Urgent and emergency care: integrating services to improve patient flow

09/05/2019 - 09/05/2019 • 11-13 Cavendish Square, London, W1G 0AN

Programme

  • 09 May

Registration opens, exhibition and refreshments

09:00 AM 10:00 AM

Session one: Opening plenary

10:00 AM 11:30 AM

Siva  Anandaciva

Mark England

Dr Karen  Kirkham

Dr Cliff  Mann

Dr Chris Moulton

Refreshment break, exhibition and networking

11:30 AM 12:00 PM

Breakout A: Reducing crowding and improving flow through A&E

12:00 PM 01:00 PM

Birju  Bartoli

Dr Stevan Bruijns

Mandy Carney

Diane  Fuller

Breakout B: Reducing length of stay for older people

12:00 PM 01:00 PM

Jo  Beer

Simon  Bottery

Dr Martyn  Patel

Karen  Reeves

Breakout C: Integrated urgent care

12:00 PM 01:00 PM

Rachael  Ellis

Nick  Hall

Emma  Latimer

Breakout D: Same day emergency care (SDEC)

12:00 PM 01:00 PM

Dr Vincent  Connolly

Dr Tara  Sood

Rachel  Vokes

Lunch, exhibition and networking

01:00 PM 02:00 PM

Session three: Whole system approaches

02:00 PM 03:00 PM

Cathy  Bellman

Helen  Maitland

Dr Andrew  McCulloch

Dr Nina  Pearson

Refreshment break, exhibition and networking

03:15 PM 03:45 PM

Session four: Realising the long-term plan for urgent and emergency care

03:45 PM 05:00 PM

Dr Michelle  Drage

Dr Taj  Hassan

Richard Murray

Derek Prentice

Imelda  Redmond CBE

Elizabeth  Sargeant OBE

Eileen  Sutton

Exhibitors

Speakers

Attendees

Siva Anandaciva

Chief Economist
The King’s Fund
Siva is chief analyst in the policy team, leading on projects covering NHS funding, finances, productivity and performance.
Before joining the Fund in 2017, Siva was head of analysis at NHS Providers – the membership body for NHS trusts and foundation trusts – where he led a team focused on NHS finances, workforce and informatics. Previously, he was an analyst in the Department of Health working on medicines policy and urgent and emergency care. Siva has been a governor of the Homerton University NHS Foundation Trust since October 2014.

@SivaAnandaciva

09 May

Birju Bartoli

Executive Director of Performance and Improvement
Northumbria Healthcare NHS Foundation Trust  
Birju Bartoli is the Executive Director of Performance & Improvement at Northumbria Healthcare NHS Foundation Trust. She was the senior responsible officer for the Northumbria Specialist Emergency Care Hospital which opened in June 2015, the first purpose built hospital of its kind in the country providing 7 day consultant delivered care at specialty level.

She has been pivotal in the recent developments of the leadership and governance arrangements re whole system thinking and accountability in Northumberland and is currently, through wide clinical engagement, developing the next phase of the local system wide clinical strategy.

Birju has worked for the trust since 2003 when she joined after completing the NHS management training scheme – she was a scientist in academia prior to moving into the NHS. Over the years she has worked in a number of different operational roles as a senior manager, before moving into a corporate Director role.

She holds a number of healthcare qualifications including an applied biochemistry degree and a PhD in cancer research

09 May

Jake Beech

Researcher, Policy
The King's Fund
Jake is a researcher in the policy team, supporting the Fund with its responsive and monitoring work. He helps to ensure the Fund has a good overview of key developments in health and social care, including scoping new and emerging issues.

Before joining The King’s Fund, Jake worked at Age UK in their national policy and research team supporting their quantitative analysis of health and social care data and their influencing work for the improvement of later life in England.

He has a BA in natural sciences and an MSci in systems biology from the University of Cambridge.

Jo Beer

Interim Director of Integrated Urgent Care
University Hospitals Plymouth NHS Trust 
Jo has had an extensive and successful career during her 30+ years working in the NHS.Jo has had a varied nursing and operational career and has held a number of executive roles across acute and community health and social care organisations.

Jo has recently been appointed to the Board of University Hospitals Plymouth NHS Trust as Director of Integrated Care and Partnerships.

09 May

Cathy Bellman

Local Care Lead
Kent and Medway Sustainability and Transformation Partnership
Cathy has over 35 years’ experience as a practising clinician and senior leader within the NHS; operational management, organisational transformation, quality improvement and coaching for excellence.

She is the Local Care Lead for the Kent and Medway Sustainability and Transformation Partnership, helping to roll out more integrated community based solutions to improve people’s health and wellbeing.

09 May

Simon Bottery

Senior Fellow, Social Care
The King's Fund
Before joining The King’s Fund in September 2017, Simon spent almost 10 years as Director of Policy at the older people’s charity Independent Age, researching and campaigning on issues including care home quality, unmet needs for care, social care funding and the social care workforce. He was vice-chair of the Care and Support Alliance in 2017.


Simon has wide experience in policy, communications and journalism, including as Director of Communications at Citizens Advice. He has also worked for ActionAid, in the commercial sector for Guinness and in BBC local radio.

09 May

Dr Stevan Bruijns

Consultant in Emergency Medicine
Yeovil District Hospital NHS Foundation Trust
Stevan is an emergency physician at Yeovil District Hospital. His interests include quality improvement, emergency care development and research access in African low resourced settings.

Stevan holds an associate professorship with the University of Cape Town and has published substantially around African emergency care systems. His masters thesis laid the foundations for the development of the South African Triage Scale, and his PhD considered the interactions between vital signs and injury acuity in major trauma. Stevan has a strong sense of purpose that greatly influences his desire to improve the world around him.

Academic qualifications: MBChB DipPEC MPhil FRCEM PhD

09 May

Mandy Carney

Associate Director of Patient Flow
Yeovil District Hospital NHS Foundation Trust
Mandy is the Associate Director of Urgent Care at Yeovil District Hospital

09 May

Dr Vincent Connolly

Regional Medical Director, NHS Improvement North
Consultant Physician, The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust
Dr Vincent Connolly is currently Medical Director for the Emergency Care Improvement Programme and Consultant Physician at the James Cook University Hospital.

He has an interest in Diabetes and Endocrinology and a medical doctorate on the impact of social deprivation on diabetes mellitus.
He has been Clinical Lead for the Emergency Care Intensive Support Team since 2010, was a member of the National Clinical Advisory Team and, since 2011, has been Clinical Advisor to the NHS Institute for Innovation and Improvement Ambulatory Emergency Care Delivery Network.

Dr Connolly was previously Chair of the North East SHA, Clinical Innovation Team for Acute Care, and a recipient of the Hospital Doctor Acute Medicine Team of the Year Award 2004.

09 May

Dr Michelle Drage

Chief Executive
Londonwide Local Medical Committees
Michelle is the widely respected leader of London’s general practice. She is the Chief Executive of Londonwide Local Medical Committees, the UK’s largest group of LMCs, supporting 7,000 GPs and nearly 1250 practice teams, providing care to nine million patients in the Capital.

Michelle is an elected regional representative on the BMA’s General Practitioners Committee (GPC) since 1998. She was also a member of the negotiating team between 2004-2008. Her experience and interests span from workforce, to contracts, to the future of primary care and she is a heady proponent of collaborative working across communities and local services, putting patients at the centre of caring.

09 May

Rachael Ellis

Chief Officer, Integrated Urgent and Emergency Care
West Midlands Region
Rachael is Chief Officer for Transformation and Integrated Urgent and Emergency Care with lead accountability for the service and performance delivery of 999, NHS111 and GP out-of-hours services and service redesign of integrated urgent and emergency care across the West Midlands.

The total contract value is £500 million per annum, which covers a population of approximately 6 million and over 2 million calls each year to our 999 and NHS111 services.

Rachael’s previous roles have included working in the Department of Health, NHS England and supporting a number of CCGs nationally.
Rachael leads a specialist, expert team comprising service redesign, interoperability, technical, digital, analytics, communications and marketing activities.

She is accountable to a collaboration of 20 CCGs and their governing bodies for the development, launch and delivery of the first integrated urgent care service, bound together by an Alliance agreement, in the country.

09 May

Mark England

Director of Strategy, Emergency and Elective Care and Deputy National Director of Urgent and Emergency Care, NHS England and NHS Improvement
NHS England and NHS Improvement
Deputy National Director for Urgent and Emergency Care, working as a joint appointment between NHSI and NHSE to support delivery of the Long-term Plan, transforming the model and context in which acute services are being delivered.

Mark joined the national team from his role as Managing Director for Bedfordshire, Luton and Milton Keynes (BLMK) Health and Care Partnership, one of the Wave 1 Integrated Care Systems.

This involved delivering collaboration and system leadership across the local health and care economy, changing the money flows which drive so much dysfunctional behaviour, trying to empower staff to do the best thing for patients and citizens rather than being constrained by legacy organisational structures and cultures.

An experienced senior executive with a proven track record delivering transformation in complex settings across healthcare and the wider public sector.As Executive Director of Re-engineering and Informatics at the Luton and Dunstable University Hospital, he supported successful delivery of technology-enabled organisational transformation in the most complex of environments, part of a team that made a consistently high performing hospital.

With a background as a Chief Information Officer across multiple settings he worked with clinical and operational leaders to transform Acute Hospital from an almost entirely paper-based organisation to amongst the best in class for digital healthcare.

Professionally trained as a software engineer with broad international and cross sector experience, now wrestling to make sense of the national role in support delivery of safe, effective and efficient services that are there when they are most needed by all.

09 May

Diane Fuller

Senior Improvement Manager, Emergency Care Improvement Programme
NHS Improvement 
Diane had a background in nursing before moving into health service management. She has held a number of management roles and worked as an executive director of operations before joining the Emergency Care Intensive Support Team.

Diane is a great believer in using simple rules such as Internal Professional Standards to help challenge and reduce variation in clinical practice and in engaging front line staff to deliver improvement through initiatives such as #endPJparalysis.

She is a member of the ambulatory emergency care national clinical reference group. Diane is passionate about focusing on the patient as the key decision maker and empowering teams that deliver direct care to build improvement activities into every day working.

Whilst not at work Diane enjoys tennis, socialising and spending time with her husband, two daughters, the cat and the kittens.

09 May

Nick Hall

Head of Integrated Urgent Care Delivery
NHS England
Nick is currently Head of Integrated Urgent Care Delivery. In his former role as Head of Urgent and Emergency Care at the Department of Health he proudly led the development of the NHS 111 policy from its inception to full England roll-out.

His team is now leading the work to design and deliver a new, 24/7, functionally integrated, urgent care service - accessed through the memorable, free-to-call, NHS 111 telephone number.

Nick’s previous experience includes director-level positions in the NHS and as Chief Operating Officer of the National Primary and Care Trust Development Programme. He was also Head of Primary Care Development in the former Northern and Yorkshire Region. He has also held other senior NHS, and other government department, posts.

09 May

Dr Taj Hassan

Consultant in Emergency Medicine, Leeds Teaching Hospitals NHS Trust
President, Royal College of Emergency Medicine
Dr Taj Hassan is a consultant in Emergency Medicine at the Leeds Teaching Hospitals NHS Trust and also President of the Royal College of Emergency Medicine (2016 - 2019).

He has previously held posts at NHS Improvement as Associate Medical Director for Urgent & Emergency Care, national RCEM Lead for Ambulatory Emergency Care and co-author of the national Directory of Ambulatory Emergency Care, Vice President of the RCEM and was Director of eLearning at the College (2005-2012) leading on the development of the eLearning platform that is now RCEMLearning. He has led on the development of the new strategy RCEM Vision 2020 which focuses on the key themes of Staffing, Systems & Support.
His major interests include EM system design, creating workforce resilience & sustainability and developing leadership skills for emergency physicians.

He chaired the College’s landmark strategy in 2013 – Creating successful, satisfying and sustainable careers in Emergency Medicine. Internationally, he has been involved in running leadership training programmes for the International Federation of EM (IFEM) and was Chair of the IFEM group that developed the position paper on Sustainable working Practices for the Emergency Physician in 2014. He has also recently led an initiative to launch the first international conference of Emergency Medicine in Pakistan which is aimed at fast tracking EM development in that country.

This forms part of a wider international RCEM strategy that he has led on to create ethical collaborative relationships with low and middle income countries to support emergency care development in their countries as well as workforce challenges in the UK.

09 May

Dr Karen Kirkham

National Clinical Advisor for Primary Care, NHS England
Assistant Clinical Chair, Dorset Clinical Commissioning Group, Clinical Lead for Primary Care, Dorset Integrated Care System (ICS) 
Karen has been a GP for 25 years, now senior partner in a large practice, and combines this with a senior leadership role with Dorset CCG as Assistant Clinical Chair and Locality clinical chair for Weymouth and Portland.

She is part of the Senior Leader Team in Dorset for the STP and is the Clinical Lead for the Dorset Integrated Care System (ICS).

A strong and credible clinical leader with significant executive level experience, detailed knowledge of both commissioning and delivery of healthcare at scale, Karen is a change leader for the Dorset health system, helping shape and deliver health and care services within the ICS.

She has been a leader of the Clinical Services Review team, worked on acute and community reconfiguration and is currently focussing on redesign, transformation and delivery of the Integrated Community Services and Primary Care component of Dorset’s STP, which underpins the transformation agenda.

As the ICS Primary Care Clinical Lead she has a strong interest in implementing new care models, integrating services across the system, ensuring high quality and sustainable General Practice as a fundamental building block within the ICS and developing population health analytics and management systems.

She has been appointed as a National Clinical Advisor for Primary care with the NHSE Transformation team, working to support both ICS and STPs to spread innovation and new ways of working and with a special interest in leadership and workforce.

09 May

Emma Latimer

Chief Officer
NHS Hull Clinical Commissioning Group
Emma Latimer is the Chief Officer for both NHS Hull and NHS North Lincolnshire Clinical Commissioning Groups (CCGs). She has been the CO for Hull since its authorisation, and North Lincolnshire since October 2017.

Emma has worked in the NHS for 28 years in a range of settings which include the ambulance service, hospitals and health authority, but predominantly as a commissioner.

Emma has led NHS Hull CCG for six years and is passionate about improving local health outcomes by working with patients and other partners to create a healthier Hull.

She was Programme Sponsor for the Hull 2020 programme – a partnership of nine public service organisations in Hull - and remains committed to transforming the way public services work to enable the people of Hull to improve their own health and wellbeing and to achieve their aspirations for the future.

09 May

Helen Maitland

Unscheduled Care Director
The Scottish Government
Helen is the Director for Unscheduled Care leading the 6 Essential Actions for Improving Unscheduled Care Programme within the Directorate for Health Performance and Delivery in Scottish Government.

She has a long history of delivering quality improvement programmes at both National and Local level and previously led the National Unscheduled Care Collaborative Programme to achieve the emergency access target of 98% of patients admitted, discharged or transferred within 4 hours across NHS Scotland in 2008 and then, in her role as National Programme Manager, established and co-led the 18 weeks Referral to Treatment Improvement Programme.At local level, she successfully led GP practices to achieve advanced access as part of the Scottish Primary Care Collaborative.

Helen has a clinical background working both in the hospital and in the community as a District Nurse. She initially developed her interest in leadership, change management and role development as a Practice Development Nurse, later progressing to jointly develop and coordinate the Clinical Leadership Programme for Senior Nurses. She is currently on secondment from NHS Education for Scotland where she was Programme Director for Healthcare Associated Infection leading on developing and delivering education on infection control, decontamination and antimicrobial prescribing for all NHSScotland staff.

09 May

Dr Cliff Mann

Clinical Lead for the Accident & Emergency Improvement Plan, NHS England
Former President, Royal College of Emergency Medicine, and Consultant in Emergency Medicine, Musgrove Park Hospital
Dr Clifford Mann qualified in 1986 from London University. He undertook postgraduate training in the UK, New Zealand and Australia. He was appointed as a Consultant in Emergency Medicine to Taunton & Somerset Hospital in 1999.

He has been Training Programme Director and Head of School for Emergency Medicine in South West England. In 2013 he was elected President of the Royal College of Emergency Medicine.

In 2015 he was credited by the HSJ as one of the ‘Top 10 Clinical Leaders in the NHS’ and in 2017 as one of the ‘hundred most influential people in health’. In 2016, Clifford was appointed National Clinical Advisor (A&E) at NHS England and in 2017 was appointed GIRFT National Clinical Co-Lead for NHSI.

He was awarded an OBE for service to emergency medicine in the 2018 New Year’s Honours List. He continues to work as a full time EM clinician in Taunton.

09 May

Dr Andrew McCulloch

Committee Member, Healthwatch England
Non-Executive Director, Social Work England
Andrew is attending as a national committee member for Healthwatch England. He is also a freelance consultant working in health and social care policy, wildlife conservation, and charity and public sector governance and business development. He is the Chair of GMC Services International Ltd (the trading arm of the General Medical Council) and a non-exec director of Social Work England.

He is currently consulting to the World Health Organization to support the Turkish Health Ministry to improve the quality of provision for people with intellectual disabilities.

Until January 2017 Andrew was Chief Executive of the Picker Institute Europe, an independent health and social care charity, with a German subsidiary, based in Oxford and Hamburg.Previously he was CEO of the Mental Health Foundation and Director of Policy at the Sainsbury Centre for Mental Health. Andrew’s professional background is as a senior civil servant and he is also professionally qualified as a psychological researcher. He has published and spoken widely on mental health, health and social care policy, and quality issues especially patient experience.

Andrew has worked in and with the health and social care systems of many countries of the world. He has served on the boards of a number of health and social care charities, and on many national committees. He is the Patron of Healthy Minds: Calderdale Wellbeing and Vice-Patron of Family Action.

09 May

Dr Chris Moulton

Vice President, Royal College of Emergency Medicine
Consultant in Emergency Medicine, Royal Bolton Hospital  
Dr Chris Moulton has been a Consultant in Emergency Medicine at the Royal Bolton Hospital in the North of England for nearly 25 years. He is in his sixth year as the Vice-President of the Royal College of Emergency Medicine and is also the co-author of the standard textbook “Lecture Notes: Emergency Medicine” (Wiley-Blackwell, Oxford).

Chris is a Fellow of the Royal College of Emergency Medicine, a Fellow of the Royal College of Anaesthetists and a Member of the Royal College of General Practitioners.

Previously, he was Senior Lecturer in Emergency Medicine at the Victoria University of Manchester and Secretary of the European Society for Emergency Medicine. As the Clinical Co-lead for the national “Getting It Right First Time” programme for Emergency Medicine, Chris is required to visit A&E departments all around the country and compare their data with national parameters.

09 May

Richard Murray

Chief Executive
The King’s Fund
Richard was appointed as Chief Executive of The King's Fund in January 2019, after five years as the Director of Policy.
Before joining the Fund in January 2014, Richard was chief analyst at NHS England and had held a number of roles at the Department of Health, including senior economic adviser, director of strategy, director of financial planning and chief analyst, and director of finance, quality, strategy and analysis.
Richard initially trained as an economist and spent five years in academia before joining the Department of Health as an economic adviser. Following this he spent four years as a health care specialist at McKinsey & Co.

09 May

Dr Martyn Patel

Consultant for Older People’s Medicine
Norfolk and Norwich University Hospitals NHS Foundation Trust
Martyn Patel trained in Geriatric and General Internal Medicine in the Eastern Deanery and took up a Consultant Geriatrician post at the Norfolk and Norwich University Hospitals NHS Foundation Trust in 2012.

Subsequently he was the Dementia Lead for 5 consecutive years at NNUH, moving from this role in December 2017 to become the Service Director for the Older Peoples Medicine Department.

He is also active in research, working within the Clinical Research Network Eastern Division as a co-lead for the Ageing Specialty, both recruiting directly to trials and promoting the idea that no-one is too old to be involved in research. His particular areas of interest are Dementia, Polypharmacy and Healthy Living in Later Life.

09 May

Dr Nina Pearson

GP Lead
Bedfordshire, Luton and Milton Keynes Integrated Care System
Throughout her 31 year GP career Nina has undertaken most GP roles including full and part time partner, Retainer, Salaried and GPwSI Gynaecology. These different roles have come about due to changes in family commitments, relocation and personal interest.

On relocating to Luton from Bradford in 2003, Nina joined Lea Vale as a salaried GP as the town underwent significant growth and migration from Sub -Saharan Africa and Eastern Europe. Lea Vale responded with expansion of services and developing a specialist GP offer for HIV positive patients and those at risk of the disease. Now covering 3 sites and having doubled in size Lea Vale is a teaching practice with a diverse workforce and partnership model, working collaboratively with providers of community and public health services to meet the needs of the 24,000 practice population. This model is receiving national profile as an example of a Primary Care Networked delivery model.

As Chair since April 2013 Nina has led Luton CCG to a position of maturity with a Health and Social Care Economy which is meeting the NHS constitutional standards but still facing a significant financial sustainability challenge. Nina Chairs the CCG Board, Luton Transformation Board and BLMK Primary Care Workforce Education and Training Hub.

As GP Lead for BLMK Integrated Care System, Nina has been instrumental in achieving 100% adoption of primary care networks across the ICS, benefiting from transformational financial and development investment.

Nina is passionate about Clinical Leadership and developing primary care as the bedrock of Population Health and Wellbeing, utilising the full range of personal and community assets available. It’s about “what matters to you” rather than “what’s the matter with you?”

09 May

Derek Prentice

Chair, Lay Advisory Group
Royal College of Emergency Medicine
Derek Prentice is the Chair of the Lay Committee of the Royal College of Emergency Medicine and a Member of it’s Council. Derek has spent his career in consumerism, representing the consumer interest. He was Chair of the European Consumer Oganisation BEUC and the Assistant Director of Which? (Consumers’ Association). He also Chaired the Civil Aviation group of the International Organisations of Consumers Unions where he represented the consumer interest at the United Nations.

Derek has had a lifelong commitment to the NHS; he was Lay Member of the General Dental Council, Chair of Board of the Dental Complaints Service. His other public appointments include being member of the governing body of King’s College School of Medicine and Dentistry and a member of the board of King’s College Hospital.

09 May

Imelda Redmond CBE

National Director
Healthwatch England
Imelda has 20 years’ experience working in senior roles in the not-for-profit sector.

Most recently she was CEO of the charity 4Children where she led the organisation through a period of significant change. Before that she was Director of Policy and Public Affairs at Marie Curie Cancer Care, and Chief Executive of Carers UK where she received a CBE for her services to disadvantaged people in 2009.

Imelda is passionate about championing patients’ needs and ensuring that their views are listened to.

09 May

Karen Reeves

Community Urgent Care Lead
Northern, Eastern and Western Devon Clinical Commissioning Group
Karen currently works in a joint role between NEW Devon CCG and University Hospitals Plymouth NHS Trust focussing on urgent care flow and commissioning.

She has extensive experience in process and service improvement in both the private and public sectors both in the UK and abroad and has held a variety of operational roles across both acute and community providers.

09 May

Elizabeth Sargeant OBE

Clinical Lead, Integration of Health and Social Care, Emergency Care Improvement Programme
NHS Improvement
Liz qualified as a Chartered Physiotherapist in 1976 and has held a variety of Board level positions in Acute, Community, Primary and Social Care. Liz was the Accountable Officer for a pathfinder Clinical Commissioning Group for two years focusing on Urgent Care Pathway redesign and between October 2016 – December 2017 Liz worked as the Director of Transformation (health and social care integration) for the Barking, Havering and Redbridge system.

Liz is now the Clinical Lead for Integration of Health and Social Care in the NHS Improvement Emergency Care Intensive Support Team. In this role she leads on services for older people and in particular the development of services across the interface between hospital and home to support people to return and remain at home if this is what they want.

09 May

Dr Tara Sood

Consultant in Emergency Medicine, Royal Free London NHS Foundation Trust
Royal College of Emergency Medicine Lead for Ambulatory Care
Dr Sood is an Emergency Medicine Consultant at the Royal Free London NHS Foundation Trust.

She is the chair of the Royal College of Emergency Ambulatory Emergency Care Special Interest group and the lead author of the Royal College of Emergency Medicine Ambulatory Emergency Care Toolkit. She is currently working with NHSI as an Emergency Medicine clinical lead to help to deliver the national programme for SDEC.

09 May

Eileen Sutton

Head of Urgent and Emergency Care, Healthy London Partnership
London Regional Integrated Urgent Care Lead, NHS England
Eileen leads our Urgent and Emergency Care Improvement Programmes across the whole UEC pathway. Heading up UEC Accelerated Improvement; UEC & Urgent Primary Care Digital; and NHS 111 / Integrated Urgent Care.

Eileen is also joint SRO for London’s health and social care integration fund BCF. Registered clinician with an extensive operational and improvement experience (community nursing, RCN, DoH, NHSE).

09 May

Rachel Vokes

Head of Programme, Hospitals Workstream, Urgent and Emergency Care Transformational and Delivery Programme
NHS England
Before joining in the National Team in 2017, Rachel worked across secondary care in operations and delivery.

For the past 25 years she has dedicated her management career to improving access to services and in particular the delivery of high quality, safe care for patients.

As Head of Hospitals for NHS England and NHS Improvement Rachel is responsible for implementing the national ambitions associated with the delivery of Same Day Emergency Care and Acute Frailty as set out in the NHS Long Term Plan. Outside the office she loves country music and spending time with her family in the South West.

09 May

LA

Leanne Aggas

ED Matron
NHS Royal Bournemouth Hospital
SA

Shariq Ahmed

A & E Consultant/Clinical Director
Wrightington, Wigan and Leigh NHS FT
MA

Manisha Ahya

Patients Representative
Like Minded
EA

Ed Aldus

Operational Manager
Norfolk & Norwich University Hospital
SA

Siva Anandaciva

Chief Economist
The King’s Fund
JA

Jashree Appadu

Band 7 Sister ED
Barking, Havering and Redbridge University Hospitals NHS FT
MA

Matthew Armstrong

Senior Manager, Pharmacy Contract & Project Development
Boots UK
TA

Trevor Arnold

Regional Director Partnerships, London & South
Siemens Healthcare Limited
JA

Jim Atkinson

Senior Project Manager
NHS SCW Commisioning Support Unit
KB

Kevin Baber

Cheif Operating Officer
University Hospitals Plymouth NHS Trust
MB

Matthew Bailey

Senior Delivery & Improvement Lead
NHS Improvement, London
DB

Diana Baird

Deputy Unplanned Care Manager
Cambridgeshire and Peterborough NHS FT
JB

Julian Baker

Director of NCCU
NHS Wales NCCU
DB

Dr Richard Barlow

Consultant
The Royal Wolverhampton Hospitals
DB

Dr Richard Barlow

Consultant
The Royal Wolverhampton Hosptals
SB

Steve Barnard

Head of Improvement
Greater Manchester Health and Social Care Partnership
GB

Gary Barr

Partnership Account Manager
St John Ambulance
BB

Birju Bartoli

Deputy Chief Executive
Northumbria Healthcare NHS FT  
MB

Mike Beak

Innovation and Commissioning Lead
Sandwell & West Birmingham CCG
BB

Bryan Beardsworth

Head of Contracting WM IUEC
Sandwell & West Birmingham CCG
BB

Bryan Beardsworth

Head of Contracts
Sandwell & West Birmingham CCG
JB

Jake Beech

Researcher, Policy
The King’s Fund
JB

Jo Beer

Interim Director of Integrated Urgent Care
University Hospitals Plymouth NHS Trust 
CB

Cathy Bellman

Local Care Lead
Kent and Medway Sustainability and Transformation Partnership
JB

Joanne Bennett

Improving Emergency Care Project Manager
Homerton University Hospital NHS FT
NB

Nicky Bidwell

MIU Manager
Cambridgeshire and Peterborough NHS FT
AB

Angela Birmingham

Matron Emergency Department
University Hospitals Birmingham NHS FT
PB

Peter Bowker

Associate Chief Operating Officer
Northern Lincolnshire and Goole NHS FT
CB

Chris Bradley

Director
2020 Delivery Ltd
DB

David Bramley

Consultant in Emergency Medicine
City Hospitals Sunderland NHS FT
EB

Eamann Breen

Senior Contract Manager
NHS City and Hackney CCG
KB

Kyle Brooks

Senior Occupational Therapist
Heartlands Hospital
DB

Dr Stevan Bruijns

Consultant in Emergency Medicine
Yeovil District Hospital NHS FT
SB

Sarah Bryan

Lead CNS for Older Adults and Frailty
Chelsea and Westminster NHS FT
SB

Simon Buckley

Deputy to Divisional Head of Nursing
Northern Lincolnshire and Goole NHS FT
AB

Andrew Burgess

Manager
Royal Devon and Exeter NHS FT
KB

Krista Burslam

Urgent and Emergency Care Clinical Lead
eConsult Health Ltd
DC

Danny Canning

Integration and Transformation Program Lead
WECCG
CC

Caroline Capell

Associate Director (Unplanned Care)
NHS Luton CCG
SC

Sarah Carberry

Assistant Director, Urgent and Emergency Care
NHS Wigan Borough CCG
AC

Alexis Carlyon

Consultant
MJ Medical
MC

Mandy   Carney

Associate Director of Patient Flow
Yeovil District Hospital NHS FT
DC

Dr Andrew Catto

Deputy Chief Executive and Chief Medical Officer
IC24
EC

Emma Catton

Directorate General Manager Emergency Care
Betsi Cawaladr Health Board
AC

Alison Clements

Head of Operations, Patient Flow
UCLH
JC

Julie Cockerton

Inpatient Therapy Manager
Royal Cornwall Hospitals NHS FT
HC

Heather Coetzee

Project Facilitator
Mater Misericordiae University Hospital
DC

Dr Vincent Connolly

Regional Medical Director, NHS Improvement North
South Tees Hospitals NHS FT
BC

Barry Cooper

Director of Operations
Vocare
RC

Ros Cox

Head of Service
Bristol City Council
DC

Dr Ian Cunliffe

In-Reach GP
Royal Surrey County Hospital
SD

Sarah D'Souza

Director of Commissioning
Barnet CCG
ED

Erica Daley

Programme Director
NHS Hull CCG
TD

Tim Davison

Chief Executive
NHS Lothian
JD

Jessica Dawson

Acute Frailty OT Band 7
Chelsea & Westminster NHS FT
DD

Dr Eva de Brett

Manager
Deloitte
SD

Sophie Dennis

Lead Service Designer
NHS Digital
DD

Dr Shruti Dholakia

Doctor
Stanmore Hospital
MD

Margaret Dias

Clinical Operations Lead Urgent Care
Princess Alexandra Hospital NHS FT
TD

Tsvetomira Dimitrova

Delivery Officer
NHS England
CD

Cyril Dineros

Acute Frailty CSN Band 6
Chelsea & Westminster NHS FT
JD

Josh Dolder

Freelance
DD

Dr Michelle Drage

Chief Executive
Londonwide Local Medical Committees
RD

Rebecca Drew

Senior Relationship Manager
NHS England
AD

Alex Dumbleton

Service Manager - Acute Floor
Brighton and Sussex University Hospital Trust
JE

Judith Edwards

PhD Student
University of Surrey
RE

Rachael Ellis

Chief Officer, Integrated Urgent and Emergency Care
West Midlands Region
ME

Mark Elster

Patient Safety and Quality lead
NHS Devon CCG
TE

Teresa Emery

Senior Service Improvement
Greater Manchester Health and Social Care Partnership
ME

Mark England

NHSEd and NHSI
NHS England and NHS Improvement
GF

Geraint Farr

Directorate General Manager Emergency Care
Betsi Cawaladr Health Board
NF

Nicky Felix

Divisional Manager for Emergency Services
UCLH
DF

Douglas Findlay

Lay Partner
Oxford Academic Health Science Network
VF

Valeria Fiore

Journalist
Healthcare Leader
JF

Josefeen Foxter

Service Designer
NHSD
JF

Jeni Frampton

Service Manager Unscheduled Care
Dorset County Hospital NHS FT
KF

Kelly French

Operations Lead ED
Princess Alexandra Hospital NHS FT
DF

Diane Fuller

Senior Improvement Manager, Emergency Care Improvement Programme
NHS Improvement 
JG

James Gibson

Commissioning and Innovation Lead
Sandwell & West Birmingham CCG
DG

Doug Gilbert

Senior Strategy Adviser
NHS England
JG

Jane Gordijn

Delivery Programme Manager
Worcestershire CCGs
PG

Pete Gordon

Senior Improvement manager
NHS Improvement
DG

Dr Jayne Govier

Associate Medical Director
Royal Devon & Exeter NHS FT
CG

Chris Green

Commissioning and Innovation Lead
Sandwell & West Birmingham CCG
CG

Chris Green

IUC Implementation Manager
Sandwell & West Birmingham CCG
AH

Anne-Marie Hall

Divisional Head of Nursing
Northern Lincolnshire and Goole NHS FT
NH

Nick Hall

Head of Integrated Urgent Care Delivery
NHS England
MH

Michael Hammond

Programme Manager
University Hospitals of Derby and Burton NHS FT
AH

Anna Hanbury

Programme Manager
NHS City and Hackney CCG
MH

Mark Harmon

Strategy and Brand Director
eConsult Health Ltd
PH

Peter Harrison

Managing Director
Siemens Healthineers
GH

Gabrielle Harvey

Senior Programme Manager
NHS England
DH

Dr Taj Hassan

Consultant in Emergency Medicine, Leeds Teaching Hospitals NHS Trust
Royal College of Emergency Medicine
DH

Dr Andy Heeps

Chief Operating Officer
North Middlesex University Hospital NHS FT
JH

James Hempsted-Kingham

Head of Primary Care Digital Technology
NHS England
MH

Martin Hepke

Divisional Director of Operations
Aintree University Hospital
CH

Clive Hepworth

Divisional Director Surgery
Barking, Havering and Redbridge University Hospitals NHS FT
RH

Richard Hills

Manager
IMPOWER
KH

Kate Hirst

Lead Manager, Urgent Care
NHS Brighton and Hove CCG
KH

Katie Horrell

Head of Assurance
NHS England, London
LH

Leila Hughes

Senior Commissioning Officer
NHS Brighton and Hove CCG
JH

John Hutchison

Programme Manager
NHS England
GI

Gareth Iacobucci

Senior reporter
BMJ
JI

James Illman

Senior Correspondent
HSJ
VJ

Victoria Jackson

Divisional Director of Operations
Aintree University Hospital
TJ

Tessa Jelen

Chair
Respiratory Health Westminster
DJ

Dr Houyuan Jiang

Associate Professor
University of Cambridge
WJ

Wendy Joberns-Harris

Divisional Director of Operations Urgent Care
Worcestershire Acute Hospitals NHS FT
DJ

Dr geoff jolliffe

chair
Morecamb Bay CCG
DJ

Dr Mark Jones

Director
Canterbury Integrated Healthcare Ltd
EJ

Emma Jopling

Consultant
NEL CSU
KJ

Kristina Juryta

Senior Commissioning Officer
NHS Bradford Districts CCG
DK

Dr Shalome Kanagaratnam

Doctor
Royal London hospital
EK

Ewan King

Chief Operating Officer
Social Care Institute for Excellence
DK

Dr Karen Kirkham

National Clinical Advisor for Primary Care, NHS England
Dorset CCG, Dorset ICS
DL

Diana Lacey

Head of Unplanned Care
NHS England, London
IL

Ian Lamb

Partnership Account Manager
St John Ambulance
AL

Ashley Langton

Senior Strategic Communications Manager
NHS England
LL

Lorraine Larcombe

Assistant Director of Nursing
Royal Hobart Hospital
SL

Shalee Lasam

AMU CSN Band 7
Chelsea & Westminster NHS FT
EL

Emma Latimer

Chief Officer
NHS Hull Clinical Commissioning Group
RL

Rosalyn Little

Head of Operations Service Redesign
Kent Community Health NHS Foundations Trust
LL

Lisa Lomas

Head of Therapies
Barking, Havering and Redbridge University Hospitals NHS FT
AL

Andrew Long

Directorate General Manager Emergency Care
Betsi Cawaladr Health Board
DL

Dr Tracey Lucas

Executive GP
NHS Sunderland CCG
AM

Amy Maclean

Senior Project Manager
Birmingham Women's and Children's NHS FT
MM

Maxwell Madzikanga

Population Health Improvement Analyst
NHS
HM

Helen Maitland

Unscheduled Care Director
The Scottish Government
DM

Dan Male

Editor
Accountable Care Journal
DM

Dr Cliff Mann

Clinical Lead for the Accident & Emergency Improvement Plan, NHS England
RCEM, Musgrove Park Hospital
JM

Johanne Marsden

Dir Man for Unscheduled Care
Wrightington, Wigan and Leigh NHS FT
DM

Dr Carmen Martin-Marero

Consultant Physician and Geriatrician
Chelsea & Westminster NHS FT
NM

Nicholas Masters

Service Manager ED & Acute Medicine
Royal Cornwall Hospitals NHS Trust
CM

Cathy McCann

Acute Frailty CSN Band 7
Chelsea & Westminster NHS FT
NM

Natalie McClary

Senior Reform Manager
NHS Sunderland CCG
DM

Dr Andrew McCulloch

enter & View Coordinator
Non-Executive Director, Social Work England
NM

Nick McDermott

Health Editor
The Sun
SM

Shri Mehrotra

Director
Healthwatch Sutton
GM

Gordon Miles

Chief Executive
The Royal College of Emergency Medicine
AM

Andy Miller

Deputy Divisional Manager Urgent & Integrated Care
Dorset County Hospital NHS FT
JM

Jane Miller

Chief Executive
Care Plus Group
LM

Louise Milligan

Deputy Associate Director of Nursing
University Hospitals Birmingham NHS FT
NM

Neill Moloney

Managing Director
East Suffolk and North Essex NHS FT
MM

Mary Moore

Project Manager For Surgical Improvement Project
Homerton Hospital University NHS FT
IM

Ian Moses

Senior Service Improvement
Greater Manchester Health and Social Care Partnership
DM

Dr Chris Moulton

Vice President, Royal College of Emergency Medicine
Royal Bolton Hospital  
SM

Sarah Moulton

Group Manager Emergency Department
University Hospitals Birmingham NHS FT
DM

Dr Jo Mower

Clinical Director
NHS NCCU
RM

Richard Murray

Chief Executive
The King’s Fund
AN

Ashi Naveed

Senior Performance Manager
NEL CSU
IN

Ian Neville

Improvement Manager
Royal Bournemouth and Christchurch Hospitals NHS FT
DN

Dr Richard Newland Newland

Chairman
CHS Healthcare
AO

Anita O'Donnell

Care Pathway Senior Sister
Barking, Havering and Redbridge University Hospitals NHS FT
LO

Luke O'Reilly

Policy & Communications Officer
RCEM
IO

Isabel Oakeshott

Freelance
JO

Joyce Osei

Enter & View Coordinator
Healthwatch Waltham Forest
RP

Ravinder Pabial

Strategic Executive
Roche Diagnostics Ltd
MP

Margarida Pacheco

Matron, ED
Norfolk & Norwich University Hospital
MP

Meena Parekh

Chairperson
NHS
SP

Scott Parker

Managing Director
Beautitful Information Ltd
DP

Dr Martyn Patel

Consultant for Older People’s Medicine
Norfolk and Norwich University Hospitals NHS FT
ZP

Zoe Pearce

Discharge and Patient Flow Matron
Barnsley Hospital NHS FT
DP

Dr Nina Pearson

GP Lead
Bedfordshire, Luton and Milton Keynes ICS
KP

Karen Peters

Red2Green Transformation Lead
Barking, Havering and Redbridge University Hospitals NHS FT
DP

Dr Prem Premachandran

Consultant ED
Frimley Health NHS FT.
DP

Derek Prentice

Chair, Lay Advisory Group
Royal College of Emergency Medicine
CQ

Cathie Quine

Head of Nursing
Nobles Hospital
MQ

Michael Quinn

Director of Operations
Southend University Hospital NHS FT
OR

Oliver Radford

General Manager, Unscheduled Care
Nobles Hospital
ER

Emma Ray

Director
Canterbury Integrated Healthcare Ltd
IR

Imelda Redmond CBE

National Director
Healthwatch England
KR

Karen Reeves

Community Urgent Care Lead
Northern, Eastern and Western Devon CCG
AR

Alice Richardson

Matron, ED
Norfolk & Norwich University Hospital
GR

Geoff Richardson

PPG Member
Severnside
RR

Rachel Robinson

Chief Nurse
IC24
JR

James Rodaway

Head of Commissioning
NHS Wales NCCU
GR

Giles Rolph

Trust B8 Information Business Partner
Chelsea & Westminster NHS FT
JR

James Rooney

Senior Project Manager
NHS South, Central and West Comm Support Unit
DR

Dalvir Roopra

Band 7 General Lead Radiographer
Barking, Havering and Redbridge University Hospitals NHS FT
PR

Patricia Rowland

JET, OOH Manager
Cambridgeshire and Peterborough NHS FT
DS

Dr Neveen Samuel

GP & GP Board Member
NHS North Lincolnshire CCG
NS

Nikki Sands

Senior Nurse Acute Services
Homerton Hospital University NHS FT
ES

Elizabeth Sargeant OBE

Clinical Lead, Integration of Health and Social Care, Emergency Care Improvement Programme
NHS Improvement
RS

Rachael Scholey

Senior Programme Manager
NHS England
SS

Sandie Sealey

Improvement Advisor
Taunton & Somerset NHS FT
JS

Jason Seez

Deputy Chief Executive
The Hillingdon Hospitals NHS FT
DS

Dr Rajiv Sharma

GP
The Royal Wolverhampton NHS FT
DS

Dr Rajiv Sharma

GP
The Royal Wolverhampton Hospitals
AS

Alex Shaw

Directorate Manager -Acute and Speciality Medicine
Brighton and Sussex University Hospital Trust
MS

Mike Simpson

Specialist Paramedic
NEAS
AS

Angela Slade

Matron
Aintree University Hospital
DS

Dr Toby Slade

Associate Medical Director
Royal Cornwall Hospitals NHS Trust
CS

Chris Smyth

Health Editor
The Times
DS

Dr Tara Sood

Consultant in Emergency Medicine, Royal Free London NHS FT
Royal College of Emergency Medicine Lead for Ambulatory Care
NS

Neha Sood

Acute Frailty PT Band 6
Chelsea & Westminster NHS FT
JS

Jonathan Soppitt

Clinical Operations Manager
NEAS
SS

Shaun Stacey

Chief Operating Officer
Northern Lincolnshire & Goole NHS FT
JS

Jack Stevens

Lead Nurse For Emergency & Acute Medicine
Barking, Havering and Redbridge University Hospitals NHS FT
AS

Andrea Stoker

Head of Quality & Programme Delivery
Northumbria Healthcare NHS FT
HS

Helen Stracey

Therapy Inpatient lead
The Chelsea & Westminster NHS FT
AS

Analou Sugar

Speech and Language Therapist
Chelsea and Westminster NHS FT
ES

Eileen Sutton

Head of IUC/111, UEC & DUEC
NHS England, London / HLP
ES

Eileen Sutton

Head of Urgent and Emergency Care, Healthy London Partnership
NHS England
DT

Dr Tim Taylor

Medical Director
Western Sussex Hospitals NHS FT
AT

Anita Thomas

Divisional Manager Urgent and Integrated Care
Dorset County Hospital NHS FT
LT

Louisa Thompson

Operational Manager
Sunderland Care & Support
PT

Paul Thorp

Red2Green Transformation Lead
Barking, Havering and Redbridge University Hospitals NHS FT
JT

Josephine Tidon

Acute Frailty Unit CSN Band 7
Chelsea & Westminster NHS FT
DT

Dr Ken Ting

Doctor
Chelsea and Westminster
DT

Dr Jonathan Tipping

Consultant Emergency Medicine
Yeovil District Hospital NHS FT
LT

Louise Tranmer

Director
NHS SCW Commisioning Support Unit
NV

Nicole Valenzuela-Sotomayor

Better Care Fund Programme London Region
NHS England
JV

Julie Van Bussel

Associate Director of Acute Transformation
NHS Newham CCG
RV

Rachel Vokes

NHS England
MW

Meischa Wade

Consultant, Healthcare Planner
Essentia, Guys & St Thomas
DW

Dr Helen Ward

Consultant
The Royal Wolverhampton NHS FT
LW

Launa Watson

Director
Healthwatch Sutton
LW

Launa Watson

Trustee
Healthwatch Sutton
MW

Melanie Watts

Head of Operations, Medicine
UCLH
MW

Milne Weir

Regional Director
Scottish Ambulance Service
LW

Lisa Wells

Group Manager ED
Northern Devon Healthcare NHS Trust
DW

Dr Robert White

GP & Governing Body Clinical Lead
NHS Kernow CCG
LW

Libby Wilson

Consultant/Clinical Director Emergency Care
Aintree University Hospital
OW

Oena Windibank

Director of Local Care
NHS Thanet CCG
DW

David Winskill

Chair
London: Patient Voice
JW

James Wood

Data Visualisation
33n
KW

Kaye Woodward

ED Directorate Manager
NHS Royal Bournemouth Hospital
WW

Wendy Worth

Group Manager
The Royal Wolverhampton Hospitals
WW

Wendy Worth

Group Manager
The Royal Wolverhampton NHS FT
MW

Matt Wyatt

Advisor to NPUC
NHS Wales NCCU
SZ

Sarah Zanoni

Associate Director of Nursing
NHS Devon CCG

Royal College of Emergency Medicine

The College is established to advance education and research in Emergency Medicine. The College is responsible for setting standards of training and administering examinations in Emergency Medicine for the award of Fellowship and Membership of the College as well as recommending trainees for CCT in Emergency Medicine. The College works to ensure high quality care by setting and monitoring standards of care, and providing expert guidance and advice on policy to relevant bodies on matters relating to Emergency Medicine.

eConsult

eConsult Health Limited delivers innovative digital triage and consultation platforms, designed and developed by clinicians working within the NHS.

eConsult is the NHS’s leading online consultation platform in Primary Care, transforming the way GPs deliver care, improving access for patients and improving efficiencies for practices.

eTriage is an emergency triage platform that gets patients to the right care quickly within the emergency department. Ambulatory patients check in on an iPad, inputting their demographic details that are matched on the spine for their NHS number, then answer a few brief clinical questions about their symptoms. The system automatically triages patients by clinical need into the clinical system in line with Manchester Triage priorities 1-5.

All within 5 minutes of arrival; no patient has to wait to check in, and all patients are first seen in 15 minutes at our pilot urgent care centre.

Humetrix

Humetrix has pioneered the development of patient facing mobile health platforms over the past 20 years, starting with smart card health applications, and in the last 10 years with smartphone health applications: iBlueButton, a U.S. federal government selected health record application for use by 40 million Americans over age 65; TENSIO, a hypertension coaching application, and SOS QR, an emergency preparedness and A&E care application. SOS QR is listed on the NHS App Library and is available for download from both the App Store and Google Play. Humetrix mHealth applications have won multiple government and industry awards in the U.S. and Europe. In the U.K., Humetrix's SOS QR is now available for e-prescription to NHS patients by GP users of EMIS Health.

St John Ambulance

St John Ambulance is a leading not-for-profit provider of ambulance services. We deliver paramedic-led services, bariatric transport services, High Dependency Unit and A&E support, neonatal and paediatric transfers, medical repatriation, and GP urgent transfers. We have a wealth of experience working with CCGs, NHS Ambulance Trusts and NHS Foundation Trusts. Our unique approach combine professionalism, effectiveness and efficiency with a whole-hearted commitment to patients. Our services are adaptable, resilient and sensitive to the needs of local patients and the wider regional system pressures; all are underpinned by robust clinical governance structures. A partnership with St John Ambulance means we can continue to deliver our highly reputable charitable work. We are the volunteer-led healthcare charity that steps forward in the moments that matter to save lives and support communities. In all our work, we focus on increasing community resilience, and reducing the demand on and the reliance of patients on local emergency services.

The King's Fund

Our mission describes how we will achieve this:
  • through our research and policy analysis
  • through the work we do with individuals, organisations and communities building their capability, supporting them to adopt best practice and share learning
  • by bringing people together through events and networks to discuss and learn from evidence from the United Kingdom and across the world
  • by promoting greater understanding of health and care policy and practice – helping people to make sense of a complex and rapidly changing environment.

Registration opens, exhibition and refreshments

09:00 AM 10:00 AM The Orangery, ground floor

Welcome!

Grab your badge, some tea and visit our exhibitors.

It may also be useful to plan which breakouts sessions you plan on attending later in the day.

The presentation slides will be uploaded into the sessions of this app later in the day. Ask the registration desk staff for help if needed.

Session one: Opening plenary

10:00 AM 11:30 AM Burdett theatre (main theatre), ground floor

10.00am
Welcome and introduction
  • Hear an overview of what is currently happening in A&E and how the NHS long-term plan aims to improve urgent and emergency care.

Siva Anandaciva
, Chief Analyst, The King’s Fund

10.05am
Keynote Address: The long-term plan for urgent and emergency care
Understand how the long-term plan aims to reduce pressure on emergency hospital services through testing and implementing new emergency and urgent care targets from October.
  • Hear how the plan aims to boost pre-hospital urgent care and further integrate community and primary care.
  • Learn about the reforms to hospital emergency care, including Same Day Emergency Care.
  • Learn about the plans to set up a new single multidisciplinary clinical assessment service to help patients navigate the right service channel for them to get the most appropriate service.

Mark England
, Director of Strategy, Emergency and Elective Care and Deputy National Director of Urgent and Emergency Care, NHS England and NHS Improvement

10.25am
National review: improving efficiency in accident and emergency departments across the country
  • Gain insight into the remit of the Getting It Right First Time for emergency medicine (GIRFT-EM) programme and how site visits are conducted
  • Learn about the new GIRFT-EM metrics
  • Hear initial findings and recommendations from the GIRFT-EM programme

Dr Cliff Mann, Clinical Lead for the Accident & Emergency Improvement Plan, NHS England, Former President, Royal College of Emergency Medicine, and Consultant in Emergency Medicine, Musgrove Park Hospital

Dr Chris Moulton, Vice President, Royal College of Emergency Medicine, and Consultant in Emergency Medicine, Royal Bolton Hospital

10.55am
Investing in integrated primary and community services 
  • Developing primary care networks
  • Boosting out-of-hospital care to relieve pressures on emergency care
  • Delivering urgent response and recovery support

Dr Karen Kirkham, National Clinical Advisor for Primary Care, NHS England and Assistant Clinical Chair, Dorset Clinical Commissioning Group, Clinical Lead for Primary Care, Dorset Integrated Care System (ICS)

11.15am
Questions and discussion

Speakers

Cliff_Mann_Chris_Moulton_S1.pdf Download Link
Karen_Kirkham_S1_Burdett.pdf Download Link
Mark_England_S1.pdf Download Link

Refreshment break, exhibition and networking

11:30 AM 12:00 PM The Orangery, ground floor

Visit our exhibitors and grab some refreshments. Decide on which of the 4 breakouts you plan on attending after the break.
AM Breakouts

Breakout A: Reducing crowding and improving flow through A&E

12:00 PM 01:00 PM Maynard theatre, lower ground floor

12.00pm
Welcome and introduction
  • Hear about applying the principles of Safer, faster, better to prevent overcrowding
  • Learn how to maximise assessment and clinical time

Diane Fuller, Senior Improvement Manager, Emergency Care Improvement Programme, NHS Improvement

12.10pm
Lessons from Yeovil Hospital
  • Learn how Yeovil moved from a position of regular crowding in A&E and high vacancies to reliably meeting four hours and improved team morale
  • Hear about making flow a whole system issue and the cultural changes made
  • Discussion of their approach to flow, ambulatory care and working with partners to help patients get home

Mandy Carney, Associate Director of Patient Flow, Yeovil District Hospital NHS Foundation Trust

Dr Stevan Bruijns, Consultant in Emergency Medicine, Yeovil District Hospital NHS Foundation Trust

12.30pm
Reconfiguring emergency services in Northumbria
Understand the impact of setting up the Northumbria Specialist Emergency Care Hospital  
  • Hear about how teams process in the emergency department, ambulatory care and discharge out of hospital. 
  • Learn about the homecare and reablement services on helping people to get better quicker in the comfort of their own home. 
Birju Bartoli, Deputy Chief Executive, Northumbria Healthcare NHS Foundation Trust

12.50pm
Questions and discussion

Speakers

Birju_Bartoli_Breakout_A.pdf Download Link
Diane_Fuller_Breakout_A.pdf Download Link
Steve_Mandy_Breakout_A.pdf Download Link
AM Breakouts

Breakout B: Reducing length of stay for older people

12:00 PM 01:00 PM Maxwell room, first floor

11.50am
Welcome and introduction
  • Community-based approaches to improve transfers of care for older people
Simon Bottery, Senior Fellow, Social Care, The King's fund

12.05pm
Valuing patient time: the Plymouth story
  • Hear about the best practice principles; including transparency of data, focusing on the patient, use of technology and process review
  • Understand the impact on patient outcomes

Jo Beer, Interim Director of Integrated Urgent Care, University Hospitals Plymouth NHS Trust
Karen Reeves, Community Urgent Care Lead, Northern, Eastern and Western Devon Clinical Commissioning Group

12.25pm
Reducing length of stay
Hear about the development the Older People’s Emergency Department at Norfolk and Norwich University Hospitals.
  • Learn about how they prepare patients for discharge from the point of admission
Dr Martyn Patel, Consultant for Older People’s Medicine, Norfolk and Norwich University Hospitals NHS Foundation Trust

12.50pm
Questions and discussion

Speakers

Jo_Beer_Karen_Reeves_Breakout_B.pdf Download Link
Martyn_Patel_Breakout_B.pdf Download Link
AM Breakouts

Breakout C: Integrated urgent care

12:00 PM 01:00 PM Edwards room, first floor

12.00pm
Welcome and introduction

12.05pm
Integrated community care and urgent care services
Learn how Hull created a single point of access known as the care co-ordination centre, the UK’s first integrated care centre.
  • Hear how the centre delivers home-from-hospital services in partnership with local charities.
  • Learn about how they work with the fire and rescue service and ambulance service to provide a rapid-response falls service.

Emma Latimer, Chief Officer, NHS Hull Clinical Commissioning Group

12.20pm
Optimising the Clinical Assessment Service (CAS) – challenges and opportunities
  • Hear about how the CAS is supporting both patients and staff with clinical advice and support.
  • Understand how the CAS might develop to support admissions avoidance and discharge support.

Nick Hall, Head of Integrated Urgent Care Delivery, NHS England
Rachael Ellis, Chief Officer, Integrated Urgent and Emergency Care, West Midlands Region

12.45pm
Questions and discussion

Speakers

Emma_Latimer_Breakout_C.pdf Download Link
Nick_Hall_Breakout_C.pdf Download Link
Rachel_Ellis_Presentation_Breakout_C.pdf Download Link
AM Breakouts

Breakout D: Same day emergency care (SDEC)

12:00 PM 01:00 PM Burdett theatre (main theatre), ground floor

12.00pm
Welcome and introduction
  • Learn about the ambitions for SDEC in the NHS long-term plan and the urgent and emergency care transformation programme

Rachel Vokes, Head of Programme, Hospitals Workstream, Urgent and Emergency Care Transformational and Delivery Programme, NHS England

12.10pm
The importance of initiating SDEC from the emergency department
  • Hear about pathway and process driven approaches to SDEC
  • Learn how to develop an ambulatory care dashboard
  • Integration with community teams

Dr Tara Sood
, Consultant in Emergency Medicine, Royal Free London NHS Foundation Trust and Royal College of Emergency Medicine Lead for Ambulatory Care

12.30pm
Ambulatory emergency care (AEC) – improvement by design
  • Creating the environment for AEC/SDEC
  • Lessons from James Cook University hospital
  • What’s next for AEC?

Dr Vincent Connolly, Regional Medical Director, NHS Improvement North and Consultant Physician, The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust

12.50
Questions and discussion

Speakers

Rachel_Vokes_Breakout_D.pdf Download Link
Vincent_Connolly_Breakout_D.pdf Download Link

Lunch, exhibition and networking

01:00 PM 02:00 PM The Orangery, ground floor

Lunch, exhibition and networking

Session three: Whole system approaches

02:00 PM 03:00 PM Burdett theatre (main theatre), ground floor

2.00pm
Welcome back
Dr Andrew McCulloch, Committee Member, Healthwatch England and Non-Executive Director, Social Work England
Andrew is Former Chief Executive of both the Picker Institute Europe and the Mental Health Foundation

2.05pm
Transforming care in Kent and Medway: a sustainability and transformation partnership (STP) perspective
  • How organisations across Kent and Medway are developing integrated services supporting Primary Care Networks for populations of 30-50,000.
  • An integrated approach by NHS, local government, the voluntary and care sector, working in partnership to develop and support out-of-hospital care.

Cathy Bellman, Local Care Lead, Kent and Medway Sustainability and Transformation Partnership

2.20pm
Primary and community care integration: an integrated care system (ICS) perspective

Dr Nina Pearson, GP Lead for Bedfordshire, Luton and Milton Keynes Integrated Care System

2.35pm
The view from Scotland
  • Hear about Scotland’s approach to improving unscheduled care, including progress made in delivering effective and integrated emergency demand and capacity planning.
  • Gain insight into the successes of the Improving Unscheduled Care Programme.

Helen Maitland
, Unscheduled Care Director, The Scottish Government

2.55pm
Questions and discussion

Speakers

Cathy_Bellman_S3.pdf Download Link
Helen_Maitland.pdf Download Link
Nina_Pearson_S3.pdf Download Link

Refreshment break, exhibition and networking

03:15 PM 03:45 PM The Orangery, ground floor

Refreshment break, exhibition and networking

Session four: Realising the long-term plan for urgent and emergency care

03:45 PM 05:00 PM Burdett theatre (main theatre), ground floor

3.45pm
Welcome back
Richard Murray, Chief Executive, The King’s Fund

3.50pm
Securing workforce resilience and sustainability through leadership development
  • Hear about progress being made in implementing the national workforce strategy.
  • Learn about how clinicians are leading transformational change.

Dr Taj Hassan, Consultant in Emergency Medicine, Leeds Teaching Hospitals NHS Trust, and President, Royal College of Emergency Medicine

4.10pm
Working together to improve patient flow and manage transfers of care

Elizabeth Sargeant OBE
, Clinical Lead, Integration of Health and Social Care, Emergency Care Improvement Programme, NHS Improvement

4.30pm
Questions and discussion 

4.35pm
How do we achieve the ambitions set out in the long-term plan for urgent and emergency care?
  • Imelda Redmond CBE, National Director, Healthwatch England 
  • Eileen Sutton, Head of Urgent and Emergency Care, Healthy London Partnership, and London Regional Integrated Urgent Care Lead, NHS England
  • Dr Michelle Drage, Chief Executive, Londonwide Local Medical Committees
  • Derek Prentice, Expert by Experience and Chair, Lay Advisory Group, Royal College of Emergency Medicine

4.50pm
Questions and discussion

5.00pm
Close of conference

Speakers

Elizabeth_Sargeant_S4.pdf Download Link
Taj_Hassan_S4.pdf Download Link