The episode highlights how important it is that an Emergency Gynaecology Unit (EGU) pathway for is created for those patients at risk of being admitted to the ward, when available beds are in short supply and the day clinic is closed: something currently missing from my unit. As stated previously, there is no pathway in place for this situation in our unit.My research into the use of pathways in other units showed that there are EGUs under Barts Health Trust, Royal London and Whipps Cross Hospitals. The pathways in these trust als appears to be the same, which is once the patient needs to be admitted on the EGU, the registered nurse informs the bed manager about these patients. If there are no beds available when the clinic is closed, the registered nurse informs the bed manager and the patients are sent to the Accident and Emergency (A&E) department. Our unit is under Newham University which with Royal London and Whipps Cross Hospitals, are all part of Barts Health Trust; I therefore feel that the trust should implement the same pathway for all their Hospitals. Currently a registered nurse must stay with the patient until a bed becomes available. Sometimes the patient does not get a bed until 8pm, even though the clinic closes at 5pm. It is not safe for any patient to be left in the clinic on their own particularly patients presenting with an ectopic pregnancy, or miscarriage in transit, as there is no resuscitation trolley available on the unit. Such a situation could be avoided with the creation of a pathway, that detailed how patients should be transferred to a named A&E department when the clinic is closed. A diary will be created for recording the details of such patient, making sure the pathway is monitored constantly and members are aware of patient’s movements. The pathway should be audited every month, safeguarding that the pathway is being followed. A DATIX report should be completed when there is a delay of thirty or more minutes in transferring the patient from the EGU to the ward, or to the A&E department.