The Acute Assessment Unit and Same Day Emergency Care Department The Acute Assessment Unit (AAU) occupies 24 beds and works together with the Emergency department to facilitate smooth, seamless care for patients. On average 25-35 patients are seen over a 24-hour period, with a majority of these being discharged from AAU within 48 hours. Junior doctor support currently consists of a Specialty Doctor, Specialist Doctor (SAS), an Acute Medicine Registrar, Acute Medicine deanery trainee (ST3 and above), a Foundation Year 2 (FY2) and two Foundation Year 1 (FY1) doctors. There will also be Junior and Senior Clinical Fellows. Speciality interface occurs through a direct referral system. Patients remain under the care of the AAU teams until transfer to other appropriate clinical areas. This will change with the ongoing development of amended internal professional standards. The AAU is also supported by a physiotherapist, occupational therapist and social worker who operate between AAU and ED. Early morning and afternoon huddles with the full multi-disciplinary team ensure facilitated discharge of appropriate patients whenever possible and continuous rounding ensures patient assessment and treatment is delivered without unnecessary delay. The team works seamlessly with Emergency Care providing responsive in-reach, rolling reviews of medical patients and early senior clinical decision making and support as appropriate. SDEC is supervised currently by an Acute medicine consultant and Middle grade doctor. Additional or alternative support is provided a senior nurse, and an Advanced Nurse Practitioner. SDEC is currently provided in A bay of the AAU and there is a plan for SDEC to move to a dedicated space as part of an exciting estates improvement programme and expansion to a seven-day service. Medical take patients on average can be 35 / 40 in a 24hr period. On average SDEC reports 330 monthly attendances; the average length of stay is 3.2 hours (direct discharge) and 5.6 hours for ward transfer. The Acute Medicine consultants contribute to the Medicine on call roster (currently 1 in 11 weekday nights (Mon to Thursday 1700-0800) and the Saturday on-call (1700-0800) when covering the Acute Medicine 1 in 7 weekends on AAU (0800-1700). All Acute Medicine consultants contribute to education, mentoring and supervision of junior medical staff and the development of Advanced Nurse Practitioner roles within the department. On appointment, specific clinical responsibilities will be agreed with the post holder and the job plan can be adjusted to meet the service needs and interests of the appointee. Please note this job description is pending Royal College Approval