The document outlines a seven-day services improvement program aimed at integrating healthcare services into a high-quality, consistent offering. It discusses various levels of service provision from limited weekday hours to a comprehensive seven-day service approach requiring collaboration across different specialties. Key principles include public engagement, dedicated support, and addressing specific contextual needs to ensure equitable healthcare access for patients at all times.

1. Supporting Delivery
Seven Day Services
Improvement Programme
Dr Janet Williamson
Director of National Improvement
Programmes, NHS Improving Quality

2. ‘‘
How can we take on
the extraordinary
challenge of
integrating services
into a seamless,
consistent, high
quality seven
day service?
’’
Fiona Carey,
Cancer & Patient Representative

3. So what are we trying to deliver?
Spread what we know
Develop models to take us
further
Enrol every provider
Build a momentum for change
Engage the public
Commission the best
See local change happen

7. The next three to five years improvement programme
- dedicated support, dedicated investment

8. Pockets of England
Moving at scale
and pace

9. Levels of Service Provision
Level 0 - Five days a week, Monday to Friday 9am to 5pm,
(8 hours service).
Level 1 - Services limited to one department or a service
that is beginning to deliver some services beyond the 8am to
6pm Monday to Friday service.
Level 2 - Services that are delivered seven days per week,
but not always offering the full range of services that are
delivered on week days.
Level 3 - A whole service approach to seven day service
delivery that requires several elements to work together in
order to facilitate clinical decision making or treatment, often
covering more than one work force group.
Level 4 - A whole system approach to seven day service
delivery by integrating the requirements for elements of
seven day services across more than one specialty.

10. Underpinning principle
Pathway of care
Whole system
Many interdependencies
Not one solution
Context specific

11. “
CONSTRAINED
BY THE PAST”
BE AMBITIOUS AND NOT
Patients NHS England AGM 2013

12. Collaboration, Commitment and Courage
Seven Day Whole System - Communities of Practice

13. ‘‘
I was lucky. Shouldn’t
everyone of us have the
best chance possible, no
matter what time of the day
or day of the week it is?
Rodney Partington, Patient Representative
”