NHS Pathways

NHS Pathways

An evolving clinical assessment tool designed for effectively triaging over the telephone, regardless of the source of the call—including 999, NHS Direct, GP out-of-hours, NHS 111, and any other Single Point of Access phone number.

The NHS Pathways initiative was driven by increasing pressure on both ambulance services and A&E departments, part of which is caused by patients calling 999 for minor injuries that could be better managed in primary care; because urgent and emergency care has been fragmented and disconnected, patients often don't know where to go or whom to call for non-life threatening urgent care, leading in turn to inconsistencies in transport responses and treatments received. NHS Pathways helps by ensuring effective triage for those accessing urgent and emergency care services, reducing patients’ need to repeat information, and directing them to the correct care the first time.

NHS Pathways is developed and maintained by NHS clinicians with extensive experience in both urgent and emergency care provision, and also of clinical decision support tools. This includes GPs, nurses, paramedics and many more. NHS Pathways is under constant review and direction via the independent National Clinical Governance Group chaired by the Royal College of General Practitioners; representatives from Royal Colleges with an interest in urgent and emergency care; College of Emergency Medicine; British Medical Association; and other organisations involved in the delivery of urgent and emergency care.

NHS Pathways was awarded a ministerial licence in 2009, becoming one of only three systems to be endorsed.
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At the end of the proceedings the coroner said that he would be writing a report to NHS Pathways to ensure that tools were made available to ambulance trusts to help call handlers respond to cases of agonal breathing.
NAME & ADDRESS SUPPLIED RESPONSE from North East Ambulance Service: "All 999 calls are triaged based on clinical need using a national system called NHS Pathways.
She said 111 bosses encourage call-takers to rely heavily on the same NHS Pathways computer system used by 999 dispatchers with a full six weeks' training.
But the nurse said that NHS Pathways cannot cover every scenario - meaning inexperienced staff are missing life-threatening conditions.
The system, known as NHS Pathways, has enabled North East Ambulance Service staff to make immediate referrals to urgent care services for patients who don't need an ambulance.
However, about one caller in 10 does not receive an ambulance as the patient assessment system, known as NHS Pathways, uses evidence-based outcomes to determine the best care for every patient.
A triage system named NHS pathways was being piloted in the North East and in Croydon, he said.
The service, which uses the NHS Pathways computer decision support system, will be launched in two stages and will be fully operational from April 2013.
NHS Pathways is a new patient assessment system that will help deal with the deluge of 999 calls coming into the North East Ambulance Service control room each year.
The system, known as NHS Pathways is replacing the control room dispatch method currently used in the region.
Leading and supervising a team of EMSOs (emergency medical systems operators) to ensure they use the NHS Pathways system to deliver the best care to patients first time, every time.
The computer system, known as NHS Pathways, will be used in emergency control rooms to ensure each patient receives the right treatment for their symptoms.