Westminster Health Forum

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

TO BE PUBLISHED November 2019

This conference 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.

It takes place with the announcement of £1.8bn of funding for the NHS, and with a portion going towards urgent care improvement projects.

We expect policymakers and stakeholders to discuss where additional resources can be best used, including options for upgrading urgent care facilities and improving patient flow through accident and emergency departments.

The agenda and keynote speakers

Keynote contributions on:

  • The future for urgent and emergency care services and implementing the Long Term Plan;
  • Reducing unwarranted variation - with Dr Clifford Mann, National Clinical Adviser, Accident & Emergency, NHS England and Joint Clinical Lead, Emergency Medicine, GIRFT;
  • Ambulance services - supporting ambulance staff, infrastructure upgrades and technology development and adoption - with Patrick Peal, Chair, Association of Air Ambulances and Chief Executive, East Anglian Air Ambulance;
  • Supporting the workforce: recruitment, staff wellbeing and improving retention - with Dr Katherine Henderson, President Elect, Royal College of Emergency Medicine; and
  • Performance measurement and the future of the four hour waiting time target.

Panel session on:

  • Expanding out-of-hospital urgent care - developing multidisciplinary teams, increasing patient awareness and the role of technology in improving services.

Further sessions include case study contributions:

  • Mental health crisis care - Paul Jennings, Network Director, High Intensity Network will provide an overview of his work across the NHS to improve emergency services in this area;
  • Same Day Emergency Care - Sarah Fallon, Interim Matron, Acute Care, Great Western Hospitals NHS Foundation Trust on her experience managing a service in Swindon;
  • Out-of-hospital urgent care - Colin Rees, Chief Executive Officer, Transforming Systems on how technology can improve and relieve pressure on accident & emergency departments;
  • Reducing emergency admissions - 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; and
  • Preventing avoidable use of urgent care services - Dr Joachim Werr, Chief Executive Officer and Founder, Health Navigator and Thomas Lovegrove, Information Lead, Strategy, East Kent Hospitals University NHS Foundation Trust on the impact of a combination of artificial intelligence and health coaching.

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, and with increasing numbers not meeting the four-hour waiting time target as published in NHS England’s most recent performance report, 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.

Delegates will discuss the implementation of the NHS Long Term Plan goals for urgent and emergency care, including 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 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.

Price: £95 PLUS VAT

Shortly after every Westminster Health Forum seminar, a briefing document is produced. This is distributed to all delegates on the day as well as to our policymaker contacts in government, and to stakeholders more widely.

A seminar publication provides a timely record of proceedings, and acts as a guide to the latest thinking on current policy issues for those unable to be at the event.

This publication includes


Contributions from keynotes and panellists, including accompanying slides*
*Subject to approval

Delegate Pack

Information from the day, including delegate list, biographies and agenda


Transcript of questions and comments posed to speakers from attending delegates


Supplementary articles from speakers
and delegates