Our Emergency Departments requires a finely tuned infrastructure to ensure patients receive the investigations they require at the earliest possible opportunity. Many of these technical roles are undertaken by our supporting workforce, including: ECG recording, IV cannulation and phlebotomy, Bladder scanning, Recording Vital Signs, National Early Warning Scores and neurological observations. In addition key infrastructural functions such as:Completing checklists,Checking equipment and replacing vital stock,Supporting staff play a major role in the provision of expert care and quality initiatives withinED.