• Okay so in kent we have 3 Major Trauma Centers: William Harvey Hospital (ashford), Queen Elizebeth Queen Mother Hospital (Thanet) and Medway Martime Hospital (Medway) - I send most specialist paitents to one of these 3 hospitals - have all extensions (which can cause delays on ambulances but I love that). Then the A&E Hospitals all have General Internal & General Surgery - a few have extra ones.
    All non-A&E NHS Hospitals are Clinics with the exception of Kent & Canterbury Hospital Which IRL isnt a A&E but does take in Ambulances its a kinda odd one and sort of inbetween. But does have treatment capabilities - I have this as a hospital with the same specializations as A&E in order to provide better coverage as it is sort of inbetween and all other local NHS hospitals are minor injuries (clinics)

    Bed Counts:
    Major Trauma - 40 (since they increased the max)
    A&E (inc Canterbury) - 30
    Minor Injury Units - 10 (clinics)

  • Hi - I was wondering if anyone else utilises their hospitals as if it was IRL. For instance sending chest pains to hospitals with PPCI capabilities or the stabbing / penetrating trauma to a MTC?

    Would like to but it's quite difficult, the specialities don't really correlate with the UK set-up.


    Remember that most 'Chest Pain' doesn't need cardiology, let alone PPCI, and no neurosurgeon is every going to see someone with a TIA.

  • Okay so in kent we have 3 Major Trauma Centers: William Harvey Hospital (ashford), Queen Elizebeth Queen Mother Hospital (Thanet) and Medway Martime Hospital (Medway)

    Maybe you worded it wrong, but Kent has no Major Trauma Centres. The nearest ones are the 4 in London, or one in Brighton. Some hospitals may be able to deal with trauma but MTCs have their own classification.

    Would like to but it's quite difficult, the specialities don't really correlate with the UK set-up.


    Remember that most 'Chest Pain' doesn't need cardiology, let alone PPCI, and no neurosurgeon is every going to see someone with a TIA.

    I agree this needs a rework. Hopefully in time we can get it fixed to what departments people would actually go to after A&E. These are very much a relic from the US game and ultimately from the German game.

  • There remains a lot of confusion (even in the trade!) around the difference between trauma the disease, major trauma however you choose to define it, Trauma & Orthopaedic Surgery, Trauma Surgery and Trauma when it's a ward.

    The NHS defines Emergency Departments under 3 classifications. Local Emergency Department, Trauma Unit, and Major Trauma Centre, as I’m sure you know. In terms of ambulance decision making and the in game application of this, those 3 classifications is what I tend to use.

  • As mentioned on another thread, I'm now working on some additional ambulance content - this includes fixing the CC requirement on missions and also the hospitals (incl departments)

    Does this mean that Urology will actually be used by at least 1 mission finally? Currently the department usages are as follows:

    General Internal - 214
    Traumatology - 81
    General Surgeon - 30
    Cardiology - 6
    Neurology - 4
    Neurosurgery - 4
    Gynecology - 1
    Cardiac Surgery - 1
    Urology - 0

  • I have wondered why Urology is there - IRL we get alot of urology calls but none on the game. I know ALCTW10 is working on content as he said above so we shall see :)


    The NHS defines Emergency Departments under 3 classifications. Local Emergency Department, Trauma Unit, and Major Trauma Centre, as I’m sure you know. In terms of ambulance decision making and the in game application of this, those 3 classifications is what I tend to use.

    I tend to do that too - Its just hard sometimes when you end up running crazy miles for say "PPCI" or MTC

  • As mentioned on another thread, I'm now working on some additional ambulance content - this includes fixing the CC requirement on missions and also the hospitals (incl departments)

    That will be good.


    That will be good.


    As mentioned on another thread, I'm now working on some additional ambulance content - this includes fixing the CC requirement on missions and also the hospitals (incl departments)

    When looking at hospitals it would be good if u could look at air ambulances landing at hospitals only with heli pads built. Something along them terms. Just a idear.

  • this is exactly what ive just posted up myself! Also i think having say 40 beds for the hospital is pretty lousy considering some hospital have in excess of 1000 beds at their sites so maybe they should increase the hospitals bed sizes to what ever the player wants say like have a limit of 2000- just a thought

  • this is exactly what ive just posted up myself! Also i think having say 40 beds for the hospital is pretty lousy considering some hospital have in excess of 1000 beds at their sites so maybe they should increase the hospitals bed sizes to what ever the player wants say like have a limit of 2000- just a thought

    My interpretation of current hospitals we have in game is not the entire hospital but rather just the A&E/Trauma centre for the hospital, which is why we have only 40 beds and a patient "clears" every hour, I think of them moving to an actual ward. That being said, I am struggling a lot at the moment with hospital capacity and have been building a lot more to manage the demand. I think an overhaul is in the works at some point, with mentions of some improvements with wise to ambulances and stuff as well, but I think its a long way down the line.

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