Skip navigation

Implementing Clinical Quality Standards for NHS Services, 7 Days a week

Prof Derek Bell Professor of Acute Medicine Imperial College London spoke at today’s Delivering a 7 Day Health Service conference on: 

•    Implementing clinical quality standards for NHS Services 7 Days a week
•    Building on the work in London: 10 standards: patient experience, time to first consultant review, MDT review, shift handover, diagnostics, intervention, mental health, on-going review, transfer to community, primary and social care and quality improvement 
•    The challenges: consultant delivered care and multidisciplinary assessment

Prof Bell began his presentation by explaining how the London quality standards were developed based on a case for change which included:
Clear recommendations from clinical evidence; early and consistent input by consultants improves patient outcomes.
Patients admitted as an emergency at the weekend have an increased risk of dying:
•    Estimated 500 lives could be saved every year.
•    Most literature excess mortality about 10%
•    Morbidity
•    Cost 
Prof Bell shared the audit findings, discussed the emerging challenges and how the work fed into national developments for 7 day NHS Services.

In his presentation Prof Bell commented:

"in the health service people are constantly telling us things will be better next week"

"the more acute you are the more excess capacity you need"

"you have to get staffing right"

Prof Bell’s full presentation is available for download at the end of this page.

Derek Bell is the Director of the NIHR CLAHRC for Northwest London. He was appointed as the first Professor of Acute Medicine in the UK as part of Imperial College London and as the inaugural President of the Society for Acute Medicine and was a founder in the development of Acute Medicine as a clinical specialty. Derek is currently the President of the Royal College of Physicians, Edinburgh.

He graduated from Edinburgh University in 1980. He initially specialised in Respiratory and General Medicine with an interest in Intensive Care. Derek was Associate Medical Director for Lothian Acute Hospitals prior to taking up a post at Imperial College and directly involved in a number of large national change programmes including the Emergency Services Collaborative with the Modernisation Agency. Additional leadership experience in the field includes serving as Deputy Chair for North West London Comprehensive Local Research Network (NWL CLRN), and serving as chair of the research group, Society for Acute Medicine, until 2012.  

His academic research interests relate to quality and organisation of care, particularly acute medical care, and the methods of delivery of care. As part of this work the team at the Centre for Health Care Improvement and research have been invited to support work in Australia, Ireland and throughout the UK. Clinical interests include illness severity assessment, pulmonary embolism and pneumonia.  

Derek has published over 120 peer reviewed papers and has lead several policy document initiatives including the development of successful National Early Warning Score to support standardisation of care across the UK.

Future conferences of interest:

Demonstrating Effectiveness
Tuesday 25 November 2014 
ICO Conference Centre, London

Out of Hours Care in Hospital
Tuesday 2 December 2014 
Hallam Conference Centre, London

Masterclass: Advanced Continuous Improvement (CI~Silver Level)
Wednesday 10 December 2014 — Thursday 11 December 
Manchester Conference Centre, Manchester

Monitoring & Improving Patient Safety
Thursday 11 December 2014 
ICO Conference Centre, London

Measuring and Monitoring Quality
Tuesday 20 January 2015 
ICO Conference Centre, London

Download: Prof Derek Bell full presentation

6 October 2014


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
    GGI (Good Governance Institute) accredited conferences CPD Member ASGBI (Association of Surgeons of Great Britain and Ireland) professional partner BADS (British Association of Day Surgery) accredited conferences