Westminster Health Forum

Since lockdown, we have been organising our full programme of conferences online. We will continue online until further notice, to ensure we play our part in helping our employees and delegates to remain safe during this time. We are pleased that so many key stakeholders, policymakers and other interested parties - both old friends and new delegates - are taking up the opportunity to discuss public policy issues and network at our impartial seminars. New events are coming on to our conference programme all the time. So there are plenty of opportunities for you to join us if you haven’t already, from wherever you are. For booking-related queries, or information on speaking, please email us at info@forumsupport.co.uk or contact us using one of the following numbers: +44 (0)7538736244 / +44 (0)7503591880 / +44 (0)7951044809.
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Priorities for urgent and emergency care in England - service transformation, efficient patient care, and learning from the response to COVID-19

Morning, Tuesday, 23rd February 2021


***Full-scale policy conference taking place online***

This conference focusses on the future of urgent and emergency care.


Delegates will discuss key developments and challenges in the context of service changes in response to the COVID-19 pandemic, and the ongoing implementation of the NHS Long Term Plan.


The discussion at a glance:

  • the NHS Long Term Plan - progress in meeting ambitions for urgent and emergency care, and supporting patients to access the right care
  • the impact of the pandemic - how emergency care has responded and adapted, and what can be taken forward for future practice
  • NHS 111 - what has been learned from the pilots, and the increased role of community services and general practice in delivery
  • service transformation - including priorities for delivering effective same day emergency care
  • developing access standards - and measuring performance within A&E
  • avoidable admissions - opportunities for prevention

The agenda:

  • Improving urgent and emergency care in the context of ambitions of the NHS Long Term Plan
  • Emergency care during the pandemic - assessing the clinical and organisational response, and support for the workforce during the crisis and into the future
  • Adapting service delivery in the shadow of COVID-19 - priorities for maintaining safety and upgrading facilities, and the impact of changing patient usage patterns on the future of emergency care
  • The NHS 111 urgent care pilot - the public response and what has been learned
  • The role of out-of-hospital services in delivering urgent care
  • Providing effective and integrated same-day emergency care across the country
  • Opportunities for service transformation and improving efficiency in emergency and urgent care
    • Developing access standards and measuring performance within A&E
    • Patient engagement in the delivery of streamlined emergency care
    • Priorities for preventing avoidable urgent care

Areas for discussion:

  • COVID-19:
    • the emergency care response - maintaining patient and workforce safety, managing pressures and overcoming challenges posed by the pandemic and tackling the need for corridor care
    • ambulance wait times - the impact on effective urgent care and meeting demand
    • patient usage of A&E - implications of reduced numbers presenting during the pandemic going forward, and effective public messaging on continuing to use services for urgent care needs
    • how services have adapted - reducing unnecessary admissions, treating patients at the scene, and carrying forward adaptations to support meeting long term ambitions for emergency care
  • service transformation:
    • NHS 111:
      • impact on efficiency, waiting times, A&E admissions, and clinical outcomes, and what has been learned for streamlining and effective provision of emergency care
      • role during the heightened impact of the pandemic
      • raising awareness - assessing the Think 111 First campaign and managing increased NHS 111 system use, phone wait times and new technology, and improving trust in the system
    • patient care - assessing:
      • the potential of final proposals in the Transformation of Urgent and Emergency Care report to transform patient care and experience - with proposals including scrapping the 4-hour A&E waiting times standard
      • what funding will be needed to implement those goals and the timing of the new standards
    • infrastructure - including the potential impact of enhanced primary care hubs, and of Emergency Department Digital Integration rollout for controlling capacity and monitoring arrivals
    • out-of-hospital urgent care - the increased role of community pharmacy and primary care, key benefits, challenges, best practice, raising awareness and the Help Us Help You campaign
    • developing same-day emergency care - progress, integration of local services, nationwide implementation, sharing best practice, reducing variation and learning from pandemic adaptation
    • the workforce - priorities for support to enable delivery of safe and efficient emergency care, integrated care team working, professional development, and impact of the NHS People Plan
    • performance measurements:
      • accounting for modern care provision and changing patient needs, the development of new NHS access standards
      • discussing conditions considered life-threatening, how systems can adapt, and the impact of changing standards such as waiting times for less urgent cases
  • prevention:
    • predicting and identifying avoidable urgent care - utilisation of data and public awareness, and how the pandemic has changed the type of care that is needed
    • mental health - assessing the impact of the crisis resulting from the pandemic, and what can be done to mitigate the need for emergency care services for mental health cases both during and after the pandemic

A scan of relevant developments:

  • COVID-19 alert level: update from the UK Chief Medical Officers - urging people to come forward for critical and urgent treatment while recommending moving up from level 4 to level 5, and almost unprecedented pressures on emergency and urgent care
  • the NHS Long Term Plan - with ambitions for emergency care on reducing hospital admissions, developing integrated care through Urgent Treatment Centres for out-of-hospital care, reducing length of stay and putting in place same day emergency care services
  • the Review of NHS Access Standards - consulting on what is needed to reflect modern care and whether performance measures in emergency care need to be improved
  • winter funding - £150m for A&E facilities this winter to provide upgrades, capacity improvements and enhanced infection control in 25 hospitals across England
  • NHS 111 pilots for urgent care - aimed at helping patients receive the most appropriate care for their needs and to prevent unnecessary visits, queues and delays at A&E
  • Help Us Help You - public information campaign urging people to continue accessing urgent care through the pandemic
  • Dangerous crowding has returned to our A&Es - RCEM letter to trusts calling for better escalation plans, emergency department performance standards, and further measures to tackle corridor care
  • NHSEI’s Transformation of Urgent and Emergency Care: Models of Care and Measurement:
    • setting out final recommendations on urgent and emergency care standards from the Clinically-led Review of NHS Standards
    • proposing how to drive change and improvements to help transform patient care through and beyond the pandemic

Policy officials attending:

Our forums are known for attracting strong interest from policymakers and stakeholders. Places have been reserved by an official from the Cabinet Office.


Overall, we expect speakers and attendees to be a senior and informed group including Members of both Houses of Parliament, senior government and regulatory officials involved in this area of policy, as well as from representatives from the NHS, executive agencies including clinical staff, emergency services, primary care, pharmacy, community services, regulators, local authorities, the independent and third sectors, patient groups, pharmaceutical companies, research and development, law firms, consultancies, and others affected by the issues discussed as well as academics and think tanks, together with reporters from the national and specialist media.


This is a full-scale conference taking place online***

  • full, four-hour programme including comfort breaks - you’ll also get a full recording and transcript to refer back to
  • information-rich discussion involving key policymakers and stakeholders
  • conference materials provided in advance, including speaker biographies
  • speakers presenting via webcam, accompanied by slides if they wish, using the Cisco WebEx professional online conference platform (easy for delegates - we’ll provide full details)
  • opportunities for live delegate questions and comments with all speakers
  • a recording of the addresses, all slides cleared by speakers, and further materials, is made available to all delegates afterwards as a permanent record of the proceedings
  • delegates are able to add their own written comments and articles following the conference, to be distributed to all attendees and more widely
  • networking too - there will be opportunities for delegates to e-meet and interact - we’ll tell you how!

Full information and guidance on how to take part will be sent to delegates before the conference



Keynote Speaker

Dr Clifford Mann

National Clinical Director, Urgent and Emergency Care, NHS England and NHS Improvement

Keynote Speakers

Dr Clifford Mann

National Clinical Director, Urgent and Emergency Care, NHS England and NHS Improvement

Dr Katherine Henderson

President, Royal College of Emergency Medicine

Chair

Baroness Jolly

former Health Spokesperson for the Liberal Democrats, House of Lords

Speakers

Professor Anthony Redmond

Professor of International Emergency Medicine, University of Manchester and Medical Director, NHS Nightingale Northwest Hospital

Jessica Morris

Research Analyst, Nuffield Trust

Deborah Thompson

Programme Director, NHS Acute Frailty and Ambulatory Emergency Care Networks and Director, NHS Elect

Dr Nick Scriven

Immediate Past President, Society for Acute Medicine and Consultant, Acute and General Medicine, Calderdale and Huddersfield NHS Foundation Trust

Sandie Smith

Chief Executive, Healthwatch Cambridgeshire and Peterborough

Dr Anwer Qureshi

consultant acute care physician, Northern Lincolnshire and Goole NHS Foundation Trust

Michela Littlewood

NHS 111 Head of Nursing & Quality Assurance, Integrated Urgent Care, Yorkshire Ambulance Service