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Service · Continuity of care

One plan, one team,
no gaps.

Bed-to-bed means the patient is under continuous medical supervision from the moment they leave one hospital bed until the moment they are settled in the next — and that every handover in between is planned rather than improvised.

LegsGround, air, ground
SupervisionContinuous
OwnerOne coordinator, end to end

Service · Continuity of care

What this covers.

Most of what goes wrong in a patient transfer happens at the joins. The ambulance that arrives without the right equipment. The hospital that was not told the patient is coming. The oxygen that runs out because someone calculated for the flight but not for the traffic on the way to the airport.

Bed-to-bed is the discipline of treating the whole journey as one clinical episode with a single owner, rather than as four separate bookings that happen to be on the same day.

The chain, in order

  • Discharge authorisation and clinical handover from the treating ward
  • Ground ambulance from the hospital to the departure airport, equipped for the patient's condition
  • Transfer to the aircraft on the ramp, under the flight medical crew's supervision
  • The flight itself, with continuous monitoring and documented care
  • Ground ambulance from the arrival airport to the receiving hospital
  • Clinical handover to the receiving team, with case notes and imaging

Why one owner matters

When each leg is arranged by a different party, nobody holds the whole picture and nobody is accountable for the joins. A single coordinator who has spoken to the treating ward, the ambulance providers at both ends, the flight crew and the receiving hospital can see the failure points before they happen — and can absorb a delay in one leg without the rest of the chain collapsing.

The joins

Where transfers usually fail.

These are the specific points we plan against, because they are where continuity is most often lost.

Join 01Discharge

The paperwork gap

Join 02Ground to ramp

The equipment gap

Join 03Consumables

The oxygen gap

Join 04Arrival

The acceptance gap

Join 05Handover

The information gap

Join 06Family

The communication gap

Mission log · A full chain

Every leg has an owner
and a next step.

A bed-to-bed transfer is planned backwards from the receiving ward, so that every earlier leg is timed against a confirmed arrival rather than a hoped-for one.

Leg 01Departure ward

Collection

Flight medical crew or the ground team collects the patient from the ward, takes handover from the treating nurse, and confirms the medication and equipment travelling with them.

Leg 02Road

To the airport

Equipped ground ambulance, with the route and timing planned against the airport slot rather than against traffic optimism.

Leg 03Ramp

Onto the aircraft

Transfer at the aircraft under crew supervision, with monitoring switched over and confirmed before the patient is moved.

Leg 04Air

The sector

Continuous care and documented observations, with the receiving hospital updated on the arrival time as it firms up.

Leg 05Arrival

To the receiving bed

Ground ambulance meets the aircraft, and the patient goes directly to the admitting ward for clinical handover.

Ground transport may be arranged where medically necessary and available under the applicable service terms, and can also be completed by medical transport service or personal transport where the treating physicians consider it appropriate.

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Related services.

Questions we are asked

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Ground ambulance at both ends, the flight, all handovers, and the documentation moving with the patient — planned and owned by one coordinator rather than booked as separate services.

Ground transport may be arranged when medically necessary and available under the applicable service terms. For patients whose condition allows it, transfer between hospital and airport can also be completed by medical transport service or personal transport, depending on the treating physicians' recommendations.

The coordinator who owns the case. A delay in one leg is re-planned against the rest of the chain — including re-confirming the receiving bed and the airport slot — rather than allowed to cascade.

Yes. Each handover point is a contact point, and families are told what has happened and what comes next rather than being called only when something changes.

It should, and we chase it where the treating facility is slow to release it. Case notes, imaging and the current medication chart arriving with the patient is what makes the receiving handover useful rather than a starting-from-scratch exercise.

Arrange it before you need it

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If a transport is needed now, call the coordination centre. If you are planning ahead, a EuropeCair membership is $600 a year and covers unlimited medically necessary repatriation flights.

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