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Should we move to a full 7 day health & social care service? by Sanjay Arya

Dr Sanjay Arya, Divisional Medical Director of Medicine, Wrightington, Wigan and Leigh NHS Foundation Trust speaking at Avoidable Hospital Deaths said there is a variation in care depending upon time of the day and the day of the week patients are admitted with increased risk of death associated with weekend emergency admissions. There is an alarming scaling down of services during weekends in acute trusts. Where there is a 7 day service, there is no observed difference in mortality rates in the week and at weekend. Mortality rate for weekend admissions is significantly higher among trusts with the fewest doctors. More senior staff per bed at weekends is associated with a lower weekend emergency mortality rate.

Increased senior clinician (doctors and nurses) presence over the weekend is a cost effective model. It reduces mortality, facilitates early decision making, reduces unnecessary investigations, reduces length of stay, reduces admission/ readmission and improves supervision of trainees. If the full benefits of 7 day Consultant service are to be realised, support services will also need to adopt 7 day working practice.

Sanjay said that clinicians must feel engaged, valued & comfortable in managing patients. Increased daily senior review on medical wards and improved patient pathway / journey / care bundles can reduce mortality of patients admitted over weekends.

Events of interest:

Reducing Medication Errors
Wednesday 19 March 2014 Birmingham

 

Recognising and Responding to the Deteriorating Patient
Wednesday 30 April 2014 
London

 

Leading your Organisation to Zero-Harm
Tuesday 9 September 2014 London

 

Download: Sanjay Ayra Presentation

12 February 2014

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