This report evaluates the design of two proposed A&E departments: Brent Emergency Care and Diagnostic Centre (BECaD) and an Exemplar plan developed as a guide for trusts undertaking new build schemes. The Exemplar Plan and the A&E services within BECaD were evaluated using key performance indices identified in previous work by ISP, “The Impact of the Built Environment on Care within A&E”. This was used to assess the following locations:
• circulation areas
• arrival and entrances
• reception and waiting
• triage and assessment
• treatment rooms
Comparison with observed use patterns in two existing A&E departments were used to assess occupancy and capacity issues both plans may experience.