Seven-day Services - England, October 2015 - September 2016, Experimental statisticsExperimental statistics, Official statistics, Open data
- Publication Date:
- 26 Apr 2017
- Geographic Coverage:
- Geographical Granularity:
- NHS Trusts
- Date Range:
- 01 Oct 2015 to 30 Sep 2016
This publication of the Seven-day Services indicators relates to activity in the period October 2015 to September 2016.
In July 2015 the Secretary of State for Health, Jeremy Hunt, delivered a speech 'Making healthcare more human-centred and not system-centred' (link provided in Related Links). In this speech, he outlined his commitment to seven-day care and highlighted variation in outcomes associated with weekend hospitalisation.
The experimental statistics 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.
Users of these experimental statistics are invited to comment on these findings. In particular, we invite users to consider how they can use this information to improve care, and how NHS Digital can develop these statistics to provide better information to drive improvements in care.
The Department of Health and Social Care (who own and sponsor the Seven-day Services Indicators) are planning to convene a Technical Advisory Group, which will include both academic and clinical experts. The group will provide expert advice to the Department of Health and Social Care and NHS Digital on the further development of the indicator methodologies.
• 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 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 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.