Urgent Care: Improving Patient Flow
- 21 September 2017
- 08:30 - 16:30
- Pendulum Hotel & Manchester Conference Centre
Whilst the national programme for transforming urgent and emergency care services in England continues, Open Forum Events are pleased to be hosting its 3rd annual conference, Transforming Urgent Care and Emergency Care: Safer, Better, Faster. Previous events have successfully brought together key stakeholders in the urgent and emergency care sector to assess, discuss and debate the challenges facing the system.
Transformation of the urgent and emergency care system has been underway since a national review was launched in 2013. Increased demand has inflicted greater pressure on a system that is tasked with providing safe and effective care for patients when they require it. Despite positive progress since the review launch, there is little sign that the pressures are abating as accident and emergency attendances and inpatient bed occupancy rates continue to rise and waiting and response time targets are regularly missed.
It is recognised that the system cannot be overhauled overnight and that it will take several years for transformational change to take place. Working in silos is not an option for the future, either operationally or in commissioning. Greater cooperation will be required across the wider health and social care to work collaboratively in an integrated system.
The Transforming Urgent and Emergency Care: Safer, Better, Faster conference provides the opportunity to take stock and analyse the progress to date and the ambitions for the forthcoming phases of the transformational programme. New models of working will be discussed and examples of best practice will be shared. With a line-up of expert speakers, the conference agenda has been designed to allow delegates to be fully briefed as to how the fundamental shift in the way urgent and emergency care services are delivered can produce quality care with patients at its centre.
A vision for the future of urgent and emergency care was set out in phase one of the urgent and emergency care review in November 2013. Five key elements of the review are; Better support for self-care; Right advice, right place, first time; Highly responsive out-of-hospital services; Specialist centres to maximise recovery; Connecting services, so the system is more than the sum of its parts. How are things progressing?
Thinking of the urgent care system as a whole. A few thoughts on activity and improvement in a whole-systems approach.
As part of the Five Year Forward View, Urgent and Emergency Care Vanguards have been established to test the models set out in the Urgent and Emergency Care Review and transform unscheduled care. The aim is to create an integrated system which provides holistic urgent and emergency care at the right time and place for each patient, working with partners such as local government, social care and the voluntary sector.
Dudley Urgent Care Centre has had a significant positive effect on the performance of Russell’s Hall Hospital Emergency Department since going live in April 2015. This has been largely due to the UCC team ability to adapt to changing circumstances and the development of effective partnerships.
The Making Time In General Practice study by NHS Alliance and the Primary Care Foundation was commissioned as part of the work NHS England is doing with its partners to implement the NHS Five Year Forward View, and expand and strengthen GP services and primary care across England.
Most A&E waiting rooms creak under the collective weight of Y chromosome. Fortunate perhaps, as microgram for microgram the male chromosome weighs significantly less than the X variety. Unfortunately, and especially after 5pm, this puts a disproportionate strain on A&E services. Why do men choose to go to an emergency centre rather than see their GP, pharmacist, occupational health or best mate for advice? Worse still why do they wait for so long anyway? Answers to these questions plus what can be done about it when it comes to male better use of services and self-care. Don’t ask Y ask me.
Patient flow is a whole system responsibility but what do you do when it all feels very broken? Using a systematic approach to deliver sustainable change in patient flow
Innovation for smarter healthcare in the community tends to be thought of in terms of technologies rather than services. This means that there is too great a focus on clinical health rather than people’s wider well-being. This can lead to too much emphasis on traditional institutional solutions to our health challenges rather than community based approaches. Such community based solutions can reduce the demand for urgent care by promoting (i) greater health literacy, the adoption of healthier lifestyles and increased selfmanagement; and (ii) the use of ‘assistive technologies’ (including mobile devices) – notably within telehealth and telecare services. This presentation explores the ‘community’ rather than clinical context for smarter healthcare and sets out, in the context of a new European Commission project ‘PROGRESSIVE Standards around ICT for Active and Healthy Ageing’, the emerging role of standards that can guide developments in healthcare services and the role that technologies play within them.
Manchester Care and Repair (MC&R) – a Home Improvement Agency (HIA) and registered charity that works across Greater Manchester and is supported by local authorities, the NHS and many others, has been running a Home from Hospital service since 2012. MC&R staff make follow-up telephone calls, from each of the City’s three major acute hospitals, to all Manchester residents aged 60 and over when they have been discharged after a stay in hospital or a visit to A&E. The follow-up calls offer non-medical, low-level support to help build resilience and prevent readmission. At North Manchester General Hospital since April 2014 (and to be introduced at Manchester Royal Infirmary from October 2016) MC&R have also operated a personalised hospital discharge support service which promotes timely discharge and admission avoidance. The service escorts patients home, settles them in, ensures the home is safe and warm, shops for essentials and generally helps to smooth the transition from hospital to home.
Why is the current situation in emergency care so hard to change? How the future will require restructuring of services and a radical new approach to staffing.
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