Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100541
Anika Wijewardane
{"title":"Right care, right place, right now: The role of acute medicine in urgent and emergency care.","authors":"Anika Wijewardane","doi":"10.1016/j.fhj.2026.100541","DOIUrl":"10.1016/j.fhj.2026.100541","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100541"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100533
Vicky Anne Price
{"title":"Acute internal medicine in focus: The people, the purpose, the progress.","authors":"Vicky Anne Price","doi":"10.1016/j.fhj.2026.100533","DOIUrl":"10.1016/j.fhj.2026.100533","url":null,"abstract":"<p><p>Acute internal medicine (AIM) emerged in the 1990s in response to rising emergency admissions, constrained hospital capacity and fragmented models of care. This article traces the development of the specialty from its early conceptualisation through to its current role within modern urgent and emergency care systems. It explores the evolution of acute medical units, the expansion of ambulatory and same-day emergency care, the introduction of enhanced care areas and the maturation of a distinctive training pathway. Drawing on personal experience and national data, the article highlights how AIM has developed a unique skillset focused on managing undifferentiated illness, maintaining patient flow, and delivering patient-centred care in high-pressure environments. In the context of increasing multimorbidity and system strain, AIM is positioned not as an optional organisational model, but as a core clinical and operational mechanism essential to safe, efficient and sustainable acute care delivery.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100533"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100535
Clare Carasco, Sanjay Krishnamoorthy
{"title":"Acute physicians in medical leadership: Essential, or nice to have?","authors":"Clare Carasco, Sanjay Krishnamoorthy","doi":"10.1016/j.fhj.2026.100535","DOIUrl":"10.1016/j.fhj.2026.100535","url":null,"abstract":"<p><p>According to Charles Darwin's theory of natural selection, it is not necessarily the strongest or most intelligent organism that survives, but the one most responsive to change. The ability to adapt has previously been one of the core strengths of the National Health Service (NHS) and the healthcare professionals that work within it. 'Reform or die' was the choice for the NHS described in the '10 Year Health Plan'. Therefore, we must evolve; to secure our survival, we must engage with leadership. It can no longer be a tick-box on the journey to Certificate of Completion of Training (CCT). If we want to influence the direction of healthcare, we must have a seat at the table. Diagnosing and treating illness is only a fraction of what clinicians of the future will do; we will need to develop into clinical leaders working throughout the system. A change of this magnitude will inevitably take time, but it is now that a strategic choice needs to be made to invest in our workforce and leadership training. And, arguably, who better to lead the way than the acute physician?</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100535"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100530
Ragit Varia
{"title":"Acute medicine 2050: A connected future of care.","authors":"Ragit Varia","doi":"10.1016/j.fhj.2026.100530","DOIUrl":"10.1016/j.fhj.2026.100530","url":null,"abstract":"<p><p>By 2050, acute medicine will function within a substantially transformed clinical and organisational landscape. Demographic pressures, environmental change and rapid advances in digital and biological technologies will reshape how acute illness is recognised, triaged and treated. Acute care will increasingly function as a connected, anticipatory system spanning hospitals, homes and virtual environments, enabled by continuous monitoring, intelligent decision support and precision diagnostics. These developments offer the potential to smooth demand, anticipate deterioration and reduce avoidable admission while ensuring timely escalation for patients who need hospital-level care. Delivering this vision will require interoperable digital infrastructure, improved workforce models and deeper integration across the acute care pathway. Despite these advances, the defining purpose of acute medicine will endure, responding decisively and compassionately to people at moments of need. Acute medicine will act as the adaptive clinical core within future urgent and emergency care systems.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100530"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100534
Sarbjit Clare, Jane Ho, Rachel Barlow
{"title":"Acute internal medicine as the engine room of the modern hospital: The Midland Metropolitan University Hospital blueprint.","authors":"Sarbjit Clare, Jane Ho, Rachel Barlow","doi":"10.1016/j.fhj.2026.100534","DOIUrl":"10.1016/j.fhj.2026.100534","url":null,"abstract":"<p><p>Modern hospitals are increasingly defined by their ability to manage undifferentiated, complex acute medical demand rather than elective programmes or specialist services. The Midland Metropolitan University Hospital (MMUH) opened in October 2024, and is one of the first major UK acute hospitals deliberately designed around an acute internal medicine (AIM)-centred model. This article describes the clinically led design principles underpinning MMUH, how AIM was positioned as the operational core of the hospital, and reports early results demonstrating improvements in flow, bed occupancy, emergency access, workforce resilience, mortality and infection control. Despite consolidating two legacy hospital sites into a single building and opening with 100 fewer acute beds, MMUH has delivered measurable operational improvements within months of opening. These figures provide a compelling blueprint for the New Hospital Programme (NHP), demonstrating how embedding AIM at the architectural and strategic heart of hospital design can enhance safety, efficiency and patient outcomes. These findings represent early outcomes, and longer-term follow-up is required to assess the durability, sustainability and generalisability of the observed improvements.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100534"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100543
Andrew Duncombe
{"title":"Decision making at the front door.","authors":"Andrew Duncombe","doi":"10.1016/j.fhj.2026.100543","DOIUrl":"10.1016/j.fhj.2026.100543","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100543"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100536
Catherine Atkin, Murali Veerabahu, Daniel Lasserson, Sarb Clare
{"title":"Point-of-care diagnostics are central to acute medicine delivery.","authors":"Catherine Atkin, Murali Veerabahu, Daniel Lasserson, Sarb Clare","doi":"10.1016/j.fhj.2026.100536","DOIUrl":"10.1016/j.fhj.2026.100536","url":null,"abstract":"<p><p>Point-of-care diagnostics deliver rapid, actionable results to aid in clinical decision making for patients with acute illness. Ranging from <i>in vitro</i> diagnostics, such as high-sensitivity troponin, to point-of-care ultrasound (POCUS), incorporating point-of-care diagnostics into clinical care offers accelerated decision making and streamlined assessment pathways. Point-of-care testing has been embraced by acute medicine services, where benefits are demonstrated across the whole range of patient acuity, from resuscitation to same-day emergency care. Use extends beyond the hospital setting, with point-of-care diagnostics used in pre-hospital assessment and hospital at home services, helping patients to avoid hospital admission, benefitting patients and hospital services. Ongoing innovations in point-of-care diagnostics are reshaping acute care delivery, with acute medicine at the forefront of embedding these new technologies into routine practice.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100536"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100539
Anika Wijewardane, Mark Holland
{"title":"Acute medicine and the urgent care crisis: From pressure point to system solution.","authors":"Anika Wijewardane, Mark Holland","doi":"10.1016/j.fhj.2026.100539","DOIUrl":"10.1016/j.fhj.2026.100539","url":null,"abstract":"<p><p>Acute medicine was established to deliver early specialist assessment and management for patients requiring urgent medical care, typically within the first 72 h of admission. Evidence demonstrates that structured acute medical units (AMUs) and same-day emergency care (SDEC) services are associated with reduced length of stay and improved patient flow. However, inconsistent early access to AMU and suboptimal SDEC utilisation have diluted this model within increasingly pressured urgent and emergency care systems. This article reviews the intended role of acute medicine and examines contemporary challenges in service configuration and delivery. Published evidence and national benchmarking data are considered, alongside a case study describing restoration of a structured AMU model in a large district general hospital. Interventions focused on strengthened clinical leadership, defined admission pathways, multidisciplinary team integration and explicit performance metrics aligned to early discharge. These changes were associated with reduced length of stay, increased direct discharge rates and improved patient flow from the emergency department into AMU. Re-establishing acute medicine's core function offers a practical and scalable approach to improving urgent care performance.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100539"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100538
Christian P Subbe, Anne Kinderlerer, Yogini H Jani
{"title":"Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?).","authors":"Christian P Subbe, Anne Kinderlerer, Yogini H Jani","doi":"10.1016/j.fhj.2026.100538","DOIUrl":"10.1016/j.fhj.2026.100538","url":null,"abstract":"<p><p>Acute medicine provides care to patients during the first 72 h of their hospital stay. Clinicians face unique challenges of complexity in having to care simultaneously for groups of patients with multiple medical conditions and often complex needs. Digital innovation is central to modern clinical practice, yet its capacity to improve quality of care remains contested. This narrative review explores what acute physicians require from electronic health record (EHR) systems, drawing on evidence from usability studies, implementation evaluations and quality frameworks. Despite substantial investment, evidence of benefits for clinical outcomes, cost-effectiveness and user satisfaction remains modest. There is limited research on impact on mortality, efficiency and patient experience. Most research demonstrates inconsistent effects on process and intermediate outcomes such as clinical documentation quality (legibility) or improvements in medication safety. Poor system design based on work as described/imagined, rather than work as actually done, contributes to clinician burnout and undermines system adoption. Despite this, the review identifies good practice examples that show the potential for transformation in this challenging area of medical care. Future progress depends on integrating human factors science, rigorous usability assessment and responsive design. Research will need to evidence equity and sustainability. Acute physicians should 'expect more': systems that provide the right information, in the right context, at the right time - first time.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100538"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2026-06-25eCollection Date: 2026-06-01DOI: 10.1016/j.fhj.2026.100529
Sue Astbury
{"title":"'Seen, sorted and sent home' - A patient's desired outcome from urgent and emergency care.","authors":"Sue Astbury","doi":"10.1016/j.fhj.2026.100529","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100529","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100529"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}