Making sure patients get the right care, in the right place, at the right time

Across the NHS, staff work around the clock to deliver the best possible care to more patients than ever before. However, it’s becoming increasing difficult to deliver care as demand continues to rise.

In response to NHS England’s strategy for urgent and emergency care services, BOB ICS has developed an area-based strategy.

It recognised that whilst there are three strong local health economies within BOB ICS, that working across the wider BOB ICS area, will support the sharing of strengths and best practice on a ‘do once and share’ basis.

This programme focuses on development of an Urgent Emergency Care Delivery Plan and how to maximise value by working at scale.


Priorities include:

  • Piloting and implementing NHS 111 online, so people can access urgent care services via the web
  • Development of GP-led Urgent Treatment Centres, open 12 hours a day, seven days a week. These Centres will be able to diagnose and deal with many of the common ailments people currently attend A&E for
  • Making sure each local health and care system is prepared and ready for winter
  • Reviewing and refreshing the Urgent Emergency Care Delivery Plan, to achieve the required outcomes of the NHS’s seven pillars of urgent and emergency care:
    • 111 Online
    • 111 Calls
    • Ambulance
    • Urgent Treatment Centres
    • GP Access
    • Hospital
    • Hospital to Home
  • Link with the workforce workstream to develop a strategy to increase workforces across the BOB ICS area for winter, specifically domiciliary care and bank nursing over Christmas / New Year period and sessional medical staff leading up to April          
  • Review the impact of the Ambulance Response Programme and identify how to improve support to crews from primary care
  • Link with BOB ICS wide capacity planning activities regarding balance across planned care and urgent emergency care capacity vs projected demand