This document summarizes Oxford University Hospitals NHS Foundation Trust's efforts to improve seven-day hospital services following the 2013 Francis Report. It describes how the trust conducted gap analyses against clinical standards, increased funding for weekend staffing, extended pharmacy hours, and implemented audits and reporting to monitor performance. While initial results were promising, a dip in emergency admissions reviews prompted swift action through discussion, action planning, and reporting until results improved again. The document aims to share the trust's resources and experience with seven-day services.

1. www.england.nhs.uk
Seven Day Services
Spreading the word
and resources to
help clinicians
Belinda Boulton, Director of Transformation
Ruth McNamara, Project Manager
Oxford University Hospitals NHS FT
Webinar hosted by:
Sustainable Improvement
NHS England South
August 2017

2. Spreading the word and resources to help clinicians:
Oxford 7DS Online Guide
Belinda Boulton, Director of Transformation
Ruth McNamara, Senior Programme Manager
13 October 2017

3. OUH Resources for 7DS
Rewind….
In 2013 following the Francis Report
• We ran seminars for all staff to discuss the findings, recommendations
and what we could do at OUH
• We put slides on the intranet, delivered local presentations and
encouraged feedback
• We introduced consultant standards for inpatient care (pending NHSE
7 day standards)
• We scrutinised our SHMI and Dr Foster data for weekend and weekday
mortality comparisons. We discussed our performance at local
meetings, and reported it to the Board
• We held a summit with our staff and commissioners to see what we
could do to improve 7 day services

4. OUH Resources for 7DS
Rewind….
In 2013 following the Francis Report
We carried out a very detailed Gap Analysis against the 10 clinical
standards to help us focus on the right areas. Through this we managed to
achieve an extra £1.2m funding to support staffing relating to 7DS e.g.
• Discharge Lounge staffed 7 days per week
• Pharmacy – extended opening hours, ward based pharmacists
• Command & control structure to support patient flow
• Extra MRI + CT lists
• Extra endoscopy
• Physio + OT

5. OUH Resources for 7DS
Rewind….
In 2013 following the Francis Report
• We carried out a very detailed gap analysis against the 10 clinical
standards to help us focus on the right areas.
• We put 7 day service projects into our Transformation programme
• We set CQUINs around 7 day services
• We set Quality Account priorities around 7 day services
• We made videos to discuss improvements and used our staff to explain
the impact on their work
• We included 7 day service audits in our clinical audit programme and
reported findings
• We included 7 day service work in regular reporting to the Clinical
Governance Committee and upwards to the Board

6. • We were pleased with our results but when we notice a slip in
performance for standard 2 (emergency admissions reviewed within 14
hrs) from 100% to 86% we discussed this widely with consultants
• We submitted an action plan to our clinical audit committee
• We submitted progress reports to the clinical governance committee and
upwards to the Board
• As this was included in one of our Quality Account priorities we had to act
quickly..
• Needless to say we were very pleased that our latest audit results
returned to 100%
Our audit results…

7. Resource for our clinical staff

20. www.england.nhs.uk
For further information
Speaker contact : ruth.Mcnamara@ouh.nhs.uk
To request webinar recording email: vivrichards@nhs.net
More case studies can be viewed at:
https://www.england.nhs.uk/seven-day-hospital-services/resources/
https://improvement.nhs.uk/resources/seven-day-services/#resources