Seven day services: clarification of the four priority clinical standards


In response to clinical feedback, we’ve clarified our guidance on the clinical standards for providers completing the self-assessment survey.

When completing your trust's self-assessment survey, the main points to be aware of are:

  • the time to first consultant assessment (7 Day Hospitals Standard 2) will be measured from 14 hours of a patient’s admission to hospital rather than arrival -  this will bring it into line with the original Royal College of Physicians’ (RCP) guidance which forms the basis of the standard
  • the RCP’s guidance states that patients should have a first review with an appropriate consultant within 14 hours of arrival on the acute medical unit (Acute Care Toolkit 4, Royal College of Physicians, 2012) - for this standard, the definition of consultant remains a doctor who has completed all of their specialist training and been placed on the GMC’s specialist register
  • regarding standard 5, timely access to diagnostics, we intend to reframe the survey question to allow us to make an accurate overall assessment of the availability of key tests

Next steps

Work on this is ongoing and we intend to have a revised question ready for testing early in 2017.

We will update guidance on the seven day services survey tool to include these clarifications ahead of the next survey.


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    • nhsi
    • 24 Jan '17

    resource was opened for discussion.

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