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
