Urgent and Emergency Care: Facilitating Patient Flow

  • Tuesday, 08 October 2019
  • Manchester Hall
  • 08:30 - 16:30
  • Overview

Although there have been some successful initiatives to improve how the NHS delivers urgent and emergency care to relieve struggling acute hospital services, more remains to be done. Achieving patient flow is essential for patient experience, clinical safety and reducing the pressure on staff, however, good flow continues to be elusive throughout the patient’s journey.

The NHS long term plan has revealed key ambitions that will look to reduce some of the pressures within hospital settings and help provide timely and appropriate care, in the right settings, which will maintain flow, promote successful outcomes and deliver efficiencies.The 6th Annual Urgent and Emergency Care: Facilitating Patient Flow conference will examine in depth the aims of the long-term plan and how they will impact on urgent and emergency care delivery. Key areas of focus include:

  • The emphasis on greater ‘out of hospital care’
  • The roll out of new ways of working within the acute hospital setting
  • The plans to cut the delays in patients returning home

The agenda will provide delegates with a greater understanding of how the long-term plan will shape the future of urgent and emergency care provision and discuss the opportunities and the challenges in providing a sustainable service that is reactive to demand.

In recent years there has been significant measures taken to alleviate some of the pressures within the urgent and emergency care service. The availability of evening and weekend GP appointments, greater access to the NHS 111 service and reductions in delayed transfer of care (DToC) are just some examples of initiatives assisting with providing the right treatments, at the right time, in the right place. If more of this can be achieved, then patient flow can be improved, and better outcomes can be realised.
The acute hospital system can easily become congested by the sheer numbers of those attending the emergency department through to the delays experienced in sending those that medically fit for discharge home.
The NHS Long Term Plan has set out its aims to improve the delivery of emergency and urgent care and release the pressure the system is currently working under. There is to be a boost in primary and community healthcare, with funding worth £3.5 million per year, in real terms, by 2023/24. The hope is that this will provide more urgent care and greater support in the community, as an alternative to hospital.
As part of the NHS 111 provision, multi-disciplinary Clinical Assessment Service (CAS) will be rolled out during 2019/20. The aim is to offer specialist advice, treatment and referral from a wide range of health professionals. Also, by 2020, The Urgent Treatment Model will be fully implemented. These GP led facilities will offer locally accessible and convenient urgent care for patients that do not need to attend hospital. New 24/7 Rapid Response Teams are to be established and will comprise of doctors, nurses, physiotherapists etc. to prevent admission to hospital and aid timely discharge and recovery.
Also, during 2019/20, all major A and E Departments will introduce Same Day Emergency Care (SDEC), also known as ambulatory emergency care. This will involve new diagnostic and treatment practices and allow patients to spend just hours in hospital and avoid being admitted. This will benefit the patient flow by freeing up beds and reduce pressure throughout the rest of the hospital.
The plan also looks to develop new ways of working to improve patient pathways following strokes, heart attacks, major trauma, asthma attacks and sepsis.
Efforts will be made to reduce the number of patients that remain in hospital, despite being medically fit for discharge. These delayed transfers of care snarls up patient flow and increases risk to patients from both physical and cognitive deterioration.
At the Urgent and Emergency Care: Facilitating Patient Flow conference, the plans for urgent and emergency care will be discussed, digested and debated to provide an informed vision for the future.


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  • Confirmed Speakers

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Event Sponsors and Supporters

  • Event Programme


Registration and Coffee in the Networking Area


Chair’s Opening Address


Keynote Address

  • Dr Chris Moulton, Vice-President, Royal College of Emergency Medicine (confirmed)
"Facilitating patient flow in emergency care: treacle, glaciers and the GIRFT-EM programme"

The Getting It Right First Time (GIRFT) programme for Emergency Medicine is about identifying and eliminating unwarranted variation in Emergency Care. The extent of that variation and its effect on patients is the subject of this talk.

"Implementation-The Opportunities and the Challenges"

Consider the development of locality system leadership teams and how improvement and change capability can be built across the integrated workforce
Hear about practical improvements in whole system flow across North West England and how large-scale change in emergency and urgent care can be designed and co-ordinated

  • Andy Collen, Consultant Paramedic@South East Coast Ambulance Service, Medicines and Prescribing Projects Lead, College of Paramedics (confirmed)
"Paramedic Independent Prescribing: One Year On"
  • Looking back at the process of obtaining prescribing responsibilities for the paramedic profession.
  • Reviewing the first year since the legislation changed.
  • Impact on patient care and opportunities for the future.

Main Sponsor


Question and Answer Session


Coffee in the Networking Area


Case Study - MYSPHERA

  • Laura Lane, Advanced Community Practitioner , Central Cheshire Integrated Care Partnership (confirmed)
"Community Based Advanced Practitioner Rapid Response Teams "

Community Rapid Response services offer an alternative to hospital admission for patients who are having an acute episode of ill-health and with appropriate and timely health assessment could stay at home. In Mid Cheshire each patient contact made by the team avoids a GP visit and it is estimated that 72 per cent of patients that have been seen have avoided a hospital admission.


Ruth Cumbers, Urgent Care Programme Director, NHS Lincolnshire East CCG (invited)

"Urgent Treatment Centre Model"

The NHS will fully implement the Urgent Treatment Centre model by autumn 2020, so that all localities have a consistent offer for out-of-hospital urgent care. UTCs work alongside other parts of the urgent care network including primary care, community pharmacists, ambulance and other community-based services to provide a locally accessible and convenient alternative to A&E for patients who do not need to attend hospital.


Case Study - 2020 Delivery


Question and Answer Session


Lunch in the Networking Area


Chair’s Afternoon Address


Case Study - McCartney Heathcare Associates

  • Stephen Kemp, Senior Consultant, McCartney Heathcare Associates (confirmed)

Speaker TBC

"Applying the Clinical Assessment Service"

A Clinical Assessment Service (CAS) is a multidisciplinary intermediate service that allows for a greater level of clinical expertise in assessing a patient.
This expertise should be used to ensure that patients are directed efficiently and effectively into the most appropriate onward care pathway. The service will be embedded within integrated NHS 111, ambulance dispatch and GP out of hours services from 2019/20


Bev Walker, Associate Director of Urgent Care, Calderdale and Huddersfield NHS Foundation Trust (invited)

"Same Day Emergency Care "

During 2019/20 all major A&E departments will introduce same day emergency care (also known as ambulatory emergency care). This will see some patients admitted from A&E undergo diagnosis and treatment in quick succession so that they can be discharged on the same day, rather than staying in hospital overnight. The plan estimates that up to one-third of all people admitted to hospital in an emergency could be discharged on the same day by rolling out this model. This will help ease congestion and patient improve flow.


Question and Answer Session


Afternoon Refreshment Break

  • Chris Ashton, Network Coordinator & Paramedic, Greater Manchester Stroke Operational Delivery Network (confirmed)
"Improving Care Pathways"

A new mobile application will help support ambulance staff to ensure suspected stroke patients are taken to the best site as quickly as possible after being developed following Health Innovation Manchester’s “Mobilise the NHS” Scheme.

The app, which has already been tested by North West Ambulance Service (NWAS), presents clinicians with a clear flowchart of buttons to follow to ensure patients suffering from a suspected stroke are taken for specialist care and rapid treatment at a Hyper Acute Stroke Units (HASUs)


Elizabeth Eastwood, Deputy Chief Operating Officer,  Sheffield Teaching Hospitals NHS Foundation Trust (invited)

"Why Not Home, Why Not Today?"

In 2016/17 Sheffield had one of the highest numbers of delayed transfer of care days. To revise the existing complex discharge system, they encouraged clinical staff on ward rounds to ask “why not home and why not today?” This is echoed in daily in discharge meetings with the trust, local authority and CCG where they ask that question of every patient who is
delayed. They also have weekly flow meetings to look at the themes for delays and
regular escalation meetings to address problems. They have seen a huge improvement in reported delayed days – down from c. 150 beds full of patients who didn’t need to be there down to c. 70 beds.


Question and Answer Session


Chair’s Closing Remarks and Event Close

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Jonathan Smith
  • Hear about the current pressures within the urgent and emergency care and its impacts on the hospital system, particularly with respect to patient flow
  • Gain an insight into challenges that causes congestion within the hospital care pathways
  • Learn how the NHS Long Term Plan intends to improve the delivery of urgent and emergency care
  • Better understand the ambitions for primary and community care, including how the designated funding is to be utilised
  • Discover how the Clinical Assessment Service (CAS) will operate
  • Explore how paramedic prescribing is impacting to improve patient experience and reduce pressure on other healthcare professionals
  • Understand how community Rapid Response Teams will prevent hospital admissions and enable timely discharge and improved recovery, enabling better flow
  • Listen to an explanation as to how the Urgent Treatment Centre model will work as part of the urgent and emergency care system
  • Acquire information on Same Day Emergency Care that is to be adopted in hospital A and E departments and reduce the number of admissions to hospital
  • Receive an update on improved pathways for specialist treatments
  • Hear about the initiatives that are speeding up discharge
  • Realise the potential of the Long-Term Plan, the opportunities and challenges and how it will be implemented
  • 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 CPD credits


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  • Featured Events
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Contact Details




Manchester Hall

Manchester Hall

Manchester Hall is the first boutique Manchester conference venue for business meetings. We provide a personal service to ensure that every aspect of your meeting fits your requirements perfectly. We also have all of the technical equipment that you may require and all of our suites have AV facilities. We will make every effort to accommodate other specific requests too. From the Goulburn Lodge Room with its wealth of original Freemasons’ features to the more intimate Study thats size and shape is ideal for smaller business meetings, we offer rooms for every type of meeting.

The Grade II listed building lies at the gateway to Spinningfields, the city’s thriving business and professional quarter, making it the ideal location for a Manchester conference venue and your business needs. We are easily accessible from Manchester Piccadilly or Manchester Victoria stations. Alternatively, you can get a tram to nearby Deansgate Castlefield tram station. With our city centre location, we are also a great location for delegates travelling to Manchester via the airport, with excellent public transport and taxi links.

Featured Events

  • Managing Accident and Emergency: Averting an NHS Crisis

    • 26 February 2014
    • 08:30 - 16:00
    • Contact us for venue
  • Urgent Care: Reducing Avoidable Admissions

    • 09 September 2015
    • 08:30 - 16:15
    • Manchester Conference Centre
  • Transforming Urgent and Emergency Care: Safer, Better, Faster

    • 29 September 2016
    • 08:30 - 17:00
    • Manchester Conference Centre
  • Urgent Care: Improving Patient Flow

    • 21 September 2017
    • 08:30 - 16:30
    • Manchester Conference Centre
  • 4th Annual Urgent Care Conference: Delivering Integrated Solutions

    • 26 September 2018
    • 08:30 - 15:45
    • etc.venues, Manchester

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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