Table-top simulation is a familiar feature in major incident and natural disaster training.
It is a cost-effective way of training staff to respond to serious incidents. With
increasing pressures in emergency departments, we decided to develop an easy to use
table-top simulation to develop the skills essential to manage a busy and ever-changing
The Floor is intense, enjoyable and effective. It has been tested
in a range of emergency departments across the world with doctors, nurses and executive
managers (clinical and non-clinical).
How is THE FLOOR being used?
The game has now been played with a range of ED healthcare
professionals –senior house officers and foundation doctors, registrars (SpRs),
consultants, nurses, health care assistants (HCA) and management teams. It has been
played and tested in a range of organisations and settings in the UK, USA and Myanmar.
The Floor is used routinely at BSUH during Major Incident training days for ED nurses
and HCAs and is formally part of the teaching and training programme for junior doctors
of all grades.
The cost: for unlimited group ED simulation
Standard Price for 1 game:
£900 (plus VAT and delivery)
The Floor is a sophisticated group training tool designed to help improve performance and
safety. The game includes a wide range of scenarios, events and patient profiles making
The Floor a very flexible and adaptive training resource for all ED staff and managers.
If you only use the game once with 12 people = £75 per person for 90 minutes of
But, you can use The Floor as often as you want. Every time you play the cost is diluted.
At Brighton and Sussex University Hospitals they’ve used their game 10 times this year
with over 100 staff members. The cost is now:
Less than £10 per person for 90 minutes of training.
The training happens in the workplace, so disruption is minimised. No external support is
required so there are no hidden costs. How does this compare to other forms of
Dr Salwa Malik is an Emergency Medicine Consultant and the Emergency Department
Simulation Lead at Brighton and Sussex University Hospitals NHS Trust. She studied
Medicine at Imperial College School of Medicine and completed her Foundation training at
Addenbrookes’ and West Suffolk Hospital NHS Trust. She then completed her Emergency
Medicine training in the Kent, Surrey and Sussex (KSS) Deanery.