Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Future Healthcare Journal

  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Future Healthcare Journal

futurehosp Logo
  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

The results of a 7-day working pilot within an acute ­respiratory medicine unit

Martin Chadderton and Sarb Clare
Download PDF
DOI: https://doi.org/10.7861/futurehosp.4-2-s34
Future Hosp J June 2017
Martin Chadderton
Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarb Clare
Sandwell and West Birmingham Hospitals NHS Trust, West Bromwich, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
Loading

Aims

A 7-day week was piloted in respiratory medicine in October 2015, with the aim being to analyse the effect of this way of working on staff and patient care.

Methods

A multidisciplinary (MDT) approach was adopted, with engagement from clinicians, nursing, physiotherapy, pharmacy, radiology and community teams (including GPs and specialist COPD nurses). The project was led by an acute physician who is the new hospitals clinical lead.

Consultants’, junior doctors’ and nurses’ emergency work was backfilled by the acute medicine team.

Before, during and after the pilot, quantitative (SPC charts with comparison against 2 years of trends) and qualitative data were collected. Patients and staff ranging from healthcare assistants, ward clerks to junior doctors participated in this feedback.

Results

Quantitative results have been summarised below. The most significant results were seen among the qualitative data:

  • Patients: Wanted to see a consultant on ward rounds and this approach improved communication and feedback.

  • Junior doctors: Received training and education, received feedback, had opportunities for procedures, felt part of a team but felt stress levels increase with consultant presence.

  • Workload out of hours: No significant change in workload, found wards with daily consultant ward rounds had clear, succinct plans.

  • Nurses: Disparity across the wards analysed, issues with feeling valued.

  • Senior consultants: Found experience rewarding as continuity of care and training juniors, frustrations when diagnostics delayed, physically tiring.

Conclusions

None of the quantitative metrics showed statistically significant change, but the qualitative data illustrated some expected outcomes, ie patient reassurance increasing, and some unexpected, ie stress levels of junior doctors increasing.

The respiratory team are reorganising their services to look at how 7-day care can be provided and this pilot has started the momentum. Results have been shared with the wider organisation as other specialties will be following this model on the journey to the new hospital.

Conflict of interest statement

No known conflict of interests.

View this table:
  • View inline
  • View popup
  • © Royal College of Physicians 2017. All rights reserved.
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
The results of a 7-day working pilot within an acute ­respiratory medicine unit
Martin Chadderton, Sarb Clare
Future Hosp J Jun 2017, 4 (Suppl 2) s34; DOI: 10.7861/futurehosp.4-2-s34

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
The results of a 7-day working pilot within an acute ­respiratory medicine unit
Martin Chadderton, Sarb Clare
Future Hosp J Jun 2017, 4 (Suppl 2) s34; DOI: 10.7861/futurehosp.4-2-s34
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Aims
    • Methods
    • Results
    • Conclusions
    • Conflict of interest statement
  • Figures & Data
  • Info & Metrics

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Induction for foundation doctors: to what extent can face-to-face induction be replaced by Health Education England's national Doctors in Training induction e-learning?
  • Crash course in prescribing – an interactive case-based teaching for final year medical students
  • ‘This is my vocation; is it worth it?’ Why do core medical trainees break from training?
Show more Education, Training and Medical Professionalism

Similar Articles

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home

Other Services

  • Advertising
futurehosp Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians