The ECIP website is now closed, but don't worry, you can find us on NHS Improvement's improvement hub.


The improvement hub lets you search hundreds of improvement resources - you can even share your own. You can also collaborate and explore your ideas with colleagues on the discussion board.


The final day to access is Friday 24th March 2017, after this date the site will be available through the national archive.




The first cohort of health and care systems within ECIP signed a commitment to improve urgent and emergency care for patients. These concordats represent a commitment to implement high priority actions to improve urgent and emergency care and include an offer of support from ECIP, with the aim of improving safety for patients. Having a clear set of priorities and the ability for each system to monitor provides powerful tools to support change. ECIP has committed resources, including clinical support, to help each system implement their improvements. 

Each concordat is tailored to the individual system and is based on diagnostic work undertaken by ECIP intensive support managers supported by staff within the system. A range of improvement metrics have been identified that systems can use to keep track of progress and review where changes have led to real improvement over time.

The types of improvement metrics include: Performance against the emergency care 4hr waiting time standard; improved results on staff surveys; reduction in length of stay; improved patient experience; reductions in the number of stranded patients (patients who have been in hospital 7 days or more); reduced crowding in emergency departments; reductions in the number of over 75s having to be admitted to hospital; and reduced A&E breaches due to mental health delays; amongst others.

The ECIP urgent and emergency care systems who have finalised their concordats, can be found below. The remaining systems will be made accessible on this page as they become available. 


Hull & East Riding
North Cumbria
Wakefield & North Kirklees
York & Scarborough

Midlands & East

Cambridge & Ely
Coventry & Rugby
Herts Valley & West Herts
North Northamptonshire & Corby
Stoke & Staffordshire
North East Essex
Mid Essex


Tower Hamlets Waltham Forest & Newham
Bromley Lambeth Southwark
Brent and Harrow


Brighton & Hove
East Kent
Western Devon