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Agenda

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Session Title
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Anna Charles, Senior Policy adviser to the CEO, The King's Fund (invited)

  • Outlining strategies for sustainable staffing in emergency departments and improving A&E performance through the Emergency Care Workforce Programme
  • Discussing how to help improve retention of Speciality and Associate Specialist (SAS) doctors in emergency departments through the SAS Development and Retention Programme Toolkit
  • Sharing the results of the Less Than Full Time Pilot on improving trainees working lives by allowing them time away from their workplace
  • Supporting and developing the NHS workforce by upskilling current NHS staff through a £50m commitment of the HEE 2019-20 budget to workforce development
  • Assessing the implications of the NHS Long Term Plan for the urgent and emergency care workforce and the future challenges which will be addressed in the Workforce Implementation Plan later in 2019

Patrick Mitchell, Regional Director - South and Senior Responsible Officer, Urgent and Emergency Care, Health Education England (CONFIRMED)

  • Ensuring workforce stability through 3 key measures: creating a better working environment, offering incentives and broadening the pool of available staff as outlined in the Workforce Stabilisation Best Practice Guidance
  • Discussing the role of the Emergency Care Improvement Programme (ECIP) in continuing enhancement of urgent and emergency services
  • Outlining strategies to work towards four-hour performance goals across urgent and emergency care departments and reduce waiting times
  • Exploring what strategies need to be put in place so that urgent and emergency care departments can improve their response to winter pressures in the long term
  • Assessing mental health service provisions in urgent and emergency departments and how to ensure that they are meeting demand

Gordon Miles, Chief Executive, Royal College of Emergency Medicine (CONFIRMED)

  • Assessing the progress of the GP Forward View and the developments we should expect in the future
  • Understanding the important part Primary Care Networks play in relieving pressures on urgent and emergency care departments, through providing greater provision of proactive, personalised, coordinated and more integrated care
  • Ensuring patients are taking the correct pathway during treatment and care through integrated local urgent care services
  • Implementing the High Impact Change Model to allow self-assessment of local systems and to create a plan for action to help manage patient flow, discharge and reduce delays using multi-disciplinary and multi-agency discharge teams

Professor Helen Stokes-Lampard, Chair of the Council, Royal College of General Practitioners (RCGP) (CONFIRMED)

  • Transforming care delivery through recruitment and retention of GPs, pharmacists and nurses and reducing locum use to ensure greater continuity of care
  • Introducing social prescribing to help improve patient access and reduce demand on the practice by 20%
  • Discussing the benefit of pre-referral meetings with GPs, to support clinicians in deciding on what to refer
  • Creating a daily urgent clinic to cut down hospital admissions and increase the amount of same day consultations

Parchmore Medical Centre won the Managing Workload and Improving Access Award at the General Practice Awards 2018

Highly Commended in the Primary Care Innovation Category at the Health Service Journal Awards 2018

Dr Agnelo Fernandes MBE FRCGP, General Practitioner, Parchmore Medical Centre (CONFIRMED)

  • Reducing the amount of time ‘red days’ patients spend in hospital which doesn’t contribute towards their discharge and concentrating on ‘green days’
  • Using technology through a visual management system to identify wasted time in patient journeys and internal and external delays
  • Implementing the ‘Red2Green’ programme successfully across a large scale of 65 adult and children’s wards
  • Sharing strategies for launching and implementing this initiative by concentrating on three core aspects: process, people and technology

Winner of Red2Green Champion Award

Richard Hammond, Deputy Chief Operating Officer, The Princess Alexandra Hospital NHS Trust (invited)

  • Reflecting on the national recommendations outlined in the Ambulance Response Programme (ARP) 2018 review
  • Exploring the strategies used to improve delivery of high-quality care and support operational efficiency and performance through the introduction of additional triage time and revision of call categories
  • Introducing standardised call handling scripts across all services to help manage patient expectations and reduce volumes of repeat callers

Professor Suzanne Mason, Professor of Emergency Medicine, Centre for Urgent and Emergency Care Research, University of Sheffield (CONFIRMED)

  • Developing a model of care focused on making improvements to working practices commonly found in A&E departments
  • Streamlining pathways to increase the number of patients being treated in a single consultation
  • Encouraging patients to register and seek ongoing care with local GP practices to ensure patients are using UCCs only when it is the appropriate setting and absolutely necessary
  • Ensuring constant reviews of patient patterns and demands to provide the correct clinical skills at the correct time through variable shift patterns

Dr Sally Johnson, Group Medical Director, Greenbrook Healthcare (CONFIRMED)

  • Broadening the staff pool through the development of professional groups into Advance Clinical/Nurse Practitioners (ACPs)
  • Creating a well-educated, clinically competent and stable workforce to ensure high quality care for patients 24 hours a day through 8 qualified ACPs
  • Developing opportunities for professional development and career progression for healthcare professionals who wish to remain in a clinical setting and therefore attracting more practitioners to prevent a reliance on locum cover
  • Meeting workforce demand by employing additional ACPs who can support emergency department teams

Kirsten Clinton, Nurse Consultant, Emergency Department, Sheffield Teaching Hospitals NHS Foundation Trust (CONFIRMED)

  • Sharing the strategy and journey to achieving an ‘Outstanding’ CQC rating and outlining the transformation of urgent and emergency care services at Worthing Hospital
  • Outlining how to see, treat, admit or discharge 95% of patients within four hours, hitting the national four-hour performance target
  • Meeting all patient needs in a kind, respectful and considerate manner and ensuring all staff understand the requirements of the Duty of Candour
  • Discussing how to create a service rated ‘outstanding’ for its responsiveness despite increasing demand

Jayne Black, Chief Operating Officer, Western Sussex Hospitals NHS Trust (invited)

  • Assessing the planned impact of The NHS Long-Term Plan on urgent and emergency care and how it links to NHS England’s Urgent and Emergency Care Review
  • Achieving 24/7 fully integrated care and community-based health care services across England in 2019 through NHS 111 or online
  • Outlining key milestones for urgent and emergency care to ensure long term improvement of care provision
  • Expanding and reforming urgent and emergency care services to relieve pressure on A&E departments, offset winter demand spikes and ensure patients get the care they need in the right place as fast as possible
  • Supporting patient navigation of the optimal service channel through a single multidisciplinary Clinical Assessment Service (CAS)

Professor Stephen Powis, National Medical Director, NHS England (CONFIRMED)

*programme subject to change