Delivering NHS Services, 7 Days a week
• ensuring access to clinical services 7 days a week for routine and emergency care: an update from the NHS Services, 7 Days a week forums
• removing barriers which prevent the NHS functioning as a seven day service
• ensuring equity in care for all regardless of day of admission
Deborah’s presentation is available for download at the end of this page.
In her presentation Deborah gave the background to delivering NHS Services 7 Days a week and why there is a need, listing:
- Mortality associated with acute care varies by day of admission (and so does the acuity of illness)
- Length of stay varies by day of admission
- Discharge rate varies by day of the week
- Readmission rate varies by day of discharge
- Medical, nursing, AHP and managerial staffing levels vary by day of the week
- Trainees perception of supervision by consultants varies by day of the week
Deborah covered The Clinical Standards for 7 Day Services and the 4 priority standards, there is now baseline data available at https://www.england.nhs.uk/ourwork/qual-clin-lead/7-day-week/
Deborah discussed how 7 Day NHS services will develop over time, the trajectory is:
- By March 2017, a quarter of the population who have urgent or emergency hospital care needs will have access to the same level of consultant assessment and review, diagnostic tests and consultant-led interventions seven days a week
- This first tranche will include 5 areas that together serve over 9.5 million people. These are Northumberland and the North East; Greater Manchester; Leicester, Leicestershire and Rutland; Southampton; and North West London
- By 2018, 50% of the population will have access to these services
- By 2020, there will be complete coverage for the whole of England, so that every in-patient will receive the same standard of urgent and emergency care, whatever the day of the week
"The conservative party manifesto included ‘7 days by 2020 – gp access, hospital services & elements of outside hospital care"
"we need to work in partnership to help the system work"
"some organisations have chosen to implement the 7 day service as they thought it was a massive priority for their patients"
"I think NHS England need to come together as a whole system – this meaning gp’s, hospitals, all forms of care working together"
"we have been negotiating with finance regarding spending allocation for 7 day services and will be told on the 26th November 2015"
"going forward we will be choosing hospitals in a much more collaborative, transparent way to get to 50% of hospitals using 7 day services"
Future events of interest:
Consultant Job Planning
Managing and Reducing Bank and Agency Staff in Nursing
Measuring, Understanding and Acting on Patient Experience Insight
Masterclass: Developing your Leadership Skills
Measuring & Monitoring Clinical Quality
Masterclass: Marketing Yourself and Your Service
Developing the Role of the Physician Associates
Download: Deborah Williams full presentation9 November 2015