Summary
The System CAS brings together clinicians from both SevernSide and other providers, with the aim to get patients the right care, at the right place, at the right time.
Patients are referred from 111 that would otherwise have been advised to attend the Emergency Department or sent a category 3/4 ambulance. These cases are denoted as ‘ED’ or ‘999’ cases respectively on Adastra.
System CAS aims to ensure only those who truly need these services use these pathways, and alternative options are explored where appropriate.
The System CAS includes clinicians with expertise in primary care, emergency care, paediatrics, and mental health.
System CAS Toolkit
The System CAS Toolkit has further information on how to refer your patient if required, including what considerations are needed prior to doing so.
It also has helpful phone numbers for the services we refer in to, alongside useful tips and text templates you may find helpful in your work within system CAS
MIU/ UTC information
See Remedy for the most up to date information
There are 3 MIU units in BNSSG – Yate, Clevedon and South Bristol Community Centre (at Hengrove). South Bristol Community Centre is the only urgent treatment centre.
- All open 8am – 8pm.
- Please check capacity prior to directing patients to these locations (see Toolkit above for how to do this).
- Please do not send patients after 6pm without calling ahead to see if they have capacity.
- Providing the patient with their CLEO reference number as the ‘case number’ on the prepopulated MIU/UTC referral text can help the reception team at these centres find our notes more readily. Please open this link for full information: The text can be found via a link on the System CAS crib sheet page.
System CAS to UTC referral pathway
South Bristol Urgent Treatment Centre
Things they can assess:
- Uncomplicated limb injuries
- Minor head injuries
- Strains and sprains
- Bites and stings
- Minor scalds and burns
- Ear and throat infections
- Minor skin infections and rashes
- Minor eye conditions
- Coughs
- Minor illnesses
- Emergency contraception
Things they don’t see:
- No neonates (under 4 weeks)
- No X -Rays for children under 2 years.
- No penetrating eye injuries ( happy to see Foreign bodies )
- Anything that sounds like cardiac chest pain . They seemed happy to see a? possible chest pain that could be excluded by PERC
- They do not X-Ray any heads/ faces / backs. Hips and upper legs seem debatable….
- They said ideally don’t send someone there purely for Tetanus booster as can get from GP within 72 hours.
X-ray opening times are 08:00-19:30 7 days a week (although please call ahead for any patients after 6pm to check capacity).
Clevedon MIU
- Wounds / Grazes/ Cuts needing stitches
- Minor injuries / Burns
- Head injuries (no loss of consciousness)
- Simple eye trauma e.g. foreign bodies
- Removal of foreign bodies
- Minor injuries in children over 12 months of age.
Their X-Ray opening hours are weekdays only (except Bank Holidays), 8.30am to 4.45pm.
Yate MIU
(click on title above for direct link to Yate MIU)
PLEASE NOTE, YATE MIU DO NOT DO TETANUS JABS
X-ray facilities are available from 8am until 7.30pm, Monday to Friday and from 9am until 5.30pm Saturdays, Sundays and bank holidays. They are able to treat patients presenting with minor injuries that include:
- Cuts and grazes, Sprains and strains
- Arm, lower leg & foot injuries – including broken bones
- Bites – human/animal/insect
- Minor burns and scalds
- Minor head injuries
- Broken nose/nosebleeds
- Minor eye problems such as scratches, foreign bodies in the eyes
Admitting patients
If you identify that a patient does need to attend hospital, please refer to a speciality where possible (rather than ED). If you notice that a patient needs medical admission to WGH, BRI or NBT and the Weekday Professional Line team are available (Monday-Friday 10:30-18:30), then please discuss the case with them as they may be able to add the patient directly to the medical take list.