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To set up a safe and direct in-hours medical service for patients not requiring an overnight admission to be promptly seen and discharged on the same day, thereby reducing 0-day admissions and streamlining access to acute medicine.A 2-week pilot of the ambulatory care unit (ACU) service was run in December 2017 during working hours, 8am–4pm. The service was provided by a dedicated medical specialty registrar (StR) and overseen by an acute medicine consultant.The ACU StR triaged all …

Introducing a medical ambulatory care service