In under resourced countries such as Nepal it is often the simplest solutions that can have the greatest impact. The Triage system, widely used in accident and emergency departments across the UK, prioritises patients according to the urgency of their needs. Kanti had previously been operating on a first come first served basis with perhaps 500 children being seen in this sequence each day. This meant that children’s condition often deteriorated as they waited to be seen, threatening their health and stretching the resources of the hospital still further.

STCMLive and ALSG have supported a number of visits of Alder Hey Emergency Department staff to train staff in a version of triage, designed to suit resource poor countries. Staff have returned to Kathmandu to assist with implementation and provide ongoing support. As a result, children are now starting to be seen on the basis of their true medical need.