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Acute Medicine



The Department of Acute Medicine was established at UHCW in 2004 and the service works closely with both Emergency Medicine and Medical Specialties.


There are 18 Acute Medicine Consultants, many of whom share shared roles within other specialities, such as renal medicine and infectious disease.  The department is supported by 1 Speciality Doctors, 15 Senior and 7 Junior Clinical Fellows, as well as 13 rotational deanery Acute Medicine registrars, Internal Medicine and Foundation trainees on placement in Acute Medicine.


The acute medicine department employs a broad range of non-medical staff, including advance clinical practitioners and therapy teams (known as REACT). Together, these teams work collaboratively to provide comprehensive multidisciplinary care to acute medicine patients.




Acute Medicine provides a consultant delivered service for acutely ill medical patients across Medical Assessment Unit (MAU), Same Day Emergency Care (SDEC), Acute Medical Short Stay, as well as within the Emergency Department (ED) and the Acute Frailty Unit.





Medical Assessment Unit (MAU)


MAU is currently located on the ground-floor east wing of UHCW. MAU provides medical assessment and management of patients presenting with acute medical illness. MAU receives patients from ED or direct referral from GP and the Ambulance Service, focusing on patients where there is high clinical acuity requiring the experience and skills of the acute medical and nursing teams.


MAU has an expected length of stay of 16 hours and is a mixed sex unit of 47 trollies. Acute Medicine consultants are responsible for continuous post take reviews of new admissions. The unit is also covered by the General Internal Medicine on-call team out-of-hours.


Acute Frailty Unit (AFU)


AFU operates as an 11 bedded frailty unit, where patients presenting with frailty syndromes are assessed and supported by a multidisciplinary team, under the supervision of an Acute Medicine or Care of the Elderly consultant. In December 2022 we also opened our Acute Frailty SDEC service, operating out of an expanded acute frailty unit.


Same Day Emergency Care (SDEC)


SDEC provides a safe and capable environment enabling the delivery of high quality initial clinical assessment and management of ambulatory medical patients presenting to UHCW. Patients have access to senior clinical decision makers and rapid access to appropriate investigations. Care is delivered by the Acute Medicine Senior Clinical Fellows and Advanced Nurse Practitioners, with supervision from an Acute Medical Consultant.


Acute Medicine Short Stay (AM-SS)


AM-SS is located on the ground floor east wing of UHCW and comprises of 36 beds. The unit provides focused care for patients requiring a short inpatient stay (< 72 hours). Patients receive a daily consultant review, rapid access to key investigations, with a goal for early supported discharge.


Meet the team

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