TTP8.10 Advanced Clinical Practitioner led Surgical Same Day Emergency Care improves emergency general surgery patient flow with high levels of patient satisfaction

Aims The NHS England Urgent and Emergency Care recovery plan lists Same Day Emergency Care as one of its 10 high impact initiatives to reduce hospital bed occupancy and avoid the Emergency Department (ED) where possible. This work aims to demonstrate the benefit of Advanced Clinical Practitioner (ACP) led Surgical Same Day Emergency Care (sSDEC) to patient flow and patient experience. Methods Data was collected using electronic patient dashboards and patient satisfaction surveys created using Microsoft Forms. Results 6894 patients were seen in the sSDEC from April 2024- March 2025, representing 60% of the non-elective general surgery ‘take,’ all of whom previously would have been seen and assessed in ED. Of these patients, on average, 5.4% were admitted to an inpatient bed, and the average LoS was 4.4hrs. Satisfaction data collected from 138 patients demonstrated 130 were either very satisfied or satisfied with their experience in sSDEC Conclusions sSDEC is an efficient and effective model of care that significantly enhances patient flow and reduces unnecessary admissions. The data highlights that the majority of patients are assessed and treated promptly, with only a small percentage requiring inpatient care. Furthermore, high levels of patient satisfaction reflect the positive impact on overall patient experience. The local success of this ACP-led sSDEC demonstrates its potential for widespread implementation across other settings. Future work will focus on refining the service, addressing any areas for improvement, and evaluating the long-term outcomes for patients treated within this model.