The priorities for improvement to

deliver improved outcomes for

patients 7 days a week

Dr Janet Williamson,

Director National Improvement Programmes

NHS Improving Quality

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Underpinning principle

• 7 day services across

a pathway of care

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So what’s the problem we are trying to solve ?

– Delivering safe care

– Delivering care 7 days a week

– Equitable care

– Reducing hospital stay

– Early supported discharge

– Preventing admission

– Earlier Diagnosis / treatment ‘equality of treatment or outcome

regardless of the day of the week’

Launch by Sir Bruce Keogh of 30 case

studies on seven day services …

4 Level Model• Level 1 – Services limited to one department or a service

that is beginning to deliver some services beyond the 8am – 6pm Monday to Friday service.

• Level 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week days.

• Level 3 – A whole service approach to 7 day service delivery that requires several elements to work together in order to facilitate clinical decision making or treatment, often covering more than one work force group.

• Level 4 – A whole system approach to 7 day service delivery by integrating the requirements for elements of 7 day services across more than one specialty

6 Key Drivers for Change

• Personal desire to make the service more

equitable

• Policy and professional guidance

• Commissioning

• Improving access/increase in demand

• Financial

• Operational

National Steering 7 Day Services

• Acute and diagnostics (Hospital focus)

• Working with prototype sites

• Economic analysis

• Evidence base

• Working patterns

• International benchmarking

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I was lucky. Shoudn’t

everyone of us have the

best chance possible, no

matter what time of the day

or day of the week it is?

‘‘Rodney Partington, Patient Representative