Urgent and emergency care

Date: 
Event type: 
One-day conference

Event highlights

Related event

Urgent and emergency care 2016

About the event

This conference provided an update on progress with the urgent and emergency care review and explored how to address the immediate challenges facing urgent and emergency care services.

Sir Bruce Keogh: the future of urgent and emergency care services in England

One year on from his review, Sir Bruce looks at what must still be done to maximise the capability of the urgent care system.

See highlights from Sir Bruce's presentation >

Cliff Mann: next steps for emergency medicine

Dr Cliff Mann gives his view on the review into urgent and emergency care and explains the College of Emergency Medicine's steps towards rebuilding emergency medicine.

See Cliff's presentation >

Keith Willett: urgent and emergency care review: time to do it

Keith looks at the progress made since the urgent and emergency care review was published, while also considering the challenges which lie ahead.

See Keith's presentation >

Programme

Session one: Opening plenary

Welcome and introduction

Professor Chris Ham, Chief Executive, The King’s Fund

The future of urgent and emergency care services in England

  • The long-term vision for transforming urgent and emergency care
  • Looking at the role of emergency centres or specialist emergency centres

Professor Sir Bruce Keogh, National Medical Director, NHS England

Responding to and reducing urgent needs

  • Developing more responsive and joined-up approaches from general practice
  • Reflections on progress so far with primary care innovations aimed at extending and redesigning access for people with urgent needs, and models delivering greater collaboration with other parts of the U&EC system
  • Report & reflect on models aiming to build community and personal resilience, increasing self-care and self-management, combined with anticipatory medical care
  • How are they being received? indications of efficacy, future for commissioning of this new kind of care in the community (inc co-commissioning)

Dr Robert Varnam, Head of General Practice Development, NHS England and GP, The Robert Darbishire Practice

Next steps for emergency medicine

  • Assessing the winter planning guidance for 2014/15
  • The need to solve the problem of exit block in A&Es as a key priority
  • Options for tariffs

Dr Clifford Mann, President, College of Emergency Medicine

Session two: Streams

Delegates had the choice of attending one of the following streams:

A: Urgent care

Chaired by: Richard Murray, Director of Policy, The King’s Fund

Supporting the development of ambulance services as out-of-hospital providers

  • Extending paramedic training and skills, and supporting them with GPs and specialists to develop ambulances into mobile urgent treatment services capable of dealing with complete episodes of care without transport to hospital
  • Developing a range of outcome-based indicators which will allow ambulance services’ performance to be assessed on more than just response time targets

Richard Hunt, Chair of the London Ambulance Service on behalf of the Association of Ambulance Chief Executives (AACE)

The Association of Ambulance Chief Executives (AACE) has produced a video to demonstrate to their professional stakeholders, at national and local level, how the wide range of capabilities within NHS Ambulance Trusts can be applied in support of the transformation of urgent care provision and the NHS Five Year Forward View. You can watch it here.

Providing a highly responsive urgent care service outside of hospital

  • Improving access for patients to ensure they can easily navigate the system
  • Developing and implementing plans to meet predictable surges in demand (eg bank holidays and when GP services close)
  • The role of GPs in urgent care now and under new plans for two types of urgent care networks - strategic and operational
  • Aligning 999 and NHS 111

Panel includes:
Dr Chaand Nagpaul, Chair of the General Practitioners Committee, British Medical Association
Adam Duncan, Chief Operating Officer, London Central and West Unscheduled Care Collaborative
Dr Simon Abrams, GP and Chair, Urgent Health UK, Federation of Social Enterprise Out of Hours Providers
Ashok Soni OBE, Clinical Network Lead, Lambeth Clinical Commissioning Group and President, Royal Pharmaceutical Society

B: Emergency care

Chaired by: Dr Clifford Mann, President, College of Emergency Medicine

New models of emergency care

  • The new specialist emergency care hospitals: providing 24/7 care
  • Joining up urgent and emergency care

Dave Evans, Medical Director, Northumbria Healthcare NHS Foundation Trust

Redesigning emergency care

  • Do we need 230 EDs? Evaluating the impact of ED closures on demand for service
  • Ensuring patients with more serious emergency needs are treated in centres with the very best expertise and facilities
  • The issue of ‘crowding’ in emergency departments
  • Understanding exit block in emergency departments/improving hospital flow
  • Enabling seven day working, managing risk
  • Developing and implementing plans to meet predictable surges in demand
  • Establishing co-located teams adjacent to emergency departments including primary care practitioners, social workers and mental health professionals

Attendees will have the opportunity to put their questions, comments and challenges to our panel and will be encouraged to contribute to the discussion.

Dr Clifford Mann, in conversation with:
James Stuart, Clinical Director in Emergency Medicine, North Manchester General Hospital
Professor Suzanne Mason, Professor of Emergency Medicine, The University of Sheffield
Robert Bentley, Clinical Director for Surgery and Clinical Director, Major Trauma Centre and Network, King’s College Hospital

Session three: a whole-system approach to urgent and emergency care

Welcome and introduction

Chaired by: Heather Strawbridge, Chair, Urgent and Emergency Care Forum, NHS Confederation

New models for urgent and emergency care: a system perspective

  • Examining existing evidence on networks
  • Offer a system perspective on challenges and opportunities for urgent and emergency care networks
  • Focusing on cultural and leadership issues/role

Rob webster, Chief Executive, NHS Confederation

Panel discussion: looking at existing networks and coordination at local level

Panel includes:
Dr Nav Chana, Chairman, National Association of Primary Care
Stephen Dalton, Chief Executive, Mental Health Network
Dr Sam Barrell, Chief Clinical Officer, South Devon and Torbay Clinical Commissioning Group

Session four: Closing plenary

Welcome back

John Appleby, Chief Economist, Health Policy, The King's Fund

Implementing a new payment approach to support improved delivery of urgent and emergency care

Adrian Masters, Managing Director, Sector Development, Monitor

Delivering the changes - next steps

  • Progress made with phase 2 of the review
  • Transformational demonstrator sites to trial new models of delivery for urgent and emergency care and 7 day services

Professor Keith Willett, Director for Acute Episodes of Care, NHS England

Speakers

Professor Sir Bruce Keogh

National Medical Director, NHS England

Dr Clifford Mann

President, The College of Emergency Medicine

Professor Keith Willett

Director for Acute Episodes of Care, NHS England

Dr Robert Varnam

Head of General Practice Development, NHS England and GP, The Robert Darbishire Practice

Richard Hunt

Chair of the London Ambulance Service

Adrian Masters

Managing Director, Sector Development, Monitor

Professor Chris Ham

Chief Executive, The King's Fund

Read Chris' biography

Dave Evans

Medical Director, Northumbria Healthcare NHS Foundation Trust

James Stuart

Clinical Director in Emergency Medicine, North Manchester General Hospital

Robert Bentley

Clinical Director for Surgery and Clinical Director, Major Trauma Centre and Network, King’s College Hospital

Heather Strawbridge

Chair, Urgent and Emergency Care Forum, NHS Confederation

Rob Webster

Chief Executive, NHS Confederation

Professor Suzanne Mason

Professor of Emergency Medicine, The University of Sheffield

Dr Chaand Nagpaul

Chair of the General Practitioners Committee, British Medical Association

Dr Nav Chana

Chairman, National Association of Primary Care

Dr Sam Barrell

Chief Clinical Officer, South Devon and Torbay Clinical Commissioning Group

Adam Duncan

Chief Operating Officer, London Central and West Unscheduled Care Collaborative

Dr Simon Abrams

GP and Chair, Urgent Health UK, Federation of Social Enterprise Out of Hours Providers

Ashok Soni OBE

Clinical Network Lead, Lambeth Clinical Commissioning Group and President, Royal Pharmaceutical Society

Stephen Dalton

Chief Executive, Mental Health Network

John Appleby

Chief Economist, Health Policy, The King's Fund

Read John's biography

Presentations

Session one: Opening plenary

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Session two: Streams

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Session three: a whole-system approach to urgent and emergency care

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Session four: Closing plenary

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