Tag Archives: Mortality at the Weekend

Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)

Posted on January 6, 2019 by Dementia and Elderly Care News

Summary While much recent research has cast doubt upon the validity of the “Weekend Effect” construct, the authors of this qualitative research focus instead on the perceptions of patients and hospital workers regarding the quality and safety of care at … Continue reading →

Posted in Acute Hospitals, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Local Interest, Management of Condition, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged 7 Day Services, Access to Urgent and Emergency Care, Accident and Emergency (A&E) Departments, Acute and Hospital Services, Acute Care, Acute Care and Quality, Acute Hospital Care, Acute Hospitals, Birmingham (UK), BMC Health Services Research, Care in General Hospitals, Care of Deteriorating Patients, Consultant Delivered Care, Consultant Input, Day-of-the-Week Effect, Delays in Clinical Decision-Making (Weekends), Department of Health Sciences: University of Leicester, Deteriorating Patients, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Admission (EHA), Emergency Hospital Treatment, Emergency Medicine, General Hospital Care, High Intensity Specialist Led Acute Care (HiSLAC), High-Intensity Specialist-Led Acute Care (HiSLAC) Project, HiSLAC (High Intensity Specialist-Led Care) Study, Hospital Discharge, Hospital Discharge and Transfers, Hospital Mortality, Hospital Mortality Rates, Improving Patient Safety, Leicester (UK), Monday to Friday Culture, Monitoring and Responding to Deteriorating Patients, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Patient and Public Involvement (PPI), Patient Flows, Patient Safety, Patient Safety Improvement, Positive Deviance, Preventable Hospital Mortality, Qualitative Research, Quality Improvement, Quality of Care, Quality of Care at Weekend, Queen Elizabeth Hospital Birmingham, Reduced Continuity of Clinical Care (Weekends), Rescue and Stabilisation of Sick Patients, Resilience and Risk of Error (Weekends), Seven-Day Hospital Services, Seven-Day Working, Staffing Levels, Staffing Levels and Skill Mix, Thematic Analyses, Therapeutic Pathway Flow, University Hospitals Birmingham, University Hospitals Birmingham NHS Foundation Trust, University of Leicester, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Specialist to Patient Ratio in Hospitals, Weekend Working | 1 Comment

Junior Doctors’ Dispute: One More Intractable Quandry for an Over-Burdened NHS (BBC News)

Posted on September 1, 2016 by Dementia and Elderly Care News

Summary When you can’t think anything pleasant or helpful to say, better to say nothing… Full Text Link Reference Junior doctors row: Hospitals prepare for week of strikes. London: BBC Health News, September 1st 2016. Further BBC News coverage: Full … Continue reading →

Posted in Acute Hospitals, BBC News, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), In the News, National, NHS, NHS Alliance, NHS Employers, NHS England, Northern Ireland, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales | Tagged 7 Day Services, 72 Hour Limit on Maximum Working Week, Academy of Medical Royal Colleges, Academy of Medical Royal Colleges (AoMRC), Acute Care, Acute Hospital Care, Ageing Population, All-Out Strike, BBC Health News, BMA: British Medical Association, British Medical Association (BMA), Cancelled Hospital Appointments, Care in General Hospitals, Chris Hopson: Chief Executive of NHS Providers, Collective Self-Interest (Ahead of Patients), Concerns About Weekend Pay, Conflation of Political Protest Generalised Dissatisfaction and Industrial Action, Culture Change in the NHS, Cycle of Discontent, Cycle of Discontent: BMA Perhaps Unable to Compromise (Under Pressure From Members), Damage to Patient Trust, Damage to Popular Trust in the NHS, Diane Abbott: Labour Shadow Health Secretary, Disproportionality in Industrial Action, Dissatisfaction Over Pay, Doctors Feeling Undervalued and Overworked, Dr Ellen McCourt: Chair of JDC (BMA Junior Doctors Committee), Dr Mark Porter: Chair of Council at British Medical Association, Dr Peter Campbell: Acting Chairman of Junior Doctors' Committee, Erosion of Terms and Conditions of NHS Workforce (Union Perspective), Former Health Secretary Jeremy Hunt, Gaming Public Opinion, General Medical Council (GMC), Government Cannot Be Held To Ransom, High Court (England), Improving Patient Safety, Inability to Back-Down Pragmatically (Pathological Inflexibility), Jeremy Corbyn (Labour Party Leader), Junior Doctors A&E Walkout: Reckless "Win At All Costs" Mentality, Junior Doctors Committee (JDC) of British Medical Association (BMA), Junior Doctors' Dispute: First Draft of History, Junior Doctors' Dispute: Timeline of the Dispute, Junior Doctors' Strike Risks Patient Safety (Jeremy Hunt), Junior Doctors’ Morale Wellbeing and Quality of Life, Justice for Health, Katherine Murphy: Chief Executive of the Patients Association, Kathy McLean: Executive Medical Director at NHS Improvement, Lose - Lose Stand-Off: Impasse Over Junior Doctors' Dispute, Low Morale, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mythology of the Times, NHS Reform in England, NHS Services Seven Days a Week, Niall Dickson: Chief Executive of the General Medical Council, No Harm Culture, Opportunistic Conflation of Political Protest Generalised Dissatisfaction and BMA's Industrial Action, Orchestrated Intransigence, Patient Safety, Patient Safety Improvement, Patient Safety in the NHS, Payment Reform, Peer Pressure: Barrier to Objective Judgement, Perceived Erosion of Terms and Conditions for NHS Employees (Union Viewpoint), Perverse Incentives, Preventable Hospital Mortality, Prime Minster: Rt Hon Theresa May MP, Professional Responsibilities, Professional Standards, Professor Terence Stephenson: Chair of the General Medical Council, Quality of Care at Weekends, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Rt Hon Theresa May MP (Prime Minster), Safeguards on Excessive Working Hours, Saturday Premium Pay, Seven-Day Hospital Services, Seven-Day Working, Strike Over a Saturday Premium Pay (Self-Interest), Sustainable Health and Care Services, System Re-Design, Thinking Like a Patient and Acting Like a Taxpayer, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Variations in Quality of Care, Vested Interests, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Working, When Brinkmanship Goes Over the Brink, Workforce Issues (Feeling Undervalued) | Leave a comment

Hotly Debated Weekend Effect May Have Been A Statistical Mirage? (Journal of Health Services Research and Policy / BBC News / Lancet / BMJ)

Posted on May 7, 2016 by Dementia and Elderly Care News

Summary Research does not take place in a socio-political vacuum. The ongoing junior doctors’ dispute has supplied fertile ground for allegations of “spin” and politically-motivated distortion in the interpretation of the so-called “weekend effect”, and raises questions concerning the planned … Continue reading →

Murky Evidence? Murkier Politics (BBC News)

Posted on February 25, 2016 by Dementia and Elderly Care News

Summary Trust no-one. Believe nothing. Use your own judgement. Back to renaissance values? Full Text Link Reference Bloch, S. (2016). Hunt ‘misrepresented’ data on 7-day NHS. London: BBC Health News, February 24th 2016.

Posted in BBC News, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, NHS England, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Ageing Population, BBC Health News, BMA Shambolic Mishandling and Calculated Misinformation (Political Rebound to Earlier Hunt Allegations), British Medical Journal (BMJ), Care in General Hospitals, Culture Change in the NHS, Day-of-the-Week Effect, Deborah Williams: NHS England's Seven Day Services Forum Project Manager, Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Treatment, FOI: Freedom of information, Former Health Secretary Jeremy Hunt, Heidi Alexander: Former Labour Shadow Health Secretary, Hospital Mortality, Hospital Mortality Rates, Jeremy Corbyn (Labour Party Leader), Junior Doctors: Contract Dispute of 2016, Junior Doctors’ Morale Wellbeing and Quality of Life, Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Directorate: NHS England, Misinformation, Misinformation: Conflation and Skewed Interpretations Behind Junior Doctors' Dispute, Monday to Friday Culture, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, Mythology of the Times, NHS England’s Seven Days a Week Forum, NHS Services: Seven Days a Week Forum, NHS Seven Days a Week Forum, Orchestrated Intransigence, Patient Safety, Patient Safety Improvement, Potted Weekend Effect Synopsis (Department of Health), Preventable Hospital Mortality, Professor Sir Bruce Keogh, Quality Improvement, Quality of Care, Quality of Care at Weekend, Reform, Resistance to Change, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Seven Day Services Forum, Seven-Day Hospital Services, Seven-Day Working, Stuff Their Mouths With Gold (History of How Aneurin Bevan Placated the BMA), System Re-Design, Thinking Like a Patient and Acting Like a Taxpayer, UK Statistics Authority, Unspoken Political Context: Weaponising the NHS (Speculative Construct), Variations in Quality of Care, Weekend Effect, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Working | Leave a comment

Strikes Over Junior Doctors’ Dispute: Failing Patients’ Interests? (BBC News / Telegraph / NHS England)

Posted on January 11, 2016 by Dementia and Elderly Care News

Summary Dame Sally Davies has suggested that industrial action by the British Medical Association (BMA) would not be in patients’ interest, and requested that coming strikes by junior doctors should be suspended to permit talks resume without duress. Last week, … Continue reading →

The Weekend Effect: a Summing-Up of the Evidence (Department of Health / BBC News / NHS Employers / BMJ / Journal of Health Services Research and Policy)

Posted on November 3, 2015 by Dementia and Elderly Care News

Summary Debates have arisen recently about possible “spin” and politically-motivated distortion in interpretation of the “weekend effect” and the benefits to patients of seven-day working. The Department of Health has produced an impartial presentation of the research. This includes a … Continue reading →

Posted in Acute Hospitals, Commissioning, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Employers, NHS England, Non-Pharmacological Treatments, Quick Insights, Statistics, UK, Universal Interest | Tagged 7 Day Services, 7 Day Services Project: Acute Collaborative Report (2014), 72 Hour Limit on Maximum Working Week, Academy of Medical Royal Colleges, Academy of Medical Royal Colleges (AoMRC), Acute Care, Acute Hospital Care, Ageing Population, AoMRC: 7 Day Consultant Present Care (2012), BBC Health News, BBC North West Tonight, BMJ, BMJ Quality and Safety, BMJ Quality Improvement Programme, BMJ Quality Improvement Reports, British Medical Association (BMA), British Medical Journal (BMJ), Care in General Hospitals, Costs and Benefits of Seven-Day Services for Emergency Hospital Admissions, Culture Change in the NHS, Day-of-the-Week Effect, Department of Health Sciences: University of York, Department of Primary Care and Public Health: Imperial College London, Dr Foster Unit: Imperial College London, Dr Johann Malawana: Former Chair of BMA Junior Doctors Committee, East Midlands Clinical Senate, East Midlands Clinical Senate: 7 Day Services Project: Acute Collaborative Report (2014), Elevated Weekend Hospital Mortality, Emergency Admissions, Emergency Hospital Treatment, European Working Time Directive (EWTD), Former Health Secretary Jeremy Hunt, GC Database, Global Comparators (GC) Project, Global Comparators Project, Health Economics, Health Education England (HEE), HEE: Health Education England, Hospital Mortality, Hospital Mortality Rates, Imperial College London, Improving Medical Handover at the Weekend: BMJ Quality Improvement Project, Improving Patient Safety, Journal of Health Services Research and Policy, Junior Doctors' Dispute: First Draft of History, Junior Doctors: Contract Dispute of 2015, Manchester Centre for Health Economics: University of Manchester, Margaret Gleeson Inquest, Medical Director of NHS England: Professor Sir Bruce Keogh, Medical Directorate: NHS England, Monday to Friday Culture, Mortality, Mortality Associated With After Hours and Weekend Admissions, Mortality at the Weekend, Mortality by Day of the Week, Mortality Rates, Mortality Statistics, National Audit Office, NHS England’s Seven Days a Week Forum, NHS Improving Quality (NHS IQ) Seven Day Services Team, NHS Services: Seven Days a Week Forum, NHS Seven Days a Week Forum, Orchestrated Intransigence, Patient Safety, Patient Safety Improvement, Potted Weekend Effect Synopsis (Department of Health), Preventable Hospital Mortality, Professor Jane Dacre: President of Royal College of Physicians, Professor Sir Bruce Keogh, Professor Sir John Temple's Time for Training Report (HEE 2010), Quality Improvement, Quality of Care, Quality of Care at Weekend, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health, Scarborough General Hospital, Seven Day Consultant Present Care, Seven Day Services Team: NHS Improving Quality (NHS IQ), Seven-Day Hospital Services, Seven-Day Working, University of Manchester, University of York, Urgent and Emergency Care, Variations in Quality of Care, Weekend Effect, Weekend Effect in Obstetrics, Weekend Handover, Weekend Hospitalisation and Additional Risk of Death, Weekend Mortality for Emergency Admissions, Weekend Out Of Hours Surgical Handover (WOOSH), Weekend Out Of Hours Surgical Handover (WOOSH) Form, Weekend Surgical Handover, Weekend Working, Workforce Challenges in Emergency Medicine | Leave a comment

The Foundations for a Patient-Centred NHS Learning Culture? (Department of Health / BBC News)

Posted on July 21, 2015 by Dementia and Elderly Care News

Summary This “Learning Not Blaming” report presents the government’s response to (i) the Francis Freedom to Speak Up review, (ii) the Morecambe Bay Investigation, and (iii) the Public Administration Select Committee’s report on clinical incidents. The common theme for addressing … Continue reading →

Tag Archives: Mortality at the Weekend

Qualitative Research Into the Acute Hospital Care Weekend Effect (BMC Health Services Research)

Junior Doctors’ Dispute: One More Intractable Quandry for an Over-Burdened NHS (BBC News)

Murky Evidence? Murkier Politics (BBC News)

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