroke services and all specialities within the hospital.

Patients can expect rapid access to CT scan, and immediate imaging if the patient's condition requires it.

Relatives have the use of a comfortable waiting area where refreshments can be provided.