Changes to our Emergency Service

ED 29 July

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Changes to the emergency care provision we offer at Cheltenham General Hospital (CGH) took place on 29th July 2013. The changes cover the quieter night time period of 8pm - 8am and only affect patients arriving by ambulance.
CGH continues to run its A&E service as normal from 8am-8pm.

How do the changes affect me?

  • Walk-in patients will still be treated at night time in the Emergency Care Centre by our team of highly skilled Emergency Care Practitioners (ENPs)
  • Patients who are referred directly by their GP at any time will be admitted to hospital through our Acute Assessment Area at Cheltenham
  • However, patients with a critical illness and injury who need treatment from emergency medicine doctors will go to Gloucestershire Royal Hospital at night
  • If a patient with a critical illness or injury arrives as a ‘walk-in’ at Cheltenham General Hospital, they will be assessed in the Emergency Care Centre, receive initial treatment and a decision will be made on whether they can be admitted in to hospital in Cheltenham under the care of an Acute Physician (Doctor) or transferred by ambulance to Gloucestershire Royal Hospital
  • We estimate that this will affect about 16 patients per night who arrive by ambulance
  • The arrangements for Children are unchanged – children of any age (other than a minor injury or illness which can be treated by our ENPs at Cheltenham or one of the county's Minor Injuries Units) should be assessed by our specialist children’s doctors (paediatricians) at Gloucestershire Royal Hospital.

Read our flyer which has some more frequently asked questions.

We believe that these changes will lead to safer, higher quality emergency care for our patients.

tom l ed

Emergency Medicine Consultant, Dr Tom Llewellyn says:

“Our priority is to ensure that the sickest patients are seen by very skilled specialist staff when they need to be. The proposals for change were developed for service quality and safety related reasons, which includes the availability of experienced emergency medicine doctors. The proposals were subject to rigorous scrutiny and review by both the National Clinical Advisory Team (NCAT) and the County’s Health and Care Overview and Scrutiny Committee, who understand and appreciate that the present arrangements for Emergency Care are unsustainable.”


To see Dr Tom Llewellyn answer some questions about the change, watch this film. If you have any further questions, please email