For problems with the NBBB Web Update site, in the first instance please contact Cathy Reade, 0161 291 6323.
The National Burn Bed Bureau responds to requests from local emergency services for specialist burn beds.
The NBBB provides:
- 24/7 coverage of availability in response to requests for patient transfers to specialist burn services across the British Isles.
- Daily establishment of bed capacity and availability.
- A coordinated approach to bed availability.
- NBBB is now part of the nationwide response to a major incident involving burn injuries
NBBB is managed by the Capacity Management Team at West Midlands Ambulance Service NHS Trust. They can be contacted on 01384 215576.
The first point of contact from a local A&E should always be to the nearest specialised burn service. If a bed cannot be found – then the National Burn Bed Bureau should be contacted.
Burn Services (requires NHS Net [N3] Access): Update your bed availability here.
Advice on Recording Bed Availability
The recording of bed availability on the National Burn Bed Bureau (NBBB) website needs to reflect the information that is most important for referring emergency departments. The vast majority of referrals through the NBBB are for major injuries requiring an intensive care bed. It is therefore this bed type that should be considered first when recording your services bed availability.(it is recognised that an intensive care bed in many services could also be used to accommodate a burn injured patient with a lower level of dependency.
Services should report their available intensive care beds (B3-5) first. If in doing so this reduces the reportable number of high dependency and surgical level beds then this is appropriate.
It is imperative however that the reported beds reflect the availability of fully staffed beds that are available for immediate use. It is recognised that many services can ‘create’ a staffed bed by calling in staff from days off etc, but this is not what is being asked for by the bed bureau.
If a burn service is dependent on a general ICU or PICU then discussion needs to take place with these departments regarding the availability of their beds should a burn referral(s) be made. The results of this discussion can then be entered into the NBBB website. It is appreciated that there is likely to be double counting critical care beds of this type in other systems in use nationally. However if there is an empty bed that would be available for a burn admission at the time of data collection then this should be appropriately reported (telephone agreement and clinician to clinician discussion will always need to take place prior to any transfer). The same applies to high dependency beds at HDU or B2 level.
The reporting of beds at a surgical level (B1) comes last of all and needs to reflect the staffing consequences of providing beds at the higher levels of dependency (B2 and B3-5).
It is not currently intended that the bed bureau record bed availability in Burn Facilities, other than in the event of a major incident. Only when a specific request from the NBBB is made to report ‘surge capacity’ should an assessment be made as to the service’s ability to furnish beds over and above those already reported.
In all instances, effort should be made to report the bed availability using the NBBB website. Only in the absence of this should direct telephone communication be made with the bed bureau team.