• Health & Social Care

Urgent Care: Improving Patient Flow

  • Thursday, 21 September 2017
  • Manchester Conference Centre
  • 08:30 - 16:30
  • Overview

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.

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.

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  • Confirmed Speakers

  • Benefits of attending

  • 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.

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  • Event Programme

08:30am

Registration and Coffee in the Networking Area

09:25am

Chair’s Opening Address

TBC

09:30am

Keynote Address

Dr Vincent Connolly, Medical Director for the Emergency Care Improvement Programme (invited)

"Maintaining the Flow from Front Door to Discharge"

With more people arriving at A and E’s reception desk, resulting in more people being admitted, more people are waiting to be seen and more are waiting for a hospital bed. Meanwhile, at the other end of the patient journey, acute beds are being occupied by patients medically fit for discharge but other external factors are delaying them from returning home. The result is gridlock. How can we get go with the flow and keep it moving?

09:50am

Session 1: Reducing A and E Admissions

09:50am


Jeannie Henderson,
Reform Manager and Advanced Paramedic Practitioner Sunderland CCG (confirmed)

Paul Aiken– Fell, Consultant Paramedic, North East Ambulance Service (NEAS) (confirmed)

"Avoiding the Need for Hospitalisation through Paramedic Pathfinder"

A new pilot scheme has been introduced by the North East Ambulance Service (NEAS) and aims to reduce the load on Sunderland’s A&E departments by more than 1,825 attendances every year. The Paramedic Pathfinder will train NEAS ambulance clinicians working in the area to use a ground-breaking clinical triage tool, which helps them to make extremely accurate face-to-face patient assessments and confidently choose the most appropriate place for treatment.

10:10am
Nicola Allen, Clinical Lead - Community Services, Gateshead Health (confirmed)
"Transformation in Gateshead"
10:30am

Main Sponsor

10:50am

Question and Answer Session

11:00am

Coffee in the Networking Area

11:45am

Case Study

Ross Palmer, University Hospitals Coventry and Warwickshire NHS Trust, Associate Director of Nursing (confirmed)
12:05pm

Session 2: Improving the Flow from Admission to Discharge

12:05pm
Tim Gillatt, Regional Lead, Emergency Care Intensive Support Team, NHS Improvement (confirmed)
"Interventions for Hospital Patient Flow Improvement"

The SAFER patient flow bundle is a practical tool to reduce delays for patients in adult inpatient wards (excluding maternity). When followed consistently, length of stay reduces and patient flow and safety improves.

12:25pm
Seamus McGirr, Director of Clinical Development & Director of Nursing, GMAHSN (confirmed)
"Improving Access to Timely Care: Improving outcomes through Precision Planning and Tactical Systems Management"

In this session Seamus McGirr will discuss the strategies and tactical arrangements needed to reduce harm from gaps in systems management. Using real information and predictive analyses, Seamus will illustrate how existing information can and is being used to align “real capacity” to treat with known patient flow. Seamus will show how demand is precisely predictable and outline the steps required to align care systems with population needs and behaviours.

12:45pm

Case Study

Speaker TBC, Hospedia

13:05pm

Question and Answer Session

13:15pm

Lunch in the Networking Area

14:15pm

Chair’s Afternoon Address

14:15pm

Case Study

Speaker TBC, Consultant Connect (confirmed)

14:40pm

Case Study

15:00pm

Session 3: The Role of Primary, Community and Social Care

15:00pm
David Smith, Customer First Director, First Choice Homes, Oldham (confirmed)
"Moving Healthcare Out of Hospital"

Delivering a Health and Well-Being Offer: The Oldham Experience. A case study on supporting A and E and the hospital discharge processes.

15:20pm

Question and Answer Session

15:30pm

Afternoon Refreshment Break

15:45pm
Emma Bagshaw, Mental Health Lead, Emergency Care Improvement Programme (confirmed)
"Moving Healthcare Closer to Home"

Reducing flow into ED through community alternatives: street triage, Sim & crisis home treatment teams

16:05pm

Joe Warner, CEO, Focus (confirmed)

Lee Mair, CIC, Focus (confirmed)

"Moving Patients from Hospital to Home"

Focus has developed a new Hospital In-Reach Team called HIT. The aim of the team is to efficiently support the discharge of individuals from hospital who have an adult social care need. The team works with multi-disciplinary partners to identify individuals with needs who consent to social care support.

16:25pm

Question and Answer Session

16:30pm

Chair’s Closing Remarks and Event Close

  • Register for event

If you would like assistance registering your place please contact me on 0161 376 9007 and i'll be happy to assist. If you are awaiting funding you can request us to hold your place today to ensure you do not miss out.

Discounts for 3 or more delegates are available.

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Colette Hodson
  • Contact Details
  • News
  • Sponsors
  • Supporters
  • Venue
  • Downloads

Contact Details

News

Sponsors

Supporters

Venue

Manchester Conference Centre

Manchester Conference Centre

Manchester Conference Centre is the ideal solution when searching for conference venues in Manchester. Top-of-the-range conference suites, 3 star value hotel accommodation, delicious dining and friendly service are the ideal components for a successful conference or event in the heart of the city centre.

The 18 conference rooms are decked out with all the mod cons including state-of-the-art AV technology, projectors and screens, free Wi-Fi and flip charts. Our clients cover the whole spectrum and include government organisations, trade unions, large corporate companies, non-profit organisations, health and education sectors and small to medium-sized businesses.

From the get-go we strive for excellence in everything we do and our dedicated team of conference professionals go all out to make sure your conference, event or exhibition runs like clockwork.

Downloads & Resources

  • Open Forum Events Sponsorship Brochure
    Open Forum Events offer a number of partnership, sponsorship and exhibition opportunities that can meet your marketing and business development needs.
  • Who will attend?

  • Academics
  • Allied Health Professionals
  • Care Home Trustees/Directors
  • CCG Accountable Officers
  • CCG Clinical Leaders
  • Chairs
  • Chief Executives
  • Chief Medical Officers
  • Clinical/Medical Directors
  • Councillors
  • 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
  • GPs
  • 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