Summary
This publication of the Seven-day Services indicators relates to activity in the period April 2017 to March 2018.
The indicators presented in this report are being published to provide information on how we can effectively measure both improvement and variation in care provision across the week. This report includes indicators on the following topics:
• Mortality within 30 days of admission by week-part of admission to hospital
• Emergency readmissions within seven days of discharge from hospital by day of discharge
• Length of stay following an emergency admission to hospital by day of admission
If variation exists across the week for a particular hospital trust, it should be examined in more detail to understand the causes. The indicators require careful interpretation and should be used in conjunction with other indicators and information from other sources that together form a holistic view of trust outcomes.
Key Facts
• The national results are very similar to those for previous reporting periods.
• Patients who were admitted at the weekend had an increased likelihood of mortality within 30 days of admission compared to those who were admitted midweek.
• Patients who were discharged on a Friday, Saturday and Sunday had an increased likelihood of an emergency readmission within seven days of discharge compared to those who were discharged on a Wednesday.
• Patients who were admitted in an emergency stayed slightly longer in hospital if they were admitted on a Saturday or Sunday.
There are many possible explanations for this variation including differences in the case-mix of patients (over and above that accounted for in the analysis), patient behaviour and provision of services both in and outside of the hospital (including social care), but this analysis is unable to determine the causes of the observed variation.
Notes:
1. Heart of England NHS Foundation Trust (trust code RR1) became part of University Hospitals Birmingham NHS Foundation Trust (trust code RRK) on 1st April 2018. Liverpool Community Health NHS Trust (trust code RY1) became part of Mersey Care NHS Trust (trust code RW4) on 1st April 2018. Staffordshire and Stoke on Trent Partnership NHS Trust (trust code R1E) was acquired by South Staffordshire and Shropshire Healthcare NHS Foundation Trust (trust code RRE) on 1st June 2018. The new trust is called Midlands Partnership NHS Foundation Trust (trust code RRE). Burton Hospitals NHS Foundation Trust (trust code RJF) was acquired by Derby Teaching Hospitals NHS Foundation Trust (trust code RTG) on 1st July 2018. The new trust is called University Hospitals of Derby and Burton NHS Foundation Trust (trust code RTG). Ipswich Hospital NHS Trust (trust code RGQ) was acquired by Colchester Hospital University NHS Foundation Trust (trust code RDE) on 1st July 2018. The new trust is called East Suffolk and North Essex NHS Foundation Trust (trust code RDE). Results are presented to reflect the updated organisational structure from this publication onwards.
2. Further information on data quality can be found in the Seven-day Services background quality report which can be downloaded from the 'Resources' section of this page.
Last edited: 16 October 2018 10:21 am