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

  • CASE RECORD REVIEW PROTOCOL PUBLISHED

     HiSLAC’s Case Note Review protocol has been published in BMJ Open.

    A Two-Epoch Cross-Sectional Case Record Review Protocol Comparing Quality Of Care Of Hospital Emergency Admissions At Weekends Versus Weekdays sets out the latest component of the five-year HiSLAC project.

     

  • HISLAC ETHNOGRAPHY UPDATE

     The second round of HiSLAC’s ethnography sub-study has now started.

     Based at the University of Leicester, the ethnographers are conducting a qualitative study to find out more about how hospitals organise systems for weekend care. Insights from initial visits and interviews at 20 case study sites are shaping the second round of work.

     

  • LAST FEW PLACES: REVIEWERS NEEDED FOR STUDY INTO 7-DAY SERVICES AND PATIENT CARE

    We are offering consultants and senior registrars in adult acute medical specialities the exciting opportunity to participate in the HiSLAC project as expert case record reviewers. Seventy-five  reviewers have already signed up and there are now just five spaces left.

  • WELCOME TO KAM

    We welcome Kam Gareja to the team - our newly appointed Research Associate. His role will focus on managing the case record review and he'll be the main point of contact for reviewers.

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

HiSLAC

Good morning to everyone attending our 3rd (& final) reviewers’ training day. Find out more about the study here: ow.ly/t3Dc30hE2DA

HiSLAC

Welcome to the team! twitter.com/dr_ghtb/status…

HiSLAC

Welcome to everyone attending our 2nd case record review training day #7dayservices #7daynhs. Find out more about t… twitter.com/i/web/status/9…

HiSLAC

PUBLICATION ANNOUNCEMENT: Protocol for Case Record Review now published in @BMJ_Open #7dayservices #7daynhs bmjopen.bmj.com/content/7/12/e…

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