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This conference will explore the challenges faced by High Intensity Users of A&E as well as the healthcare professionals who support them. While High Intensity Users only account for 11% of A&E attendees, the strain on our already overstretched emergency departments is significant and costly.
We will be exploring the root causes and underlying factors behind frequent users of A&E, including mental health needs, chronic conditions and gaps in community care. We will also examine the broader implications for the NHS in terms of resource allocation, patient outcomes and system-wide efficiency.
““Last year, more than 1.7 million patients waited 12 hours or more to be admitted, discharged or transferred from A&E. That’s almost 14% more compared to 2023. Of these patients, 69.2% were waiting to be admitted to a ward for further care. Using the Standard Mortality Ratio – a method which calculates that there will be one additional death for every 72 patients that experience an 8–12-hour wait prior to their admission – RCEM estimates that there were 16,644 associated excess deaths related to stays of 12 hours or longer before being admitted.”
Royal College of Emergency Medicine, 15 May 2025
“Across the country, many people are making repeat visits to A&E due to unresolved medical issues and other unmet non-clinical needs. The charity is calling for more dedicated high intensity use of A&E (HIU) services and improved access to community care services to support people before they reach crisis point.”
British Red Cross, November 2024
Benefits of attending. This conference will enable you to:
Network with colleagues who are working to improve High Intensity Use Services in A&E
Discuss the national data and evidence base currently on High Intensity Use Services
Reflect on the lived experience
Understand the impact of High Intensity User Services on Emergency Departments
Implement interventions and services for High Intensity Use
Understand how quality improvement in A&E can support High Intensity Users
Improving the approach to children, young people and families in High Intensity Use Services
Deliver exceptional quality care for High Intensity Users
Reflect on lessons from a pilot site
Work in innovative ways with multidisciplinary teams in emergency care
Identify key strategies for working outside of traditional ED care
Developing your skills in working with psychiatric liaison teams
Understand social prescribing as a solution to High Intensity GP use
Measure and assess the outcomes and impact of High Intensity Use services
Self assess and reflect on your own practice
Supports CPD professional development and acts as revalidation evidence. This course provides 5hrs training for CPD subject to peer group approval for revalidation
