



Alternatives to ED (A-tED)/ Alternatives to Admission (A-tA)/ Frailty Alternatives to ED attendance (Frail-tED)
GIRFT and the Urgent Emergency Care (UEC) programme have developed tools to support healthcare providers with managing their emergency department (ED) and admissions services within a local area, as well as frailty-specific alternatives to ED and admissions.
Alternatives to ED (A-tED)
The Alternatives to ED (A-tED) tool is an easy-to-use scoring system to help systems and trusts measure, rate and compare the accessibility, availability and opening hours of patient-facing services which are on offer as alternatives to attending the ED in their area, including walk-in centres, telephone advice services, urgent clinics and community services.
Alternatives to Admission (A-tA)
Alternatives to Admission (A-tA) supports health and care systems with their admissions capacity, and helps them to develop a better understanding of the reasons for ward pressures by examining their provision of alternative services.
Frailty Alternatives to ED attendance (Frail-tED)
Frail-tED is a simple and easily understandable scoring system that allows measurement, rating and comparison of the availability and accessibility of a local healthcare system’s frailty specific alternatives to ED attendance and to hospital admission.
Video: How to use A-tED/A-tA
Product demonstration
Produced by the UEC team, this short, practical explainer video shows how to get the most out of the scoring framework.
Find out more about GIRFT’s data-led approach and best practice resources:
Start using A-tED/A-tA/Frail-tED
- Get started with A-tED/A-tA by visiting the UEC Improvement Support FutureNHS web page
- Alternatively, you can email: england.a-ted@nhs.net
GIRFT's UEC team