Timothy Evans qualified in 1979 at the University of Manchester, and underwent post registration medical training at the London postgraduate hospitals, and at the University of Sheffield where he completed a PhD. He undertook postdoctoral research as an MRC travelling fellow at the University of California San Francisco, returning to London in 1985 and receiving further training in pulmonary and critical care medicine. Since 1987 he has been Consultant in Intensive Care & Thoracic Medicine, Royal Brompton Hospital, London; and from 1996 Professor of Intensive Care Medicine, Imperial College London. He is currently National Director for Clinical Productivity at the Department of Health, a Trustee of the Nuffield Trust (2014- ) and Board member and Trustee of the Faculty of Pharmaceutical Medicine. He is a Fellow of the Academy of Medical Sciences and has been honorary Consultant in Intensive Care Medicine to the Army since 1997.
He was Medical Director (2006-15) and Deputy Chief Executive (2008-15) of the Royal Brompton & Harefield Hospitals NHS Foundation Trust. He was Lead Fellow for the Future Hospital Commission of the Royal College of Physicians (2012-2013) and Editor in Chief, Future Hospital Journal (2013-2016). He was Chair of the National Cardiac Benchmarking Collaborative (2014-2016). He has been Academic Vice President of the Royal College of Physicians (2009-12), a Clinical Senior Investigator of the National Institute of Health Research (2010-2013) and Vice Dean of the Faculty of Intensive Care Medicine (2010-13).
The talk will be based on “The Hospital of the Future in a sustainable NHS.” Hospital in-patients deserve to receive safe, high quality, sustainable care centred upon their needs and delivered in an appropriate setting by respectful, compassionate expert health professionals. Yet fewer hospital beds than 25 year ago must accommodate a 37% increase in emergency admissions seen over the past decade. Although reducing the average patient length of stay has helped reconcile this imbalance, the fall has flattened in the past three years and has started to rise for patients aged over 85, who present frequently with multiple co morbidities including cognitive impairment and general frailty. Although emergency admissions fall at weekends, some studies show rises in out of hours mortality. The response of the Royal College of Physicians (RCP) to these problems was to establish in July 2013 an independent Future Hospital Commission (FHC), chaired by Sir Michael Rawlins, designed to identify the optimal care pathway for adults with medical illnesses, with specific reference to organisation, processes and standards.
The presentation will:
- Provide context to, and summarise the findings of, the Future Hospital Commission of the Royal College of Physicians.
- Provide an overview of how current policy will shape the hospital of the future.
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