HiSLAC

An evaluation of the impact of High-Intensity Specialist-Led Acute Care (HiSLAC) on emergency admissions to NHS hospitals at weekends.

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 is an independent, professionally-led study which 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. 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.

Rolling News

  • THANK YOU: MORE THAN 14,200 TAKE PART IN FINAL HISLAC SURVEY

     

    More than 14,200 consultants and associate specialists completed the fifth and final survey to help create a nationwide ‘snapshot’ of specialist intensity and 7-day services. The latest figure takes the total of responses to the annual HiSLAC Point Prevalence Survey up to 70,000, gathered from 80 per cent of acute Trusts in England.

     

  • FINAL HISLAC ANNUAL SURVEY LAUNCHED TODAY

    The fifth and final HiSLAC Point Prevalence Survey goes live today.  The questionnaire will be distributed to consultants and associate specialists, via local project leads, to help create a nationwide ‘snapshot’ of specialist intensity and 7-day services.

  • LAST CHANCE TO TAKE PART - FINAL HISLAC ANNUAL SURVEY LAUNCHES MID-JUNE

     This summer, we launch our fifth and final survey to help create a nationwide ‘snapshot’ of specialist intensity and 7-day services. The annual Point Prevalence Survey will be distributed to consultants and associate specialists, via local project leads, in mid-June.

  • HEALTH ECONOMICS PROTOCOL PUBLISHED

    The protocol for HiSLAC’s health economics workstream has been published in BMJ Open.

    ‘Protocol for the Health Economic Evaluation of Increasing the Weekend Specialist to Patient Ratio in Hospitals in England’ sets out the latest component of the five-year study.

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

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HiSLAC Tweets

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Speaking at a conference? If you can help spread the word about HiSLAC, we have a short slide pack available. Mssg… twitter.com/i/web/status/1…

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A huge THANK YOU to everyone who takes the time to RT our messages and helps spread the word about our #7dayservices #nhsresearch #7dayNHS

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Our ethnographers have interviewed board directors in selected NHS acute trusts for views on delivery of… twitter.com/i/web/status/1…

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Did you know that in the last five years we've had 70,000 responses to our #7dayservices survey from 80 per cent of… twitter.com/i/web/status/1…

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