Summary
This publication of the Seven-day Services indicators relates to activity in the period October 2017 to September 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:
• Emergency readmissions within seven days of discharge from hospital by day of discharge
• Mortality within 30 days of admission by week-part of admission to hospital
• 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 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 at the weekend had an increased likelihood of mortality within 30 days of admission compared to those who were admitted midweek.
• 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. There is a shortfall in the number of records in the reporting period for the following trusts: Barnet, Enfield and Haringey Mental Health NHS Trust (trust code RRP), Basildon and Thurrock University Hospitals NHS Foundation Trust (trust code RDD), Birmingham Community Healthcare NHS Foundation Trust (trust code RYW), Cambridgeshire and Peterborough NHS Foundation Trust (trust code RT1), Central and North West London NHS Foundation Trust (trust code RV3), Cheshire and Wirral Partnership NHS Foundation Trust (trust code RXA), Devon Partnership NHS Trust (trust code RWV), Dudley and Walsall Mental Health Partnership NHS Trust (trust code RYK), Essex Partnership University NHS Foundation Trust (trust code R1L), Lancashire Care NHS Foundation Trust (trust code RW5), North East London NHS Foundation Trust (trust code RAT), Surrey and Borders Partnership NHS Foundation Trust (trust code RXX) and The Walton Centre NHS Foundation Trust (trust code RET). Results for these trusts will be based on incomplete data and should therefore be interpreted with caution.
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. Further guidance on the interpretation of the indicators is also available to download from this page.
Last edited: 28 March 2019 2:52 pm