North Manchester Treatment Centre (NMTC)/ Ambulatory Care Unit

North Ambulatory Care Unit or North Manchester Treatment Centre (NMTC) is located at the North Manchester General Hospital Site. The service is designed to treat those patients within the defined Ambulatory Care Sensitive (ACS) and   Ambulatory Emergency Conditions (AEC). These are a group of conditions that, with access to same day diagnostics (x-ray, blood/arterial test analysis, microbiology and ECGs), assessment and treatment (IV antibiotics, blood transfusion or other interventions that would otherwise occupy short stay hospital beds) can now be managed as a short day case rather than a hospital admission.

The service also provides a clinician advice line for Primary Care and Health Care Professionals within Community Services and is positioned to work closely with A&E to ensure that the patient is in the right place at the right time.

The Centre is ’Outward Community Facing’ with a Primary Care ethos which can provide support and treatment plans for Health  Care Professionals who may have a diagnostic dilemma with patients in the primary care and community setting. It is expected that treatment pathways will be further developed alongside Primary Care and Community Services thereby promoting care closer to home.

Who are we?

We are a highly skilled and motivated team comprising of Advanced Nurse Practitioners, Medical staff Assistant Practitioners, and Administration staff, and are supported by a dedicated Acute Medical Consultant team. We have a close working relation with the Emergency Department, Navigator service, Crisis Response Service and NWAS, with referral pathways to Community and Social Care Services. The staff have a wide and varied range of expertise to ensure that we deliver high quality care.

What does the service provide? 

The service is for anyone that can be assessed, managed, and discharged on the same day.

Referrals are made by GPs, health professionals, North West Ambulance Service and by Accident and Emergency. The NMTC does not accept self-referral/walk in patients without referral.

The following are examples of conditions the service can manage, provided the person is clinically and haemodynamically stable. The list is not exhaustive.

  • Pulmonary embolism
  • Deep vein thrombosis (DVT)
  • Acute headache (no focal neurology, GCS 15/15)
  • Chest pain
  • AF
  • LRTI (CURP 0-2)
  • Deranged Kidney functions
  • Ascites drain
  • Epileptic seizure (first & known)
  • Abnormal LFTs
  • Low risk upper GI bleeding
  • Anaemia for initial assessment and/or blood transfusion
  • Exacerbation of Chronic heart failure

Other Conditions maybe accepted on discussion with clinical staff.

The NMTC provides Assessment, diagnostics and treatment including the provision of essential medications. Services include: x-ray facility, on-site blood and arterial blood gas analysis, fast track microbiology and ECG. People referred will receive ongoing assessment, treatment and observation. In addition, there is also a waiting area where patients can wait for test results.

When is the service available? 

7 days a week, inclusive of Bank Holidays. 8am-9pm, last referral taken at 6pm.

Where is the service provided? 

North Manchester General Hospital
Delauneys Road
M8 5RB

Department contact details: 

Reception: 0161 604 5380

Dedicated GP referral line: 0161 907 6178

Key Staff

Michael Buchannen. Medical Registrar

Hesham Karwaan. Acute Medical Consultant.

Sharon Lord. Service Manager. 07772710321