An evaluation of the impact of High-Intensity Specialist-Led Acute Care (HiSLAC) on emergency admissions to NHS hospitals at weekends.
Queen Elizabeth Hospital Birmingham (QEHB) has been named as the first of 20 HiSLAC case study sites. The hospital, run by University Hospitals Birmingham NHS Foundation Trust, will a play key role in our nationwide study to assess the impact of increasing levels of specialist care for emergency, weekend admissions.
More than 13,400 consultants and associate specialists completed the national 2015 HiSLAC survey, helping us to measure levels of specialist intensity at weekends.
Prof Sir Bruce Keogh, Medical Director of NHS England has said research projects such as HiSLAC could lead to the biggest policy change the NHS has seen.
Clinicians and NHS managers from across the country attended the first HiSLAC Collaborators’ Meeting at the Royal College of Anaesthetists this week.
The HiSLAC project is funded by the National Institute of Health Research (NIHR-HS&DR Programme Commissioned call 12/128: Organisation & delivery of 24/7 healthcare).
HiSLAC will evaluate a key component of NHS England's policy drive for 7-day services: the intensity of specialist-led care of emergency medical admissions, with a particular focus on weekend provision. This research is important for patients and for NHS strategy because it offers a unique opportunity to evaluate the impact of the transition to seven-day working, and to understand factors likely to impede or enhance the effectiveness of this change in practice.
In addition to examining the impact on patient-centred outcomes, the project will also undertake a health economics analysis of the impact of increasing specialist provision across the NHS in order to deliver the vision set out by the NHS Services Seven Days a Week Forum. HiSLAC will therefore provide useful information across the NHS about the cost-effectiveness of investing in consultant and other specialist staffing in implementing the drive to 7-day service provision.
The decision on award of funding was made in September 2013 and the project launched in February 2014. This website will be updated over the coming weeks and months as the project progresses.
Due to recent bed pressures patients are often sent from the Acute Medical Unit to the wards without a consultant review, and in some cases without a registrar review.
On the wards it is 'pot luck' whether the patient is seen by a consultant the following day or a few days down the line.
Once the patient is identified under the correct team it depends on which day a consultant does their ward rounds, which means a delay up to 5-6 days.
The patient was an outlier; no one knew the patient and wanted to take any responsibility.
- Reflections of a Foundation Year 1 trainee, January 2013