Clinical Tools

Patient Pathway

The National Emergency Medicine Programme (EMP) recommended that the Manchester Triage System (MTS) (Mackway-Jones et al, 2006) should be the triage system used for all new adult (16 years and over) patients presenting to Emergency Departments. This recommendation was further endorsed when the EMP was tasked by the Health Service Executive (HSE) to support implementation of the Report of the investigation into the quality, safety and governance of the care provided by the Adelaide and Meath Hospital, Dublin, incorporating the National Children’s Hospital (AMNCH) for patients who require acute admission, Health Information and Quality Authority, (HIQA Tallaght Report, 2012). This Report stated that “The Manchester Triage System must be implemented, managed and periodically evaluated to ensure it is being applied effectively in all hospitals”.

The EMP Emergency Nursing Interest Group (ENIG) was tasked with addressing these components of the programme and report with full support and guidance of the EMP Working Group. ENIG approved the engagement of the MTS Group for a national training strategy and agreed that the MTS Audit Tool should be used to audit triage practice.
Each Emergency Department (ED) is advised to refer to the EMP clinical guidance on “Audit of Emergency Department Triage”.


Since July 2014 all Emergency Departments in Ireland have a Manchester Triage Trainer. A complete list of trainers is available from

Use of Information

The following infographic aims to assist the public with what happens when you attend an Emergency Department by depicting the various steps from arrival to discharge/admission.

Emergency Department Videos