title: Taking services to the streets over the party season.
abstract: Christmas and New Year festivities notoriously result in increased attendance at emergency departments (EDs). The knock-on effect of this in Solihull, in the West Midlands, is that, when ambulance staff and police accompany patients to hospital, the locality is temporarily under-resourced by these services. To address this problem, a collaborative project was implemented to enable advanced clinical practitioners, with consultant support, to assess, treat and potentially discharge patients from a specially constructed emergency facility situated in Solihull town centre. This has reduced the number of ED admissions and transfers, and resulted in significant cost and time savings for the ambulance service.
authors.affiliation: Heart of England NHS Foundation Trust, Birmingham.
authors.forename: Samantha
authors.initials: S
authors.lastname: Brace
authors.forename: Christopher
authors.initials: C
authors.lastname: Farmer
authors.forename: Phil
authors.initials: P
authors.lastname: Calow
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000517:prevention & control; D000552:Ambulances / Q000458:organization & administration; D003151:Community Health Centers / Q000458:organization & administration*; D017046:Cost Savings; D003441:Crowding; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D004739:England; D006302:Health Services Research; D006693:Holidays; D006769:Hospitals, General; D006801:Humans; D007373:Interinstitutional Relations; D008297:Male; D016495:Police / Q000458:organization & administration; D015397:Program Evaluation; D012621:Seasons; D013222:State Medicine / Q000458:organization & administration