What does it mean to provide seven day services?
The seven day services programme is designed to ensure patients that are admitted as an emergency, receive high quality consistent care, whatever day they enter hospital.
Patients across England will see a revolution in hospital care with the introduction of seven day consultant-led services that are delivered consistently over the coming years.
Find out more about the board assurance framework — the approach, from November 2018, to measuring progress in implementing seven day hospital services (7DS).
The 10 clinical standards
Ten clinical standards for seven day services in hospitals were developed in 2013 through the Seven Day Services Forum, chaired by Sir Bruce Keogh and involving a range of clinicians and patients. The standards were founded on published evidence and on the position of the Academy of Medical Royal Colleges (AoMRC) on consultant-delivered acute care. These standards define what seven day services should achieve, no matter when or where patients are admitted.
The four priority standards
With the support of the AoMRC, four of the 10 clinical standards were identified as priorities on the basis of their potential to positively affect patient outcomes. These are:
- Standard 2 – Time to first consultant review
- Standard 5 – Access to diagnostic tests
- Standard 6 – Access to consultant-directed interventions
- Standard 8 – Ongoing review by consultant twice daily if high dependency
patients, daily for others
What do seven day services mean for patients?
27 trusts across England were early adopters of the four priority clinical standards and are working towards implementing the standards by April 2017.
We're also supporting all trusts to meet the four standards identified as being 'must do' by 2020. This will ensure patients:
- don't wait longer than 14 hours to initial consultant review
- get access to diagnostic tests with a 24-hour turnaround time - for urgent requests, this drops to 12 hours and for critical patients, one hour
- get access to specialist, consultant-directed interventions
- with high-dependency care needs receive twice-daily specialist consultant review, and those patients admitted to hospital in an emergency will experience daily consultant-directed ward rounds
Case studies: implementing seven day hospital services
We have collated a variety of case studies from trusts which shares practical learning and experiences of delivering seven day hospital services.
- NHS Services, Seven Days a Week Forum: Summary of initial findings
- NHS England: seven day services resources and case studies
- NHS England: the clinical case
- Webinar: Innovative IT solutions: supporting the delivery of seven day services
- Webinar: Measuring improvement: using metrics and data to evaluate seven day services
- Webinar: Workforce and delivering seven day services
- Webinar: The importance of clinical leadership in establishing seven day services