Westminster Health Forum

Developing urgent and emergency care in England - service redesign, supporting the workforce and reducing variation

Morning, Thursday, 17th October 2019

Central London


This seminar will be an opportunity to consider the development of urgent and emergency care in England, looking at service redesign, supporting the workforce and tackling unwarranted variation.

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.

Delegates will assess the impact of changing access standards on patient care, including on 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 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.

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 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


Rt Hon the Lord Warner

former Minister of State for Health


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