Seven-day Services - England, October 2016 - September 2017, Experimental statisticsExperimental statistics, Official statistics, Open data
- Publication Date:
- 24 Apr 2018
- Geographic Coverage:
- Geographical Granularity:
- NHS Trusts
- Date Range:
- 01 Oct 2016 to 30 Sep 2017
This publication of the Seven-day Services indicators relates to activity in the period October 2016 to September 2017.
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.
• 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.
1. Approximately one third of records for Nottingham University Hospitals NHS Trust (trust code RX1) have been submitted without patient identifiers (such as NHS number and date of birth), meaning that a large number of records have been excluded from the analysis because the age of the patient is unknown. The mortality and emergency readmissions results for this trust should therefore be interpreted with caution.
2. There is a shortfall in the number of records in the reporting period for the following trusts: Guy's and St Thomas' NHS Foundation Trust (trust code RJ1), Cheshire and Wirral Partnership NHS Foundation Trust (trust code RXA), Surrey and Borders Partnership NHS Foundation Trust (trust code RXX), Coventry and Warwickshire Partnership NHS Trust (trust code RYG), Black Country Partnership NHS Foundation Trust (trust code TAJ), Cambridgeshire and Peterborough NHS Foundation Trust (trust code RT1), Devon Partnership NHS Trust (trust code RWV) and Dudley and Walsall Mental Health Partnership NHS Trust (trust code RYK). Values for these trusts will be based on incomplete data and should therefore be interpreted with caution.
3. Further information on data quality can be found in Appendix B of the report which can be downloaded from the 'Resources' section of this page.