To facilitate the effective use of beds within the Critical Care Unit and Surgical Special Care Unit, ensuring timely, proactive appropriate admissions of patients from all admission portals and discharge of patients using a structured,timely approach. Provide senior support with any staffing issues within CCU/SSCU Ensure pro-active planning to allow accommodation of both elective and emergency patients Liaise closely with Theatres/PACU regarding elective and emergency admissions. Liaise closely and regularly with ward nursing staff and Divisional Discharge Co-ordinators to ensure accurate up to date knowledge of patient movement is obtained. Liaise as appropriate with the discharge Co-ordinators and multi-disciplinary team with regard to discharge issues. Identify problems affecting the efficiency and effectiveness of admitting and discharging patients, making these known to the senior nursing team. Maintain up to date bed availability state. Maintain up to date information regarding patients who can be transferred out of CCU/SSCU ensuring that the patients notes detail the decision to transfer out. Maintain accurate reporting arrangements e.g. through a database, regarding the occupancy and demand levels, including patient acuity. To liaise closely with the Site Matron and senior nurses if staffing issues are affecting bed capacity. To participate fully in any project involving bed management to ensure its success. Check, confirm and challenge estimated dates and times of discharge out of CCU. Using managerial / operational knowledge, discuss/negotiate clinical need/time scales for admissions with medical teams. Maintain up to date knowledge of the Escalation Policy and role within this. Provide the Divisional Flow Team with admission and discharge information in a timely manner. Provide support to the Divisional Flow Team, senior nursing team, as deemed appropriate