Patient flow: finding solutions to recurring challenges

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The challenges facing accident and emergency departments are well known, and impact both staff and service delivery. The pressures of meeting targets and providing good care for patients while maintaining clinical standards often result in departments operating in ‘crisis mode’. 

Join us for this event at The King’s Fund on 11 March 2020 to hear how improving patient flow is essential to overcoming these challenges. You’ll hear from national experts, dedicated clinicians, operations managers and others to explore real examples that offer promising answers to long-standing flow challenges. 

At the event you’ll hear interesting debates, from both those working on the ground and policy and system experts. You will have the opportunity to take part in workshops led by multidisciplinary teams from NHS Trusts, who will showcase best practice examples, showing you how to implement solutions step by step.

Register now

Sponsorship and exhibition

Engage with leaders and decision-makers from across the health and care sector by sponsoring or exhibiting at this event. To find out more, please email Chris Lazenby or call him on 0207 307 2490 to discuss the opportunities available.






Registration opens, networking and exhibition


Opening plenary

10.00amWelcome and introduction

10.05amOpportunities and challenges to improve patient flow

Dr Katherine Henderson, President, Royal College of Emergency Medicine

10.20amReducing length of stay: implementing the new guidelines at a national level for improved flow

Amanda Howard, National Lead for Reducing length of stay programme, NHS England
  • Hear how to reduce the risk of harm to patients from physical and mental deconditioning by reducing the length of their stay.

10.35amImproving outcomes for people: the right care, in the right place, at the right time

Simon Williams, Director of Adult Social Care, Local Government Association
  • Hear about the role local government can play in maximising independence and reducing unnecessary stays in hospital for patients.

11.05amQuestions and discussion


Workshop A: Managing frailty

In this workshop, you will learn in depth about the ‘plan, do, study, act’ approach to managing  frailty at the front door using improvement methodology.

Delegates can choose between workshops A and B. 

12.00pmManaging frailty

In this workshop, you will hear how the the ‘plan, do, study, act’ approach allows patients to be seen by the right multi-disciplinary team first time in the right environment, bypassing emergency departments. With continuous improvement and evaluation, this pathway can lead to a significant reduction in beds used and a length of stay.

You’ll also learn how the right leadership is essential for keeping the clinical team engaged. 

Dr Jyothi Nippani, Consultant Obstetrician and Gynaecologist, Deputy Medical Director, Associate Medical Director for Service Improvement, South Warwickshire NHS Foundation Trust 
Dr Abigail Taylor, Advanced Clinical Practitioner, South Warwickshire NHS Foundation Trust 
Dr Eliza Griffiths, Consultant Geriatrician, South Warwickshire NHS Foundation Trust 
Dr John Blair, Consultant Geriatrician, South Warwickshire NHS Foundation Trust 

Workshop B: Integrating the pathway

In this workshop, you will learn how to put integration in practice.

12.00pmIntegrating the pathway

Our facilitators will explain how to create a system approach to managing the emergency and urgent care pathway, working together across acute, community, mental health, primary and social care services. 

Sarah Tedford, Chief Executive, Hillingdon Hospitals 
Ian Goodman, Chair, Hillingdon Clinical Commissioning Group 
Graeme Caul, Managing Director, Central and North West London NHS Foundation Trust
Julie Vowles, Care of Elderly Consultant, Hillingdon Hospitals 


Workshop D: Managing risk

In this workshop, our facilitators will examine the relationship between managing risk and improving flow.

Delegates can choose between workshops D, E and F. 

2.05pmManaging risk

You’ll hear how the perception of what constitutes risk to life influences patient flow within a hospital, in ways that are complex and culturally entrenched. 

You will also analyse practical examples for managing risk, such as increasing ambulatory care, reducing length of stay, improving front-door streaming and establishing good site management.

Dr Ben Owens, Consultant in Emergency Medicine and Divisional Emergency Care Lead, Sherwood Forest Hospitals and Urgent Care Advisor, Midlands, NHS England and NHS Improvement
Pete Gordon, Senior Improvement Manager, Emergency Care Improvement Support Team, NHS England and NHS Improvement 

Workshop E: Clear clinical plans

In this workshop, you will explore practical examples of how to formulate clinical criteria for discharge.

2.05pmClear clinical plans

In this workshop, you will explore practical examples of how to formulate clinical criteria for discharge. The speakers will illustrate how good clinical criteria enable multi-disciplinary teams to be more co-ordinated and minimise delays in transfers of care.

The speakers will also share insights from the training and awareness methods they have used to embed criteria-led discharge and describe the obstacles they have identified and how to overcome them. 

Dr John Day, Consultant in Infectious Diseases and General Medicine, Southend University Hospital NHS Foundation Trust 

Dr Day will co-present with a team of colleagues. Additional speakers to be announced shortly. 

Workshop F: Understanding emergency department flow

In this workshop you’ll hear from experienced clinical consultants who have also worked in national programme design as they explain the consequences of poor flow in the emergency.

2.05pmUnderstanding emergency department flow

In this workshop you’ll hear from experienced clinical consultants who have also worked in national programme design. They will explain the consequences of poor flow in the emergency department and explore the importance of measuring flow beyond the four-hour standard and discuss methodology.

You will also look at the correlation between crowding and flow and what remedies and mitigations are available. 

Dr Chris Moulton, Consultant in Emergency Medicine, Royal Bolton Hospital, Vice-President, Royal College of Emergency Medicine
Dr Clifford Mann, Consultant in Emergency Medicine, Tauton and Somerset NHS Foundation Trust, National Clinical Advisor, Accident and Emergency, NHS England and NHS Improvement 


Closing plenary

3.25pmWelcome back

Siva Anandaciva, Chief Analyst, The King’s Fund

3.30pmLearning from those on the front line of service delivery

  • In this discussion you’ll hear from two trust chief executives who have managed to get good flow results, comparing notes on challenges and solutions.
  • Hear how they managed to turn around persisting problems and establish improved flow.

Simon Weldon, Chief Executive, Kettering General Hospitals NHS Foundation Trust 
Stephen Dunn, Chief Executive, West Suffolk NHS Foundation Trust 

4.10pmQuestions and discussion


Close of conference


Please note, discounts will not be automatically applied to your booking. Please email us for the relevant promotional code

Group discounts

10 per cent discount for 3-4 people.
15 per cent discount for 5-6 people.
20 per cent discount for 7 or more people.

Student discounts

Receive 50 per cent off if you're a student in full-time education. 

Bursaries for patients and carers

We offer a limited number of bursary (free) places for our conferences. These are reserved for patients and carers. To apply for a bursary for this event, please send us an email.


Can I pay by invoice? 

Yes. Please select your tickets and once you're through to the registration form, you can amend the 'payment method' from credit card to 'pay by invoice'. Please note, there is a £20 surcharge to cover the cost of processing invoices. This is in addition to the ticket price and will be added to your invoice. There is no charge for paying by debit or credit card. 

Contact us

Sponsorship and exhibition

Email Chris Lazenby 
or call 0207 307 2490

Programme enquiries

Booking enquiries

Email the team
or call 020 7307 2556