here is how nhs england's professor stephen powys, unveiled the changes to mea stephen powys, unveiled. we want them to absolutely be focused on the sickest patients because that's what the public tell us they are most concerned about, we want them to absolutely be focused on the sickest patients so getting quick and a high standard of treatment, which is delivered every day across our accident and emergency so getting quick and a high standard of treatment, which is delivered every day across our accident and emergency so getting quick and a high standard of treatment, departments for patients who may have a stroke, who may have a heart attack, who may come in with sepsis. that is really important because starting treatment quickly can be the difference between life and death. that was nhs england macca boss professor stephen powys explaining how some of the a&e changes lie might work. the pilot schemes will be rolled out over the summer and if seen be rolled out over the summer and if seen to be successful, nhs england will say to ministers, this is the way to go. we want the four ho