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Urgent Care: Improving Patient Flow

September 21 @ 8:30 am - 4:30 pm

Phone Telephone: (0161) 376 9007 Book now Register your interest Previous event View Programme

Overview                                           View Programme

The NHS continues to make headline news as it struggles to meet demands amidst the realisation that extra funding will not be forthcoming. Whilst the whole system is under pressure it is perhaps felt most profoundly in urgent care, more specifically accident and emergency departments of acute hospitals. However, the demand for urgent care arriving at a hospital’s front door and the patient journey from there on, creates and compounds difficulties in respect of maintaining a good flow throughout the hospital system right up to the discharge process.
As part of Open Forum Events’ health and social care portfolio, this year’s annual urgent care conference Urgent Care: Improving Patient Flow will focus on measures that can alleviate the congestion and successfully restore dynamic flow.

The most recent Accident and Emergency Statistics publication shows that there has been a significant rise in the number of people attending A and E departments, despite constant efforts to reform the system and relieve some of the pressures by signposting to other areas of healthcare provision. The increase in footfall has had the knock-on effect of patients having to wait longer to be seen. This is the point at which good patient flow becomes compromised, as illustrated by a fivefold increase, over the last five years, in the number of patients waiting longer than 4 hours to be admitted as inpatients from the A and E Department.

Good flow requires space and in the case of a hospital this means beds. Over recent years bed occupancy has increased and coupled with an increase in length of stay as a possible consequence, the speed at which patients can be assessed, treated and discharged is delayed resulting in gridlock. Delayed transfer of care at the discharge stage further curtails bed capacity, as those medically fit to be discharged cannot leave the hospital due to a lack of an onward care package being in place or the absence of other necessary provision.

Some of the answers in overcoming the challenges in patient throughput lie outside the hospital environment. Reducing the attendances to A and E and expediting timely discharge can be greatly influenced with services offered by primary, community and social care providers.

The Urgent Care: Improving Patient Flow conference agenda has been developed to explore the current patient flow trends within the hospital urgent care system. Delegates will gain a greater understanding of how the problems occur from the start of the process, with the patient having attended the A & E department, through to the discharge process, returning back into the community and home. Our line-up of expert speakers will provide insight, opinion and stimulate debate as to how to relieve the burden on hospitals and reduce the pressures of compromised patient flow. We will showcase a number of initiatives and examples of best practice from throughout the health and social care system and there will be ample opportunity for interactive discussion and networking amongst fellow professionals and peers.

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The arrival of Spring heralded another announcement by Simon Stevens as he revealed new proposals to safeguard the future of the NHS service. For an overwrought urgent care system, there are developments that may offer some respite to the overreaching demand. The current pressures permeate through the whole fabric of the hospital as more people attend A and E, more people need to admitted and more people are subject to delayed transfer of care even though they are medically fit for discharge. This all amounts to sluggish patient flow and a congested system.

The latest figures published reveal that in 2016 there were on average 2,210 more attendances to A and E units every day than in 2015 representing a 5.5% increase. This inevitably has resulted in patients having to wait longer for treatment. 16.2% of people spent more than four hours in major A and E departments, a rise of 4.8 % over five years. These figures explain the start of how the system begins to snarl up and is borne out by the fact that in 2016, on average each day, 1,477 patients waited 4+ hours for admission to hospital via A and E. Five years previously the figure was 270 a day. The UK’s changing demographics also has a part to play. People aged over 80 have the highest rates of A&E attendance and this may also explain an increase in admissions from A and E. In December 2016, a new monthly record high of 11,953 emergency admissions per day via A and E was set. This was 3.4% higher than December 2015.

To alleviate some of the pressure on A and E departments by reducing attendances and further up the system free up acute bed occupancy, thus improving flow, Sir Stevens proposals include:

    The creation an England-wide network of about 150 urgent treatment centres
    Every A and E must provide “comprehensive front-door clinical streaming” by October under which nurses or doctors assess how unwell patients are and direct them to the most appropriate service
    An overhaul of the NHS 111 telephone advice service
    Hospitals and local councils working together to cut the number of patients remaining in hospital occupying an acute bed, despite being medically fit to be discharged, because of inadequate local social care
    Patients to receive better, more joined-up care when hospitals, GP surgeries, mental health and ambulance services and social care providers link up to provide fully integrated care for all of a patient’s needs

Improving patient flow through a hospital requires beds. The more people attending A and E, the more people being admitted and the more medically fit for discharge patients occupying beds, the more the pathway of care is slowed down. A report by the National Audit Office estimates that 2.7 million hospital bed days are occupied by older patients no longer in need of acute treatment. Hospitals should run at 85% bed occupancy for safety reasons. This past winter 130 out of 179 hospital trusts reported rates exceeding this for general hospital beds.

Although system improvement within the hospital itself is always possible, many of the solutions to improving patient flow can be found away from the hospital setting. Ambulatory care, primary care, community care and social care all can have a significant part to play at the start and end of the flow process by averting visits to A and E and facilitating timely discharge.

The Urgent Care: Improving Patient Flow conference will feature many innovative and practical examples of how the impacts of compromised patient flow can be mitigated and system improvement can be achieved.

Benefits of Attending View Programme

  • Hear about the current challenges facing the urgent care system in respect of reduced patient flow.
  • Gain an insight into the causes of congestion within the hospital care pathway.
  • Learn how the 111 service is to be revamped to ensure that patients are directed to the most appropriate treatment.
  • Listen to successful interventions that are reducing attendances to A and E and avoiding hospitalisation in the first instance.
  • Discover how delayed transfer of care can be reduced and medically fit patients can be discharged freeing up the acute bed they occupy.
  • Explore how system change can improve flow and patient care.
  • Discover what alternative options there are to providing treatment closer to home and away from the hospital setting.
  • Listen to examples of innovative initiatives that are positively contributing to supporting the delivery of urgent care in an efficient and cost-effective time scale.
  • Benefit from the opportunity to question, discuss and debate current working practices and those for the future.
  • Share best practice and contribute to learning.
  • Take advantage of knowledge sharing and professional networking.
  • Gain the maximum number of 6 CPD points.

Please see Terms and Conditions.

More details coming soon…

More details coming soon…

Booking Information

If you would like assistance registering your place please contact Colette Hodson on 0161 376 9007 and we will be happy to assist.

Discounts for 3 or more delegates are available.

Want to pay by invoice? If you select your tickets and click on the green Register button. Once you’re through to the registration page, you can switch payment method from Credit/ Debit Card to Pay by Invoice– if you get stuck please call us on 0161 376 9007 and we will be happy to help.

Job titles include:

Allied Health Professionals
Care Home Trustees/Directors
CCG Accountable Officers
CCG Clinical Leaders
Chief Executives
Chief Medical Officers
Clinical/Medical Directors
CSU Managing Directors
Director/Head of Social Care
Director/Head Primary Health Care Team
Directors of Children’s Services
Directors of HR
Directors of Nursing
Directors of Specialist Units
Directors/Heads of Commissioning/Procurement
Directors/Heads of HR
Directors/Heads of Service Improvement
Directors/Heads of Strategic Development
Emergency Care Leads
Heads of Ambulance Trusts
Heads of Clinical Commissioning Groups
Heads of Urgent Care Boards
Health and Wellbeing Boards member
Independent Living Teams
Integrated Care Leads
Local Authority Health Professionals
Members System Resilience Groups
Members Urgent and Emergency Care Networks
NHS England Area Directors
NHS England Directors of Commissioning Operations
NHS England Regional Directors
NHS Trust Board Chairs
NHS Trust Directors and Senior Managers
Nursing Managers
Practice Managers
Service Development Teams
Social Workers
Supported and Sheltered Housing Teams

Manchester Conference Centre
Sackville Street
M1 3BB

Hotel 1:
Premier Inn Manchester City Centre Portland Street Hotel: From £51 http://www.premierinn.com/en/bookingSummary!execute.action

Hotel 2:
Premier Inn Manchester Central Hotel: From £55 http://www.premierinn.com/en/bookingSummary!execute.action

Hotel 3:
Travelodge Blackfriars Street: From £49 http://www.travelodge.co.uk/search_and_book/extras.php?room_0=DNBARFLEX&bookerName=

We also now have special rate code for delegates wishing to stay at the Pendulum Hotel (MCC) the night before the event at a rate of £87.00 Bed and Breakfast inclusive.

Please enter the code ‘DELEGATE’ in order to receive this rate for events organised by Open Forum Events only. Please see the link below: http://www.manchesterconferencecentre.co.uk/on-site-hotel-bedrooms/

View the event programme for the day.

Sponsorship opportunities.

Benefits of Attending.

Phone Telephone: (0161) 376 9007 email Email: [email protected] Book now


Open Forum Events Ltd
(0161) 376 9007
[email protected]


Manchester Conference Centre
Sackville StM1 3BBUnited Kingdom+ Google Map