The critical care out-of-hours inter-hospital transfer team provides a specialist doctor to allow a ‘time critical’ patient to be transferred in order to access a specialist service within the south west peninsula critical care network. When a patient needs to be transferred on a time critical basis, it requires significant clinical and logistical planning. With very limited notice at any time of day or night makes planning for this very difficult. During out-of-hours there are a reduced number of critical care staff on duty and a doctor from intensive ca

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