HSJ 19 September 2013 (Registration may be required)
- Case study of work in Bassetlaw towards seven-day working where key elements were
- a strong emphasis on clinical leadership with primary and secondary care clinicians co-designed the new systems;
- clear, identifiable managerial support, with clear “plan, do, study, adjust” cycles and
- external validation, where required and a clear focus on outcomes.
- Bassetlaw Hospital now has a new model of emergency medical care based on a new assessment and treatment centre (ATC). A number of “new breed” acute physicians have been recruited and there is consultant presence on the unit for a minimum of 10 hours a day, seven days a week.
- Following the introduction of the assessment and treatment centre in Bassetlaw, we have seen a reduction in mortality, with the hospital standardised mortality ratio for medical admissions now 93 − there has also been a significant positive reduction in variation between weekend and weekday. Patient and staff satisfaction has been high, with improved unit sustainability and recruitment.
