Westminster Health Forum

Urgent and emergency care in England - integrating services, reducing variation and implementing the Long Term Plan

Morning, Thursday, 17th October 2019

Central London

THIS EVENT IS CPD CERTIFIED



This seminar will be an opportunity to consider the development of urgent and emergency care in England, looking at integrating services, tackling unwarranted variation, and implementing the Long Term Plan.


The agenda includes case study contributions from:


  • Paul Jennings, Network Director, High Intensity Network who will provide an overview of his work across the NHS and emergency services to improve mental health crisis care;
  • Sarah Fallon, Interim Matron, Acute Care, Great Western Hospitals NHS Foundation Trust on her experience managing a Same Day Emergency Care service in Swindon;
  • Colin Rees, Chief Executive Officer, Transforming Systems who will discuss how technology can be used to improve out-of-hospital urgent care services and relieve pressure on accident & emergency departments; and
  • Janice Duff, Interim Head, Older People and Physical Disability and Urgent Care Lead, Kent County Council on the work being done in Kent to integrate services across health and social care to reduce emergency admissions.

Delegates will discuss the implementation of the NHS Long Term Plan goals for urgent and emergency care, including the impact of service redesign and the expansion of Same Day Emergency Care following the commitment to embed the model in every type 1 accident and emergency department by 2020.


Attendees will also consider the expansion of out-of-hospital urgent care and the commitment in the Long Term Plan to fully implement the Urgent Treatment Centre model by Autumn 2020. We expect discussion on the challenges for integrating services, developing multidisciplinary teams and increasing patient awareness of the variety of urgent care services available.


The seminar follows the publication of the interim report of the Clinically-led Review of NHS Access Standards which proposed the removal of the four-hour target for A&E departments and suggested new targets, including a one hour target for life-threatening conditions, to be piloted through 2019.


With the first phase of the trial having finished, delegates will assess how performance can be measured in A&E departments, including which conditions should be considered life-threatening, how systems can be adapted to measure new standards, and the impact of changing standards on patient care including waiting times for less urgent cases.


Following the Review’s proposed introduction of a one-hour target for mental health patients in A&E departments, attendees will also discuss the challenges for improving access to emergency mental health services, including staffing levels, funding for alternative provisions and the availability of acute beds.


The agenda includes sessions on tackling unwarranted variation in emergency services, in light of Lord Carter’s review on Operational productivity and performance in English NHS Ambulance Trusts: Unwarranted variations.


The seminar will be an opportunity to assess the implementation of the Review’s recommendations, including supporting ambulance staff, ensuring technology uptake and developing national standards for fleet management.


Following the publication of the Interim NHS People Plan, which commits to providing additional nursing support in emergency departments by March 2020, we expect further discussion on the urgent and emergency care workforce and how best to address workforce shortages, encourage retention and support the wellbeing of staff.



Keynote Speaker

Mark England

Deputy National Director for Urgent and Emergency Care and Director of Strategy, Emergency and Elective Care, NHS England and NHS Improvement

Keynote Speakers

Dr Katherine Henderson

President Elect, Royal College of Emergency Medicine and Consultant in Emergency Medicine, Guys’ and St Thomas’ NHS Foundation Trust

Mark England

Deputy National Director for Urgent and Emergency Care and Director of Strategy, Emergency and Elective Care, NHS England and NHS Improvement

Sarah Fallon

Interim Matron, Acute Care, Great Western Hospitals NHS Foundation Trust

Chairs

Rt Hon the Lord Warner

former Minister of State for NHS Reform

Paul Jennings

Network Director, High Intensity Network

Dr Rosena Allin-Khan MP

Speakers

Dr Clifford Mann

Consultant in Emergency Medicine, Taunton and Somerset Hospital; National Clinical Adviser, Accident & Emergency, NHS England and Joint Clinical Lead, Emergency Medicine, GIRFT

Colin Rees

Chief Executive Officer, Transforming Systems

Usha Kaushal

Lead Operational Pharmacist, NHS 111, Yorkshire Ambulance Service NHS Trust

Dr Anita Sharma

GP and Clinical Director, Vascular and Medicine Optimisation, NHS Oldham Clinical Commissioning Group

Janice Duff

Interim Head, Older People and Physical Disability and Urgent Care Lead, Kent County Council

Olivia Clymer

Chief Executive Officer, Healthwatch Central West London