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Sarah Williams

Associate Director for UEC and Patient Flow
Herefordshire and Worcestershire ICB

Sarah began her nursing career in Critical Care in West Wales, spending eight years developing a strong clinical foundation in high-acuity care. She later transitioned into Site Management and Patient Flow, where she coordinated hospital-wide flow, managed escalation, and worked closely with clinical and operational teams to address capacity challenges. During this time, she led targeted initiatives to improve Emergency Department performance and ambulance handover times, collaborating closely with the Welsh Ambulance Service to strengthen understanding of how hospital processes directly influence patient access to timely care.

She went on to serve as Matron for Site Management and Patient Flow, where she embedded sustainable operational processes and strengthened partnerships with system stakeholders to improve patient pathways. A key achievement in this role was leading initiatives that significantly improved ambulance handover performance, with the site on occasions achieving the highest performance in Wales by maintaining a consistent focus on meeting the national 15-minute handover standard. This was achieved by enhancing system flow and fostering shared accountability for its delivery across all system partners.

In October 2024, Sarah joined the Worcestershire and Herefordshire ICB as Associate Director for UEC and Patient Flow. In this role, she has led a diverse portfolio of quality improvement programmes in partnership with system providers and external stakeholders, focusing on improving discharge processes, reducing ambulance handover delays, and ensuring coordinated care across organisational boundaries.

Passionate about urgent and emergency care performance, with a particular interest in Emergency Department and system flow operations, Sarah is committed to collaborative, inclusive leadership. She strives to deliver sustainable, patient-centred improvements that enhance both operational performance and patient experience in high-pressure environments.

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