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Despite the increased recognition of the impact of multi-morbidity in an expanding elderly population, acute care remains a high importance area for all healthcare systems and the NHS. Infection is a major cause of acute workload and the SPCR continues to have a significant focus on the better elucidation and treatment of common infections, with work on validated clinical decision rules and antibiotic outcomes. Our programme also investigates the highly topical area of antibiotic resistance and appropriate use.

Work has also covered acute illness in children, a particularly sensitive subject for the public – can we detect serious causes of sickness in children earlier? This has encompassed international collaborations across Europe and in Africa, with the pooled data supplied and analysed in the UK.

The SPCR Acute Care programme has also contributed to research on the better triage acute elderly illness out of hours, a current pre-occupation of the NHS in relation to demand and capacity in Emergency Departments across the NHS.  This research theme links some of the diagnostics interests in Theme 1 with the service reconfiguration interests in Theme 4 with the content expertise in the Acute Care Theme on intermediate care models, such as the Emergency Medical Unit (EMU) service evaluations, sitting between the Acute Trust and local practices in Abingdon.

Work has also covered acute illness in children, a particularly sensitive subject for the public – can we detect serious causes of sickness in children earlier? This has encompassed international collaborations across Europe and in Africa, with the pooled data supplied and analysed in the UK.

The SPCR Acute Care programme has also contributed to research on the better triage acute elderly illness out of hours, a current pre-occupation of the NHS in relation to demand and capacity in Emergency Departments across the NHS.  This research theme links some of the diagnostics interests in Theme 1 with the service reconfiguration interests in Theme 4 with the content expertise in the Acute Care Theme on intermediate care models, such as the Emergency Medical Unit (EMU) service evaluations, sitting between the Acute Trust and local practices in Abingdon.