To improve access for patients to the Royal Berkshire Hospital ambulatory service and increase the number of same day discharges. The ambulatory care service was relocated from a ward bay area in the acute medical unit (AMU) to a designated, purpose-built ambulatory emergency care unit (AECU) in November 2017. ### Stage 1: Stakeholder engagement AECU cannot accommodate patients requiring overnight admission which meant that consideration needed to be made to changes in working practices and operating procedures across clinical groups. Formal and informal listening exercises were undertaken …