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Emergency Care
The network ensures that Emergency departments are represented in all projects to ensure patients continue to receive the best possible emergency care on a 24/7 basis, 365 days a year. setting. By creating guidelines highlighting the place of emergency care in wider pathways the network is able to ensure that guidelines contain clear actions from the point of arrival in ED to eventual admission where indicated and to find ways of reducing unnecessary admissions.
The network is also working on specific ED based projects to help improve patient flow, with ED checklists to be used when there are a high number of patients waiting to be seen. The team are creating a viable list of set questions for patients to be asked in order to help staff carry out a repeatable rapid safety assessment , while waiting for definitive triage or assessment, to ensure that any deteriorating patients are seen promptly.
Meet the team
Dr Giles Armstrong
Clinical Lead
About
Giles Armstrong was appointed as joint Clinical Director of the North Thames Paediatric Network in summer 2024, having held regional roles representing Paediatric Emergency Medicine for both Healthy London Partnership and then the North Thames Paediatric Network since 2019.
He is a consultant in Paediatric Emergency Medicine at the Royal London Hospital, where he was the Named Doctor for Children’s Safeguarding at the RLH from 2017-2022 and remains Deputy Named Doctor. He has been the Clinical Director for Integrated Paediatrics (incorporating General & Community paediatrics at RLH & MEH) since 2018.
Dr Armstrong trained in Medicine at Cambridge and the Royal London and then trained in Paediatrics and Paediatric Emergency Medicine in Newcastle, London and Sydney. After gaining his CCT he has worked as a consultant at the Lewisham Hospital and then The Whittington hospital, before returning to the RLH in 2017.’
