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

  • 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.

  • 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.

     

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

IT’S NOT TOO LATE! Last day to complete our 2018 #7dayservices survey. Please RT to consultants & associate special… twitter.com/i/web/status/1…

HiSLAC

Did you know more than 80% of NHS acute Trusts are taking part in our #7dayservices survey? Specialist or consulta… twitter.com/i/web/status/1…

HiSLAC

Specialist or consultant? Are you taking part in this month’s HiSLAC #7dayservices survey? Deadline THIS MONDAY. #7dayNHS #NHSresearch

HiSLAC

THREE DAYS LEFT to complete the 5th and final #7daynhs survey. Deadline: Monday July 16 #7dayservices #NHSresearc ow.ly/xjyx30kMDpU

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