Seven Day Working and Much More: Aiming for a More Patient-Centred, Transparent and Safe NHS (Department of Health)

Summary

Health Secretary Jeremy Hunt has re-asserted his intention to pursue the New Deal for GPs, and seven day NHS services generally; if necessary by removing the weekend working opt-out in new hospital consultants’ contracts.

NHS Improvement

Plans for the NHS to become the world’s safest (and largest) “learning organisation” involve the creation of NHS Improvement (i.e. the jointly led NHS TDA and Monitor), which is to run the new Independent Patient Safety Investigation Service.

Full Text Link (Transcript of speech).

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Making healthcare more human-centred and not system-centred. London: Department of Health and Rt Hon Jeremy Hunt MP, July 16th 2015.

A shorter summary version is available:

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Health Secretary sets out ambition for a 21st century NHS. London: Department of Health and Rt Hon Jeremy Hunt MP, July 16th 2015.

The broader Department of Health road-map to these aims is summarised here:

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Health Secretary sets out vision for a patient-centred NHS. London: Department of Health, July 16th 2015.

There is also an oral statement to Parliament:

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Oral statement to Parliament: improving the safety culture in the NHS. London: Department of Health and Rt Hon Jeremy Hunt MP, July 16th 2015.

This topic is pursued further.

Department of Health Factsheet on 7-day NHS Services

The following factsheet explains why and how the government intends to make NHS services safer.

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Reference

Policy paper. 7-day NHS services: a factsheet. London: Department of Health, July 24th 2015.

Commentary from BBC News:

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Triggle, N. (2015). Doctors: Hunt willing to impose seven-day working. London: BBC Health News, July 16th 2015.

Further commentary / analysis from BBC News:

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Pym, H. (2015). Seven-day NHS – claims and counter claims. London: BBC Health News, August 13th 2015.

and more…

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Hughes, D. (2015). Government ‘chasing headlines on NHS’, says doctors’ union. London: BBC Health News, August 15th 2015.

September 2015 Update

Comments from the RCGP:

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Triggle, N. (2015). NHS weekend: 7-day GP opening ‘unachievable’. London: BBC Health News, September 5th 2015.

Health Secretary Jeremy Hunt has again defended moves towards a seven-day NHS:

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Brimelow, A. (2015). NHS weekend: NHS 7-day plans have support – Hunt. London: BBC Health News, September 5th 2015.

There is a related BBC News piece:

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NHS weekend: 7-day services explained. London: BBC Health News, September 5th 2015.

Plus a discussion of differences in policy across countries in the UK:

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NHS weekend: The UK picture. London: BBC Health News, September 5th 2015.

There is also a themed NHS weekend working “compilation” page:

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NHS weekend. London: BBC Health News, September 5th 2015.

A balanced discussion of the pros and cons from Nigel Edwards, Chief Executive of the Nuffield Trust:

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Edwards, N. (2015). Seven-day working: the bigger picture. London: BBC Health News (Scrubbing Up), September 4th 2015.

Questions of culture?:

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Triggle, N. (2015). Is there a Monday to Friday culture in the NHS?. London: BBC Health News, September 5th 2015.

More detailed analysis:

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Triggle, N. (2015). NHS Weekend: Action demanded over death risk. London: BBC Health News, September 6th 2015.

This relates to the latest statistical analysis of weekend admissions, survivorship models and discussion of possible implications for service design, which indicates:

  1. Patients admitted at the weekend are in the highest category of risk of death.
  2. Patients admitted on Saturday or Sunday have an increased likelihood of death.
  3. There is an additional risk of death exists for admissions on Mondays and Fridays, extending the weekend effect to these two days.
  4. Roughly 11 000 more patients die per year within 30 days from admission occurring between Friday and Monday, compared with admission on the remaining days of the week (although the exact reasons remain unclear).

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Freemantle, N. Ray, D. [and] McNulty, D. [et al] (2015). Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. September 5th 2015; 351: h4596.

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Consultants agree to contract talks over weekend working. London: BBC Health News, September 11th 2015.

August 2016 Update: Creaking at the Seams or a Culture of Negativism?

A confidential Department of Health review of government plans for a seven-day NHS in England, “leaked” to the Guardian newspaper and Channel 4 News, identifies 13 potential risks, including staff-shortages.

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Seven day NHS pledge faces ‘staff shortages’. London: BBC Health News, August 22nd 2016.

A Long Saga of Manipulation and Orchestrated Intransigence?

The British Medical Association plans to ballot junior doctors in England on taking industrial action about the government’s plans to introduce / impose a new contract from August 2016. The BMA has been invited back to the negotiating table. It acts as a trade union working for member’s sectional interests (which is the BMA’s role).

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BMA to ballot junior doctors on industrial action. London: BBC Health News, September 26th 2015.

Developments:

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Health secretary to meet doctors over contract row. London: BBC Health News, September 28th 2015.

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Pym, H. (2015). Junior doctors contract saga – the latest twists and turns. London: BBC Health News, September 28th 2015.

Average earnings for 50,000 junior doctors in England should probably remain unchanged under new contract proposals:

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What is the junior doctors row about? London: BBC Health News, September 29th 2015.

Support for the junior doctors’ viewpoint from unexpected quarters:

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Pym, H. (2015). Dan Poulter: Junior doctors rightly upset over contract. London: BBC Health News, October 5th 2015.

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Pym, H. (2015). Junior doctors’ protest gets MP’s backing. London: BBC Health News, October 16th 2015.

A compromise?

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Hunt hints at junior doctor compromise. London: BBC Health News, October 8th 2015.

Ruthless self-interest?:

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Triggle, N. (2015). BMA stands ground in contract row. London: BBC Health News, October 12th 2015.

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What is the junior doctors row about? London: BBC Health News, October 15th 2015.

Aside: a comparative assessment of junior doctors and the professional pay / status hierarchy:

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Briggs, H. (2015). Junior doctors’ pay: How does your job compare? London: BBC Health News, October 15th 2015.

The crowd effect: intelligence offers little immunity. An impending, and entirely avoidable, “train wreck” in the form of likely industrial action over pay; the first by NHS doctors in 40 years?

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Junior doctors march over contract dispute. London: BBC Health News, October 17th 2015.

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Pym, H. (2015). The government, the BMA and the junior doctors – where next? London: BBC Health News, October 17th 2015.

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Junior doctors’ contracts: BMA being misleading – Hunt. London: BBC Health News, October 17th 2015.

Resolution in sight?:

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Junior doctors will not lose money in new contract – Hunt. London: BBC Health News, October 29th 2015.

The resistance movement. Internet heroes?

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Brosnan, G. (2015). How English doctors became internet activists. London: BBC Health News / BBC News Magazine, November 3rd 2015.

A further effort to prevent industrial action, by appealing directly to individuals’ sense of reason (deftly side-stepping the BMA activists)?:

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Triggle, N. (2015). Jeremy Hunt makes pay offer in junior doctor row. London: BBC Health News, November 4th 2015.

Placatory proposals for dialogue rebuffed again?

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Triggle, N. (2015). BMA refuses to re-enter contract talks. London: BBC Health News, November 4th 2015.

Further analysis:

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Pym, H. (2015). A 1970s-style walkout by doctors – could it happen this year? London: BBC Health News, November 4th 2015.

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Triggle, N. (2015). NHS v ministers: A case of deja vu? London: BBC Health News, November 12th.

Onwards, towards the abyss?

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Triggle, N. (2015). Junior doctors row: 98% vote in favour of strikes. London: BBC Health News, November 19th 2015.

Further analysis of the numbers involved:

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Triggle, N. (2015). Junior doctors row: what you need to know. London: BBC Health News, November 19th 2015.

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About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Northern Ireland, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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