NHS Services, Seven Days a Week Forum - NHS England

reconfigure hospital services in a way that strengthens the quality of care given to ..... Clinical Nurse Specialist (CNS) and the social worker showed that after ...
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NHS Services, Seven Days a Week Forum Evidence base and clinical standards for the care and onward transfer of acute inpatients

NHS Services, Seven Days a Week Forum

Evidence base

Gateway reference: 00889

Contents Statements in support of seven day services ............................................................................. 3 Executive summary .................................................................................................................... 4 Key messages............................................................................................................................ 4 1.

Introduction....................................................................................................................... 6

1.1

Everyone Counts: Planning for Patients 2013/14 ............................................................. 6

1.2

Scope of the review .......................................................................................................... 6

1.3

Governance...................................................................................................................... 6

1.4

Approach to the development of the evidence base and standards ................................. 7

1.5

Self-reported survey of acute hospitals ............................................................................ 8

1.6

The need for a whole-system implementation .................................................................. 8

2

Context ............................................................................................................................. 9

2.1

Variation in outcomes ....................................................................................................... 9

3

The patient pathway ....................................................................................................... 13

3.1

Consultant delivered care ............................................................................................... 13

3.2

Multidisciplinary care ...................................................................................................... 16

3.3

Handovers ...................................................................................................................... 20

3.4

Diagnostic services ........................................................................................................ 21

3.5

Intervention / Key services ............................................................................................. 25

3.6

Mental health .................................................................... Error! Bookmark not defined.

3.7

On-going review of patients ............................................................................................ 32

3.8

Onward transfer of care .................................................................................................. 34

3.9

Training and quality improvement .................................... Error! Bookmark not defined.

Annex A- Hospital services seven day a week – consideration of inequalities………………...40

2

NHS Services, Seven Days a Week Forum

Evidence base

Statements in support of seven day services Academy of Medical Royal Colleges (Seven day consultant present care): “If the medical profession accepts that consultant-delivered care provides better patient outcomes, it would seem ethically unjustifiable to deprive patients of those benefits during the weekend.” Royal College of Physicians of Lon