Nursing and urgent care

Home » Our expertise » Nursing and urgent care

Image of older woman in wheelchair being pushed by husband towards clinicians

Our mission is to enhance the patient experience and outcomes by supporting decision-making processes at strategic, tactical, and operational levels.

The Nursing and Urgent Care team is your trusted partner for specialist, independent, clinical and analytical guidance on a regional, national and international scale.

With a wealth of senior clinical and operational experience, our team is uniquely positioned within the NHS and broader health and care systems to serve as an independent ally. We’re committed to driving improvements in your key areas – offering a critical, friendly perspective to facilitate positive change.

Our expertise extends beyond clinical care and governance. We specialise in pathway and system transformation, urgent care flow and redesign, discharge optimisation, and capacity management. We offer expert insights and solutions to address your unique challenges and enhance your system’s efficacy – improving outcomes for patients.

We pride ourselves on our proven track record in enhancing urgent care pathways. We support evidence-based understanding and decision-making for a variety of providers, including new and existing integrated care providers (‘place’), integrated care boards, integrated care systems, and NHS England.

Urgent care support and escalation management

Supporting whole system partners to ensure patients receive the care they need, when they need it.

With extensive experience in urgent and emergency care co-ordination and delivery, we offer more than a data platform. Our solutions bring together our team of clinical and operational experts and data scientists to support the optimisation of unplanned care across whole health and social care systems, measuring and facilitating the management of provider and system pressures and supporting partners to deliver better patient care.

Escalation Management System – EMS+

A dynamic, web-based escalation management system that helps to assess and manage operational pressures in real-time across all providers in a system, generating OPEL reports and action cards.

System Control Centres

Enhance your healthcare system’s efficiency with our Regional Capacity Management Team – experienced specialists in urgent care escalation management – for deep insights to steer effective and strategic solutions.

Download our Urgent care support and escalation management brochure.

Urgent care and patient flow

Right treatment, right time, right team – our approach to enhancing patient care and experience.

We bring rapid improvements to reduce length of stay and improve patient outcomes. We do this by tailoring innovative best in class solutions for your unique healthcare environment. Our expertise improves patient experience, saves costs, and accelerates patients’ access to the treatment they need.

Urgent and Emergency Care and Flow improvement

Working alongside clinicians to address challenges, analyse and enhance current systems to maximise results for system-driven improvement where it is needed most.

Targeted Reduction in Length of Stay programme

Harnessing data and clinical insights for clinician-to-clinician discussions to devise and agree actions for driving and anchoring sustainable changes in pathways and processes. 

Download our Urgent care and patient flow brochure.

Clinical quality and safety

We have the experience and scale to act as your partner in delivering excellence.

Leveraging recent clinical, peer review and CQC experience, our clinicians are uniquely positioned to enhance both NHS and wider health and care system delivery. We collaborate closely with teams to ensure services align with established standards, promote best practice, and enhance patient satisfaction and outcomes.

Download our Clinical quality and safety brochure.

Contact the team

Urgent care, support and escalation management:
Justine Howe, Head of Urgent Care – email: or contact 07823 808080

Urgent care and patient flow:
Justine Howe, Head of Urgent Care – email: or contact 07823 808080

Clinical quality and safety:
Kelly Bishop, Assistant Director of Nursing and Urgent Care – email: or contact 07855 223991

Our passionate and dedicated team doesn’t just provide solutions; we join you on your journey towards unparalleled patient care and system efficiency. We partner with you, work hand-in-hand, sharing your vision and commitment to delivering excellence.

View all

News and views


New Podcast: Revolutionising patient engagement and care with personalised healthcare videos

Join host Richard Caddy for another thought-provoking session in our latest podcast with our Digital Innovation Unit. Tune…


Enhancing our expertise in Workforce Planning to meet growing needs

NHS Midlands and Lancashire (ML) are excited to announce that we’ve secured five places for members of our…


Study reveals promising early outcomes of NHS Digital Weight Management Programme

Obesity is a pressing global health challenge, linked to various chronic diseases such as type 2 diabetes, cardiovascular…

View all

How we can help health systems

Developing health systems

Acting as an independent and trusted partner within the system to facilitate working across stakeholders and integrate elements of the provider system…

Learn more about Developing health systems
Developing health systems

Workforce resilience and transformation

Supporting systems to build a sustainable and integrated workforce, transforming systems, organisations and the workforce experience to improve resilience.

Learn more about Workforce resilience and transformation
Workforce resilience and transformation

Communications and engagement

Supporting ICSs with approaches to design and deliver effective communication, engagement and behavioural insights as a key enabler for system change and…

Learn more about Communications and engagement
Communications and engagement

Digitally enabled transformation and IT

Digitising care and partnering with systems for the transformation of digitally enabled service delivery (and other supporting processes) across vision, planning and…

Learn more about Digitally enabled transformation and IT
Digitally enabled transformation and IT

PHM analytics and decision support

Applying intelligence-led understanding of the health of the population to support the redesign of care and improve patient and financial outcomes across…

Learn more about PHM analytics and decision support
PHM analytics and decision support

Place and primary care transformation

Supporting providers to work together at a place and neighbourhood level to manage common resources, integrate community teams, improve health and reduce…

Learn more about Place and primary care transformation
Place and primary care transformation

Clinical redesign and provider collaboration

Redesigning how health and care works across England - placing people at the centre of their own health and care and utilising…

Learn more about Clinical redesign and provider collaboration
Clinical redesign and provider collaboration

Personalised healthcare commissioning services

Providing end-to-end funded care services, including patients as active partners in identifying their healthcare needs and then commissioning care to meet these.…

Learn more about Personalised healthcare commissioning services
Personalised healthcare commissioning services

Business enabling services

Delivering a wide range of support functions through transactional services, business partnering and transformation that drives efficiencies and releases value and time…

Learn more about Business enabling services
Business enabling services

Accessibility Tools