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HOME/Knowledge Base/Training / User Guides/System CAS Pathway Guide
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System CAS Pathway Guide

Updated on 5th May 2026

My Patient needs….

GP Referral in hours

Use ‘GP Connect’ function in PaCCS. 

Consider calling GP via backdoor numbers if no appts & needs urgently.

GP Connect: guarantees call back only. When booking via GP Connect, advise the patient it will be am (for am slot), or pm (for pm slot), and do not give the specific time. Your CLEO records will transfer to EMIS about 5-10 minutes after you close the case. F2F & time at discretion/availability of GP surgery.

GP Referral in OOH

Select 'Follow Up': then 'F2F' or 'Home Visit urgent Care referral'. 

MIUs or UTC Referral

Urgent Treatment Centre (UTC) / Minor Injury Unit (MIU) referrals

Check Service Finder
for current availability before referring.

1) Find the most appropriate site

  1. Enter the patient’s postcode.
  2. Select Urgent Treatment Centre to view the nearest UTC/MIU options.

If Service Finder shows normal service, you can refer the patient to that site (see below).

Note: South Bristol (Hengrove) is the only UTC. Yate and Clevedon are MIUs (injuries only).


2) Send the referral (CLEO)

  1. Open the Agency tab in CLEO.
  2. Find the required UTC/MIU.
  3. Select Click to email next to the chosen site to send the referral.

Capacity checks and opening hours

  • MIU opening hours: 08:00–20:00.
  • After 18:00: please call the MIU/UTC before sending the patient to confirm capacity.

If Service Finder suggests consideration of alternative services due to limited capacity,
please call the service to discuss options and/or direct the patient elsewhere as appropriate.


X-ray opening times

Please note: X-ray opening times may differ from MIU opening times.

South Bristol Urgent Treatment Centre - X-ray times

Available 8:00-19:30 7 days a week. Please call ahead if referring patients from 18:00 to check capacity.

Clevedon MIU – X-ray times

Use this page for up-to-date X-ray opening times:
Clevedon MIU (Sirona)

Yate MIU – X-ray times

Use this page for up-to-date X-ray opening times:
Yate MIU (Sirona)


Appointments and waiting

  • There are no appointment times. Patients will need to wait.
  • Consider next-day attendance if clinically appropriate (you can still send an Agency referral).

Optional patient SMS text

(For MIU/UTC attendees if needed – see SMS templates section.)

You have been advised to attend South Bristol Urgent Treatment Centre on XX/XX/XX by a clinician on the System Clinical Assessment Service.
Please present this text upon arrival. Your case number is XXX.


MIU/UTC phone numbers and suitability pages

  • South Bristol UTC (Hengrove): 0300 124 6290
  • Yate MIU:
    01454 315355 / 07975 236355
  • Clevedon MIU:
    Clinical 01275 546866, Reception 01275 546852

Speciality Referral

Medical Admission in hours?

Forward to WDPL - Forward-> WPL Weekday PL-> Next-> 6 hrs. Please discuss with WDPL team so they can advise where to direct the patient.

Other specialties and medical admission out of hours

Always refer to specialty unless unable to contact specialty, specialty refuses referral or no alternative to ED (please document these issues in Adastra notes). Contact details for OOH referrals across BNSSG can be found here

Your notes will be visible on Connecting Care 45 minutes after you close the case.

Mental Health Input

The Mental Health Clinical Assessment Service (MH CAS) operates within BrisDoc on a 24/7 basis.

If your physical health IUC consultation identifies a urgent mental health need that might benefit from the involvement of the MH CAS, you can seek their input by the following process:

  • Discussing the case with the Mental Health Clinical Navigator. Please note, all patients in the physical health queue must be contacted by the physical health team initially, to be sure that any physical health needs are addressed.
  • If in agreement for MH CAS input, you then forward the case to Urgent Care Follow up queue & inform the Physical Health Shift Manager you have done so.
  • The Physical Health Shift Manager will then contact the Mental Health Shift Manager to confirm the case transfer & move the case to the Mental Health queue.

Further information about local MH team support can be found here

ED Referral

  • Always refer to specialty, and only send to ED if advised by that speciality or no alternative. Select ‘Agency Referral’ then select desired ED to send referral. Consider ED Advice to discuss borderline cases.
  • If referring onto Bristol Children's ED, using Careflow Connect allows your patient details to transfer digitally to their system.
  • NBT ED
    • Consultant Line 0117 4143021

    BRI ED

    • Consultant Line (08.00-00.00) 07345 463679
    • Streaming ENP 0117 342 2716
    • Nurse in Charge 0117 342 2716

    BCH ED Advice Line (if SCAS Paediatric colleague not on shift)

    • 0117 342 8666

    WGH ED

    • 07393 268850

    BEH advice (08.00-16.30)

    • 0117 342 9091

Ambulance

Request electronically via PaCCS button, then select red ambulance button at top and follow instructions.

Check patient address correct on CLEO before requesting.

PACCS requires you to select an option from each page to move through the ambulance request process. On the right hand side you will see a notification that your ambulance request has been made. You do not get a reference number.

There is a free text box that appears in this process - please state that the patient has been assessed in System CAS, & any helpful information for the crew ( eg speciality/ hospital referred to / Keysafe numbers).

Also refer to appropriate receiving specialty if possible (or complete agency referral within CLEO if sending to ED)

If you are unable to book via PaCCS telephone 0300 3690097

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