Programme

Registration and refreshments

Opening remarks from the Chair

The key to delivering excellent Urgent and Emergency Care to patients is excellent commissioning of Urgent and Emergency Care pathways

• QIPP (quality, innovation, prevention and performance) – the next stage for implementing Darzi
• Emergency planning and organisational resilience to deal with winter demand and fluctuations, and swine flu
• Recession and getting absolute value for money from our services

Question and answer session

The challenge of measuring indicators and meeting targets while delivering high quality care

• Balancing quality with efficiency – delivering high quality patient care and experience
• Managing increasing numbers of urgent rather than life threatening admissions to hospitals
• Overcoming the challenges of meeting the needs of a greater complexity of patient in a short timeframe
• Developing your workforce and achieving the appropriate skill mix to support the delivery of both targets and quality care in light of the shortage in qualified doctors

Interactive discussion: Your chance to interact with peers and discover how they are measuring quality indicators to drive up performance

Case Study - Achieving integration across primary and secondary care to deliver seamless services in the right place, at the right time

• Defining protocol and KPIs with service providers to ensure joined up strategy across care pathways with the aim of admission prevention
• Tackling the problem of financial incentives that work against the principle of integrated care across a region
• Strengthening partnership working across health and social care and measuring patient flow across services
• Applying integrated business practices and systems to realise improvements in productivity and cost reductions

Question and answer session

Morning refreshments

Overhauling stroke and major trauma care to improve care delivery and reduce pressure on other NHS services

• Delivering new major stroke and trauma services across London
• Implementing changes across the ambulance service to ensure a coordinated and appropriate service response
• Raising standards across the capital through partnership working across boroughs
• Discussing lessons learnt and their potential application in other regions

Question and answer session

Interactive Discussion - Exploring new models of care to transform your whole health economy

• Improving the management of urgent care in general practice
• How a national benchmark of out of hours care can drive improvements in care
• Using primary care practitioners within or alongside emergency departments

Understanding the role of the Emergency Care Intensive Support Team

• Gaining from exposure to the latest analysis of emergency pressures from DH and SHA analysis teams
• Developing a practical understanding of the operational triggers that should be used in escalation policies
• Achieving the sustainable delivery of high quality emergency care

Question and answer session

Lunch

Exploring the use of IT in Urgent Care for improved efficiency, reduced risks, higher quality care and greater patient satisfaction

Recruiting and retaining a high quality workforce by investing in their ongoing development

• Recruiting appropriate skill sets - re-evaluating the traditional roles of nurses and clinicians
• Developing a competent workforce for the future to reflect new models of urgent care
• Looking at alternative options to the human workforce with the development of new technologies
• Retaining talent by effectively engaging employees in the move towards integrated out of hours care
• Effective workforce planning to tackle resourcing issues across primary and secondary care

Question and answer session

Afternoon refreshments

Using social marketing to alter behaviours and ensure patients receive the right care in the most appropriate setting

• Identifying common reasons for hospital admission or attendance to change mindsets and behaviour patterns of the public
• Educating and engaging employees across health and social care to ensure there is a coordinated approach to care
• Reaching parts of the population who do not normally understand or access care pathways
• Delivering and measuring the success of campaigns to impact on admissions and service user satisfaction levels

Interactive Discussion - The question of capacity and demand management

PCTs across the country are working towards building new services to deal with the increased strain on urgent and emergency care. There is however a concern that this is fuelling demand, rather than reaching the most vulnerable members of the community. This interactive discussion will give you the chance to find out how other trusts are dealing with the realities of staffing multiple sites and engaging staff and patients across care pathways

Case Study - Improving quality and responsiveness in the ambulance service

• Using ambulance intelligence to inform commissioning of services and improve the patient experience
• 3 digit number and the opportunities for improving access to services
• The impact of large scale improvement programmes on ambulance services

Question and answer session

Chair’s closing remarks

Close of conference