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4TH ANNUAL URGENT CARE CONFERENCE: DELIVERING INTEGRATED SOLUTIONS

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

View Programme
130
Conference
Attendees
8
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Credits
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Expert Speakers
20
Sponsors & Supporters


 * OVERVIEW

Our 4th Annual Urgent Care Conference: Delivering Integrated Solutions will
address how we can avoid crises like that of the winter of 2017-2018.

Supported by NHS England, NHS Digital and the Royal College of Emergency
Medicine, this timely event will examine in detail the many facets of urgent &
emergency care and what can be done to improve the situation and provide
practical solutions including the recent LGA green paper.

Delegates will hear from leading professionals who will examine how efficiencies
within primary, ambulatory, social and community care have been successfully
implemented. The event will showcase practical examples of service development
and integration and the role of digital technology.

The urgent care system is at breaking point. NHS figures from the winter of
2017-2018 were the worst on record with January 2018 marking the 30th month in a
row that the four-hour target has been missed. This was even after the
large-scale cancellations of non-urgent treatment that occurred in order to
prioritise urgent and emergency care. Over 80,000 patients waited on trolleys
for more than four hours at A&E in January, 1,000 of which were waiting for over
12 hours - the highest numbers since records began.

Sustained austerity measures over the last several years have led to reports
regularly hitting the headlines of the continuous problems within urgent care.
Bed-occupancy for overnight acute beds have risen from an average of 87.1% in
2010-11 to 90.4% in 2016-17. Some hospitals have been at 95%. In addition, 13%
of patients spent longer in A&E than the four-hour standard during 2016-17.

The amount of day-only beds (used when patients require same-day procedures) has
risen by over 520% since 1987-1988. With the UK population expected to grow to
74 million by 2039, increasing and improving NHS capacity as a whole is becoming
ever more important. Moreover, with an ageing population to take care of and,
with those aged over 80 having the highest rates of A&E attendance, there is
likely to be ever more strain on urgent care services. Our conference programme
will examine in detail the many facets of urgent care and what can be done to
improve the situation and provide practical solutions.

The NHS is under unprecedented strain. Nationally the NHS has failed to hit any
of its main targets in each of the last 12 months, including the system
benchmark of seeing 95% of A&E patients within four hours. A&E Departments built
fifty years ago to see maximums of 350 patients a day are recording 500 to 700.
A&E units managed to treat and then admit, transfer or discharge just 77.1% of
arrivals within the four-hour target in January 2018. Staff are overworked and
patients are feeling the impact. Over 80,000 patients waited on trolleys for
more than four hours at A&E in January, 1,000 of which were waiting for over 12
hours - the highest numbers since records began. Furthermore bed occupancy
levels in hospitals were recorded at 95% in January 2018, far above the 85%
limit that health experts have stressed should be the maximum in order to
prevent the spread of infection diseases such as MRSA.

Alongside the increasing rise in patient demand for urgent care there are
additional pressures on health and social care resources. Demand for NHS
services is rising at around 4% a year but funding is rising at the slowest rate
since the service was founded in 1948. In the last seven years NHS funding has
risen in real terms by 1%, prior to this was at 4% each year, and this financial
year it will be 0.7% meaning that trusts will again be tasked with making
savings. A study from January 2018 ‘Population and patient factors affecting
Accident and Emergency Department attendance in London: an analysis of linked
primary and secondary care records’ by Queen Mary’s University showed that the
sheer number of patients, rather than a lack of GPs, is causing more A&E
admittances and therefore longer waiting times. The research further indicated
that A&E attendances had tripled over the last 50 years.

So how can our healthcare services ensure next winter care improves? Winter
2018/19 is coming and with it the well recognised conditions that create sudden
surges in demand or reduce the NHS’s ability to meet this demand. Usual suspects
include influenza-like illness, respiratory diseases associated with colder
weather, and infectious winter vomiting bugs like norovirus that can close
entire hospital wards. These impact on NHS staff as well as patients, further
adding to pressures on services as staff sickness increases over winter.
Bed-blocking remains a major problem for many hospitals and this is especially
true in winter. There was only one day last winter where bed occupancy was under
85% - Christmas Eve.

Pressures on social care are adding more strain on urgent care. Fullfact have
reported that the number of elderly people being rushed to A&E from care homes
has risen by 62% since 2010. This only adds to the huge pressure already on A&E
services. NHS figures from 2017 have shown that up to 100,000 patients over the
winter had to wait in ambulances before being able to enter A&E due to
overcrowding. A lack of patient awareness of what medical issues require urgent
care also contributes to over-demand. Initiatives such as the Patient Awareness
Measure (PAM), multispecialty community provider vanguards, the 111 System and
the recent Stay Well Pharmacy campaign have aimed to ease patient flow.
Reflecting on how these programs have been received will further help shape
improvements in urgent care.

Of the four home nations, Scotland is leading the way in meeting the four-hour
standard. This is followed by England, Wales and Northern Ireland respectively.
Comparing different systems is a useful tool to understand the best approaches.
There is not one simple solution to the urgent care crisis but it is clear a
more whole-system approach is needed. Gathering the necessary data and looking
at evidence to find best practices will help improve urgent care. Different
services are too often inadequately joined-up such as sufficient social care not
always being in place for patients upon being discharged from hospital, thereby
leading to delays. Different stages of care such as primary, ambulatory, social
and community and others must be more integrated.

Read more


 * CONFIRMED SPEAKERS

Cllr Ian Hudspeth
Chair, LGA Wellbeing Board
Richard Whitby
Director of Older People Services, Community Integrated Care
Oli White
Head of Commercial, Sesui – Cloud Communications
Mark Newton
Assistant Director of Transformation / Head of Service and Consultant Paramedic
of Urgent Care, North West Ambulance Service
Richard Oakley
Head of Analytics, Methods Analytics
Andrea Jamieson
Unscheduled Care National Improvement Advisor, NHS Scotland
Dr Chris Moulton
Vice-President, Royal College of Emergency Medicine
Dr Sam Shah
Director of Digital Development, NHS England
Henry Clay
Director, Primary Care Foundation
Sue Crossland
Vice-President, Society for Acute Medicine
Cllr Ian Hudspeth
Chair, LGA Wellbeing Board
Richard Whitby
Director of Older People Services, Community Integrated Care
Oli White
Head of Commercial, Sesui – Cloud Communications
Mark Newton
Assistant Director of Transformation / Head of Service and Consultant Paramedic
of Urgent Care, North West Ambulance Service
Richard Oakley
Head of Analytics, Methods Analytics
Andrea Jamieson
Unscheduled Care National Improvement Advisor, NHS Scotland
Dr Chris Moulton
Vice-President, Royal College of Emergency Medicine
Dr Sam Shah
Director of Digital Development, NHS England
Henry Clay
Director, Primary Care Foundation
Sue Crossland
Vice-President, Society for Acute Medicine
Cllr Ian Hudspeth
Chair, LGA Wellbeing Board
Richard Whitby
Director of Older People Services, Community Integrated Care
Oli White
Head of Commercial, Sesui – Cloud Communications
Mark Newton
Assistant Director of Transformation / Head of Service and Consultant Paramedic
of Urgent Care, North West Ambulance Service
Richard Oakley
Head of Analytics, Methods Analytics
Andrea Jamieson
Unscheduled Care National Improvement Advisor, NHS Scotland



EVENT SPONSORS AND SUPPORTERS


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 * EVENT PROGRAMME


TIME:


EVENT:

08:30

REGISTRATION AND COFFEE IN THE NETWORKING AREA

09:25

CHAIR'S OPENING ADDRESS

 * Dr Chris Moulton, Vice-President, Royal College of Emergency Medicine
   (confirmed)

09:30

SESSION 1: URGENT CARE CRISIS

09:30

KEYNOTE ADDRESS

 * Dr Sam Shah, Director of Digital Development, NHS England (confirmed)

"When Seconds Count: How Technology is Transforming Urgent and Emergency Care"

The demand on urgent and emergency care in the NHS has never been greater, and
this is increasing year on year. What is the role of digital in the future of
urgent and emergency care? How can we take a digital first approach to urgent
and emergency care and how an omni-channel approach can be used in the health
system? This presentation will explore how we are harnessing the power of
information and technology to support the transformation in urgent and emergency
care through:

 * Empowering patients
 * Improving patient flow through the health system
 * Facilitating channel shift

09:50
 * Sue Crossland, Vice-President, Society for Acute Medicine (confirmed)

"Winter is Coming"

There is somewhat of an 'eternal winter’ engulfing acute medicine’s role in
managing the urgent care crisis. Sue's talk will address how acute medicine
evolved as a specialty, becoming the backbone in hospitals (once admission is
inevitable) of flow. She will also touch on ambulatory care and admissions
avoidance.

10:10
 * Henry Clay, Director, Primary Care Foundation (confirmed)

"Maximising the Benefit of Phone Assessment Through NHS 111"

NHS 111 can play a vital role in getting people to the right service, and in
helping to not impinge further on the urgent care system. However, in many areas
they do just the opposite with too many people attending A&E. It is also a vital
part of making sure that the local urgent care system is truly integrated. 

10:30

CASE STUDY

 * Oli White, Head of Commercial, Sesui – Cloud Communications (confirmed)

"Matching capacity with demand through the cloud"

Whether in hours or out of hours, GPs are the frontline for change within our
NHS. But there’s a huge mismatch between what they’re being asked to do and
those available to do it. Something’s got to give. How can technology help us to
match GP capacity with patient demand, while joining-up primary care, 111,
out-of-hours and urgent care providers to deliver integrated urgent care? The
answer’s in the cloud.

10:50

Q&A SESSION

Sam Shah, Director of Digital Development, NHS England

Sue Crossland, Vice-President, Society for Acute Medicine

Henry Clay, Director, Primary Care Foundation

Oli White, Head of Commercial, Sesui – Cloud Communications

Delegates will have the opportunity to ask questions to speakers from Session 1.

11:15

COFFEE BREAK IN THE NETWORKING AREA

12:00

SESSION 2: SOCIAL AND COMMUNITY CARE

12:00
 * Cllr Ian Hudspeth, Chair, LGA Wellbeing Board (confirmed)

"Managing the Social Care Crisis"

Escalating funding pressures and increasing demand are threatening services that
improve lives and communities. The new Chairman of the LGA Wellbeing Board will
be speaking on the LGA green paper to address this, published on 31 July and the
consultation period ending on 26 September.

12:20
 * Richard Whitby, Director of Older People Services, Community Integrated Care
   (confirmed)

"From Hospitals to Community Care"

Community care, such as nursing homes, residential homes and sheltered housing,
play a vital role in social care and is often where patients being discharged
from hospital are directed to if they still need care. The numbers are growing
due to an ageing population. How can we improve transferring patients from
hospitals to community care facilities?

12:40

CASE STUDY

 * Richard Oakley, Head of Analytics, Methods Analytics (confirmed)

"ECDS and Population Health Management for Urgent Care"

The ECDS dataset and ICS framework open up a number of avenues for the use of
population health management techniques in urgent care for direct intervention.
This talk examines the implications and the current applications of these
approaches including details of their use in planning for this winter.

13:00

Q&A SESSION

Cllr Ian Huspeth, Chair, LGA Wellbeing Board

Richard Whitby, Director of Older People Services, Community Integrated Care

Richard Oakley, Head of Analytics, Method Analytics

Delegates will have the opportunity to ask questions to speakers from Session 2.

13:15

LUNCH IN THE NETWORKING AREA

14:15

CHAIR'S AFTERNOON ADDRESS

14:20

SESSION 3: ON THE FRONTLINES & COMPARING SYSTEMS

14:20
 * Andrea Jamieson, Unscheduled Care National Improvement Advisor, NHS Scotland
   (confirmed)

"Urgent Care in Scotland"

Of the four home nations, Scotland is leading in terms of urgent care. 95% of
patients are seen and discharged in four hours or less. What can the rest of the
UK take from Scotland's system and improve their own?

14:40
 * Mark Newton, Assistant Director of Transformation / Head of Service and
   Consultant Paramedic of Urgent Care, North West Ambulance Service (confirmed)

"Looking at our Ambulance Services"

Reports of severe ambulance delays have been making national news too often in
recent times. This session will address integrated urgent care from an ambulance
perspective, including covering some of the central drivers and Ambulance Trust
responses.

15:00

PANEL DISCUSSION: PREVENTING A RECURRENCE OF THE 2017-18 WINTER CRISIS

 * Andrea Jamieson, Unscheduled Care National Improvement Advisor, NHS Scotland
   (confirmed)
 * Mark Newton, Assistant Director of Transformation / Head of Service and
   Consultant Paramedic of Urgent Care, North West Ambulance Service (confirmed)
 * Sue Crossland, Vice-President, Society for Acute Medicine (confirmed)

15:45

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NEWS


 * UK GENERAL ELECTION: WHAT WILL BE NEXT FOR HEALTH AND SOCIAL CARE?
   
    * Posted on 09 June 2017
   
    * Read More


 * DUTY OF CARE: CQC TARGETS HEALTH & SOCIAL CARE INEQUALITY
   
    * Posted on 09 October 2017
    * by Jason Gordon
   
    * Read More


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The building contains all the usual touches you would expect from etc.venues
including vibrant design, state of the art tech and on site catering with our
own chefs are.

 * 0161 302 8888
 * 11 Portland Street, Manchester, M1 3HU
 * https://www.etcvenues.co.uk/venues/manchester




FEATURED EVENTS


 * URGENT CARE: IMPROVING PATIENT FLOW
   
    * 21 September 2017
    * 08:30 - 16:30
    * Manchester Conference Centre
   
    * View Finished Event


 * TRANSFORMING URGENT AND EMERGENCY CARE: SAFER, BETTER, FASTER
   
    * 29 September 2016
    * 08:30 - 17:00
    * Manchester Conference Centre
   
    * View Finished Event


 * URGENT CARE: REDUCING AVOIDABLE ADMISSIONS
   
    * 09 September 2015
    * 08:30 - 16:15
    * Manchester Conference Centre
   
    * View Finished Event


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