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.

Start using A-tED/A-tA/Frail-tED

GIRFT's UEC team

“A patient can’t attend a service that is not accessible, is not open or doesn’t exist and we know that too many people show up in ED because they can’t find anywhere else to go. These tools allow healthcare providers to examine the reality of their provision of alternatives to ED attendance and hospital admission, and to identify where there are opportunities to improve access for patients."
Dr Chris Moulton
GIRFT emergency medicine clinical lead