NHS Services, Seven Days a Week - Survey of acute hospitals

The survey has been approved by the Review of Central Returns Steering Committee - ROCR (Ref: ROCR/13/2202VOLU)Purpose of the surveyThe survey is intended to highlight the variation in service provision between weekdays and weekends and the variation across hospitals nationally.

Whilst every effort was made to define questions as clearly as possible, some remain open to a degree of interpretation. The results should not be used to compare individual sites or as an exact representation of a trusts service levels.

Gathering responsesThe survey and covering letter from Sir Bruce Keogh was disseminated via NHS England Regional Medical Directors to acute trust Chief Executives and Medical Directors requesting their participation.

Trusts were asked to complete one survey for each site admitting adult emergency medicine and/or emergency general surgery.

No comprehensive list of relevant sites is available, only trusts. The potential number of responses was estimated by reviewing trust websites, using emergency departments as a proxy for hospitals that were likely to admit acute medical and general surgical emergencies.

Examples have arrisen both of sites that do not have an emergency department but which admit emergency medical and emergency general surgical patients, and sites that have an emergency department but which do not admit this cohort of patients. Therefore the response rate cannot be exact.

Inputting paper submissionsThe survey was conducted on Survey Monkey which links each response to the respondent’s Internet Protocol (IP) address, limiting each IP address (and therefore computer, network of computers and potentially trust) to a single response. A PDF version of the survey was made available to help trusts complete more than one response where appropriate, but this did not have the same restrictions to the response parameters for certain questions. As such, where a response needed amending to align with a response group, wherever possible, it was given the nearest ‘positive’ answer. E.g. a diagnostic reporting time of 15 hours was rounded down to 12 hours; consultant presence of 8.5 hours was rounded up to 9 hours.

Specific questionsQ27. The parameters were set incorrectly at 1-16 meaning trusts were unable to reflect 24 hour nursing cover, or zero cover where appropriate. The majority of sites left comments. Specific instructions to amend answers were followed. There is a blanket assumption, in line with majority of comments, that all sites have 24/7 nursing cover. Blank entries and references to 'on-call' were completed as zero, unless where specific reference is made to alternative arrangements e.g. Rapid Assessment and Intervention Team.

Q38 and 39. The response options available were 1, 2, 4, 8, 12, 24 (hours) or over 24 hours. PDF submissions that gave answers not aligned to these were translated as follows:

‘immediate’ converted to ‘1 hour’

‘Same day’ translated to '12 hours'

‘ad-hoc’ was left blank

Q42. We have not included the names provided in answer to Q42 as it was not expected that these would be published. Trust CEOs and MDs were required to sign off the answers to the survey in knowledge of publication, and are listed in answer to Q43.

Code Hospital/Trust Hospital StatusREM AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST CompletedRCF AIREDALE NHS FOUNDATION TRUST CompletedRTK ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST St Peter's CompletedRF4 BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUQueen's CompletedRF5 BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUKing George CompletedRVL BARNET AND CHASE FARM HOSPITALS NHS TRUST Barnet CompletedRVL BARNET AND CHASE FARM HOSPITALS NHS TRUST Chase Farm CompletedRFF BARNSLEY HOSPITAL NHS FOUNDATION TRUST CompletedR1H BARTS HEALTH NHS TRUST Royal London CompletedR1H BARTS HEALTH NHS TRUST Newham CompletedR1H BARTS HEALTH NHS TRUST Whipps Cross CompletedRDD BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Basildon Hospital CompletedRC1 BEDFORD HOSPITAL NHS TRUST CompletedRXL BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST Blackpool victoria No returnRMC BOLTON NHS FOUNDATION TRUST No returnRAE BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST Bradford Royal Infirmary CompletedRXH BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST Princess Royal Hospital CompletedRXH BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST Royal Sussex county Completed

BUCKINGHAMSHIRE HEALTHCARE NHS TRUST Stoke Mandeville CompletedRJF BURTON HOSPITALS NHS FOUNDATION TRUST Queen's hospital No returnRWY CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST Calderdale Royal CompletedRWY CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST Huddersfield Royal CompletedRGT CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Addenbrookes CompletedRW3 CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Manchester Royal Infirmary CompletedRW4 CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST Trafford general hospital CompletedRQM CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST No returnRFS CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST CompletedRLN CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST Sunderland Royal CompletedRDE COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST CompletedRJR COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST CompletedRXP COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST University hospital north durhamCompletedRXP COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST darlington memorial CompletedRJ6 CROYDON HEALTH SERVICES NHS TRUST CompletedRN7 DARTFORD AND GRAVESHAM NHS TRUST Darent Valley CompletedRTG DERBY HOSPITALS NHS FOUNDATION TRUST No returnRP5 DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST Bassetlaw CompletedRP6 DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST Doncaster Royal Infirmary CompletedRBD DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST CompletedRC3 EALING HOSPITAL NHS TRUST CompletedRWH EAST AND NORTH HERTFORDSHIRE NHS TRUST Lister CompletedRWH EAST AND NORTH HERTFORDSHIRE NHS TRUST QE2 CompletedRJN EAST CHESHIRE NHS TRUST Macclesfield DGH CompletedRVV EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST William Harvey CompletedRVV EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Queen Elizabeth the Queen motCompletedRVV EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Kent and Canterbury CompletedRXR EAST LANCASHIRE HOSPITALS NHS TRUST Royal Blackburn No returnRXR EAST LANCASHIRE HOSPITALS NHS TRUST Burnley general (UCC with diagnNo returnRXC EAST SUSSEX HEALTHCARE NHS TRUST Conquest hospital CompletedRXC EAST SUSSEX HEALTHCARE NHS TRUST Eastbourne DGH CompletedRVR EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST Epsom CompletedRVR EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST St Helier CompletedRDU FRIMLEY PARK HOSPITAL NHS FOUNDATION TRUST CompletedRR7 GATESHEAD HEALTH NHS FOUNDATION TRUST CompletedRLT GEORGE ELIOT HOSPITAL NHS TRUST CompletedRTE GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Cheltenham General No returnRTE GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Gloucester Royal No returnRN3 GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST CompletedRJ1 GUY'S AND ST THOMAS' NHS FOUNDATION TRUST St Thomas' CompletedRN5 HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST Basingstoke and northamptonshCompletedRN6 HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST Royal Hampshire county WincheCompletedRCD HARROGATE AND DISTRICT NHS FOUNDATION TRUST Harrogate district No returnRR1 HEART OF ENGLAND NHS FOUNDATION TRUST Heartlands No returnRR2 HEART OF ENGLAND NHS FOUNDATION TRUST Good hope No returnRD7 HEATHERWOOD AND WEXHAM PARK HOSPITALS NHS FOUNDATION TRUST CompletedRQQ HINCHINGBROOKE HEALTH CARE NHS TRUST CompletedRQX HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST CompletedRWA HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST Hull royal infirmary CompletedRYJ IMPERIAL COLLEGE HEALTHCARE NHS TRUST Hammersmith CompletedRYJ IMPERIAL COLLEGE HEALTHCARE NHS TRUST St Mary's Hospital CompletedRYJ IMPERIAL COLLEGE HEALTHCARE NHS TRUST Charing Cross CompletedRGQ IPSWICH HOSPITAL NHS TRUST CompletedR1F ISLE OF WIGHT NHS TRUST St Mary's Hospital CompletedRGP JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST CompletedRNQ KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST CompletedRJZ KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST CompletedRAX KINGSTON HOSPITAL NHS TRUST CompletedRXN LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST Chorley and south ribble No returnRXN LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST Royal Preston No returnRR8 LEEDS TEACHING HOSPITALS NHS TRUST Leeds general No returnRR9 LEEDS TEACHING HOSPITALS NHS TRUST St James's No returnRJ2 LEWISHAM HEALTHCARE NHS TRUST CompletedRC9 LUTON AND DUNSTABLE HOSPITAL NHS FOUNDATION TRUST CompletedRWF MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST maidstone CompletedRWF MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST tunbridge wells CompletedRPA MEDWAY NHS FOUNDATION TRUST CompletedRBT MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST Leighton CompletedRQ8 MID ESSEX HOSPITAL SERVICES NHS TRUST Broomfield CompletedRJD MID STAFFORDSHIRE NHS FOUNDATION TRUST No returnRXF MID YORKSHIRE HOSPITALS NHS TRUST Dewsbury and district CompletedRXF MID YORKSHIRE HOSPITALS NHS TRUST pindersfield CompletedRD8 MILTON KEYNES HOSPITAL NHS FOUNDATION TRUST No returnRM1 NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST CompletedRVJ NORTH BRISTOL NHS TRUST Frenchay CompletedRVJ NORTH BRISTOL NHS TRUST Southmead Completed

RNL NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST Cumberland Infirmary CompletedRNL NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST West Cumberland hospital CompletedRAP NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST No returnRVW NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST University hospital hartlepool No returnRVW NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST University hospital north tees No returnRV7 NORTH WEST LONDON HOSPITALS NHS TRUST Central Middlesex Hospital CompletedRV8 NORTH WEST LONDON HOSPITALS NHS TRUST Northwick Park Hospital CompletedRNS NORTHAMPTON GENERAL HOSPITAL NHS TRUST CompletedRBZ NORTHERN DEVON HEALTHCARE NHS TRUST North Devon district CompletedRJL NORTHERN LINCOLNSHIRE AND GOOLE HOSPITALS NHS FOUNDATION TRUST Diana Princess of Wales CompletedRJL NORTHERN LINCOLNSHIRE AND GOOLE HOSPITALS NHS FOUNDATION TRUST Scunthorpe CompletedRTF NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST North tyneside CompletedRTF NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST Wansbeck CompletedRX1 NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Queen's medical centre CompletedRX2 NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST City Hospital CompletedRTH OXFORD UNIVERSITY HOSPITALS NHS TRUST John Radcliffe CompletedRTH OXFORD UNIVERSITY HOSPITALS NHS TRUST Horton General CompletedRW6 PENNINE ACUTE HOSPITALS NHS TRUST North Manchester general CompletedRW7 PENNINE ACUTE HOSPITALS NHS TRUST Royal Oldham CompletedRW8 PENNINE ACUTE HOSPITALS NHS TRUST Fairfield general CompletedRW9 PENNINE ACUTE HOSPITALS NHS TRUST Rochdale Infirmary CompletedRGN PETERBOROUGH AND STAMFORD HOSPITALS NHS FOUNDATION TRUST Peterborough city hospital CompletedRK9 PLYMOUTH HOSPITALS NHS TRUST Deriford Hospital CompletedRD3 POOLE HOSPITAL NHS FOUNDATION TRUST CompletedRHU PORTSMOUTH HOSPITALS NHS TRUST Queen Alexandra hospital CompletedRHW ROYAL BERKSHIRE NHS FOUNDATION TRUST CompletedREF ROYAL CORNWALL HOSPITALS NHS TRUST CompletedRH8 ROYAL DEVON AND EXETER NHS FOUNDATION TRUST Wonford No returnRAL ROYAL FREE LONDON NHS FOUNDATION TRUST CompletedRA2 ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST CompletedRD1 ROYAL UNITED HOSPITAL BATH NHS TRUST CompletedRM3 SALFORD ROYAL NHS FOUNDATION TRUST CompletedRNZ SALISBURY NHS FOUNDATION TRUST CompletedRXK SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST City Hospital CompletedRXK SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST Sandwell CompletedRHQ SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST Northern general CompletedRK5 SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST King's Mill CompletedRXW SHREWSBURY AND TELFORD HOSPITAL NHS TRUST Princess Royal Telford No returnRXW SHREWSBURY AND TELFORD HOSPITAL NHS TRUST Royal Shrewsbury No returnRA9 SOUTH DEVON HEALTHCARE NHS FOUNDATION TRUST Torbay CompletedRYQ SOUTH LONDON HEALTHCARE NHS TRUST Queen Elizabeth CompletedRYQ SOUTH LONDON HEALTHCARE NHS TRUST Princess Royal CompletedRTR SOUTH TEES HOSPITALS NHS FOUNDATION TRUST James Cook No returnRTR SOUTH TEES HOSPITALS NHS FOUNDATION TRUST Friarage No returnRE9 SOUTH TYNESIDE NHS FOUNDATION TRUST CompletedRJC SOUTH WARWICKSHIRE NHS FOUNDATION TRUST CompletedRAJ SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST No returnRVY SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST Southport hospital CompletedRJ7 ST GEORGE'S HEALTHCARE NHS TRUST CompletedRBN ST HELENS AND KNOWSLEY HOSPITALS NHS TRUST Whiston CompletedRWJ STOCKPORT NHS FOUNDATION TRUST Stepping Hill CompletedRTP SURREY AND SUSSEX HEALTHCARE NHS TRUST East Surrey Hospital CompletedRMP TAMESIDE HOSPITAL NHS FOUNDATION TRUST No returnRBA TAUNTON AND SOMERSET NHS FOUNDATION TRUST Musgrove park CompletedRNA THE DUDLEY GROUP NHS FOUNDATION TRUST Russell Hall Hospital CompletedRAS THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST No return

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Royal Victoria No returnRQW THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST No returnRCX THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FOUNDATION TRUST CompletedRFR THE ROTHERHAM NHS FOUNDATION TRUST CompletedRDZ THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST CompletedRQ6 THE ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUSRoyal Liverpool CompletedRL4 THE ROYAL WOLVERHAMPTON NHS TRUST New Cross hospital CompletedRKE THE WHITTINGTON HOSPITAL NHS TRUST CompletedRWD UNITED LINCOLNSHIRE HOSPITALS NHS TRUST Pilgrim hospital Boston CompletedRWD UNITED LINCOLNSHIRE HOSPITALS NHS TRUST Grantham and District CompletedRWD UNITED LINCOLNSHIRE HOSPITALS NHS TRUST Lincoln County CompletedRRV UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST CompletedRJE UNIVERSITY HOSPITAL OF NORTH STAFFORDSHIRE NHS TRUST CompletedRM2 UNIVERSITY HOSPITAL OF SOUTH MANCHESTER NHS FOUNDATION TRUST Wythenshawe CompletedRHM UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST CompletedRRK UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST Queen Elizabeth (replacing exis No returnRA7 UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST Bristol Royal Infirmary CompletedRKB UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST CompletedRWE UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST Royal Infirmary CompletedRWE UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST Leicester general CompletedRWE UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST Glenfield CompletedRTX UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST Furness General No returnRTX UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST Royal Lancaster No returnRBK WALSALL HEALTHCARE NHS TRUST Walsall Manor Hospital CompletedRWW WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST warrington CompletedRWG WEST HERTFORDSHIRE HOSPITALS NHS TRUST St Albans No returnRWG WEST HERTFORDSHIRE HOSPITALS NHS TRUST Watford general hospital CompletedRFW WEST MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST CompletedRGR WEST SUFFOLK NHS FOUNDATION TRUST CompletedRYR WESTERN SUSSEX HOSPITALS NHS TRUST St Richard's Hospital CompletedRYR WESTERN SUSSEX HOSPITALS NHS TRUST Worthing Hospital CompletedRA3 WESTON AREA HEALTH NHS TRUST Weston general CompletedRBL WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST Arrowe Park CompletedRWP WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST No returnRRF WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST Royal Albert Infirmary CompletedRLQ WYE VALLEY NHS TRUST County hospital Hereford CompletedRA4 YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST CompletedRCB YORK TEACHING HOSPITAL NHS FOUNDATION TRUST York CompletedRCB YORK TEACHING HOSPITAL NHS FOUNDATION TRUST Scarborough general Completed

Survey Questions1 Name of hospital site2 Does your site offer an emergency general surgery service? 3 How many consultant surgeons input to the emergency general surgery on take rota?4 How many of the consultant surgeons inputting to the on take rota are: 5

On average, how many hours is there an on-take consultant emergency general surgeon on-site each day? (info should be obtainable from a typical job plan)6 Do general surgeons undertake any elective activity when on-take?7 On average, how many hours is there an on-site on-call consultant anaesthetic presence each day? (info should be available from a typical job plan)8 Do consultant anaesthetists undertake any elective activity when on-call?9 How often would acute emergency general surgey patients usually be reviewed by a consultant?

10 Are all emergency surgery admissions reviewed by a consultant within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital? Is this based on an approximation or formal data collection?

11 Are surgical consultant staffing levels sufficient to enable all patients to be seen within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital?

12 Is there a structured process for medical handover of acute emergency surgical patients? If yes, how many times per day?13 Is handover either supervised or led by a consultant?14 Can patients who require emergency general surgical procedures at night have these done at your hospital site?15 If no, is there an agreed written protocol for transfer to another hospital? 16 What proportion of emergency cases are operated on the day that surgery was originally planned?17 If not all emergency cases have surgery undertaken on the day surgery was originally planned, what are the principle reasons for this?18

On average, for how many hours is there a dedicated admitting medical consultant on the acute medicine unit each day? (info should be available from a typical job plan) 19 When undertaking clinical / on-call duties on the acute medical unit is the admitting consultant free from all other clinical or managerial duties?20 Are all emergency medical admissions reviewed by the admitting medical consultant or appropriate specialty consultant within 12 hours of the decision to admit or within

14 hours of the time of arrival at the hospital? Is this based on approximation or fo21 Are medical consultant staffing levels sufficient to enable all patients to be seen within 12 hours of the decision to admit or within 14 hours of the time of arrival at the

hospital?22 Is there a structured process for medical handover of acute medical patients? If yes, how many times per day? 23 How often would each patient on the acute medical unit usually be reviewed by a consultant?24 Is a multi-disciplinary team (MDT) present on the acute medical unit to review patients each day?25 Which of the following professionals are present on the acute medical unit to participate in the MDT review26 On average how many hours is a member of each profession in the MDT present on the acute medicine unit each day?27 Does your acute medicine unit have access to a mental health practitioner for on-site assessment of patients with mental health needs? If yes or sometimes, what is the

average follow up time?28 Do all patients undergo Early Warning System measurement and recording on admission and thereafter as appropriate? (If ‘no’, what proportion of patients would you

estimate undergo EWS?)29 How does a high EWS score trigger a review of the patient by critical care team?30 How many times during the week / weekend are inpatients outside the acute medical/surgical unit* reviewed by a consultant? 31 If seen less than daily, what is the system for triggering consultant review?32 Is patient experience data routinely collected from patients admitted as an emergency?33 Is there same day access to intermediate care services to facilitate early discharge? Is equipment available if required?34 Do you encounter barriers to discharging patients at the weekend? If so, what are they? (e.g. social care availability, GP availability)35 Do you have rapid access - within 1 hour - to the following services where appropriate for emergencies arising in in-patients? 36 Do you have immediate consultant reporting for all the following rapid access services? 37 What is your average access time for routine inpatient diagnostic imaging?38 What is your average reporting time following routine inpatient diagnostic imaging?

1 2 3 14

Name of hospital site

Does your site offer an emergency general surgery service?

How many consultant surgeons input to the emergency general surgery on take rota?

Can patients who require emergency general surgical procedures at night have these done at your hospital site?

M to F S and S M to F S and S M to F S and S M to F S and S M to F S and S Monday to FridaySaturday and Sunday If yes, which hospital?

Vascular surgeons Breast surgeons (Hours) (Hours) Yes/No Yes/No (Hours) (Hours) Yes/No Yes/No Frequency Frequency % Formal/Approximation % Formal/Approximation Yes/No Yes/No Yes/No How often? Yes/No How often? Yes/No How often? Yes/No How often? Yes/No Yes/No Hospital2752971160 University Hospital Southampton NHS Foundation Trust (Southampton General Hospital) Yes 16 0 0 13 21 No No 14 10 No No Continuous consultant cover Once daily 100% 90-100% Yes No Yes Three times a day Yes Twice a day Yes Three times a Yes Once a day Yes2752939206 South London Healthcare NHS Trust (Queen Elizabeth Hospital) Yes 8 0 1 10 5 Yes No 12 12 No No Once daily Once daily 50-75% Approximation 25-50% Approximation Yes Yes Twice a day Twice a day Yes No Yes2752654533 South London Healthcare NHS Trust (Princess Royal Hospital) Yes 7 0 1 10 3 Yes No 12 9 No No Once daily Once daily 50-75% Approximation 25-50% Approximation No No Yes Twice a day Yes Twice a day Once a day No Yes2748780926 Great Western Hospitals NHS Foundation Trust (Great Western Hospital) Yes 7 1 1 10 3 Sometimes No 12 6 No No Once daily Once daily 50-75% Approximation 50-75% Approximation Yes No Twice a day Twice a day Once a day Once a day Yes2748698032 Gateshead Health NHS Foundation Trust (Queen Elizabeth Hospital) Yes 8 3 2 8 3 No No 24 24 No No Once daily Once daily 75-90% Approximation 50-75% Approximation No No Twice a day Twice a day Once a day Once a day Yes2748508773 Poole Hospital NHS Foundation Trust (Poole Hospital) Yes 6 0 0 12 3 No No 0 0 Yes No Twice daily Once daily 100% 50-75% Yes No Yes Twice a day Yes Twice a day Yes No Yes2748441344 Barnsley Hospital NHS Foundation Trust (Barnsley Hospital) Yes 7 0 1 10 8 Yes No 12 12 Yes No Once daily Once daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2748364149 Wrightington, Wigan & Leigh NHS Foundation Trust (Royal Albert Edward Infirmary) Yes 8 0 1 10 No No 10 Yes No More frequent Once daily 90-100%Approximation 50-75% Approximation Yes No Twice a day Twice a day Once a day No Yes2745683628 York Teaching Hospital NHS Foundation Trust (Scarborough Hospital) Yes 7 0 0 13 10 No No 12 7 No No Twice daily Once daily 100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Yes2745679842 Mid Yorkshire Hospitals NHS Trust (Dewsbury and District Hospital) Yes 6 0 2 12 6 No No 10 8 No No Once daily Once daily 75-90% Approximation 75-90% Approximation No No Twice a day Twice a day Once a day Once a day Yes2745571748 Calderdale and Huddersfield NHS Foundation Trust (Calderdale Royal Hospital) No2745561792 York Teaching Hospital NHS Foundation Trust (York Hospital) Yes 10 0 0 13 10 No No 15 15 No No Twice daily Once daily 100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Yes2745454548 University Hospital of South Manchester NHS Foundation Trust (Wythenshawe Hospital) Yes 8 0 0 12 6 No No 10 3 No No Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Once a day Once a day Once a day Once a day Yes2745445274 Bradford Teaching Hospitals NHS Foundation Trust (Bradford Royal Infirmary) Yes 9 0 0 10 7 No No 12 10 No No More frequent Once daily 100% Approximation 50-75% Approximation Yes No Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2745418996 Sheffield Teaching Hospitals NHS Foundation Trust (Northern General Hospital) Yes 17 0 0 11 7 No No 16 11 No No Once daily Once daily 50-75% 50-75% No No Twice a day Twice a day Once a day Once a day Yes2745409221 East Cheshire NHS Trust (Macclesfield District General Hospital) Yes 5 0 0 10 5 Yes No 10 4 No No Continuous consultant cover Once daily 90-100%Approximation 75-90% Approximation Yes Yes Yes Once a day Yes Once a day Yes Once a day Yes Once a day Yes2745339217 Central Manchester University Hospitals NHS Foundation Trust (Manchester Royal Infirmary) Yes 10 0 0 12 14 Sometimes No 18 18 No No Once daily Once daily 25-50% Approximation 25-50% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2745313708 Central Manchester University Hospitals NHS Foundation Trust (Trafford General Hospital) Yes 4 0 0 6 4 Yes No 6 4 No No Once daily Once daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Once a day Yes Once a day Yes Once a day Yes2745310237 Northumbria Healthcare NHS Foundation Trust (Wansbeck Hospital) Yes 7 0 1 11 7 No No 12 9 No No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Once a day Yes Twice a day Yes Once a day2745294018 Doncaster and Bassetlaw Hospitals NHS Foundation Trust (Bassetlaw Hospital) Yes 3 1 0 10 0 Sometimes No 14 16 No No Twice daily Less frequently than once daily 75-90% Approximation 0-25% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day No No Yes Doncaster Royal Infirmary2745291609 Stockport NHS Foundation Trust (Stepping Hill Hospital) Yes 8 0 0 12 3 No No 14 7 No No Once daily Once daily 25-50% Approximation 0-25% Approximation No No Twice a day Twice a day Once a day No Yes2745279505 Mid Cheshire Hospitals NHS Foundation Trust (Leighton Hospital) Yes 7 0 0 10 6 No No 10 2 SometimesSometimesTwice daily Once daily 100% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Yes Not Applicable2745254983 Northumbria Healthcare NHS Foundation Trust (North Tyneside General Hospital) Yes 7 0 1 11 7 No No 12 9 No No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Once a day Yes2743745542 Countess of Chester Hospital NHS Foundation Trust (Countess of Chester Hospital) Yes 7 0 0 13 5 No No 10 3 No No Twice daily Once daily 90-100%Approximation 50-75% Approximation Yes No Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Yes2743676234 North Cumbria University Hospitals NHS Trust (West Cumberland Hospital) Yes 5 0 0 8 6 No No 10 4 No No Twice daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Yes2742008835 Pennine Acute Hospitals NHS Trust (The Royal Oldham Hospital) Yes 6 0 0 12 6 No No 10 8 Yes No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Yes Yes Twice a day Yes Twice a day Yes2741992257 Pennine Acute Hospitals NHS Trust (Fairfield General Hospital) No2741960969 Pennine Acute Hospitals NHS Trust (Rochdale Infirmary) No2741911076 Southport and Ormskirk Hospital NHS Trust (Southport and Formby District General Hospital) Yes 6 1 2 9 4 Yes No 12 12 No Continuous consultant cover Less frequently than once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2741889523 Pennine Acute Hospitals NHS Trust (North Manchester General Hospital) Yes 8 0 0 12 6 No No 10 8 Yes No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Yes Yes Twice a day Yes Twice a day Yes2741857988 Salford Royal NHS Foundation Trust (Salford Royal Hospital) Yes 12 0 0 12 8 No No 15 12 No No Once daily Once daily 75-90% 75-90% No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2740485220 Mid Yorkshire Hospitals NHS Trust (Pinderfields Hospital) Yes 9 0 2 12 8 No No 10 8 No No Once daily Once daily 75-90% Approximation 75-90% Approximation No No Twice a day Twice a day Once a day Once a day Yes2740073240 The Rotherham NHS Foundation Trust (Rotherham Hospital) Yes 8 0 1 10 6 No No 16 12 No No Once daily Once daily 50-75% 50-75% Yes Yes Twice a day Twice a day Once a day Once a day Yes2740034057 Calderdale and Huddersfield NHS Foundation Trust (Huddersfield Royal Infirmary) Yes 10 2 0 12 5 No No 10 8 No No Twice daily Once daily 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2738776798 South Tyneside NHS Foundation Trust (South Tyneside District Hospital) Yes 5 0 0 13 10 No No 13 10 No No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2735730657 Doncaster and Bassetlaw Hospitals NHS Foundation Trust (Doncaster Royal Infirmary) Yes 3 1 0 12 12 No No 14 12 No No Twice daily Twice daily 100% 100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2735349399 North Cumbria University Hospitals NHS Trust (Cumberland Infirmary) Yes 7 2 1 11 9 No No 16 12 No No Twice daily Once daily 90-100% 90-100% Yes Yes Twice a day Twice a day Twice a day Once a day Yes2733789432 Barts Health NHS Trust (The Royal London Hospital) Yes 9 0 0 12 4 No No 13 10 No No Twice daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2733713072 Barts Health NHS Trust (Newham University Hospital) Yes 6 0 2 8 4 Yes No 8 8 No No Once daily Once daily 75-90% 75-90% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2733546408 Northern Devon Healthcare NHS Trust (North Devon District Hospital) Yes 8 2 1 8 4 No No 14 14 No No More frequent Once daily 90-100%Approximation 50-75% Approximation Yes Yes Yes Twice a day Yes Twice a day No Yes Once a day Yes2731921248 Guy's and St Thomas' NHS Foundation Trust (St Thomas' Hospital) Yes 11 0 0 12 6 No No 12 8 No No Twice daily Once daily 75-90% Approximation 50-75% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2731859868 Porstmouth Hospitals NHS Trust (Queen Alexandra Hospital) Yes 13 0 0 13 8 No No 13 10 No No Twice daily Twice daily 100% 75-90% Yes Yes Twice a day Twice a day Once a day Once a day Yes2731851626 Isle of Wight NHS Trust (St Mary's Hospital) Yes 5 0 0 0 0 Sometimes No 0 0 No No Once daily Once daily 100% 75-90% Yes Yes Twice a day Twice a day Yes No Yes2730453532 Airedale NHS Foundation Trust (Airedale General Hospital) Yes 6 0 2 10 10 Sometimes No 12 12 No No Once daily Once daily 90-100% 50-75% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2730305735 Ashford and St Peter's Hospitals NHS Foundation Trust (St. Peter's Hospital) Yes 9 0 1 12 8 No No 12 8 No No Twice daily Twice daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2730227214 Oxford University Hospitals NHS Trust (Horton General Hospital) No2730024106 Taunton and Somerset NHS Foundation Trust (Musgrove Park Hospital) Yes 8 0 0 12 10 No No 14 8 No No Continuous consultant cover Continuous consultant cover 100% 100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2729600406 The Whittington Hospital NHS Trust (Whittington Health) Yes 8 0 0 12 12 No No 11 6 Yes No Twice daily Twice daily 90-100% 90-100% Yes Yes Twice a day Twice a day No No Yes2729132056 North Bristol NHS Trust (Southmead Hospital) - does not directly admit acute general admissions but maNo2728892348 Hull and East Yorkshire Hospitals NHS Trust (Hull Royal Infirmary) Yes 12 0 0 10 4 No No 14 8 No No Twice daily Once daily 90-100%Approximation 50-75% Approximation Yes Yes Yes Yes Yes Once a day Yes Once a day Yes No2728674258 Buckinghamshire Healthcare NHS Trust (Stoke Mandeville Hospital) Yes 10 0 1 12 6 No No 14 12 No No Once daily Once daily 75-90% Formal data collection 75-90% Formal data collection Yes Yes Twice a day Twice a day Yes Yes Yes2728638372 Western Sussex Hospitals NHS Foundation Trust (St Richard's Hospital) Yes 8 0 0 10 3 Yes No 12 6 No No Once daily Once daily 100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2728603230 Wirral University Teaching Hospital NHS Foundation Trust (Arrowe Park Hospital) Yes 9 0 0 12 12 No No 12 12 No No Once daily Once daily 75-90% 50-75% Yes Yes Yes Yes Yes Yes Yes2728532216 Royal United Hospital Bath NHS Trust (Royal United Hospital) Yes 9 3 2 12 4 No No 12 12 No No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2728468206 North Bristol NHS Trust (Frenchay Hospital) Yes 18 4 0 14 10 Yes No 20 20 Yes SometimesOnce daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Twice a day Twice a day No No Yes2728467102 Bedford Hospital NHS Trust (Bedford Hospital) Yes 6 0 1 10 8 No No 12 12 No No Twice daily Once daily 100% 100% Yes Yes Twice a day Twice a day Once a day No Yes2728396482 Maidstone and Tunbridge Wells NHS Trust (Tunbridge Wells Hospital) Yes 12 0 0 10 6 No No 12 10 No No Continuous consultant cover Once daily 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day No Yes2728387600 Brighton and Sussex University Hospitals NHS Trust (Royal Sussex County Hospital) Yes 8 0 0 9 9 Yes No 24 24 No No Once daily Less frequently than once daily 100% 100% Yes Yes Yes Twice a day Yes Once a day Yes Twice a day Yes Once a day Yes2728342148 Aintree University Hospital NHS Foundation Trust (Aintree University Hospital) Yes 12 0 1 11 4 No No 8 4 No No Continuous consultant cover Once daily 90-100%Approximation 50-75% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2728336007 City Hospitals Sunderland NHS Foundation Trust (Sunderland Royal Hospital) Yes 8 0 0 10 4 No No 24 24 No No Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2728304621 Weston Area Health NHS Trust (Weston General Hospital) Yes 7 0 2 4 6 No No 5 10 No No Once daily Twice daily 100% 100% Yes Yes Yes Yes Yes Yes Yes2726368570 Dartford and Gravesham NHS Trust (Darent Valley Hospital) Yes 6 0 0 12 6 Sometimes No 14 12 No No Continuous consultant cover Once daily 75-90% 50-75% Yes Yes Yes Twice a day Yes Twice a day No No Yes2726220397 South Devon Healthcare NHS Foundation Trust (Torbay Hospital) Yes 8 0 0 12 4 No No 14 14 No No Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Once a day Yes Once a day Yes No Yes2726113128 Sherwood Forest NHS Foundation Trust (Kings Mill Hospital) Yes 9 0 0 11 6 Yes No No No Twice daily Once daily 75-90% Approximation 50-75% Approximation No No Yes Once a day Yes Once a day Yes Once a day Yes Once a day Yes2726098994 Wye Valley NHS Trust (County Hospital) Yes 7 0 3 Sometimes No 10 4 No No Once daily Once daily 90-100%Approximation 50-75% Approximation Yes No Yes Twice a day Yes Twice a day Once a day Once a day Yes2726052466 Sandwell and West Birmingham Hospitals NHS Trust (Sandwell Hospital) Yes 10 3 2 10 10 No No 10 10 No No Once daily Once daily 50-75% 50-75% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes Yes norse- with UHB2726043713 Homerton University Hospital NHS Foundation Trust (Homerton Hospital) Yes 9 0 1 9 6 Sometimes No 16 11 SometimesNo Once daily Once daily 25-50% 25-50% Yes Yes Yes Twice a day Yes Twice a day Yes Yes Yes2725913600 Epsom and St Helier University Hospitals NHS Trust (Epsom General Hospital) No No Yes St Helier Hospital2725889071 Warrington and Halton Hospitals NHS Foundation Trust (Warrington Hospital) Yes 8 0 3 11 5 No No 12 6 No No Once daily Once daily 75-90% 50-75% Yes Yes Three times a day Twice a day Twice a day Once a day Yes2725883010 Barking Havering and Redbridge University Hospitals NHS Trust (King George Hospital) Yes 7 0 4 10 6 Yes No 10 0 Yes No Less frequently than once daily Less frequently than once daily 50-75% Approximation 50-75% Approximation No No Yes Twice a day Yes Twice a day No No Yes2725879253 University Hospitals Coventry and Warwickshire NHS Trust (University Hospital Coventry) Yes 13 0 3 12 8 No No 12 12 No No Once daily Once daily 25-50% Approximation 25-50% Approximation Yes Yes Yes Twice a day Yes Twice a day No No Yes2725835565 St George's Healthcare NHS Trust (St George's Hospital) Yes 10 0 1 12 12 No No 24 24 No No Twice daily Twice daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2725830001 Royal Free London NHS Foudation Trust (Royal Free Hospital) Yes 10 1 0 14 12 No No 13 6 No No Continuous consultant cover Twice daily 100% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2725816665 Epsom and St Helier University Hospitals NHS Trust (St Helier Hospital) Yes 10 0 0 12 8 No No 18 18 SometimesNo Once daily Once daily 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Once a day Yes Twice a day Yes Once a day Yes2725814884 Barking Havering and Redbridge University Hospitals NHS Trust (Queen's Hospital) Yes 12 5 0 12 10 No No 10 0 No No Once daily Once daily 90-100% 90-100% No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2725698125 Plymouth Hospitals NHS Trust (Deriford Hospital) Yes 20 0 0 12 8 No No 24 24 No No Twice daily Once daily 100% 100% Yes Yes Yes Twice a day Yes Twice a day Yes Yes Yes2725676961 East and North Hertfordshire NHS Trust (Lister Hospital) Yes 10 3 0 11 6 No No 13 5 No No Once daily Once daily 50-75% 50-75% No No Yes Yes Yes Once a day Yes Once a day Yes2725661522 Medway NHS Foundation Trust (Medway Maritime Hospital) Yes 9 1 2 10 4 No No 10 4 SometimesNo Once daily Once daily 75-90% Approximation 75-90% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Yes2725589923 Ealing Hospital NHS Trust (Ealing Hospital) Yes 6 0 1 12 5 No No 12 12 No No Twice daily Twice daily 90-100% 90-100% Yes Yes Yes Yes Yes Yes Yes2725573655 East and North Hertfordshire NHS Trust (Queen Elizabeth II Hospital) No2725573421 King's College Hospital NHS Foundation Trust (King's College Hospital) Yes 10 0 0 12 8 No No 10 8 No No Once daily Once daily 100% Formal data collection 100% Formal data collection Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2725545947 Luton and Dunstable University Hospital NHS Foundation Trust (Luton and Dunstable University HospitaYes 9 0 1 12 6 No No 12 6 No No More frequent Twice daily 100% Approximation 75-90% Approximation Yes Yes Twice a day Twice a day Yes Twice a day Once a day Yes2725526169 Ipswich Hospital NHS Trust (Ipswich Hospital) Yes 8 0 0 10 6 No No 10 4 No No Once daily Once daily 25-50% 25-50% No No Twice a day Twice a day No No Yes2725511210 University Hospitals Bristol NHS Foundaton Trust (Bristol Royal Infirmary) Yes 12 0 0 10 4 No No 10 10 No No Twice daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Yes2725489074 Cambridge University Hospitals NHS Foundation Trust (Addebrooke's Hospital) Yes 10 0 0 14 10 No No 16 16 Yes No Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2725453171 Kettering General Hospital NHS Foundation Trust (Kettering General Hospital) Yes 6 0 1 12 6 No No 12 10 Yes No Twice daily Once daily 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Yes2725428488 West Hertfordshire Hospitals NHS Trust (Watford General Hospital) Yes 2 4 1 10 4 No No 12 8 No No Twice daily Once daily 100% 50-75% Yes Yes Twice a day Twice a day Yes Once a day Yes Once a day Yes2724301182 St Helens and Knowsley Teaching Hospitals NHS Trust (Whiston Hospital) Yes 8 0 0 12 10 No No 12 8 No No Twice daily Once daily 75-90% Approximation 50-75% Approximation Yes No Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Yes2724049420 Mid Essex Hospitals NHS Trust (Broomfield Hospital) Yes 8 0 0 11 7 No No 5 4 No No Once daily Once daily 75-90% 75-90% No No Twice a day Twice a day Once a day Once a day Yes No2723914791 Barnet and Chase Farm Hospitals NHS Trust (Barnet Hospital) Yes 6 0 0 10 7 No No 10 6 SometimesNo Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2723903471 University College London Hospitals NHS Foundation Trust (University College Hospital) Yes 12 0 0 12 6 No No 13 6 No No Twice daily Twice daily 75-90% 75-90% Yes Yes Once a day Once a day Once a day Once a day Yes2723890499 West Middlesex University Hospital NHS Trust (West Middlesex Hospital) Yes 5 3 9 2 Sometimes No 10 3 SometimesNo Once daily Less frequently than once daily 50-75% Approximation 25-50% Approximation No No Yes Twice a day Yes Twice a day Once a day No Yes2723874379 Hinchingbrooke Health Care NHS Trust (Hinchingbrooke Hospital) Yes 6 0 1 10 4 Sometimes No 24 24 No No Twice daily Once daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2723854718 Lewisham Healthcare NHS Trust (Lewisham Hospital) Yes 6 0 0 11 6 Sometimes No 10 7 No No Continuous consultant cover Twice daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Yes2723818383 Oxford University Hospitals NHS Trust (John Radcliffe Hospital) Yes 12 0 0 14 10 No No 10 3 No No Once daily Once daily 100% Formal data collection 90-100% Formal data collection Yes Yes Twice a day Twice a day Once a day Once a day Yes2722703423 Basildon and Thurrock Hospitals NHS Foundation Trust (Basildon Hospital) Yes 9 3 6 12 6 No No 13 4 No No Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Yes2722483431 Frimley Park Hospital NHS Foundation Trust (Frimley Park Hospital) Yes 10 0 2 15 10 No No 15 9 No No Continuous consultant cover Continuous consultant cover 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2722043175 Peterborough and Stamford Hospitals NHS Foundation Trust (Peterborough City Hospital) Yes 14 2 0 10 8 No No 15 15 No Once daily Once daily 100% 90-100% Yes Yes Twice a day Twice a day Yes No Yes2720727336 Nottingham University Hospitals NHS Trust (City Hospital) No2720655100 Barts Health NHS Trust (Whipps Cross Hospital) Yes 9 2 2 11 6 No No 12 12 No No Once daily Once daily 75-90% Approximation 25-50% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2720560655 Nottingham University Hospitals NHS Trust (Queen's Medical Centre) Yes 14 0 0 22 8 No No 13 10 No No Twice daily Twice daily 90-100%Formal data collection 90-100% Formal data collection Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2720389576 West Suffolk Hospital NHS Foundation Trust (West Suffolk Hospital) Yes 6 0 1 10 5 No No 16 14 No No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Yes2718517981 University Hospital of North Staffordshire NHS Trust (City General Hospital) Yes 12 0 0 15 10 No No 15 6 Yes SometimesOnce daily Once daily 25-50% Approximation 25-50% Approximation No No Twice a day Twice a day No No Yes2716021689 Salisbury NHS Foundation Trust (Salisbury District Hospital) Yes 8 3 0 12 4 No No 14 10 No No Continuous consultant cover Continuous consultant cover 100% Approximation 90-100% Approximation Yes Yes Yes Yes Yes Yes Yes2715916489 Brighton and Sussex University Hospitals NHS Trust (Princess Royal Hospital) No2715872648 Colchester Hospital University NHS Foundation Trust (Colchester General Hospital) Yes 8 0 0 12 9 No No 13 6 No No Twice daily Once daily 75-90% 50-75% No No Twice a day Twice a day Twice a day Once a day Yes2715832906 Yeovil District Hospital NHS Foundation Trust (Yeovil Hospital) Yes 7 0 0 10 4 No No 10 8 SometimesNo Once daily Once daily 50-75% 50-75% Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2715573407 James Paget University Hospitals NHS Foundation Trust (James Paget University Hospital) Yes 6 0 1 10 8 Sometimes No 15 14 No No Once daily Once daily 75-90% Approximation 75-90% Approximation Yes Yes Twice a day Twice a day No No Yes2715473748 Heatherwood and Wexham Park Hospitals NHS Foundation Trust (Wexham Park) Yes 8 1 0 12 12 No No 13 6 No No Once daily Once daily 90-100% 90-100% No No Yes Once a day Yes Once a day Yes Once a day Yes Once a day Yes2714232086 East Sussex Healthcare NHS Trust (Eastbourne District General Hospital) Yes 6 2 0 12 4 Yes No 12 8 Yes No Once daily Once daily 75-90% Approximation 75-90% Approximation Yes Yes Twice a day Twice a day Twice a day Once a day Yes2713938691 The Dudley Group NHS Foundation Trust (Russells Hall Hospital) Yes 8 0 1 10 6 No No 10 6 No No Once daily Once daily 50-75% Approximation 50-75% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2708687997 The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust (Royal Bournemouth Hospit Yes 8 0 2 12 5 Yes No 11 5 SometimesNo Twice daily Once daily 50-75% Approximation 50-75% Approximation Yes Yes Yes Three times a day Yes Twice a day No No Yes2706561778 George Eliot Hospital NHS Trust (George Eliot Hospital) Yes 7 1 1 12 4 Yes No 12 6 No No Continuous consultant cover Continuous consultant cover 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2705355769 Royal Cornwall Hospitals NHS Trust (Royal Cornwall Hospital) Yes 10 0 0 12 8 No No 12 12 No No Twice daily Twice daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Yes2705306452 Maidstone and Tunbridge Wells NHS Trust (Maidstone Hospital) Yes 12 0 0 12 5 No No 12 10 No No Continuous consultant cover Once daily 100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Yes Once a day Yes Once a day Yes2705271428 Royal Surrey County Hospital NHS Foundation Trust (Royal Surrey County Hospital) Yes 8 0 0 12 4 No No 12 4 No No Once daily Once daily 100% Approximation 75-90% Approximation Yes No Yes Twice a day Yes Twice a day No No Yes2704181859 Northampton General Hospital NHS Trust (Northampton General Hospital) Yes 10 5 0 11 4 No No 14 14 No No Twice daily Once daily 75-90% 50-75% No No No No Yes Twice a day Yes Once a day Yes2702432483 Kingston Hospital NHS Foundation Trust (Kingston Hospital) Yes 6 0 0 13 4 No No 12 2 No No Twice daily Twice daily 90-100%Approximation 90-100% Approximation Yes Yes Once a day Once a day No No Yes

Emailed The Royal Liverpool and Broadgreen University Hospitals NHS Trust (Royal Liverpool University HospitaYes 11 0 0 10 6 No No 12 9 No No Once daily Once daily 25-50% Approximation 25-50% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed Northern Lincolnshire and Goole Hospitals NHS Foundation Trust (Diana Princess Wales Hospital) Yes 6 0 0 10 3 No No 10 2 SometimesNo Twice daily Once daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Once a day Yes Twice a day Yes Once a day YesEmailed Northern Lincolnshire and Goole Hospitals NHS Foundation Trust (Scunthorpe General Hospital) Yes 6 0 0 10 3 No No 10 2 SometimesNo Twice daily Once daily 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Once a day Yes Twice a day Yes Twice a day YesEmailed Norfolk and Norwich University Hospitals NHS Foundation Trust (Norfolk and Norwich University HospitaYes 9 0 0 14 8 No No 12 10 No No Twice daily Twice daily 100% Formal data collection 50-75% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed Royal Berkshire NHS Foundation Trust (Royal Berkshire Hospital) NoEmailed County Durham and Darlington NHS Foundation Trust (University Hospital of North Durham) Yes 8 2 1 10 7 No No 9 9 No No More frequent Twice daily 100% Approximation 90-100% Approximation Yes Yes Yes Once a day Yes Once a day Yes Once a day Yes Once a day YesEmailed County Durham and Darlington NHS Foundation Trust (Darlington Memorial Hospital) Yes 8 0 1 10 7 No No 9 9 No No More frequent Twice daily 100% Approximation 90-100% Approximation Yes Yes Yes Once a day Yes Once a day Yes Once a day Yes Once a day YesEmailed South Warwickshire NHS Foundation Trust (Warwick Hospital) Yes 8 0 3 8 6 No No 12 12 No No Once daily Once daily 90-100% 75-90% No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed Dorset County Hospital NHS Foundation Trust (Dorset County Hospital) Yes 7 0 1 9 3 No No No No Once daily Once daily 75-90% Approximation 75-90% Approximation No No Yes Twice a day Yes Twice a day Yes Yes YesEmailed Surrey and Sussex Healthcare NHS Trust (East Surrey Hospital) Yes 8 0 1 12 5 Sometimes No 12 5 No No Once daily Once daily 75-90% Approximation 75-90% Approximation Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes YesEmailed Western Sussex Hospitals NHS Foundation Trust (Worthing Hospital) Yes 8 0 0 10 3 No No 12 6 No No Once daily Once daily 100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed The Royal Wolverhampton NHS Trust (New Cross Hospital) Yes 9 0 2 12 8 Sometimes No 14 10 No No Continuous consultant cover Once daily 100% Approximation 75-90% Approximation Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed United Lincolnshire Hospitals NHS Trust (Grantham and District Hospital) NoEmailed United Lincolnshire Hospitals NHS Trust (Pilgrim Hospital) Yes 6 0 0 11 11 Yes Yes 10 10 No No Once daily Once daily 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Yes YesEmailed United Lincolnshire Hospitals NHS Trust (Lincoln County Hospital) Yes 9 0 0 14 8 No No 16 16 No No Twice daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Yes YesEmailed Croydon Health Services NHS Trust (Croydon Hospital) Yes 6 1 0 11 4 No No 12 4 No No Once daily Once daily 90-100%Approximation 75-90% Approximation Yes Yes Three times a day Twice a day Twice a day Once a day YesEmailed The North West London Hospitals NHS Trust (Northwick Park Hospital) Yes 11 0 0 13 13 No No 12 6 SometimesNo Twice daily Twice daily 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed The North West London Hospitals NHS Trust (Central Middlesex Hospital) NoEmailed Barnet and Chase Farm Hospitals NHS Trust (Chase Farm Hospital) Yes 6 0 0 10 7 No No 10 6 SometimesNo Once daily Once daily 90-100%Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed University Hospitals of Leicester NHS Trust (Leicester Royal Infirmary) Yes 11 0 0 14 12 No No 14 12 No No Continuous consultant cover Continuous consultant cover 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed University Hospitals of Leicester NHS Trust (Glenfield Hospital) NoEmailed University Hospitals of Leicester NHS Trust (Leicester General Hospital) Yes 11 0 0 12 10 No No 12 4 No No Continuous consultant cover Continuous consultant cover 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day YesEmailed Walsall Healthcare NHS Trust (Manor Hospital) Yes 8 2 2 11 9 No No 14 12 No No More frequent More frequent 100% Approximation 100% Approximation Yes Yes Yes Once a day Yes Once a day Yes Yes YesEmailed Hampshire Hospitals NHS Foundation Trust (Royal Hampshire County Hospital) Yes 6 0 1 12 4 No No 10 6 No No Twice daily Once daily 100% 100% Yes Yes Yes Twice a day Yes Once a day YesEmailed Hampshire Hospitals NHS Foundation Trust (Basingstoke and north Hampshire Hospital) Yes 8 0 1 12 4 No No 10 6 No No Twice daily Once daily 100% 100% Yes Yes Yes Twice a day Yes Once a day YesEmailed East Sussex Healthcare NHS Trust (Conquest Hospital) Yes 4 0 0 12 6 Yes No 12 8 No No Once daily Once daily 75-90% Approximation 75-90% Approximation Yes Yes Twice a day Twice a day Once a day Once a day YesEmailed King's Lynn NHS Foundation Trust (Queen Elizabeth Hosptital) Yes 9 3 2 11 6 No No No No Twice daily Twice daily 100% Approximation 100% Approximation Yes Yes Yes Three times a day Yes Three times a daYes Once a day Yes Once a day YesEmailed Chesterfield Royal Hosital NHS Foundation Trust Yes 7 0 1 10 5 Sometimes No 14 12 No No Once daily Once daily 50-75% Approximation 50-75% Approximation No No Yes Once a day Yes Once a day Yes Once a day Yes Once a day YesEmailed East Kent Hospitals University NHS Foundation Trust (William Harvey Hospital) Yes 16 0 2 10 5 No No 16 9 No No Once daily Once daily 100% 100% Yes No Twice a day Twice a day Once a day Once a day YesEmailed East Kent Hospitals University NHS Foundation Trust (Queen Elizabeth, The Queen Mother Hospital) Yes 16 0 0 10 5 No No 15 8 No No Once daily Once daily 100% 100% Yes No Twice a day Twice a day Once a day Once a day YesEmailed East Kent Hospitals University NHS Foundation Trust (Kent and Canterbury Hospital)Emailed Imperial College Healthcare NHS Trust (St. Mary's Hospital) Yes 7 0 0 10 5 No No 12 8 No No Twice daily Once daily 100% 100% Yes Yes Yes Twice a day Yes Twice a day No No YesEmailed Imperial College Healthcare NHS Trust (Charing Cross Hospital) Yes 6 0 2 9 2 Sometimes No 11 2 No No Once daily Once daily 100% 90-100% Yes No Twice a day Twice a day No No YesEmailed Imperial College Healthcare NHS Trust (Hammersmith Hospital) NoEmailed Sandwell & West Birmingham Hospitals NHS Trust (City Hospital) Yes 10 3 2 10 10 No No 10 10 No No Once daily Once daily 50-75% 50-75% Yes Yes Yes Twice a day Yes Twice a day Yes Yes Yes

If no, is there an agreed written protocol for transfer to another hospital?

15

S and S

Is handover either supervised or led by a consultant?

1398 10

How often would acute emergency general surgey patients usually be reviewed by a consultant?

Monday to Friday

Are all emergency surgery admissions reviewed by a consultant within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital? Is this based on an approximation or formal data collection?

Saturday and Sunday

Are surgical consultant staffing levels sufficient to enable all patients to be seen within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital?RespondentID

11 12

M to F

7654

How many of the consultant surgeons inputting to the on take rota are:

On average, how many hours is there an on-take consultant emergency general surgeon on-site each day? (info should be obtainable from a typical job plan)

Do general surgeons undertake any elective activity when on-take?

On average, how many hours is there an on-site on-call consultant anaesthetic presence each day? (info

Monday to Friday Saturday and Sunday

Is there a structured process for medical handover of acute emergency surgical patients? If yes, how many times per day?

Do consultant anaesthetists undertake any elective activity when on-call?

16What proportion of emergency cases are operated on the day that surgery was originally planned?

M to F S and S M to F S and S M to F S and S M to F S and S M to F S and SResponse Other (please specify) (Hours) (Hours) Yes/No/So Yes/No/So % Formal/Approximation % Formal/Approximation Yes/No Yes/No Yes/No How often? Yes/No How often? Yes/No How often? Yes/No How often? Frequency Frequency Yes/No/Sometimes Yes/No/Sometimes Physiotherapy Occupational therapy Pharmacy Medical Nursing Social care Physiotherapy Occupational therapy Pharmacy Medical Nursing

80-90% Delays in pre-operative preparation critical care bed availability, o 14 7 Yes Yes 100% 90-100% Yes No Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Continuous consultant cover Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 12 Yes Yes 75-90% Formal data collection 75-90% Formal data collection Yes Yes Yes Yes No No Continuous consultant cover Less frequently than once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 No Yes No Yes Yes90-100% Theatre capacity 12 6 Yes Yes 90-100% Approximation 75-90% Approximation Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% higher clinical priority cases f 12 10 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Yes Once a day Yes Once a day No No Continuous consultant cover Continuous consultant cover Yes No No Yes Sometimes Yes Yes Yes 490-100% Delays in pre-operative preparation 13 13 Yes Yes 90-100% Approximation 90-100% Approximation No No Twice a day Twice a day Once a day Once a day Continuous consultant cover Continuous consultant cover Yes Yes No No Yes Yes Yes No 3 No No Yes Yes Yes80-90% Delays in pre-operative preparation 11 5 Yes Yes 100% 75-90% Yes No Three times a day Once a day Yes Yes Twice daily Once daily Yes No Yes Sometimes Yes Yes Yes Sometimes 4 No No No Yes Yes100% 10 7 SometimesYes 75-90% Formal data collection 90-100% Approximation Yes No Twice a day Twice a day Yes Once a day Yes Once a day Twice daily Once daily Yes No Yes Yes Yes Yes Yes No 5 No No No Yes Yes80-90% Theatre capacity patient acuity 12 5 Yes Yes 100% Approximation 75-90% Approximation Yes No Yes Twice a day Yes Twice a day No No Twice daily Twice daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Sometimes Yes Yes Yes90-100% Theatre capacity 10 6 Yes Sometimes90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day No Once daily Less frequently than once daily No No No No Yes Yes Yes No 3 No No No Yes Yes90-100% Theatre capacity 13 9 Yes Yes 50-75% Formal data collection 50-75% Formal data collection No No Yes Twice a day Yes Twice a day Once a day Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes

9 9 Yes Yes 75-90% Approximation 75-90% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes90-100% Theatre capacity 11 8 SometimesSometimes50-75% Formal data collection 50-75% Formal data collection No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Less frequently than once daily Yes Yes No No No No Yes No 1 No No No No Yes0-80% Theatre capacity 14 14 Yes Yes 100% 100% Yes Yes Twice a day Twice a day Twice a day Twice a day Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes0-80% Theatre capacity 10 12 Yes Yes 75-90% Approximation 75-90% Approximation No No Yes Three times a day Yes Twice a day Yes Once a day Yes Once a day More frequent More frequent Sometimes No Yes No Yes Yes Yes No 4 Yes No No Yes Yes80-90% All of the above 13 10 Yes Yes 75-90% 75-90% Yes Yes Yes Three times a day Yes Three times a day Twice a day Once a day Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity 10 8 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Less frequently than once daily Yes Sometimes Yes Sometimes Yes Yes Yes Yes 5 Yes No No Yes Yes0-80% Theatre capacity 14 14 Yes Yes 75-90% 75-90% Yes Yes Twice a day Twice a day Twice a day Twice a day Continuous consultant cover Continuous consultant cover Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Sometimes No Yes Yes Yes90-100% Theatre capacity 8 4 Yes Yes 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Less frequently than once daily Less frequently than once daily Yes No Yes Yes Yes Yes Yes No 5 No No No Yes Yes90-100% Theatre capacity 14 14 Yes Yes 100% Approximation 100% Approximation Yes Yes Three times a day Three times a day Three times a day Three times a Continuous consultant cover Continuous consultant cover Sometimes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes0-80% Theatre capacity 10 10 Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Twice daily Twice daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes0-80% Theatre capacity 14 12 Yes Yes 100% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day More frequent More frequent Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes80-90% Theatre capacity 14 9 Yes Yes 75-90% Approximation 25-50% Approximation No No Yes Yes Yes Three times a day No Once daily Less frequently than once daily Yes Yes Yes No Yes Yes Yes No 4 Yes No Yes Yes Yes90-100% Theatre capacity 14 14 Yes Yes 100% Approximation 100% Approximation Yes Yes Three times a day Three times a day Three times a day Three times a Continuous consultant cover Continuous consultant cover Sometimes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity 14 14 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Yes Four times a day Yes Twice a day Yes Four times a day Yes Twice a day Once daily Once daily Yes Sometimes Sometimes Sometimes Sometimes Yes Yes No 2 Sometimes No No Yes Yes80-90% Theatre capacity 14 10 Yes Yes 90-100% 90-100% Yes Yes Yes Three times a day Yes Three times a day Yes Three times a day Yes Three times a Continuous consultant cover Continuous consultant cover Yes No Yes Yes Yes Yes Yes No 5 Sometimes No Sometimes Yes Yes80-90% Theatre capacity 11 10 No Yes 75-90% Approximation 75-90% Approximation Yes No Yes Three times a day Yes Three times a day Yes Twice a day Yes Twice a day Continuous consultant cover Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No Sometimes Yes Yes

8 5 Yes Yes 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes8 2 Yes Yes 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day No No Once daily Once daily No No No No Yes Yes Yes Yes 4 No No No Yes Yes

80-90% Theatre capacity Often delayed to avoid opera 12 8 SometimesYes 50-75% Approximation 25-50% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day No Once daily Less frequently than once daily Sometimes No Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes90-100% Theatre capacity 8 2 SometimesSometimes75-90% Approximation 75-90% Approximation Yes Yes Yes Once a day Yes Once a day No No Once daily Once daily Yes Yes Sometimes Yes Yes Yes Yes Yes 5 Sometimes Yes Yes Yes Yes80-90% Theatre capacity presently increasing the num 12 12 Yes Yes 75-90% Formal data collection 75-90% Formal data collection No No Yes Three times a day Yes Twice a day Yes Twice a day Yes Once a day Continuous consultant cover Continuous consultant cover Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes80-90% Theatre capacity 13 8 Yes Yes 50-75% Formal data collection 50-75% Formal data collection No No Yes Twice a day Yes Once a day Yes Twice a day Yes Once a day Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes No Yes Yes80-90% Theatre capacity Adherance to NCPOD Guide 14 14 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Continuous consultant cover Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes No Yes Yes80-90% Theatre capacity Plus consideration od CEPO 9 9 Yes Yes 75-90% Approximation 75-90% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 12 Yes Yes 75-90% Formal data collection 75-90% Formal data collection Yes Yes Yes Three times a day Yes Twice a day Yes Once a day Yes Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Sometimes Yes Yes Sometimes 4 Sometimes No No Yes Yes80-90% Theatre capacity 12 10 Yes Yes 90-100% 90-100% Yes Yes Yes Three times a day Yes Twice a day Yes Twice a day Yes Twice a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes80-90% Theatre capacity 14 14 Yes Yes 90-100% 90-100% Yes Yes Yes Yes Yes Twice a day Yes Twice a day Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes No 5 No No No Yes Yes90-100% Theatre capacity 11 9 Yes Yes 75-90% 50-75% Yes No Yes Once a day No Yes Once a day No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes No Yes Yes0-80% Theatre capacity 8 7 SometimesYes 90-100% Formal data collection 90-100% Formal data collection No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Sometimes No Sometimes Yes Yes90-100% Theatre capacity 11 7 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Twice daily Twice daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 12 Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Sometimes 5 Yes Sometimes Yes Yes Yes80-90% Lack of clinical need 14 13 Yes Yes 75-90% 75-90% Yes Yes Twice a day Twice a day Twice a day Twice a day Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes100% 12 3 No No 90-100% 75-90% No No Twice a day Twice a day No No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No No Yes Yes Yes90-100% Clinical Decision Making in lin 13 7 Yes Yes 90-100% 90-100% Yes Yes Yes Once a day Yes Once a day Yes Once a day No Twice daily Twice daily Sometimes No Yes Yes Yes Yes Yes Sometimes 5 No No No No No90-100% Theatre capacity Competition for emergency li 13 12 Yes Yes 100% 100% Yes Yes Yes Three times a day Yes Once a day Yes Three times a day Yes Once a day Continuous consultant cover Continuous consultant cover Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Sometimes Sometimes No Yes Yes

8 8 SometimesYes 90-100% Approximation 90-100% Approximation Yes Yes Once a day Once a day No No Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes90-100% Theatre capacity 14 11 Yes Yes 75-90% 75-90% Yes Yes Yes Once a day Yes Twice a day Yes Once a day Yes Twice a day Continuous consultant cover Once daily Yes No Yes Yes Yes Yes Yes No 5 No No No Yes Yes80-90% 12 12 Yes Yes 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day No No Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes

0 0 No Yes 100% Approximation 100% Approximation Yes Yes Once a day Once a day No No Less frequently than once daily Less frequently than once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No No Yes Yes90-100% Theatre capacity 14 6 Yes Yes 75-90% 75-90% Yes No Yes Twice a day Yes Twice a day Yes Once a day No More frequent Twice daily Sometimes Yes No No Yes Yes No 3 Yes No No Yes Yes0-80% Theatre capacity 11 6 Yes Yes 100% 100% Yes Yes Yes Once a day Yes Once a day Yes Once a day Yes Once a day Once daily Once daily Sometimes Sometimes Sometimes Sometimes No Yes Yes No 2 Sometimes No No Yes Yes90-100% Theatre capacity 10 3 SometimesYes 75-90% 50-75% No No Yes Twice a day Yes Once a day Yes Twice a day Yes Twice a day Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes No 5 No Sometimes No Yes Yes80-90% Surgeon availability/capacity 12 9 Yes Yes 75-90% 50-75% No No Yes Yes Yes Yes Once daily Once daily No No Sometimes Sometimes Sometimes Yes Yes Sometimes 2 Sometimes No Sometimes Yes Yes100% 12 12 Yes Sometimes100% Approximation 90-100% Approximation No No Yes Three times a day Yes Twice a day Yes Three times a day Yes Twice a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Sometimes 5 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 4 SometimesYes 75-90% Approximation 75-90% Approximation No No Once a day Once a day No No Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No No Yes Yes100% 12 12 Yes Yes 100% 100% Yes Yes Twice a day Twice a day Yes Once a day No Once daily Once daily Yes Yes Yes Yes No Yes Yes No 4 Yes Yes No Yes Yes90-100% Cases delayed until the follow 10 8 Yes Yes 90-100% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day No Continuous consultant cover Once daily Yes Yes Yes Yes No Yes Yes Sometimes 4 Yes Yes No Yes No80-90% Theatre capacity 11 12 Yes Yes 90-100% 75-90% No No Yes Once a day Yes Once a day Yes Once a day Yes Once a day Once daily Once daily No No No No No Yes Yes No 2 No No No Yes Yes90-100% Anaesthetist availability/capacity 12 12 Yes Yes 75-90% Approximation 50-75% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day No Twice daily Once daily Sometimes Sometimes Yes Yes Yes Yes Yes No 5 No No Yes Yes Yes90-100% Theatre capacity 14 8 Yes Yes 75-90% Approximation 50-75% Approximation No No Twice a day Twice a day Once a day No Once daily Once daily Yes No Yes Yes Sometimes Yes Yes No 4 No No No Yes Yes90-100% Theatre capacity 8 5 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day No No Once daily Once daily Yes No Yes Yes Yes Yes Yes No 5 No No No Yes Yes80-90% Theatre capacity 12 8 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes No Yes Twice a day Yes Twice a day No No Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Sometimes Yes Yes Yes80-90% Theatre capacity 12 12 Yes Yes 90-100% 90-100% No No Yes Once a day Yes Once a day Yes Yes Twice daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No No Yes Sometime80-90% Dependent on CEPOD classi 15 15 Yes Yes 100% Approximation 100% Approximation Yes Yes Yes Once a day No Yes Once a day No Once daily Less frequently than once daily Yes Yes No Yes Yes Yes No 4 No No Yes Yes Yes80-90% Theatre capacity 12 12 SometimesYes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day No No Once daily Once daily Sometimes No Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes80-90% Theatre capacity NCPOD 13 6 Yes Yes 75-90% 50-75% No Yes Yes Twice a day Yes Twice a day No Twice a day No Twice a day Twice daily Twice daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 12 Yes Yes 100% 100% Yes Yes Twice a day Twice a day Once a day Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes

12 3 Yes Yes 75-90% Approximation 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Twice daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes No Yes Yes90-100% Theatre capacity bed availability 12 6 Yes Yes 100% 75-90% Yes No Twice a day Twice a day Twice a day No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes0-80% Theatre capacity 8 8 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Once daily Less frequently than once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes Sometimes Yes Yes90-100% Theatre capacity 12 9 Yes Yes 75-90% Formal data collection 75-90% Formal data collection No No Twice a day Twice a day Yes Yes Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes80-90% Theatre capacity 14 8 Yes Yes 90-100% 75-90% Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Twice daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Sometimes Sometimes Yes Yes Yes80-90% Theatre capacity 13 9 Yes Yes 90-100% Formal data collection 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No Yes Yes Yes Yes80-90% Theatre capacity If after 22:00 hours it is not a 12 8 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Twice a day Once daily Twice daily Yes No Yes Yes No Yes Yes No 4 No No No No No0-80% Theatre capacity 12 12 Yes Yes 75-90% 75-90% Yes Yes Four times a day Three times a day Yes Twice a day Yes Twice a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes80-90% Theatre capacity 13 8 Yes Yes 90-100% 90-100% No No Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Twice daily Once daily Yes Yes Yes Yes Sometimes Yes Yes No 4 Yes Yes No Yes Yes0-80% Theatre capacity 10 10 SometimesYes 50-75% Formal data collection 50-75% Formal data collection No No Yes Twice a day Yes Twice a day Yes Yes Twice daily Less frequently than once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No Sometimes Yes Yes80-90% Theatre capacity NCEPOD rules suggesting on 12 10 Yes No 75-90% Approximation 75-90% Approximation No No Yes Once a day Yes Once a day No No Once daily Once daily Yes No Yes Yes Yes Yes Yes No 5 No No No Yes Yes80-90% Delays in pre-operative preparation 9 6 SometimesYes 100% 100% Yes Yes Twice a day Twice a day Yes Once a day No Continuous consultant cover Less frequently than once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No Yes Yes Yes

10 10 SometimesYes 50-75% 50-75% No No Yes Twice a day Yes Twice a day No No Once daily Less frequently than once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No Sometimes Yes Yes100% 12 6 Yes Yes 100% Formal data collection 100% Formal data collection Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% only life or limb after midnigh 14 14 Yes Yes 100% Approximation 100% Approximation Yes Yes Twice a day Twice a day Twice a day Twice a day More frequent More frequent Yes Yes Sometimes No Sometimes Yes Yes Yes 3 Sometimes No Sometimes Yes Yes90-100% Theatre capacity Diagnostic delays 12 12 Yes Yes 100% Approximation 100% Approximation Yes Yes Once a day Once a day No No Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes No Yes Yes0-80% Theatre capacity 12 6 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Twice a day No Once daily Less frequently than once daily Yes Yes Yes No Yes Yes Yes Yes 5 No No No Yes Yes0-80% Theatre capacity 14 10 Yes Yes 100% Formal data collection 100% Formal data collection Yes Yes Yes Once a day Yes Once a day Yes Once a day Yes Once a day Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Theatre capacity delay in pre operative prepar 12 8 Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Sometimes No No Yes Yes80-90% Theatre capacity 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Once daily Less frequently than once daily Yes Sometimes Yes Yes Yes Yes Yes 5 Yes Yes Yes Yes Yes0-80% Anaesthetist availability/capacity 12 6 Yes Yes 90-100% Approximation 50-75% Approximation No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes80-90% Theatre capacity 14 14 Yes Yes 90-100% 90-100% Yes Yes Twice a day Twice a day Twice a day Twice a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity Delays in pre-operative prepa 10 12 Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Continuous consultant cover Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes80-90% Theatre capacity 12 6 Yes Yes 90-100% Approximation 50-75% Approximation Yes No Yes Yes Yes Three times a day Yes Once a day Continuous consultant cover Once daily Yes Sometimes Yes Yes Yes Yes Yes No 5 Sometimes Sometimes Sometimes Yes Yes80-90% Recommendation from NCEP 12 6 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Sometimes 5 No No Yes Yes Yes90-100% Theatre capacity ODP availability 10 0 SometimesYes 75-90% 75-90% No No Three times a day Twice a day Twice a day Once a day Once daily Less frequently than once daily Yes Yes No No Yes Yes Yes Yes 4 No No No Yes Yes90-100% A combination of the above - 12 8 SometimesYes 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Yes Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes No Yes Yes0-80% Theatre capacity 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Three times a day Three times a day No No Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 12 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Yes Yes Yes Once a day Yes Once a day Continuous consultant cover Once daily Yes Sometimes Yes Yes Sometimes Yes Yes No 4 Sometimes Sometimes No Yes Yes90-100% Theatre capacity 15 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Four times a day Yes Three times a day Yes Four times a day Yes Three times a Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes80-90% Theatre capacity Booking of non-emergency p 14 8 Yes Yes 50-75% Approximation 50-75% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Once daily Less frequently than once daily Yes Sometimes Yes Yes Yes Yes Yes No 5 No Yes No No No

1 No No 75-90% Approximation 50-75% Approximation Yes No Yes Twice a day Yes Twice a day No No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No No Yes Yes Yes80-90% Theatre capacity 12 8 Yes Yes 90-100% 90-100% No No Yes Once a day Yes Once a day Yes Once a day No Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Sometimes Sometimes No Yes Yes80-90% Theatre capacity NUH employs a queing syste 14 14 Yes Yes 75-90% Approximation 75-90% Approximation Yes No Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Twice daily Twice daily Yes Sometimes Yes Sometimes Yes Yes Yes Yes 5 Yes No Yes Yes Yes80-90% Theatre capacity Delays in pre-operative prepa 13 8 Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Continuous consultant cover Less frequently than once daily Yes No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes80-90% Theatre capacity 14 12 Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Once daily Once daily Sometimes Sometimes Sometimes Sometimes Yes Yes Yes Yes 4 Sometimes Sometimes No Yes Yes80-90% Theatre capacity 12 6 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Yes Twice a day Yes Once a day Yes Once a day No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes No Yes Yes

3 No No 100% 100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once daily Once daily Yes Sometimes Yes Yes No Yes Yes No 4 No No No Yes Yes0-80% Theatre capacity Efficiency 14 14 Yes Yes 75-90% Formal data collection 75-90% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes80-90% Theatre capacity 12 12 SometimesYes 50-75% 50-75% Yes Yes Yes Once a day Yes Once a day Yes Twice a day Yes Twice a day Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes90-100% Theatre capacity 12 11 Yes Yes 50-75% Formal data collection 50-75% Formal data collection No No Twice a day Twice a day Once a day Once a day Once daily Once daily Yes No Yes Yes No Yes Yes No 40-80% Theatre capacity 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Twice a day Twice a day Once a day Once a day Once daily Less frequently than once daily Yes Sometimes Yes Yes Yes Yes Yes No 5 No No Yes Yes Yes80-90% Theatre capacity 12 8 Yes Yes 75-90% 75-90% Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes80-90% Surgeon availability/capacity 13 13 Yes Yes 90-100% 90-100% Yes Yes Twice a day Twice a day Once a day Once a day Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes No Yes Yes80-90% Theatre capacity 12 10 Yes Yes 100% 90-100% Yes Yes Yes Once a day Yes Twice a day No Yes Once a day Continuous consultant cover Twice daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes80-90% Theatre capacity 12 10 Yes Yes 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Once daily Less frequently than once daily Sometimes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes No Sometimes Yes Yes0-80% Theatre capacity 9 9 Yes Yes 25-50% 25-50% Yes No Yes Yes Yes Yes Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes 6 No No Sometimes Yes Yes80-90% Decision made NOT to opera 13 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Once a day Yes Twice a day No No Continuous consultant cover Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Theatre capacity 6 8 No Yes 75-90% Formal data collection 75-90% Formal data collection No No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Sometimes Yes Sometimes Yes Yes Yes 4 Sometimes Yes No Yes Yes80-90% Theatre capacity 13 8 Yes Yes 90-100% Approximation 75-90% Approximation Yes No Yes Three times a day Yes Twice a day Yes Three times a day Yes Twice a day Once daily Once daily Sometimes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes90-100% Anaesthetist availability/capacity anaesthetic transfer 12 8 Yes Yes 75-90% Approximation 75-90% Approximation Yes Yes Once a day Once a day No No Less frequently than once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Sometimes 5 Yes Yes Yes Yes Yes

Theatre capacity 14 9 Yes Yes 90-100% 50-75% Yes No Yes Twice a day Yes Twice a day No No Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes90-100% Surgeon availability/capacity Anaesthetic availability/ capa 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Surgeon availability/capacity Anaesthetic availability/ capa 12 12 Yes Yes 100% Approximation 100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes80-90% Theatre capacity 13 13 Yes Yes 100% 100% Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Yes No No Yes Yes

12 12 SometimesYes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day No Yes Once a day No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes No Yes Yes90-100% Theatre capacity This is the main reason but n 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes No 5 No No No Yes Yes90-100% Theatre capacity This is the main reason but n 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Three times a day Yes Twice a day Yes Twice a day Yes Once a day Continuous consultant cover Continuous consultant cover Yes Sometimes Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Theatre capacity 12 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes No No Yes Yes90-100% Theatre capacity 10 6 Yes Yes 75-90% Approximation 50-75% Approximation No No No No No No Once daily Once daily Yes Sometimes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes Yes Yes80-90% Theatre capacity 12 9 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Yes Twice a day Yes Twice a day Yes Twice a day Yes Twice a day Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Theatre capacity 10 0 Yes Yes 90-100% 75-90% No No Yes Twice a day Yes Once a day Yes Twice a day Yes Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 Yes No Yes Yes Yes80-90% Theatre capacity 13 9 Yes Yes 90-100% Formal data collection 75-90% Approximation Yes Yes Yes Once a day Yes Twice a day No No Once daily Less frequently than once daily Yes Yes Yes Yes Yes Yes Yes Sometimes 5 Yes Yes Sometimes Yes Yes

10 8 Yes Yes 75-90% Approximation 75-90% Approximation No No Three times a day Twice a day Twice a day Once a day Once daily Less frequently than once daily Yes No Yes Yes No Yes Yes Sometimes 4 No No No No No90-100% Theatre capacity 13 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes No Yes Yes Yes 5 Yes Yes No Yes Yes80-90% Theatre capacity 13 10 Yes Yes 90-100% Formal data collection 90-100% Formal data collection Yes Yes Three times a day Twice a day Twice a day Twice a day Continuous consultant cover Continuous consultant cover Sometimes No Yes No Yes Yes Yes No 4 No No Yes Yes Yes90-100% Surgical decision for safety a 10 4 Yes Yes 90-100% 90-100% Yes Yes Twice a day Twice a day Once a day Once a day Twice daily Twice daily Yes No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Theatre capacity 12 12 Yes Yes 90-100% 90-100% Yes Yes Yes Three times a day Yes Three times a day Yes Twice a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes

12 4 No Yes 75-90% Formal data collection 25-50% Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 No No No Yes Yes90-100% Theatre capacity Also stated delays in pre-ope 10 12 Yes Yes 90-100% Approximation 90-100% Approximation Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Continuous consultant cover Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes0-80% Theatre capacity 13 12 Yes Yes 75-90% 75-90% No No Yes Three times a day Yes Three times a day No No Continuous consultant cover Continuous consultant cover Yes Yes Yes Yes Yes Yes Yes No 5 No No Yes Yes Yes

10 5 Yes Yes 75-90% Approximation 50-75% Approximation No No Yes Three times a day Yes Three times a day Yes Twice a day Yes Once a day More frequent Once daily Yes Yes No No Yes Yes Yes No 3 No No Yes Yes Yes80-90% Theatre capacity80-90% Surgeon availability/capacity 12 9 Yes Yes 100% 100% Yes Yes Twice a day Twice a day Once a day Once a day More frequent More frequent Sometimes Sometimes Sometimes Yes Yes Yes Sometimes 3 Sometimes Sometimes Yes Yes Yes90-100% Theatre capacity 24 24 No Yes 100% 100% Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Twice daily Sometimes No Sometimes Sometimes Sometimes Yes Yes Sometimes 2 Sometimes Sometimes Sometimes Yes Yes90-100% Theatre capacity 24 24 No Yes 100% 100% Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Twice daily Sometimes No Sometimes Sometimes Sometimes Yes Yes Sometimes 2 Sometimes Sometimes Sometimes Yes Yes90-100% Following guidelines regardin 12 8 Yes Yes 75-90% 75-90% Yes Yes Yes Twice a day Yes Twice a day No No Twice daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 Yes Yes Yes80-90% Theatre capacity 12 8 Yes Yes 100% Approximation 90-100% Approximation Yes No Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes No Yes Yes0-80% Theatre capacity Also Surgeon availability 11 0 SometimesYes 75-90% 50-75% No No Yes Yes No Yes Once a day Continuous consultant cover Once daily Yes No Yes No Yes Yes Yes No 4 No No Yes Yes Yes90-100% Theatre capacity Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Theatre capacity Yes Yes 90-100% 90-100% Yes Yes Yes Twice a day Yes Twice a day Yes Once a day Yes Once a day Once daily Once daily Yes No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes

No Yes Yes Yes Yes Yes Yes 6 No No No Yes Yes90-100% Theatre capacity 4 3 No Yes 50-75% Formal data collection 50-75% Formal data collection No No Yes Once a day Yes Once a day No No Once daily Once daily Yes Yes Yes Yes Yes Yes Yes Yes 6 No Yes Yes Yes Yes90-100% Theatre capacity 4 3 No Yes 50-75% Formal data collection 50-75% Formal data collection No No Twice a day Twice a day No No Less frequently than once daily Less frequently than once daily Yes No Sometimes Yes Yes Yes Yes Yes 5 No No Yes Yes Yes

7 7 No Yes 75-90% Formal data collection 75-90% Formal data collection Yes Yes Once a day Once a day No No Once daily Once daily Yes No Sometimes Sometimes No No80-90% Theatre capacity 13 6 Yes Yes 90-100% 75-90% No Yes Yes Twice a day Yes Twice a day No No Once daily Once daily Yes Yes Yes Yes Yes Yes Yes No 5 Yes Yes Yes Yes Yes

Is a multi-disciplinary team (MDT) present on the acute medical unit to review patients each day?

25

M to F S and S

Which of the following professionals are present on the acute medical unit to participate in the MDT review:

26

Saturday and Sunday

Is handover either supervised or led by a consultant?

23

How often would each patient on the acute medical unit usually be reviewed by a consultant?

24

Monday to Friday

On average, for how many hours is there a dedicated admitting medical consultant on the acute medicine unit each day? (info should be available from a typical job

18When undertaking clinical / on-call duties on the acute medical unit is the admitting consultant free from all other

Monday to Friday

19

Saturday and SundaySaturday and Sunday

Are all emergency medical admissions reviewed by the admitting medical consultant or appropriate specialty consultant within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital? Is this based on approximation or formal data collection?

20Are medical consultant staffing levels sufficient to enable all patients to be seen within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital?

21

Monday to Friday

Is there a structured process for medical handover of acute medical patients? If yes, how many times per day?

2217

If not all emergency cases have surgery undertaken on the day surgery was originally planned, what are the principle reasons for this?

29 32Do all patients undergo Early Warning System measurement and recording on admission and thereafter as appropriate? (If ‘no’, what

If seen less than daily, what is the system for triggering consultant review?

M to F S and SSocial care Other (please specify) Physiotherapy Occupational therapy Pharmacy Nursing Social care Physiotherapy Occupational therapy Pharmacy Nursing Social care Other (please specify) Monday to Saturday toAverage follow up time (hours): Other Elective Specialty inpatients Downstream wards Elective Specialty inpatients Downstream wards Other (please specify) On the Acute Surgical Unit On the Acute Medical UnitSometimes 5 8 8 8 24 2 8 8 8 24 0 Nursing staff and medical staff presenYes Yes Yes At the discretion of ward nursing staff Daily Daily Daily Daily Daily Daily Hospital has 60 different specOnly if highlighted in handover Yes YesNo 3 8 8 8 24 4 0 4 0 24 2 Weedend Service is Ad Hoc and thereYes Yes 2 Hours Yes At the discretion of ward nursing staff Twice Twice Twice At weekends reviewed by conDaily doctor ward round Yes YesYes 6 On-call social worker at W/E 8 8 8 24 4 4 4 2 24 0 W/E supported by On-call access Yes Yes Seen within 1hr of referral Yes At the discretion of ward nursing staff Outreach Team Twice Three times Three times At weekends patients revieweDaily doctor ward round Yes Yes

0 5 6 24 0 0 1 0 24 0 I could not fill this in fully as your drop Yes Yes 1 Yes At the discretion of ward nursing staff Once Three times Three times Once Once Once Likewise for all 3 boxes on saDaily doctor ward round Yes YesNo 3 Microbiology Alcohol liaison Nurse 1 1 8 24 1 1 1 2 24 1 Nursing 24hrs presence Yes Yes 8 hrs approx Yes At the discretion of ward medical staff Three timesThree times Three times Daily doctor ward round No NoNo 2 8 8 8 24 4 6 0 2 24 2 Yes Yes immediate/ 4 hours Yes At the discretion of ward nursing staff Twice Twice Twice Daily doctor ward round Yes YesNo 2 There is no cover at weekends accept by 8 8 8 24 0 0 0 0 24 0 There are 24 nursing staff on duty for Yes Yes Yes At the discretion of ward medical staff Once Once Once Daily doctor ward round YesNo 4 Access to Hospital Managed Community 2 8 14 24 1 1 1 7 24 0 Survey only allows survey maximum Yes Yes Routine cases = 10 days Urgent CaseYes At the discretion of ward medical staff Three timesThree times Three times Once Once Once Daily doctor ward round Yes YesNo 2 0 0 3 24 0 0 0 0 24 0 Please note that for this question '1' = SometimesSometimes Yes Automatically Four times Four times Four times Once Once Once once' = '0' Daily doctor ward round Yes YesSometimes 2 8 8 8 24 12 0 0 0 24 4 Where we have left the weekends blaYes Yes 4 to 6 hours Yes Automatically Policy is automatic escalation of NEWS Three timesTwice Twice Once Once Daily doctor ward round Yes YesNo 5 Either physio or occupational therapy at w 4 4 4 24 1 4 4 4 24 0 Either physio or occupational therapy Yes Yes 4-6 Hours (Crisis Team) Yes Automatically Automatic during outreach hours. at night via hospit Daily Daily Daily Daily Daily Daily Stroke cardiology haematologNurse escalation Yes YesNo 1 0 0 0 24 0 0 0 0 24 0 For question 27 '1' should read '0' and Yes Yes 12 hours Yes Automatically Outreach team scan the scores and receive referals Four times Four times Four times 0 on a weekend Only if highlighted in handover Yes YesYes 6 8 8 8 24 7 4 4 4 24 4 For Nursing we have a full presence 2Yes No Yes At the discretion of ward nursing staff Daily Daily Daily Daily Daily Daily Daily doctor ward round Yes YesNo 3 Mental Health Liaison Worker - for specifi 1 1 2 24 1 1 1 1 24 1 Mental Health Liaison Worker - 2 hou Yes Yes Psychiatric Liaison Nurse Service - witYes Automatically MEWS score is uspported by a flowchart of action bThree timesThree times Three times Twice Twice Twice Variation between acute medDaily doctor ward round Yes NoNo 5 10 10 9 24 8 8 8 8 24 8 Yes Yes 18 hours No: 90-100% At the discretion of ward medical staff Daily Daily Daily Daily Daily Daily Daily doctor ward round Yes YesNo 3 Medical nurse practitioners present daily; 2 1 8 24 2 1 0 0 24 0 See above. Yes Yes 02/04/2013 Yes At the discretion of ward nursing staff Medicine: at discretion of ward medical staff, surger Twice Twice Twice Medical patients: twice weeklDaily doctor ward round Yes YesNo 3 Various - Complex Discharge Team, Stro 8 8 12 24 8 2 0 8 24 0 NB. 16 should read 24 as >16 not avaYes Yes 4 Yes Automatically Three times Three times Elective not applicable and wDaily doctor ward round Yes YesNo 2 8 8 8 24 0 0 0 4 24 0 NB. Nursing = 24 hrs 7 days per week Yes Yes Yes At the discretion of ward nursing staff Twice Twice Twice Saturday and Sunday not rouDaily doctor ward round No NoNo 5 7 7 8 24 0 0 1 4 24 0 24 for nursing Mon - Fri and Sat & Su Yes Yes 4-6 hours minimum Yes At the discretion of ward medical staff Also at the discretion of ward nursing staff Four times Four times Twice Twice Once Once 0 for specialty inpatients Sat &Daily doctor ward round Yes YesNo 4 10 5 7 24 7 7 0 5 24 0 Nursing is available for 24 hours but yYes Yes 24 hours Yes At the discretion of ward nursing staff Daily Daily Twice Nurse escalation Yes Yes

2 Weekend availability of Therapists on req 8 8 8 24 8 0 0 0 24 0 Therapists available on request at weYes Yes Within 24 hours Yes At the discretion of ward medical staff No Critical Care Outreach Team - Consultant ReferrTwice Twice Twice Daily doctor ward round Yes YesNo 4 Hospital Alcohol Liaison Service (HALS), 1 1 8 24 0 1 0 8 24 0 Nursing staff total commitment 24 hrs Yes Yes Mental Health will prioritise ED, averagYes Automatically Protocol driven Twice Twice Twice Once Daily doctor ward round Yes Yes

5 7 7 8 24 0 1 1 4 24 0 Nursing is 24 Mon - Fri and also 24 S Yes Yes 4-6 hours minimum Yes At the discretion of ward medical staff Also at the discretion of ward nursing staff Four times Four times Twice Twice Once Once Speciality inpatients & DownsDaily doctor ward round Yes YesNo 2 4 1 5 24 0 1 0 0 24 0 Nursing present 24 hours but that isnt Yes Yes 02/03/2013 Yes Automatically Daily Daily Daily Once Nurse escalation Yes YesNo 2 1 1 5 24 0 0 0 0 24 0 Mon- Fri - 24 hrs Nursing and none soYes Yes Yes At the discretion of ward nursing staff Daily Daily Daily Once Once Once SAT AND SUN - on demand Nurse escalation Yes YesNo 2 8 8 7 24 8 1 0 1 24 0 Fields will not allow 0 entry. In practic Yes Yes 4 Yes At the discretion of ward medical staff Once Once Once Daily doctor ward round Yes NoYes 5 1 1 7 24 1 0 0 0 24 0 Please note fields cannot be left blank Yes Yes Less than 24 hours Yes At the discretion of ward medical staff Once Once Once Daily doctor ward round YesYes 3 1 1 4 24 6 0 0 0 24 2 Nursing cover is 24 hours 7 days. PSometimesSometimes2 hours for RAID 24 hours for all otheYes Automatically Not applicable - no Critical Care on site (Survey will Once Once Once Once Once Once Nurse escalation Yes

3 Availale to called Monday to Friday for Ph 0 0 4 24 0 0 0 4 24 0 Physiotherapy and Occupational The SometimesNo 4-5 hours Yes At the discretion of ward medical staff Four times Four times Daily doctor ward round No YesYes 5 1 10 8 24 10 1 1 24 1 Nursing is actually available 24 hours Yes Yes 2 hours Yes At the discretion of ward medical staff Once Once Once Daily doctor ward round Yes YesNo 4 The Rapid Response are available 8am u 8 8 10 24 12 8 0 6 24 0 Nursing available 24 hrs - 7 days SocYes Yes 1 Hour Yes Automatically Clear escalation policy Daily Daily Daily Weekends patients are targetDaily doctor ward round Yes YesYes 5 8 4 8 24 6 4 4 0 24 4 For Nursing we have presumed the suYes Yes Up to 24 hours Yes Automatically Policy specifies that NEWS should be automatically Three timesDaily Three times Once Twice Twice Only if highlighted in handover Yes YesNo 4 Pharmacy dispensing service and on call 10 10 8 24 8 8 8 1 24 1 Difficult to quantify presence for phys Yes Yes Yes Automatically (we use PAR scoring) Daily Daily Daily Once Once Once Nurse escalation Yes YesNo 5 Either physio or occupational therapy at w 4 4 4 24 1 4 4 4 24 0 Either physio or occupational therapy Yes Yes 4-6 Hours (Crisis Team) Yes Automatically Automatic during outreach hours. At night via hospitDaily Daily Daily Daily Daily Daily Stroke cardiology haematologNurse escalation Yes YesNo 2 pharmacy available if needed, as are soc 12 2 2 24 0 0 0 0 24 0 ot and physio and discharge nurses aYes Yes 8 Yes Automatically Four times Daily Daily Once Once Once weekends on request Nurse escalation Yes YesNo 4 10 3 7 24 7 7 0 0 24 0 Nursing are present on the acute medYes Yes 4 Yes At the discretion of ward nursing staff We would want to select 'ward medical staff' also, buDaily Daily Daily Nurse escalation Yes YesNo 2 4 0 4 24 0 0 0 0 24 0 Mon -Fri - OT available on request onYes Yes M-F active liaison. W/E via call to crisis Yes At the discretion of ward nursing staff Daily Daily Daily Daily 12-2 pm Sat & Sun Physician Nurse escalation Yes YesNo 4 9 9 8 24 0 9 9 8 24 0 Nursing 24/7 social~care - none Yes Yes 2-4 hours weekdays 4-6 hours weeke Yes Automatically Three timesThree times Three times Once Once Once Daily doctor ward round Yes YesSometimes 2 Sat-Sun - physio, pharmacy and social~c 5 3 3 24 1 0 0 0 24 0 Nursing - 24/7 Sat-Sun - Physio, OccYes Yes 24 hours a day every day. Average repYes Automatically Triggered automatically unless on end of life care Daily Once Once Daily Once Once There are no elective patientsDaily doctor ward round Yes YesNo 5 Social Care accessible if requested. We h 9 9 8 24 12 5 5 5 24 8 The multi-disciplinary team of Pathfin Yes Yes 2 Yes At the discretion of ward medical staff Twice Twice Ward rounds vary according tNurse escalation Yes YesNo 4 11 10 7 24 1 11 7 1 24 0 Physiotherapy available at this level is Yes Yes 85% of patients are seen in less than 9Yes Automatically Four times Four times Three times Once Once Once Daily doctor ward round Yes YesYes 5 OT and social~care can be accessed at w 8 8 8 24 8 8 0 5 24 0 OT and social~care can be accessed Yes Yes Yes At the discretion of ward nursing staff Three timesFour times Three times Once Once Nurse escalation No NoNo 3 3 1 8 24 8 1 1 6 24 0 Nursing is 24 hrs per day but the drop Yes Yes Our onsite crisis team usually respond Yes Automatically Daily Daily Daily Daily Daily Daily the drop down boxes on this sOnly if high EWS score Yes YesNo 0 2 2 5 24 1 0 0 0 24 0 Yes Yes Weekdays - 1 hour response time - froYes At the discretion of ward nursing staff Three timesThree times Three times Stroke unit - 7 day review in pNurse escalation Yes YesYes 3 Either an OT or a Physio participate in the 9 9 2 24 16 8 8 0 24 10 Either an OT or a Physio participate in SometimesSometimes4 to 5 hours from referral 2 to 3 hours Yes Automatically Daily Daily Daily Surgery Inpatients - reviwed dDaily doctor ward round Yes YesNo 5 8 8 4 24 4 3 3 0 24 0 The nursing staff are present 24 hour Yes Yes 6 Yes At the discretion of ward medical staff Daily Daily Elective not applicable. Sat aDaily doctor ward round YesNo 2 8 8 2 24 0 0 0 0 24 0 No weekend MDT so true answer zer Yes Yes Within 2 hrs No: 90-100% At the discretion of ward medical staff Actually both medical and nursing staff but unable to Twice Twice Twice Daily Daily Daily Cannot enter zero for Sat/Sun Daily doctor ward round Yes YesNo 5 physio mon-fri is a yes, drop downs are p 8 8 8 24 8 8 8 8 24 0 ditto Yes Yes 01/02/2013 Yes Automatically not electronic but a high score should trigger automatic nurse c Once Once Once less than daily for speciality aDaily doctor ward round Yes YesNo 2 8 8 4 24 4 1 0 0 24 0 No No Yes At the discretion of ward medical staff Daily Three times Twice Daily Once Only if highlighted in handover Yes YesNo 3 2 1 1 24 1 1 0 0 24 0 no occupational therapy pharmacy soYes Yes 12 Yes At the discretion of ward nursing staff Once Once Once Once Once Nurse escalation Yes YesNo 2 2 2 0 24 0 0 0 0 24 0 drop down boxes dont allow you to pu No No Yes Automatically Daily Daily Daily see below high EWS and nur Only if highlighted in handover No NoNo 2 LHE winter plans include approx 6-8 hour 8 8 5 24 0 2 7 3 24 0 LHE winter plans include approx 6-8 hYes Yes According to clinical need. Rarely greaYes At the discretion of ward medical staff Daily Daily Four times Once Once Once Daily doctor ward round Yes YesSometimes 2 8 8 8 24 8 4 3 4 24 0 No No Yes Automatically Daily Daily Three times Once Daily Once No formal system in place Yes YesNo 5 8 8 8 24 2 8 8 8 24 1 Yes Yes 6 Yes At the discretion of ward medical staff Three timesThree times Twice Once Once Once Nurse escalation Yes YesNo 2 8 8 4 24 4 2 0 0 24 0 SometimesSometimesUrgent access to mental health practioYes At the discretion of ward medical staff Escalation protocol in place Three timesThree times Twice patients outside acute units aOnly if highlighted in handover Yes YesNo 4 8 8 8 24 2 4 4 0 24 2 Yes Yes Between 2 hours and 72 hours Yes At the discretion of ward nursing staff Daily Daily Four times Daily All patients are reviewed by a Daily doctor ward round Yes YesSometimes 3 8 8 2 24 2 2 2 2 24 2 Yes Yes good service (same day) fro <65yr, lonYes At the discretion of ward medical staff Twice Twice Twice No formal system in place Yes YesNo 2 Other professionals are called to see patie 6 6 6 24 6 6 6 6 24 6 Input is dependent on patient mix and Yes Yes 4hrs Yes Automatically Once Once Once Once Once Once Daily doctor ward round No YesNo 3 8 8 11 24 0 5 5 4 24 0 Nursing for Monday to Friday and SatYes Yes via on-call system to Trust Yes At the discretion of ward medical staff MET team includes ITU Three timesDaily Daily Daily Daily Saturday and Sunday reviews Daily doctor ward round Yes YesNo 2 1 1 1 24 1 0 0 0 24 0 Unable to answer your drop down box Yes Yes 16 Yes Automatically piloting NEWS at present with intention to transfer frDaily Daily Daily Daily Daily Daily Frequency of review prioritiseDaily doctor ward round Yes YesNo 2 There are no formal MDT meetings thoug 3 3 3 24 1 0 0 0 24 0 Yes Yes 12 Yes At the discretion of ward medical staff Twice Twice Twice Once Once Once Daily doctor ward round Yes YesNo 4 2 1 1 24 8 2 1 1 24 0 SometimesSometimes Yes Automatically Once Once Once Once Nurse escalation Yes YesNo 1 3 3 2 24 3 1 0 0 24 0 Yes No 4h Yes Automatically Once Once Once Nurse escalation Yes YesNo 3 Additional senior nurses for frail, geriatric 6 1 6 24 1 1 1 6 24 1 Funding in place for weekend physiot Yes Yes Same day service provided by RAID - Yes Automatically Unless specified by parameters set by medical staff Twice Twice Twice Once Once Once Consultants for each specialt Only if highlighted in handover Yes Yes

3 2 1 4 24 2 1 0 0 24 0 Yes Yes Crisis team within a few hours of referrYes At the discretion of ward nursing staff Score 4 = call Dr Score 7 = call emergency team Three times Three times Daily doctor ward round Yes YesNo 5 12 12 9 24 0 12 12 2 24 0 no social worker present but system wYes Yes weekdays seen within 1 or 2 hours at Yes At the discretion of ward medical staff 7 day a week inc weekend Daily doctor ward round Yes YesYes 6 8 8 8 24 8 4 4 2 24 4 Yes Yes 3 hours Yes Automatically Daily Twice Twice Daily Daily for surgical inpatients Daily doctor ward round Yes YesYes 5 8 8 4 24 12 5 5 0 24 4 Nursing should read 24 hours but opt Yes No 2 hours Yes At the discretion of ward medical staff Once Twice Once Once Only if highlighted in handover YesNo 5 Community Matron particpates in MDT m 8 8 8 24 6 8 8 8 24 0 Yes SometimesNurse based psychiatric service not doYes Automatically Twice Daily Daily Once Daily Daily Nurse escalation Yes YesYes 5 8 8 4 24 1 0 0 0 24 0 Band 7 nurse leads unit 24 hours a daYes Yes Daytime 1-2 hours after 5pm / weekenYes At the discretion of ward nursing staff unable to respond - varies by Daily doctor ward round Yes YesNo 5 8 8 4 24 1 6 6 2 24 1 Nursing present 24/7. Yes Yes 6 Yes Automatically Daily Daily Daily Daily Daily Daily Some variation - but above a Daily doctor ward round No YesNo 3 social~care wandsworth only 8 8 16 24 1 4 4 12 24 0 nursing present 24 hours but cannot eYes Sometimes Yes At the discretion of ward medical staff Three timesTwice Twice Once chest medicine and cardiologDaily doctor ward round Yes YesYes 5 Post acute care enablement team (PACE 8 8 8 24 8 0 8 0 24 8 Please note that Physiotherapy, MondYes Yes 4 Yes At the discretion of ward nursing staff Also at the discretion of the ward medical staff Daily doctor ward round Yes YesNo 0 8 8 0 24 0 0 0 0 24 0 One hour entered to get to next part o Yes Yes Yes At the discretion of ward medical staff Both surgery and medicine Once Once Once Daily doctor ward round Yes YesNo 5 8 8 8 24 0 8 8 8 24 0 Nursing presence 24/7 with band 7 nuYes Yes Daytime - 1-2 hours after 5pm 12-14 hYes At the discretion of ward nursing staff unable to respond - varies by Daily doctor ward round Yes YesNo 4 8 8 1 24 1 8 8 1 24 1 nursing is available 24/7 Yes Yes 24 hrs Yes Automatically Daily Three times Three times selected pts only at the week Nurse escalation Yes YesSometimes 2 8 8 8 24 5 0 0 1 24 0 OT is not available at weekends but thYes Yes 10 Yes Automatically Three timesFour times Three times Once Once Once There is variation between di Daily doctor ward round Yes YesNo 2 4 4 1 24 0 0 0 0 24 0 Some on call cover by physiotherapy Yes Yes Yes Automatically Three timesThree times Three times Once Twice Once Daily doctor ward round Yes YesSometimes 3 Physiotherapy, Sat & Sun - on call Socia 8 8 8 24 3 0 0 10 24 0 Nursing - Mon-Fri and Sat-Sun, both 2Yes Yes 2 hours Yes At the discretion of ward medical staff Twice Twice Once Once Elective and Downstream patDaily doctor ward round Yes YesSometimes 2 Pharmacy 1 hour at weekends 8 8 8 24 5 1 1 1 24 1 Nursing available 24 hours every day Yes Yes 24-48 hours Yes Automatically Once Four times Three times Once Once Once The values given are are an aDaily doctor ward round Yes YesNo 5 M-F 8-5: SALT, KOPAL, Resp/Cardio/Dia 9 9 9 24 8 9 9 4 24 0 *Nursing Staff are available 24 hours Yes Yes Variable - according to clinical need Yes At the discretion of ward nursing staff *Escalation via ward-based team (including medical Three timesTwice Three times Twice Twice Twice *Per Week/weekend No formal system in place Yes YesSometimes 2 6 1 2 24 8 2 1 1 24 2 SometimesSometimes 04/06/2013 Yes At the discretion of ward nursing staff Twice Three times Once Once Once Once Nurse escalation Yes YesNo 4 8 8 4 24 1 4 4 1 24 1 Yes Yes We expect 4 hour assessments or sooYes Automatically Daily Daily Daily Once Once Once Only if highlighted in handover Yes YesNo 2 5 1 6 24 0 0 1 0 24 0 9 hours in total - Monday to Friday - SYes Yes At the discretion of ward nursing staff Daily Daily Three times Daily doctor ward round Yes YesNo 2 6 2 2 24 0 0 0 0 24 0 Nursing is 24 hours Mon - Sat Sat - SYes Yes Yes Automatically Daily Daily Nurse escalation Yes YesNo 2 ICT available 1 1 1 24 2 1 0 0 24 0 Yes Yes access is frequently poor and challengYes Automatically This is automated however if the plan is clear and d Three timesThree times Three times note there are daily board rouDaily doctor ward round Yes YesNo 5 7 7 8 24 8 8 8 4 24 4 Note Nursing is 24 hours Yes Yes Yes At the discretion of ward medical staff Automatic for Surgery and at the discretion of medicDaily Daily Four times Daily Daily Once No formal system in place Yes YesYes 5 Members are present on the unit but there 2 2 6 24 1 1 0 3 24 1 Obviously for nursing there is 24 hr coYes Yes Approx 12 hours. Yes At the discretion of ward nursing staff Daily Three times Three times Twice Only if highlighted in handover Yes YesNo 5 OT only available Mon - Sat ( Not Sunday 8 8 10 24 4 4 2 6 24 0 Social care Sat Sunday = 0 Nursing MYes Yes 4 hrs Yes At the discretion of ward medical staff Daily Daily Daily Once Once Once Only if high EWS score Yes YesNo 5 10 10 8 24 0 8 8 5 24 0 nursing presence 24 hours no social~SometimesSometimescan be up to 3 days Yes At the discretion of ward nursing staff this is driven by written protocol - automatic system being exploDaily Daily Only if highlighted in handover Yes YesNo 2 Inpatient specialty teams, Bed manageme 8 8 10 24 0 0 0 2 24 0 your computer programme does not aYes Yes as needed - we are happy with this Yes Automatically Daily Daily Daily No formal system in place Yes YesNo 3 - The Trust is working towards a 7 day mo 4 4 7 24 1 0 0 4 24 0 NB - Nursing is staffed 24 hours a day Yes Yes There is an onsite service so patients aYes Automatically Twice Twice Twice Daily doctor ward round Yes YesYes 3 Social Care Team represent physio and O 1 1 5 24 7 1 1 1 24 3 Social Care Team represent phusio aYes SometimesOOH's crisis team P/B team agreed reYes At the discretion of ward nursing staff Flow Chart instructs staff on completion and escalatFour times Four times Four times Once Once Once Only if highlighted in handover No YesYes 5 Alcohol liaison M-F Radiology 7/7 Comm 8 8 10 24 10 8 8 5 24 10 Nursing is present 24 hours but unablYes Yes Phone response within 30 minutes and Yes Automatically Three timesThree times Three times Twice Twice Once Daily doctor ward round Yes YesYes 6 8 12 8 24 3 8 8 4 24 2 Nursing staff are present 24 hours a dYes Yes 2 hours Yes At the discretion of ward medical staff Daily Daily Daily doctor ward round Yes YesNo 2 Physiotherapy and Occupational Therapy 10 4 9 24 0 3 3 3 24 0 Nursing available 24 hours Mon - Sun SometimesSometimesVariable - few hours to > 12 hours PatYes At the discretion of ward medical staff Both medical and nursing staff can trigger a review Daily Daily Three times Daily Daily Weekend daily reviews of newDaily doctor ward round Yes YesYes 6 Social care only available at weekends fo 8 8 8 24 8 8 8 4 24 4 Yes Yes Within 12 hours Yes Automatically Daily Daily Daily Once Once Once All patients are seen post opeDaily doctor ward round Yes YesNo 1 Pharmacy - available on the unit but do no 11 14 16 24 0 0 4 0 24 0 Therapy technicians 12 hours Monda Yes Yes There is a crisis team to discharge del Yes At the discretion of ward nursing staff Daily Daily doctor ward round Yes YesNo 3 The Acute Medical Unit at City campus is 7 7 2 24 2 1 1 1 24 0 Nursing staff = 24 hours for Monday t SometimesSometimes Yes At the discretion of ward medical staff Daily doctor ward round No YesSometimes 2 Sat-Sun social~care - ON CALL 8 8 15 24 1 6 6 6 24 0 Nurses present 24hr 7 days a week SYes Yes About 4 hours from time of referral Yes At the discretion of ward medical staff Nurses will alert ward medics, who call Critical Care Daily Daily Daily Once Once Once Elective - N/A for both Mon-F Only if highlighted in handover Yes YesNo 4 Discharge facilitators 7 3 7 24 3 7 3 3 24 0 Nursing staff spend 24 hours on the aYes Yes Every morning ward visit. Afternoons aYes Automatically Outreach team notified if we trigger 4 or more Daily doctor ward round Yes YesNo 2 Not formal MDT but all available on the w 7 7 10 24 8 4 0 10 24 0 Nursing present for 24 hours Mon to FSometimesSometimes1-6 hours Yes Automatically Daily Daily Twice Daily Daily Once Sat/Sun numbrs are for new pDaily doctor ward round Yes YesSometimes 2 2 2 8 24 1 2 2 0 24 1 Nursing present 24 hours per day Yes Yes 36 to 90 minutes Yes At the discretion of ward medical staff Referral criteria is included on the MEWS Charts Daily Daily Daily Twice Twice Twice Nurse escalation Yes YesSometimes 4 Pharmacy open Saturday mornings Socia 4 2 2 24 2 4 2 0 24 2 Medical and nursing staff present 24/7 No No New liaison psychiatry service just comYes Automatically Once Once Once Once No formal system in place Yes YesNo 2 8 8 1 24 1 8 8 1 24 1 SometimesSometimes4 hours Yes Automatically Twice Twice Twice Once Once Once Nurse escalation No YesYes 6 8 8 6 24 12 8 8 6 24 12 Yes Yes Yes At the discretion of ward medical staff Once Once Varies by speciality. There daNurse escalation Yes YesNo 5 8 8 14 24 0 0 4 4 24 0 Pyhsio - 0 Hrs Sat & Sun Social Care Yes Yes Yes At the discretion of ward nursing staff Twice Twice Twice Nurse escalation Yes Yes

8 8 4 24 2 8 8 4 24 1 Pharmacy is funded for daily availabilYes No Yes Automatically Twice Daily Once Daily Daily doctor ward round No YesNo 3 8 8 8 24 1 1 1 3 24 1 pharmacy 4hrs sat, 2 hrs sunday Yes Yes 3-4 hours Yes At the discretion of ward nursing staff Once Twice Twice Once Daily Daily plus as requested by junior jmDaily doctor ward round Yes YesYes 5 4 4 4 24 4 4 4 0 24 4 Yes Yes Yes At the discretion of ward nursing staff Ward nursing staff contact ITU outreach at trigger NDaily Daily Daily Saturday and Sunday - if requDaily doctor ward round YesYes 5 1 10 8 24 10 0 10 0 24 10 Physiotherapy Monday to Friday: On-Yes Yes Variable Yes Automatically Three times Daily Three times Once Elective: N/A Daily doctor ward round YesYes 6 8 8 9 24 8 3 24 OPAL team have generic skills and coYes SometimesOnly crisis team available at weekendsYes At the discretion of ward nursing staff Will be automatic review from Jan 2014 with phase Twice Twice Sat and Sun - on call if requi Daily doctor ward round Yes YesNo 3 Pharmacy present on Saturday. 4 2 9 24 2 2 1 24 Physio, OT and social~care as necesYes Yes Available 9am to 9pm on Monday to F Yes Automatically Twice Twice Twice Daily doctor ward round Yes YesNo 2 Pharmacy operate on Saturday but no su 2 10 8 24 1 0 7 0 24 0 Nursing is 24/7 but not available in meYes Yes No: 90-100% At the discretion of ward medical staff The answers are different for medical and surgical services The answers are different depOnly if highlighted in handover Yes NoYes 6 9 9 9 24 9 0 4 2 24 4 Phsiotherapist available on call Yes Yes usually seen within 24 hours Yes Automatically Twice Twice Twice weekend: not routinely reviewDaily doctor ward round Yes YesYes 4 3 10 8 24 8 1 10 2 24 8 Yes Yes 12 - 24 hours from admission Yes Automatically Twice Daily Twice Once Daily Daily doctor ward round Yes YesNo 4 8 8 10 24 8 1 1 4 24 0 phsio and OT on-call only - nursing obYes Yes 24 hour availability on call - unable to gYes Automatically via esclation policy laid set out - must be actioned b Twice Twice Twice Nurse escalation Yes YesNo 5 8 8 8 24 8 4 4 4 24 0 Yes Yes within 2 hours Yes At the discretion of ward nursing staff Daily Daily Once Nurse escalation No NoYes 6 8 8 4 24 8 8 8 4 24 0 Yes Yes 4 hours Yes At the discretion of ward medical staff At the discretion of ward nursing staff Daily Daily Daily Twice Twice Daily doctor ward round Yes YesYes 3 1 1 7 24 1 0 0 0 24 0 On call available for social~care at weYes Yes 1 - 2 hours Yes Automatically Three timesThree times Twice weekends - on request Daily doctor ward round Yes YesYes 3 1 1 7 24 1 0 0 0 24 24 Yes Yes Within 4 hours Yes Automatically Twice Twice Twice weekends - on request Daily doctor ward round Yes YesNo 3 Pharmacy available in department Sat/Su 8 8 8 24 8 4 0 4 24 0 Yes Sometimes Yes At the discretion of ward medical staff Twice Twice Once Once Yes YesNo 4 8 12 0 24 0 0 0 0 24 0 Physiotherapy on call at weekends Yes Yes Day access only 9-5. Average follow u Yes At the discretion of ward medical staff Nurses follow guidelines - EWS Daily Three times Daily Three times Daily doctor ward round Yes YesNo 2 7 7 12 24 0 0 0 12 24 0 Nursing and medical staff are presen Yes Yes 2-3 hours Yes At the discretion of ward medical staff A high EWS automatically triggers a MET call. An aThree timesThree times Twice At our acute units, some patieDaily doctor ward round Yes YesYes 3 2 1 7 24 0 0 0 0 24 0 Nursing and medical staff are presen Yes Yes 2-3 hours Yes At the discretion of ward medical staff A high EWS automatically triggers a MET call. An aThree timesThree times Twice At our acute units, some patieDaily doctor ward round Yes YesNo 3 Monday to Friday we also have a discharg 7 4 4 12 0 2 0 0 12 0 Discharge coordinator time on acute mYes Yes Monday - Friday faxed referral will comYes At the discretion of ward medical staff Once Once Once Once Once Once Daily doctor ward round Yes YesNo 5 5 5 5 24 0 2 1 0 24 0 Social care attends on request during Yes Yes Within one hour Yes At the discretion of ward medical staff Critical care outreach service monitor EWS score reOnce Three times Three times Once No formal system in place No NoNo 2 Mon-Fri we have all listed professions on 6 6 6 24 0 2 2 2 24 0 Doctors and nurses respectively 14 h Yes Yes M-F is usually a same day service alth Yes At the discretion of ward medical staff Elective patients are reviewed Daily doctor ward round Yes YesNo 4 There is a rapid assessment and interven 3 2 4 16 2 2 0 2 16 0 There is a rapid assessment and interYes Yes Not greater than 4 hours from request Yes Automatically Three timesThree times Three times Once Once Once Daily doctor ward round YesNo 4 In reach support by specialty medical team 5 5 6 24 1 5 5 1 24 1 Social care is variable Yes Yes Off-site with potentially long delays follYes Automatically Four times Daily Four times Twice Twice Once Daily doctor ward round Yes YesNo 0 3 2 3 24 1 0 0 0 0 0 Social care on request Yes 4-6 hours (Crisis team at weekends) Yes Automatically Twice Twice Daily doctor ward round YesYes 5 Adult care on referral 5 4 0 24 2 5 4 0 24 0 Yes Yes No: 90-100% At the discretion of ward medical staff Also at the discretion of ward nursing staff Only if high EWS score NoNo 3 5 2 5 24 2 0 0 0 24 0 Social care on request Yes Yes Yes Automatically Daily Daily Daily Daily Daily Daily No NoNo 2 2 2 1 24 1 0 0 0 24 0 Physiotherapy, pharmacy and social~Yes Yes Yes At the discretion of ward nursing staff In accordance with Trust's 'Management of the deteTwice Twice Twice Once Once Once Daily doctor ward round Yes YesNo 5 8 8 1 24 0 8 8 1 24 0 Yes Yes Yes Automatically Twice Twice Twice None at weekends Nurse escalation Yes YesNo 2 5 5 1 24 0 0 0 0 24 0 Yes Yes No: 75-90% At the discretion of ward medical staff Daily Daily Daily None at weekends Daily doctor ward roundNo 5 10 10 8 24 0 8 8 5 24 0 SometimesSometimesCan be up to three days Yes At the discretion of ward medical staff Also at the discretion of ward nursing staff Daily Daily None at weekends Only if highlighted in handover Yes YesNo 3 5 4 8 24 8 2 2 3 24 8 Social care presence is primary~care Yes Yes 6 hours approximately Yes At the discretion of ward medical staff Three timesDaily Three times More frequent consultant reviDaily doctor ward round Yes YesNo 3 1 0 5 24 0 1 0 1 24 0 SometimesSometimesAccess to on-call team bu follow up timYes At the discretion of ward medical staff Also at the discretion of ward nursing staff. Critical care outreach must be considered when EWS 6 or more. Will not be appropriate for all patients as some are dying. Daily doctor ward round

Yes At the discretion of ward medical staff Also at the discretion of ward nursing staff. Critical cThree timesDaily Three times Weekend cover variable. RevDaily doctor ward round YesSometimes 3 2 2 9 24 8 0 0 4 24 0 Yes Yes Yes Automatically Daily doctor ward round Yes YesSometimes 2 2 2 4 24 0 0 0 0 24 0 No No Yes At the discretion of ward nursing staff Three timesDaily Three times Daily Once No formal system in place No NoSometimes 2 2 2 4 24 0 0 0 0 24 0 No No Yes At the discretion of ward nursing staff Three timesDaily Three times Daily Once No formal system in place No NoYes 4 4 4 4 4 4 4 4 0 4 4 Yes Yes Yes Automatically Daily Daily Daily No at weekends. Stroke and CCU at weekends, other wards as neceNo YesNo 4 8 8 6 24 0 5 5 0 24 0 Yes Sometimes6-12 hours (longer at weekends) Yes Automatically Daily Three times Only acutely unwell patients aDaily doctor ward round Yes YesNo 3 4 1 8 24 0 0 0 8 24 0 Yes Yes 1-1.5 hours Yes At the discretion of ward medical staff Also at the discretion of ward nursing staff. Daily Daily No review where left blank Daily doctor ward round Yes YesNo 2 5 5 5 24 2 0 24 0 Yes No 1-24 hours Yes Automatically Also at the discretion of ward nursing staff. Daily Daily Daily Daily Medical consultant review wil Daily doctor ward round Yes YesNo 2 5 5 5 24 2 0 24 0 Yes No 1-24 hours Yes Automatically Also at the discretion of ward nursing staff. Daily Daily Daily Daily Medical consultant review wil Daily doctor ward round Yes YesNo 2 5 5 5 24 2 0 24 0 Yes No 1-24 hours Yes Automatically Also at the discretion of ward nursing staff. Daily Daily Daily Daily Medical consultant review wil Daily doctor ward round Yes YesNo 4 7 7 7 24 4 0 7 4 24 0 Yes Yes 4-6 hours Yes At the discretion of ward nursing staff Daily Daily Daily No routine weekend review Nurse escalation Yes YesNo 3 1 7 4 24 0 0 0 4 24 0 Yes Yes 4-6 hours Yes At the discretion of ward nursing staff No routine weekend review Nurse escalation Yes Yes

3 2 7 24 0 0 0 4 24 0 Yes Yes 4-6 hours Yes At the discretion of ward nursing staff Daily Daily Daily No routine weekend review Nurse escalation Yes YesNo 5 12 12 9 24 0 12 12 2 24 0 Yes No Yes At the discretion of ward medical staff Variable Daily doctor ward round Yes Yes

S and S

How many times during the week / weekend are inpatients outside the acute medical/surgical unit* reviewed by a consultant? Is patient experience data routinely collected from patients a

M to F

On average how many hours is a member of each profession in the MDT present on the acute medicine unit each day?

27

Does your acute medicine unit have access to a mental health practitioner for on-site assessment of patients with mental health needs? If yes or sometimes, what is the average follow up time?

28

How does a high EWS score trigger a review of the patient by critical care team?

30 33

M to F S and S

31

Is there same day access to intermediate~care services to

M to F S and S M to F S and S Weekday Weekday out-of hours Weekend day time(8am-8pm) Weekend out-of-hours: - X-rayIf yes, how? Intermediate care IntermediatEquipment Equipment Outline Amended for analysis X-ray Ultrasound CT MRI Interventional Radiology Interventional Endoscopy Echocardiography X-ray Ultrasound CT MRI Interventional Radiology Interventional Endoscopy Echocardiography X-ray Ultrasound CT MRI Interventional Radiology Interventional Endoscopy Echocardiography X-ray Ultrasound CT MRI Interventional Radiology Interventional Endoscopy Echocardiography X-ray Ultrasound CT MRI Echocardiography X-ray Ultrasound CT MRIFFTest, Picker Survey, targeted survNo No Yes Yes Yes Social care, GP availability, trasocial~care, GP, transport, diaYes Yes Yes Yes Yes Yes Yes No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No Yes Yes Yes Yes Yes Yes Yes No No No NoFFT Yes No Yes No Yes Intermittent MDT service provi MDT, social~care, senior~revi Yes Yes Yes Yes No Yes Yes Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No No Yes Yes Yes Yes No Yes Yes YesFFT Yes Yes No No Yes Nursing homes reassessing Nnursing~home, MDT, senior~r Yes Yes Yes Yes No No Yes Yes No Yes No No No Yes Yes Yes Yes No No No No Yes No Yes No Yes No No No Yes Yes Yes No No Yes Yes NoFriends and Family Yes Yes Yes Yes Yes Social care GP social~care , GP Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes No Yes Yes Yes Yes

Yes Yes Yes No Yes Social care social~care Yes No Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No Yes No No No Yes No No No No Yes NoYes No Yes No Yes access to investigations, sociadiagnostics, social~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes Yes Yes

Friends and Family Test Yes No Yes No Yes Predominantly social~care and social~care, intermediate~careYes No No No No Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No Yes No No Yes No No No No No No NoAlso collected on the ambulatory assYes Yes Yes No Yes Access to step down facilities intermediate~care/beds Yes Yes Yes Yes No Yes Yes Yes No Yes No No Yes Yes Yes No Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes Yes Yes No Yes Yes NoFamily and Friends Test Local surveSometimes No Sometimes No Yes Availability of social, residentia social~care, nursing~home Yes Yes Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No Yes No Yes Yes Yes No Yes No No Yes NoFriends and Family card given on disYes Yes No No Yes Availability of interim placemenintermediate~care/beds, trans Yes Yes Yes Yes Yes Yes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No Yes No No No No No No No No No NoReal time patient monitoring Yes Yes Yes Yes Yes social~care, gp availability bedsocial~care, GP, intermediate~Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No No Yes Yes Yes Yes No Yes Yes YesFriends and Family Test Sometimes No Sometimes No Yes Availability of social~care suppsocial~care, nursing~home, eqYes No Yes No No No Yes Yes No Yes No No No Yes Yes No Yes No No No Yes Yes No Yes No No No Yes Yes Yes Yes Yes Yes No Yes Yes YesUHSM routinely survey all admissionYes No Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesPatient satisfaction questionnaire/FFYes Yes Yes No Yes Social care support for patient social~care, intermediate~careYes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes No Yes Yes Yes Yes

Yes Yes Yes Yes Yes some care~homes do not accecare~home Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesMonthly survey; Friends and Family Yes Yes Yes Sometimes Yes Limited social~care availability social~care, nursing~home Yes Yes Yes Yes No No No Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes Yes No Yes Yes Yes NoPatient Trackers (electronically) Yes SometimesYes Yes Yes Many community assessments social~care, transport Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No Yes Yes

Yes No Yes No Yes Reduced care in the communitcommunity~services, social~c Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No No Yes Yes No No No Yes Yes No1. Real time information - bedside inYes Yes Yes Yes Yes Yes Yes Yes Yes No No No Yes No Yes No No No No Yes Yes Yes Yes No No No Yes No Yes No No No No Yes Yes Yes Yes No Yes Yes Yes NoFriends and family Yes Yes Yes Yes Yes Carer availability carer Yes Yes Yes Yes Yes No Yes Yes No Yes No Yes No No Yes No Yes Yes Yes No No Yes No Yes No Yes No No No No Yes No No No No Yes NoFriends & Family Survey No No No No Yes Often social~care packages ansocial~care, nursing~home, seYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No No Yes Yes Yes No No Yes Yes NoFriends and Family both units, "Help Yes No No No Yes Intermediate care only availab intermediate~care/beds, nursinYes Yes Yes Yes No Yes Yes Yes No Yes No No No No Yes Yes Yes Yes No No No Yes No Yes No No No No Yes Yes Yes Yes No No No Yes No1. Real time information - bedside inYes Yes Yes Yes Yes Yes Yes Yes Yes No No No Yes No Yes No No No No Yes Yes Yes Yes No No No Yes No Yes No No No No Yes Yes Yes Yes No Yes Yes Yes No

Yes Yes Yes No Yes Lack of weekend ward rounds ward~round, social~care, pharYes Yes Yes Yes Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes No Yes No Yes Noface to face, 2 minutes of your time Yes Yes Yes No Yes Transport, GP AVAILABILITY, transport, GP, community~hosYes No Yes No No Yes No Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No Yes Yes Yes Yes Yes Yes Yes Yes YesFriends and Family leaflets Yes No No No Yes Fewer discharges at weekekdnsocial~care, intermediate~careYes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No No Yes Yes Yes Yes No No Yes NoPatient Satisfaction Survey No No No No Yes Only nursing staff to co-ordina MDT Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No No Yes Yes Yes No No No Yes NoPatient satisfaction survey Yes Yes Yes Yes Yes Social Care availability Nursinsocial~care, nursing~home Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No No Yes Yes Yes No No No Yes NoInteractive screens and patient queti No No Yes Yes Yes Social Care social~care Yes Yes Yes Yes Yes No No Yes Yes Yes No No No No Yes Yes Yes Yes No No No Yes Yes Yes No No No No No Yes Yes Yes No No Yes Yes YesPatient Questionnaires - Friends and Yes Yes Yes Yes Yes Fewer discharges at weekend social~care Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No No Yes Yes Yes No No No Yes Noon-line via patient experience surveyYes Yes Yes Yes Yes Social care availability Transpsocial~care, transport, commuYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesFriends and Family Yes Yes Yes Yes Yes Availability of interim placemenintermediate~care/beds, trans Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No NoFriends and Family test Patient expeYes No Yes Yes Yes Difficulties we have discharginsocial~care, intermediate~careYes Yes Yes Yes Yes No Yes Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No No Yes Yes Yes Yes No Yes Yes NoReal time patient monitoring Yes Yes Yes Yes Yes social~care, gp availability, be social~care, GP, intermediate~Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No No Yes Yes Yes Yes No Yes Yes Yesfriends and family, also post dischargYes Yes Sometimes Sometimes Yes GP AND SOCIAL CARE, DIAGGP, social~care, diagnostics, sYes Yes Yes Yes No No No Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No No Yes Yes No No No Yes Yes No

Yes Yes Sometimes Sometimes Yes Both; Social Care Plans operasocial~care, community~servicYes Yes Yes Yes Yes No Yes Yes No Yes No Yes No No Yes No Yes Yes Yes No No Yes No Yes No Yes No No No No Yes No No No No Yes NoFace to Face 2 minutes of your time Yes Yes Yes Sometimes Yes TRANSPORT, OP AVAILABILtransport Yes Yes Yes Yes Yes No No Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No Yes Yes Yes Nothrough feedback cards that are han Yes No Yes No Yes Social care and intermediate~ social~care, intermediate~careYes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes Yes No No No Yes NoFriends and Family test and patient sYes No Sometimes Sometimes Yes Mainly due to social~care avaisocial~care, equipment Yes Yes Yes No No Yes Yes Yes No Yes No No Yes No Yes Yes Yes No No Yes No Yes No Yes No No Yes No Yes Yes Yes Yes Yes Yes No No NoFamily and friends test. Tell us what Yes Yes Yes Yes Yes Access to Rapid Response / SRapid Response Team, social Yes No Yes No No No Yes Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No Yes No Yes Yes Yes No Yes Yes YesPatient survey using tablets during aYes Yes Yes Yes Yes Social care availability Identifi social~care, therapies Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No No NoFriends and Family = 15% Yes Yes Yes No Yes Pharmacy, Social Care, GP avpharmacy, social~care, GP Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesPatients given a form to fill in at poin No No Sometimes No Yes Emergency social~care to put social~care, therapies, GP, nuYes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes No Yes No No No No Yes Yes Yes Yes Yes No No Yes NoReal-time patient survey and FFT Yes Yes Yes No Yes Social care responsiveness, ti social~care, transport, therapieYes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes No Yes Yes YesFriends and Family - Website/Paper/Yes Yes Yes Yes Yes Nursing homes and residentia nursing~home, GP, pharmacy Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes Yes Yes Yes No Yes Yes YesPatient Survey, local ward Patient ExSometimes No Yes Yes Yes Lack of availability of commun intermediate~care/beds Yes Yes Yes No No No No Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No No Yes Yes No No No No No NoFriends & family test Yes Yes No No Yes Transport; social~care (lack of transport, social~care, commuYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Sometimes No Sometimes No Yes social and primary~care not avsocial~care, primary~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No No No Yesfriends and family test and national i No No Yes Sometimes Yes social~care availability social~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes YesFreinds and Family as well as I want Yes No No No Yes social~care availability - commsocial~care Yes Yes Yes No Yes Yes No Yes No No No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes No No Yes Yes No No Yes Yes Yes No No Yes Yes Yes

Yes SometimesYes Sometimes Yes Social care availability,GP avasocial~care, GP, intermediate~Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes YesReal Patient Surveys conducted and Sometimes SometimesSometimes No Yes Lack of social~care, especially social~care, community beds Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No No Yes Yes No No No Yes Yes No

Yes Yes Sometimes Sometimes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes YesElectronic tablet using specific questSometimes SometimesSometimes Sometimes Yes Social care (start or restart pacsocial~care, community~hosp Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yesfriends and family test Yes No Yes Sometimes Yes care/nursing~home willingness nursing~home, care~packagesYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes YesFriends and Family - NET promoter No No Yes Yes Yes GP Availability Nursing / Resi GP, nursing~home Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes Yes No Yes Yes Nobut not ALL patients Sometimes SometimesNo No Yes in addition to lack of OT/PT/so therapies, social~care, nursingYes No Yes Yes No Yes No Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No No No Yes No No No No Yes NoPatient Voice Yes Yes Yes Yes Yes Social Care Availability social~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesFriends and Family test No No No No Yes Lack of availability of Physioth therapies, social~care, commuYes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes No Yes Yes Yes YesFriends and Family Sometimes SometimesSometimes Yes social~care assessment and psocial~care, pharmacy, therapYes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No No No Yes No Yes Yes No Yes No Yes No Yes No No No No Yes Yes Yes Yes Yes No No Yes NoExit questionaire Yes Yes Sometimes Sometimes Yes Community services, social~secommunity~services/beds, socYes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes No Yes Yes Yes Notrial with greenwich university, handhSometimes SometimesSometimes Sometimes Yes social~care and step down facsocial~care, intermediate~careYes Yes Yes Yes Yes Yes Yes Yes No Yes No No No No Yes Yes Yes No No No No Yes No Yes No No No No Yes Yes Yes Yes Yes No No Yes Noquestionnaires Yes Yes Yes Sometimes Yes GP availability GP Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes Yes No Yes No Yes NoFriends & familuty & questionnaire Yes No Yes Yes Yes social~services provision of casocial~care, nursing~home, in Yes Yes Yes Yes No No Yes Yes Yes Yes No No No No Yes Yes Yes Yes No No No Yes Yes Yes No No No No Yes Yes Yes Yes No Yes Yes Yes NoVia PALS and ward staff as part of thYes SometimesYes Yes Yes Social care; GPs; transport; phsocial~care, GP, transport, phaYes Yes Yes Yes No Yes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No Yes No Yes Yes Yes Yes No Yes Yes Yes Noroutine patient experience survey. Yes Yes Yes Yes Yes absence of social worker as pasocial~care, MDT Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes NoPicker surveys; Friends & Family Te No No Yes Yes Yes Social Care - interim placemensocial~care, intermediate~careYes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes No Yes Yes Yes NoPatient tracker system Yes Yes Yes No Yes Issues with community~servic community~services/beds, carYes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes Yes Yes Yes Yes NoFriends and family and a handheld qSometimes SometimesYes Sometimes Yes social service availability intersocial service, intermediate~caYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesFormal feedback questionnaire Sometimes No No No Yes Social Care input social~care Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes No No Yes Yes Yes No Yes No No Yes Yes Yes No Yes No No No No Yes Yes Yes No No Yes YesQuestionnaires, text messaging, etc Yes Yes Yes No Yes Social Care only work 6/7 – no social~care, continuing care, nYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesQuality ward rounds and friends and Yes SometimesYes Sometimes Yes availability of social~care, GP social~care, GP, district~nurseYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No YesElectronic patient survey Yes No No No Yes Access to social and communisocial~care, community~servicYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No Yes NoPatient tracker system Yes Yes Yes Yes Yes Mainly social~care issues. Th social~care, nursing~home, caYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes NoFormal patient feedback questionnaiSometimes No No No Yes Sical care availablity social~care Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes No No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes No No No No Yes Yes Yes No No Yes YesFriends and Family tests No No No No Yes all services have reduced or no availability at weekends No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No NoMeridian tracker and Friends and FaNo No Yes No Yes OT, social~care, senior presentherapies, social~care, senior~Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes No Yes NoIn house surveys. Sometimes No Sometimes No Yes Social care availability and GP social~care, GP Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes Yes Yes Yes No Yes No Yes YesFriends and Family Test Yes No Yes No Yes Access to social~care servicessocial~care, nursing~home, coYes Yes Yes Yes Yes Yes Yes Yes No Yes No No No No Yes Yes Yes No No No Yes Yes No Yes No No No No Yes Yes Yes Yes Yes Yes Yes Yes YesMeridian tracker, Friends and FamilyNo No Yes No Yes Availability of senior decision msenior~review, therapies, GP Yes Yes Yes Yes No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes Yes Yes No Yes NoHRWD. AMU specific survey starts Yes No Yes No Yes Social care available Care plasocial~care, transport, care~paYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yespatient experience call centre Yes Yes Yes Sometimes Yes consultant review within wardssenior~review Yes Yes Yes Yes Yes Yes Yes Yes No Yes No No Yes No Yes Yes Yes No No Yes Yes Yes No Yes No No Yes No Yes Yes Yes Yes Yes Yes No Yes NoMost stay between 4 to 6 hours so thYes No Yes No Yes Social care is the major problesocial~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesFriends and Family Test A selection Yes Yes Yes No Yes Social care availability, Nursin social~care, nursing~home, caYes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No Yes Yes Yes YesOngoing patient satisfaction surverysSometimes SometimesSometimes Sometimes Yes Social care availability, GP avasocial~care, GP, community~sYes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Nopatient feedback, FFT, peer review o Yes Yes Yes Yes Yes lack of community~services, n community~services/beds, primYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes Yes Yes Yes No Yes Yes YesFriends and Family Survey No No No No Yes The ability to move patients intintermediate~care/beds, care~Yes Yes Yes Yes No Yes No Yes No No No No No No Yes Yes Yes Yes No Yes No Yes No Yes No No Yes No Yes Yes Yes Yes Yes No No Yes NoHospedia electronic feedback and otSometimes SometimesSometimes Sometimes Yes Availability of routine non-emesenior~review, diagnostics, soYes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesPatient feedback is sought from all pYes No Yes No Yes GP services, Community healtGP, community~services/beds Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes NoFriends and family' electronic data coNo No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes NoiPads + paper questionnaires Yes No Yes Sometimes Yes Social care, primary~care sup social~care, primary~care Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No No No Yes Yes No Yes NoFamily and Friends test Yes Yes Yes No Yes - Limited access to care commcommunity~services, social~c Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes Yes No Yes Yes NoTrust does not have an acute surgicaYes No Sometimes No Yes Social care available but limitesocial~care Yes Yes Yes No No No No Yes No Yes No No No No Yes Yes Yes No No No No Yes No Yes No No No No No No Yes No No No No Yes NoInpatient national survey, local inpatiYes Yes Yes Yes Yes Main issues are carer availabi carer/family Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes No No Yes No No Yes Yes Yes Yes No Yes Yes NoFriends and Family Questionnaire, MSometimes No Yes Yes Yes Lack of availability of commun community~hospital, intermed Yes Yes Yes Yes Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes No Yes No No No Yes Yes Yes No No Yes No NoVia patient surveys - Net Promoter SYes Yes Yes Sometimes Yes Limited availability of social~casocial~care, GP, district~nurseYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes No Yes Yes NoQuestionnaire given to all patients (eYes Yes Yes No Yes social~services availability Dissocial~services, nursing~homeYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesNot routinely collected. Friends & FaYes Yes Yes No Yes Insufficient community Health community~services/beds, socYes Yes Yes Yes Yes No No Yes No Yes No No No No Yes No Yes Yes No No No Yes No Yes No No No No No Yes Yes Yes No No No Yes NoElectronic questionnaire Friends an No No No No Yes Care home assessments. Resnursing~home, care~packagesYes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No No No No NoRegaular Patient Experience Team sNo No No No Yes Waltham Forest patients now hsocial~care, GP Yes Yes Yes No No Yes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No Yes No No Yes Yes Yes No No Yes Yes NoElectronic questionnaire on dischargNo No Yes No Yes Care home managers to accepcare~home, intermediate~careYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No NoPatients complete routine hospital saYes SometimesYes Yes Yes social~services, Community Ssocial~care, community~servicYes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes Yes No Yes No Yes No Yes No No Yes Yes Yes Yes Yes Yes No No No Yes NoFriends and Family Test Yes Yes Yes Yes Yes Community Hospitals do not h community~hospitals, care~paYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes No No No No NoReal time feedback collected by voluNo No Yes No Yes Socail care availability Equipmsocial~care, equipment, pharmYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes No Yes YesPatient Voice Yes No Yes No Yes Lack of availability of investigadiagnostics, therapies, social~Yes Yes Yes Yes No Yes Yes Yes No Yes Yes No No No Yes No Yes Yes No No No Yes No Yes Yes No No No Yes Yes Yes Yes Yes Yes Yes Yes YesFriends and family Yes Yes Yes Yes Yes are homes and care packagesnursing~home, care~packagesYes Yes Yes No Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes NoFriends & Family Test Your Care QuYes Yes Yes Yes Yes Health & Social Care Packagecare~packages, community~s Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes Yes No Yes Yes Yes No

No No Sometimes No Yes Availability of assessment for ssocial~care, nursing~home No No No No No No No No Yes Yes No No No No No Yes Yes No No No No No Yes Yes No No No No No Yes Yes No No No Yes Yes Nofriends and family on discharge Yes Yes Yes Sometimes Yes Social care cannot commence social~care, therapies, pharmaYes No Yes No Yes Yes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No No No Yes Yes Yes Yes Yes No No Yes NoiPads on all wards for Friends and F Yes Yes Yes Yes Yes Social care availability. Trans social~care, transport, nursingYes Yes Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No Yes No Yes No Yes No No No No Yes No No No No Yes No

Yes SometimesYes Sometimes Yes Social Care availability, reducesocial~care, intermediate~careYes Yes Yes Yes Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes No No No Yes Yes Yes No No No No Yes Yes Yes Yes No Yes Yes Yes NoASU = Patient Experience card AMU Yes Yes Yes Yes Yes Availability of Packages of Carcare~packages, nursing~homeYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes YesFriends and family returns. Yes Yes Yes Yes Yes Nursing care placements, fam nursing~home, carer/family, GYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes Yes Yes Yes Yes No

Yes No Sometimes No Yes Access to social~care Availabsocial~care, carer/family, inter Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes Yes No No No NoYes, but it is not 100% of patients Yes Yes Yes No Yes Less community support: also community~services/beds, senYes No Yes No No No Yes Yes No Yes No No No No Yes No Yes No No No No Yes No Yes No No No No No Yes Yes No Yes No No Yes Nopatient questionnaire Yes Yes Sometimes Sometimes Yes Social care availability Lack o social~care, GP Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yesfriends and family test Yes Yes Yes Sometimes Yes variable access to social~care social~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes No Yes Yes No

Sometimes No Sometimes No Yes social~care availability social~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes No NoYes Yes Yes Yes Yes Intermediate care capabilities intermediate~care/beds Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes

~opportunities to complete family anYes No Yes No Yes Social care availability - duty osocial~care, equipment Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes Yes Yes Yes Yes No~opportunities to complete family anYes No Yes No Yes Equipment provision can be diequipment, discharge~liaison Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes Yes Yes Yes Yes NoFriends and family test on every pati No No No No Yes Equipment availability; care~h equipment, nursing~home, carYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes No No No Yes

Yes Yes Yes Yes Yes No social~services input. No psocial~care, pharmacy, transpYes Yes Yes Yes no Yes Yes Yes No Yes No No Yes Yes Yes No Yes No No Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes Yes Yes No No No NoFamily and friends test Yes Yes Yes Sometimes Yes Provision of social~care and c social~care, equipment, pharmYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No Yes Yes No Yes No Yes No No Yes No Yes Yes Yes Yes No Yes Yes Yes NoFamily and friends test Yes Yes Yes Sometimes Yes Provision of social~care and c social~care, equipment, pharmYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No Yes Yes No Yes No Yes No No Yes No Yes Yes Yes Yes No Yes Yes Yes NoFriends and family test - forms handeYes Yes Yes Yes Yes Social care availability, nursingsocial~care, nursing~home, caYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes No No Yes Yes YesVariable number of patients receive Yes Yes Yes Yes Yes Despite MDT presence, social social~care Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes NoWe use an IT based data collection called your care matters. This is administered in all in-patienYes care assessments, availability intermediate~care/beds, trans Yes No Yes No No Yes No Yes No No Yes No Yes Yes No Yes No Yes No No Yes Yes Yes No Yes Yes Yes YesReal time patient surveys on all wardYes No Sometimes No Yes Lack of social~care availability social~care, community~servicYes Yes Yes No No No Yes Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No No Yes Yes No No No Yes Yes NoInpatient survey Yes Yes Yes Yes Yes Social care availability is varia social~care, diagnostics Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes No Yes Yes NoForm Yes SometimesYes Sometimes Yes Social care; transport; pharmasocial~care, transport, pharmaYes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes No Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes No

Yes Yes Yes Yes Yes Intermediate care; Adult care; intermediate~care/beds, trans Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes No Yes Yes NoYes No Yes No Yes Social care; OT access social~care, therapies Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes Yes No No Yes Yes No

Friends and family test on discharge Yes Yes Yes No Yes Access to equipment; lack of sequipment, social~care, therapYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes No Yes Yes Yes Yes No Yes Yes YesSometimes SometimesSometimes Sometimes Yes Social care; lack of community social~care, community~servicYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes Yes No No Yes No NoYes Yes Sometimes No Yes Restarting of complex care patcare~packages, GP Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No Yes Yes Yes No No No No No No No No No No No No No

Friends and family test on discharge No No No No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes Yes Yes Yes Yes YesPatient survey monthly with minimum Yes Yes Yes No Yes Shortage of Physio, OT and sotherapies, social~care Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No No No Yes No

Yes Lack of access to social~care, social~care, therapies, diagno Yes Yes Yes No No No Yes Yes Yes Yes No No No No Yes Yes Yes No No No Yes Yes Yes Yes No No No No Yes Yes No No No No No No NoMonthly patient survey No No No No No

Yes Yes No No Yes Social care; appropriate place social~care, community~servicYes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes NoYes No Yes No Yes MDT; GP access; access to faMDT, GP, carer/family, social~Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes Yes Yes Yes YesYes No Yes No Yes MDT; GP access; access to faMDT, GP, carer/family, social~Yes Yes Yes No No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes

Ipads on all wards for friends and family test Yes Yes Yes Yes No Yes Yes No Yes No Yes Yes No Yes No Yes Yes No Yes No Yes No No Yes No No YesFriends and family test Sometimes SometimesSometimes No Yes Transport; no social~services, transport, social~care, nursingYes Yes Yes Yes No No Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No Yes Yes Yes YesMonthly patient survey Yes No Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes No No Yes No Yes Yes Yes Yes No Yes Yes Yes NoFriends and family test Yes SometimesSometimes Sometimes Yes Social Services do not work 7/ social~services; community~s Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes NoFriends and family test Yes SometimesSometimes Sometimes Yes Social Services do not work 7/ social~services; community~s Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes NoFriends and family test Yes SometimesSometimes Sometimes Yes Social Services do not work 7/ social~services; community~s Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes NoiTrack Device Yes SometimesYes Sometimes Yes Lack of availability of GPs or Csocial~services; community~s Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesiTrack Device Yes SometimesYes Sometimes Yes Lack of availability of GPs or Csocial~services; community~s Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesiTrack Device Yes SometimesYes Sometimes Yes Lack of availability of GPs or Csocial~services; community~s Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesRoutine patient experience question Yes Yes Yes Yes Yes Need social worker on MDT social~care Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No No Yes Yes Yes Yes No No Yes Yes No

Do you have immediate consultant reporting for all the following rapid access services

Weekday out-of Weekday

admitted as an emergency? Do you have rapid access - within 1 hour - to the following services where appropriate for emergencies arising in in-patients?

3634

Do you encounter barriers to discharging patients at the weekend? If so, what are they? (e.g. social~care availability, GP availability)

35

40NHS Improving Quality defines four levels in the achievement of seven day working. Which level best describes the hospital’s current status for URGENT AND EMERGENCY CARE SERVICES?

Echocardiography X-ray Ultrasound CT MRI Echocardiography X-ray Ultrasound CT MRI Echocardiography X-ray Ultrasound CT MRI X-ray Ultrasound CT MRI X-ray Ultrasound CT MRI X-ray Ultrasound CT MRI X-ray Ultrasound CT MRI X-ray Ultrasound CT MRI X-ray Ultrasound CT MRI X-ray Ultrasound CT MRINo Yes No Yes Yes No No No No No No 8 hours 8 hours 24 hours Over 24 hours 12 hours 12 hours 12 hours Over 24 hours 8 hours 8 hours 24 hours Over 24 hours 12 hours 12 hours 12 hours Over 24 hours 1 hour 8 hours Over 24 hours 1 hour 12 hours Over 24 hours 1 hour 8 hours Over 24 hours 1 hour 12 hours 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes Yes No 24 hours 24 hours 12 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No No Yes Yes No No No Yes Yes No No 24 hours 24 hours 24 hours Over 24 hours 2 hours Over 24 hours 2 hours Over 24 hours 2 hours Over 24 hours 2 hours Over 24 hours 2 hours Over 24 hours 2 hours Over 24 hours Over 24 hours 24 hours 2 hours 8 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 2 hours Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes Yes No 8 hours 12 hours 4 hours 4 hours 4 hours 12 hours 12 hours 12 hours 4 hours 4 hours 8 hours 24 hours 4 hours 12 hours 24 hours 24 hours Over 24 hours 1 hour 2 hours 2 hours Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No No No Yes No No Yes No Yes No No 4 hours 24 hours 24 hours Over 24 hours 4 hours 24 hours 24 hours Over 24 hours 4 hours 24 hours 24 hours Over 24 hours 4 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Level 4 – A whole system approach to 7 day serNo No Yes Yes Yes No No Yes Yes Yes No 4 hours 8 hours 4 hours 4 hours 4 hours 8 hours 4 hours 4 hours 4 hours 8 hours 4 hours 4 hours 8 hours 12 hours 4 hours 4 hours 24 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No No No No No No No No No No No 2 hours 4 hours 4 hours 4 hours 2 hours 4 hours 4 hours 4 hours 4 hours 4 hours 24 hours 8 hours 4 hours 8 hours 24 hours 8 hours 4 hours 24 hours 8 hours 4 hours 24 hours 8 hours 4 hours Level 2 – Services that are delivered 7 days per Yes No Yes Yes No Yes No Yes Yes No Yes Level 2 – Services that are delivered 7 days per No No No Yes No No No No Yes No No 2 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 2 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 1 hour 1 hour 24 hours Over 24 hours 1 hour 1 hour 24 hours Over 24 hours 1 hour 1 hour 24 hours Level 2 – Services that are delivered 7 days per No No No No No No No No No No No 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 12 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours 1 hour 2 hours 24 hours Level 3 – A whole service approach to 7 day serNo No Yes Yes Yes No No Yes Yes Yes No 4 hours 24 hours 12 hours 12 hours 2 hours 24 hours 24 hours 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 12 hours 12 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per Yes No Yes Yes Yes Yes No Yes Yes Yes Yes 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 1 hour 24 hours Over 24 hours 1 hour 1 hour 24 hours Over 24 hours 1 hour 1 hour 24 hours Over 24 hours 1 hour 1 hour 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes Yes No Over 24 ho24 hours Over 24 hours Over 24 hours Over 24 ho24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 8 hours Over 24 hours 1 hour 4 hours 8 hours Over 24 hours 1 hour 4 hours 8 hours Over 24 hours 1 hour 4 hours 8 hours Level 4 – A whole system approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 1 hour 1 hour 2 hours 4 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 4 hours 1 hour 1 hour 1 hour 4 hours 4 hours 1 hour 1 hour 4 hours 1 hour 1 hour 1 hour 4 hours 1 hour 2 hours 1 hour Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes 4 hours 8 hours 4 hours 4 hours 8 hours 12 hours 12 hours 12 hours 24 hours 8 hours 12 hours 4 hours 24 hours 24 hours 8 hours 12 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes Yes Yes No No 1 hour 4 hours 4 hours 24 hours 1 hour 1 hour 1 hour 24 hours 1 hour 4 hours 4 hours 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per Yes No Yes Yes Yes No Yes Yes Yes 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo No Yes Yes No No No Yes Yes No No 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No Yes No Yes No No 12 hours Over 24 hours Over 24 hours Over 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour Over 24 hoOver 24 hours Over 24 hours 1 hour 12 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo No No Yes No No No No Yes No No 1 hour 24 hours 24 hours 24 hours Over 24 hours 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo No Yes Yes No No No Yes Yes No No 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours 4 hours 12 hours 1 hour Over 24 hours 12 hours 12 hours Over 24 hours Over 24 hours 4 hours Level 2 – Services that are delivered 7 days per No No Yes Yes No No No No Yes No No 8 hours 8 hours 8 hours 8 hours 8 hours 24 hours 8 hours 24 hours 8 hours 8 hours 8 hours Over 24 hours 8 hours 24 hours 8 hours Over 24 hours Over 24 hours 1 hour Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes No Yes No No 12 hours Over 24 hours 24 hours 24 hours 12 hours Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours 24 hours 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour Over 24 hoOver 24 hours Over 24 hours 1 hour 12 hours Over 24 hours 24 hours 1 hour Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes No No No No 1 hour 1 hour 1 hour 24 hours 1 hour 24 hours 1 hour 24 hours 1 hour Over 24 hours 1 hour Over 24 hours 1 hour Over 24 hours 1 hour Over 24 hours Over 24 hours 8 hours 8 hours 8 hours Over 24 hours 1 hour 8 hours 1 hour Over 24 hours 8 hours 8 hours 8 hours Over 24 hours 1 hour 8 hours 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes Yes No 4 hours 12 hours 2 hours Over 24 hours 1 hour Over 24 hours 1 hour 2 hours 4 hours Over 24 hours 1 hour Over 24 hours 1 hour Over 24 hours 1 hour Level 2 – Services that are delivered 7 days per No No Yes Yes No No No No Yes No No 1 hour 24 hours 12 hours Over 24 hours 12 hours 24 hours 12 hours Over 24 hours 1 hour Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours Level 2 – Services that are delivered 7 days per No No Yes Yes No No No No Yes No No 1 hour 24 hours 12 hours Over 24 hours 12 hours 24 hours 12 hours Over 24 hours 1 hour Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours Level 2 – Services that are delivered 7 days per No No Yes Yes No No No No Yes No No 1 hour 24 hours 12 hours Over 24 hours 12 hours 24 hours 12 hours Over 24 hours 1 hour Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes Yes No 8 hours 8 hours 8 hours 12 hours 8 hours 24 hours 24 hours 24 hours 8 hours 24 hours 24 hours 24 hours 8 hours 24 hours 24 hours 24 hours 8 hours 8 hours 8 hours 8 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes No No No No Yes No No 1 hour 24 hours 12 hours Over 24 hours 12 hours 24 hours 12 hours Over 24 hours 1 hour Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours 24 hours Over 24 hours Over 24 hours 1 hour 2 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 4 hours 4 hours 4 hours Over 24 hours 12 hours 12 hours 12 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 24 hours 24 hours Level 3 – A whole service approach to 7 day serNo No No No No No No No No No 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 12 hours 24 hours 1 hour 2 hours 24 hours 24 hours 1 hour 2 hours 24 hours 24 hours 1 hour 2 hours 24 hours 24 hours 1 hour 2 hours 24 hours Level 3 – A whole service approach to 7 day serNo No Yes Yes No No No Yes Yes No No 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 24 hours 1 hour 1 hour 4 hours Over 24 hours 1 hour 1 hour 4 hours Over 24 hours 1 hour 1 hour 4 hours Over 24 hours 1 hour 1 hour 4 hours Level 4 – A whole system approach to 7 day serNo No Yes Yes Yes No No Yes Yes Yes No 4 hours 24 hours 12 hours 12 hours 2 hours 24 hours 24 hours 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 12 hours 12 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes No No No Yes Yes No No 1 hour 2 hours 4 hours 4 hours 2 hours 24 hours 24 hours 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 4 hours 1 hour 1 hour Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No No Yes No No No No Yes No No 1 hour 24 hours 24 hours 24 hours Over 24 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No Yes Yes Yes No No 2 hours 12 hours 4 hours 24 hours 1 hour 1 hour 1 hour Over 24 hours 2 hours 2 hours 4 hours Over 24 hours 1 hour 24 hours 1 hour 1 hour Over 24 hours 1 hour Level 3 – A whole service approach to 7 day serNo No No Yes No No No No No Yes Yes 8 hours 8 hours 12 hours 24 hours 12 hours 12 hours 24 hours 24 hours 8 hours Over 24 hours Over 24 hours 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 12 hours 12 hours Over 24 hours 1 hour 12 hours 12 hours Over 24 hours 1 hour 12 hours 12 hours Over 24 hours 1 hour 12 hours 12 hours Level 2 – Services that are delivered 7 days per No No No No No No Yes No No No No 2 hours 8 hours 24 hours Over 24 hours 24 hours Over 24 hours 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 12 hours 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes Yes No 2 hours 4 hours 4 hours 4 hours 2 hours 12 hours 12 hours 12 hours 2 hours Over 24 hours 12 hours Over 24 hours 2 hours Over 24 hours 12 hours Over 24 hours 4 hours 4 hours 4 hours 4 hours 12 hours 12 hours 12 hours 12 hours 2 hours 2 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No No No No No No No No No No 4 hours 4 hours 12 hours 12 hours 4 hours 8 hours 24 hours 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 24 hours 1 hour 8 hours 8 hours Over 24 hours 1 hour 8 hours 8 hours Over 24 hours 1 hour 8 hours 8 hours Over 24 hours 1 hour 8 hours 8 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 4 hours 12 hours 12 hours 24 hours 4 hours 24 hours 12 hours 24 hours 4 hours 24 hours 12 hours Over 24 hours 4 hours Over 24 hours 12 hours 24 hours 4 hours 1 hour 1 hour 2 hours 4 hours 1 hour 2 hours 4 hours 1 hour 1 hour 4 hours 4 hours 1 hour 2 hours Level 3 – A whole service approach to 7 day serNo Yes No Yes No No No No Yes No No 1 hour 12 hours 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hourOver 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes Yes No 12 hours Over 24 hours 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hours 12 hours 2 hours 4 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serYes No Yes Yes Yes Yes No Yes Yes Yes Yes 8 hours 8 hours 8 hours Over 24 hours 8 hours 8 hours 8 hours 8 hours 8 hours 8 hours 8 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No No No No No No No No No No 8 hours Over 24 hours Over 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 8 hours 8 hours 8 hours Over 24 hours 8 hours 8 hours 24 hours Over 24 hours 8 hours 8 hours 8 hours Over 24 hours 8 hours 8 hours 24 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hoOver 24 hours Over 24 hours 24 hours Over 24 hoOver 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes No No Yes No No No No Yes No 4 hours 24 hours 8 hours 24 hours 4 hours 24 hours 8 hours 24 hours 4 hours 24 hours 8 hours 24 hours 4 hours 24 hours 8 hours 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Level 4 – A whole system approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 24 hours 24 hours 24 hours 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours 4 hours 4 hours 4 hours 4 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes Yes No 1 hour 4 hours Over 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 2 hours Over 24 hours Over 24 hours 1 hour 12 hours Over 24 hours Over 24 hours 1 hour 12 hours Over 24 hours Over 24 hours 1 hour 12 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes Yes No Yes Yes Yes No 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 1 hour 4 hours 4 hours 24 hours 1 hour 4 hours 4 hours 24 hours 1 hour 4 hours 4 hours 24 hours 1 hour 4 hours 4 hours Level 4 – A whole system approach to 7 day serNo No Yes Yes No No No Yes Yes No No 2 hours 24 hours 4 hours Over 24 hours 1 hour 2 hours 2 hours Over 24 hours 1 hour 2 hours 2 hours Over 24 hours 1 hour 12 hours 2 hours Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes Yes No 1 hour 4 hours 1 hour 4 hours 1 hour 4 hours 1 hour 24 hours 1 hour 4 hours 1 hour 4 hours 1 hour 4 hours 1 hour 24 hours Over 24 hours 1 hour 1 hour 2 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour 2 hours Over 24 hours 1 hour 1 hour Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Over 24 ho24 hours Over 24 hours Over 24 hours Over 24 ho24 hours Over 24 hours Over 24 hours Over 24 ho12 hours 12 hours 12 hours Over 24 ho12 hours 24 hours 24 hours Over 24 hours 1 hour Over 24 hoOver 24 hours Over 24 hours 1 hour Over 24 hoOver 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours 2 hours 4 hours 4 hours 4 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No No Yes Yes No No No Yes Yes No No 12 hours 24 hours 24 hours Over 24 hours 12 hours 4 hours 4 hours 24 hours 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo No No Yes No No No No Yes No No 1 hour 12 hours 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 12 hours 12 hours Over 24 hours 1 hour 24 hours 24 hours 24 hours Over 24 hours 12 hours 1 hour 12 hours Over 24 hours 12 hours 1 hour 8 hours Over 24 hours 12 hours 1 hour 12 hours 24 hours 12 hours 1 hour 12 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 2 hours 8 hours 4 hours Over 24 hours 1 hour 1 hour 1 hour 12 hours 2 hours 4 hours 2 hours 2 hours 1 hour 1 hour 1 hour 1 hour Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 8 hours 4 hours Over 24 hours 1 hour 12 hours 4 hours Over 24 hours 1 hour 8 hours 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 1 hour 24 hours 12 hours 12 hours 1 hour 12 hours 12 hours 12 hours 1 hour 24 hours 12 hours 12 hours 1 hour 24 hours 12 hours 12 hours Over 24 hours 1 hour 1 hour 1 hour Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes No Yes No No No No Yes No No 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours 24 hours 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes Yes Yes No No 1 hour 2 hours 1 hour 4 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour 2 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour 24 hours Level 2 – Services that are delivered 7 days per No Yes No Yes No No No No Yes No No 1 hour 1 hour 1 hour 2 hours 1 hour 12 hours 1 hour Over 24 hours 1 hour Over 24 hours 1 hour Over 24 hours 1 hour Over 24 hours 1 hour Over 24 hours 8 hours 1 hour 4 hours 8 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours Level 4 – A whole system approach to 7 day serNo Yes Yes Yes Yes Yes Yes No Yes No No 2 hours 8 hours 4 hours Over 24 hours 1 hour 1 hour 1 hour 2 hours 2 hours 4 hours 1 hour 1 hour 2 hours 1 hour 1 hour 2 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes No No 24 hours 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No Yes Yes Yes No No 1 hour 4 hours 2 hours 4 hours 2 hours 8 hours 4 hours 4 hours 4 hours 8 hours 8 hours 8 hours 8 hours 24 hours 2 hours 2 hours 1 hour 4 hours 2 hours 4 hours 2 hours 8 hours 4 hours 4 hours 4 hours 8 hours 8 hours 8 hours 8 hours 24 hours 2 hours 2 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No No Yes Yes No No 4 hours 8 hours 8 hours Over 24 hours 2 hours 2 hours 2 hours 8 hours 4 hours 8 hours 4 hours 1 hour 8 hours 1 hour 1 hour 4 hours 12 hours 1 hour 1 hour 12 hours 1 hour 1 hour 8 hours 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes Yes Yes No No 1 hour 4 hours 4 hours 2 hours 1 hour 4 hours 4 hours 1 hour 4 hours 4 hours 1 hour 4 hours 4 hours 24 hours 1 hour 12 hours Over 24 hours 24 hours 1 hour 1 hour 24 hours 1 hour 12 hours 24 hours 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes Yes Yes No No 2 hours 8 hours 4 hours 4 hours 4 hours 12 hours 12 hours 12 hours 4 hours 24 hours 24 hours 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 24 hours Over 24 hours 4 hours 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 4 hours 8 hours 8 hours 8 hours 8 hours 12 hours 12 hours 12 hours 12 hours 8 hours 8 hours 8 hours 8 hours 12 hours 12 hours 12 hours 12 hours Level 3 – A whole service approach to 7 day serNo No No Yes Yes No No No Yes Yes No 12 hours 2 hours 12 hours Over 24 hours 1 hour 1 hour 24 hours 4 hours 8 hours 4 hours Over 24 hours 1 hour 2 hours 24 hours 1 hour 12 hours 24 hours Over 24 hours 1 hour 24 hours 12 hours 24 hours 2 hours 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 12 hours Over 24 hours 24 hours Over 24 hours 12 hours Over 24 hours 24 hours Over 24 hours 8 hours Over 24 hours Over 24 hours Over 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes No No No Yes Yes 8 hours 12 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 8 hours 12 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 12 hours 1 hour 1 hour 24 hours 24 hours 1 hour 1 hour 24 hours 12 hours 1 hour 1 hour 24 hours 24 hours 1 hour 1 hour 24 hours Level 4 – A whole system approach to 7 day serNo No No Yes No No No No Yes No No 4 hours 24 hours 12 hours 12 hours 1 hour 12 hours 8 hours 8 hours 2 hours 12 hours 4 hours 12 hours 1 hour 12 hours 4 hours 12 hours 12 hours 1 hour 2 hours 4 hours 8 hours 1 hour 2 hours 4 hours 4 hours 1 hour 2 hours 4 hours Over 24 hours 1 hour 2 hours 4 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No Yes Yes Yes No No 2 hours 8 hours 4 hours 4 hours 4 hours 12 hours 12 hours 12 hours 4 hours 24 hours 24 hours 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 4 hours 24 hours 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo No No Yes Yes No No No Yes Yes No 1 hour 12 hours 2 hours Over 24 hours 1 hour 1 hour 1 hour 1 hour 4 hours 1 hour Over 24 hours 1 hour 1 hour 24 hours 1 hour 12 hours 24 hours Over 24 hours 1 hour 24 hours 8 hours 24 hours 2 hours 24 hours Over 24 hours 24 hours 1 hour 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No No No No No No No No No No 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hour24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes No Yes Yes No Yes No Yes 1 hour Over 24 hours 2 hours Over 24 hours 1 hour 2 hours 2 hours 2 hours 1 hour 2 hours Over 24 hours 2 hours 2 hours 4 hours Over 24 hours 1 hour Over 24 hours 2 hours 1 hour Over 24 hours 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes No Yes Yes No 4 hours 8 hours 8 hours 8 hours 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 24 hours 24 hours 8 hours 24 hours 24 hours 24 hours 8 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour 8 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes No Yes Yes Yes Yes No No 1 hour 1 hour 2 hours 1 hour Over 24 hours Over 24 ho1 hour 24 hours Over 24 hours 1 hour 1 hour 2 hours 1 hour Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes No Yes No No 1 hour Over 24 hours 2 hours Over 24 hours 1 hour 2 hours 1 hour 2 hours 2 hours 1 hour 2 hours Over 24 hours 2 hours 2 hours 1 hour Over 24 hours 1 hour Over 24 hours 2 hours 1 hour Over 24 hours 1 hour Level 2 – Services that are delivered 7 days per Yes No Yes Yes Yes Yes No Yes Yes Yes Yes 8 hours 12 hours 12 hours 24 hours 4 hours 12 hours 12 hours 24 hours 8 hours 24 hours 8 hours Over 24 hours 8 hours 24 hours 8 hours Over 24 hours 12 hours 12 hours 12 hours Over 24 hours 12 hours 12 hours 12 hours Over 24 hours 12 hours Over 24 hours 12 hours Over 24 hours 12 hours 24 hours 8 hours Over 24 hours Level 4 – A whole system approach to 7 day serNo Yes Yes Yes No No Yes No Yes No No 4 hours 8 hours 24 hours 24 hours 4 hours 4 hours 4 hours 24 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 4 hours 24 hours 24 hours Over 24 hours 2 hours Over 24 hours 12 hours 12 hours 4 hours 24 hours 24 hours 24 hours 2 hours 4 hours 8 hours 4 hours 1 hour 1 hour 1 hour 8 hours 12 hours 1 hour 1 hour 12 hours 12 hours 1 hour 1 hour 12 hours 12 hours 1 hour 1 hour 24 hours Level 4 – A whole system approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 4 hours 4 hours 24 hours 24 hours 4 hours 4 hours 24 hours 24 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours Over 24 hours 4 hours 4 hours Over 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No No No No No No 4 hours 4 hours 12 hours 24 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 2 hours 1 hour 8 hours 1 hour 8 hours 8 hours 8 hours 12 hours 12 hours 4 hours 4 hours 12 hours 8 hours 4 hours 8 hours 12 hours 8 hours 12 hours Level 3 – A whole service approach to 7 day serYes No Yes Yes Yes Yes No Yes Yes Yes Yes 24 hours 24 hours 24 hours 24 hours Over 24 ho24 hours 24 hours 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hoOver 24 hours 24 hours Over 24 hours Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No No No Yes No No 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours 4 hours Over 24 hours Over 24 hours 2 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 24 hours 24 hours 24 hours 1 hour 24 hours 24 hours 24 hours 1 hour 24 hours 24 hours 24 hours 1 hour 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes Yes No 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 24 hours 1 hour 1 hour 1 hour 24 hours 1 hour 1 hour 1 hour Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No Yes Yes Yes No No 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes No No Yes Yes Yes No No 8 hours 8 hours 8 hours Over 24 hours 1 hour 1 hour 1 hour 8 hours 8 hours 8 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 2 hours 2 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes No No No Yes Yes No Yes No No 12 hours 12 hours 12 hours Over 24 hours 4 hours 12 hours 8 hours Over 24 hours 4 hours 12 hours 8 hours Over 24 hours 4 hours Over 24 hours 8 hours Over 24 hours Over 24 hours 2 hours 12 hours 24 hours Over 24 hours 8 hours 4 hours 24 hours Over 24 hours 1 hour 4 hours 1 hour Over 24 hours 12 hours 4 hours 1 hour Level 3 – A whole service approach to 7 day serNo No Yes Yes No No No Yes Yes No No 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours Over 24 hours 4 hours 4 hours 8 hours Over 24 hours 4 hours 4 hours Over 24 hours 4 hours 4 hours Over 24 hours 4 hours 4 hours Level 2 – Services that are delivered 7 days per No No No Yes No No No No Yes No No 1 hour 12 hours 4 hours 4 hours 1 hour 12 hours 4 hours 1 hour 12 hours 4 hours 1 hour 12 hours 4 hours 8 hours 8 hours 8 hours 8 hours Over 24 hours 1 hour 8 hours Over 24 hours 1 hour 8 hours Over 24 hours 1 hour 8 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes No No 24 hours 24 hours 12 hours 24 hours 24 hours 24 hours 12 hours 24 hours 24 hours 24 hours 12 hours 24 hours 24 hours 24 hours 12 hours 24 hours 24 hours 1 hour 4 hours 4 hours 24 hours 1 hour 4 hours 24 hours 1 hour 4 hours Over 24 hours 1 hour 4 hours Level 3 – A whole service approach to 7 day serNo No No No No No No No No No No 8 hours Over 24 hours Over 24 hours Over 24 hours 8 hours 12 hours Over 24 hours Over 24 hours 8 hours 24 hours 24 hours Over 24 hours 8 hours 24 hours 24 hours Over 24 hours Over 24 hours 8 hours 8 hours 8 hours Over 24 hours 8 hours 24 hours 24 hours Over 24 hours 8 hours 8 hours 8 hours Over 24 hours 8 hours 8 hours 24 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes No Yes No Yes Yes No Yes 8 hours 24 hours 12 hours 12 hours 8 hours 24 hours 12 hours 24 hours 4 hours 1 hour 2 hours 2 hours 1 hour 2 hours Level 3 – A whole service approach to 7 day serYes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 1 hour 2 hours 2 hours 4 hours 1 hour 1 hour 1 hour 1 hour 1 hour 2 hours 2 hours 2 hours 1 hour 1 hour 1 hour 4 hours 1 hour 1 hour 1 hour 4 hours 1 hour 1 hour 1 hour 4 hours 1 hour 1 hour 1 hour 4 hours 1 hour 1 hour Level 4 – A whole system approach to 7 day serNo No No Yes No No No No Yes No No 2 hours Over 24 hours Over 24 hours Over 24 hours 8 hours 1 hour 2 hours 4 hours Level 3 – A whole service approach to 7 day serNo No No Yes No No No No Yes No No 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 1 hour Over 24 hours 24 hours 24 hours 1 hour Over 24 hours 24 hours 24 hours 1 hour Over 24 hours 24 hours 24 hours 1 hour Over 24 hours 24 hours 24 hours 1 hour Level 2 – Services that are delivered 7 days per No No Yes Yes No No No Yes Yes No No 4 hours 12 hours 4 hours 8 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 24 hours 1 hour 1 hour 2 hours 24 hours Over 24 hours Over 24 hoOver 24 hours Over 24 hours 1 hour Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No No Yes Yes No No No Yes Yes No 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No No No No 4 hours 8 hours 2 hours 8 hours 2 hours 4 hours 1 hour 2 hours 2 hours 1 hour 2 hours 2 hours 1 hour 2 hours 1 hour 1 hour 2 hours 1 hour Level 2 – Services that are delivered 7 days per No No No No No No No No No No No 2 hours 4 hours 2 hours 24 hours 2 hours Over 24 hours 2 hours 24 hours 2 hours Over 24 hours 4 hours 24 hours 2 hours Over 24 hours 4 hours 24 hours Over 24 hours 1 hour 2 hours 12 hours Over 24 hours 1 hour 2 hours 12 hours Over 24 hours 1 hour 2 hours 12 hours Over 24 hours 1 hour 2 hours 12 hours Level 3 – A whole service approach to 7 day ser

4 hours 24 hours 24 hours 24 hours 4 hours 4 hours 4 hours 4 hours 4 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 4 hours 12 hours 12 hours Over 24 hours 1 hour 1 hour 1 hour 8 hours 1 hour 1 hour 1 hour 12 hours 1 hour 1 hour 1 hour 1 hour Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hoOver 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Over 24 hours 1 hour 12 hours 1 hour Level 1 – Services limited to one department or No Yes Yes Yes No No Yes Yes Yes No No 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour 1 hour Level 4 – A whole system approach to 7 day serNo Yes Yes Yes No No Yes Yes Yes No No 2 hours 4 hours 4 hours 24 hours 2 hours 4 hours 2 hours 2 hours 1 hour 2 hours 4 hours 12 hours 24 hours 1 hour 24 hours 12 hours Level 2 – Services that are delivered 7 days per No No Yes Yes No No No Yes Yes No No 2 hours Over 24 hours 12 hours Over 24 hours 1 hour 1 hour 2 hours 1 hour 2 hours 12 hours 1 hour 1 hour 12 hours 2 hours 2 hours 4 hours 12 hours 4 hours 12 hours 1 hour 2 hours 2 hours 12 hours 8 hours Level 1 – Services limited to one department or No No Yes Yes No No No No Yes No No 8 hours Over 24 hours 24 hours Over 24 hours 24 hours Over 24 hours 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Over 24 hours 1 hour 4 hours 24 hours Over 24 hours 1 hour 4 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No No Yes No No No No Yes No No 8 hours 24 hours 24 hours 24 hours 8 hours Over 24 hours 24 hours 24 hours 8 hours Over 24 hours 24 hours Over 24 hours 8 hours Over 24 hours 24 hours Over 24 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes No No 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours 12 hours Over 24 hours 12 hours 1 hour 24 hours Over 24 hours 12 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes Yes No 4 hours 4 hours 4 hours 4 hours 4 hours 2 hours 2 hours 2 hours 4 hours 2 hours 2 hours 2 hours 4 hours 2 hours 2 hours 2 hours 2 hours 2 hours 2 hours 2 hours 2 hours 1 hour 1 hour 1 hour 2 hours 1 hour 1 hour 1 hour 2 hours 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes No No Yes Yes Yes No No 12 hours Over 24 hours Over 24 hours Over 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 2 hours 2 hours 2 hours Over 24 hours 2 hours 2 hours Over 24 hours 2 hours 2 hours Over 24 hours 2 hours 2 hours Level 2 – Services that are delivered 7 days per No Yes No Yes Yes No No No No No No 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 1 hour 2 hours Over 24 hours 2 hours Over 24 hours 1 hour 1 hour Over 24 hours 1 hour Level 3 – A whole service approach to 7 day serNo No No Yes No No No No Yes No No 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours 4 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hour24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes No Yes Yes Yes No No 24 hours 24 hours 24 hours 24 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 12 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per No No Yes Yes Yes No No Yes Yes No No 1 hour 24 hours 4 hours 24 hours 1 hour 12 hours 12 hours 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 1 hour 4 hours Over 24 hours 1 hour 1 hour Over 24 hours 1 hour 1 hour Over 24 hours 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes No No No Yes Yes No No No 2 hours 24 hours Over 24 hours 24 hours 4 hours Over 24 hours Over 24 hours Over 24 hours 4 hours 24 hours Over 24 hours Over 24 hours 4 hours Over 24 hours Over 24 hours 24 hours 24 hours 8 hours 8 hours 8 hours Over 24 hours 8 hours 8 hours 24 hours 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes Yes Yes No Yes Yes No 1 hour 12 hours 12 hours 24 hours 1 hour 12 hours 12 hours 24 hours 1 hour 12 hours 12 hours 24 hours 1 hour 12 hours 12 hours 24 hours 2 hours 6 hours 2 hours 2 hours 12 hours 12 hours 2 hours 2 hours 2 hours 6 hours 2 hours 2 hours 12 hours 12 hours 2 hours 2 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes Yes Yes Yes Yes No No 12 hours 12 hours 12 hours 12 hours 1 hour 1 hour 1 hour 12 hours 12 hours 12 hours 12 hours 1 hour 1 hour 1 hour None 24 hours 24 hours 24 hours 24 hours Over 24 hours 1 hour 2 hours 24 hours 24 hours 24 hours 24 hours Over 24 hours 1 hour 2 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes Yes Yes Yes Yes No No 12 hours 12 hours 12 hours 12 hours 1 hour 1 hour 1 hour 12 hours 12 hours 12 hours 12 hours 1 hour 1 hour 1 hour 24 hours 24 hours 24 hours 24 hours Over 24 hours 1 hour 2 hours 24 hours 24 hours 24 hours 24 hours Over 24 hours 1 hour 2 hours Level 2 – Services that are delivered 7 days per Yes No No No Yes Yes No No No Yes Yes 2 hours 24 hours 12 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 2 hours 2 hours 2 hours Over 24 hours 24 hours Over 24 hoOver 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours Over 24 hours Level 3 – A whole service approach to 7 day serNo No No No No No No No No No No 12 hours 12 hours 24 hours 24 hours 1 hour 1 hour 1 hour Level 4 – A whole system approach to 7 day serNo Yes Yes Yes No No Yes No Yes No No 24 hours 24 hours Over 24 hours Over 24 hours 24 hours 24 hours 1 hour 2 hours 2 hours 24 hours 2 hours 24 hours 1 hour 2 hours 24 hours 2 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No Yes No Yes No No 24 hours 24 hours Over 24 hours Over 24 hours 24 hours Over 24 hours 1 hour 2 hours 2 hours Over 24 hours 2 hours Over 24 hours 1 hour 2 hours Over 24 hours 2 hours Level 2 – Services that are delivered 7 days per No Yes Yes Yes No No No Yes Yes No No 24 hours 24 hours 24 hours 24 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Over 24 hours 24 hours 24 hours 24 hours Over 24 hours 24 hours 24 hours 24 hours 1 hour 1 hour Level 3 – A whole service approach to 7 day serYes Yes Yes Yes No Yes Yes Yes Yes No Yes 1 hour 1 hour 1 hour 2 hours 1 hour 2 hours 2 hours 1 hour 2 hours 1 hour 1 hour 2 hours 2 hours 2 hours 4 hours 4 hours 2 hours Level 2 – Services that are delivered 7 days per

Yes No Yes Yes Yes No Yes No 1 hour 4 hours 4 hours 8 hours 1 hour 1 hour 8 hours 1 hour 4 hours 1 hour 8 hours 1 hour 4 hours 1 hour 8 hours 1 hour 1 hour 4 hours 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo No Yes Yes No No No Yes Yes No No 2 hours 4 hours 1 hour Over 24 hours 2 hours 4 hours 1 hour Over 24 hours 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Over 24 hours 1 hour 1 hour Over 24 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes Yes No Yes Yes No Yes 1 hour 4 hours 24 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour Over 24 hours Over 24 hours Over 24 hours 24 hours 1 hour 24 hours 24 hours 24 hours Over 24 hours 24 hours Over 24 hours 1 hour 1 hour 1 hour 1 hour Over 24 hours Over 24 hours 24 hours Over 24 hours Level 2 – Services that are delivered 7 days per

Yes Yes Yes No Yes Yes Yes No 1 hour 24 hours 24 hours 12 hours 12 hours 1 hour 1 hour Over 24 ho1 hour 1 hour 12 hours Over 24 ho1 hour 1 hour 12 hours 1 hour 12 hours 12 hours 12 hours 1 hour 1 hour Over 24 hours 1 hour 1 hour 12 hour Over 24 hours 1 hour 1 hour Level 1 – Services limited to one department or No Yes Yes No No Yes Yes No 24 hours 24 hours 24 hours Over 24 hours 1 hour 4 hours 12 hours 1 hour 1 hour 1 hour 1 hour 12 hour 1 hour 1 hour Level 1 – Services limited to one department or

No Yes Yes Yes No No No Yes Yes No No 1 hour 12 hours 12 hours Over 24 hours 1 hour Over 24 hoOver 24 hours 1 hour 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour Level 1 – Services limited to one department or Yes No Yes Yes No Yes No Yes Yes No Yes 2 hours 24 hours 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 24 hours 24 hours Over 24 hours 1 hour 24 hours Over 24 hours Over 24 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Over 24 hours 1 hour 4 hours 4 hours Level 3 – A whole service approach to 7 day ser

No Yes Yes No No Yes No No 4 hours 8 hours 12 hours 24 hours 4 hours 4 hours 12 hours 12 hours 4 hours Over 24 hours 1 hour 1 hour 4 hours Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour Over 24 hours 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo No No No No No No No No No No 24 hours 24 hours 24 hours 24 hours 4 hours 24 hours 24 hours Over 24 hours 1 hour 1 hour 4 hours Over 24 hours 1 hour 1 hour 1 hour Over 24 hours 1 hour 1 hour Over 24 hours 1 hour 1 hour Level 2 – Services that are delivered 7 days per

Yes Yes Yes Yes Yes Yes Yes Yes 8 hours 8 hours 8 hours Over 24 hours 8 hours 8 hours 8 hours 8 hours Over 24 hours 1 hour 2 hours 2 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No No No Yes No No 2 hours 2 hours 8 hours 8 hours 4 hours 4 hours 8 hours 8 hours 2 hours 2 hours 8 hours 8 hours 4 hours 4 hours 8 hours 8 hours 1 hour 1 hour 12 hours 24 hours 4 hours 4 hours 4 hours 24 hours 1 hour 2 hours 4 hours 24 hours 4 hours 4 hours 4 hours 24 hours Level 2 – Services that are delivered 7 days per No No Yes No No No No No No No No 1 hour 4 hours 2 hours 2 hours 12 hours 12 hours 2 hours 4 hours 4 hours 2 hours 12 hours 12 hours 12 hours 4 hours 4 hours 24 hours 12 hours 12 hours 2 hours 24 hours 12 hours 4 hours 4 hours 24 hours 12 hours 12 hours 2 hours 24 hours Level 2 – Services that are delivered 7 days per

Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 12 hours 24 hours 24 hours Over 24 hours 12 hours 24 hours 24 hours 12 hours Over 24 hours 24 hours 12 hours Over 24 hours 24 hours Over 24 hours 1 hour 12 hours 12 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 4 hours 4 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes Yes Yes Yes No 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 4 hours 4 hours Level 3 – A whole service approach to 7 day ser

No No Yes No No Yes 8 hours 24 hours 24 hours 24 hours 8 hours Over 24 hours 24 hours 24 hours 8 hours Over 24 hours 24 hours Over 24 hours 8 hours Over 24 hours 24 hours Over 24 hours 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes Yes No 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 2 hours 2 hours 2 hours 2 hours 2 hours 1 hour 1 hour 1 hour 12 hours 1 hour 1 hour 1 hour 2 hours 1 hour 1 hour 1 hour 12 hours 1 hour 1 hour 1 hour Level 2 – Services that are delivered 7 days per No Yes Yes Yes Yes No Yes Yes Yes No No 12 hours 24 hours 24 hours Over 24 hours 12 hours 24 hours 24 hours 12 hours Over 24 hours Over 24 hours 12 hours Over 24 hours Over 24 hours Over 24 hours 24 hours 24 hours Over 24 hours 4 hours 2 hours Over 24 hours 24 hours 24 hours Over 24 hours Over 24 hours 2 hours Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes No Yes No No 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes No Yes No No 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day serNo Yes Yes Yes Yes No Yes No Yes No No 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour 1 hour Level 3 – A whole service approach to 7 day ser

Yes Yes Yes Yes Yes Yes Yes Yes 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes Yes Yes Yes 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per Yes Yes Yes Yes Yes Yes Yes Yes 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours 24 hours Level 2 – Services that are delivered 7 days per

No Yes Yes Yes No No No Yes Yes No No 4 hours 8 hours 8 hours 8 hours 2 hours 2 hours 2 hours 4 hours 4 hours 4 hours 2 hours 1 hour 8 hours 1 hour 1 hour 2 hours 12 hours 1 hour 1 hour 8 hours 1 hour 1 hour 8 hours 1 hour Level 2 – Services that are delivered 7 days per

Weekend out-of-hours: - X-ray

What is your average reporting time following routine inpatient diagnostic imaging?

39

Weekday out-of hours Weekend day time(8am-8pm) Weekend out-of-hours: - X-ray Weekday Weekday out-of hours Weekend day time(8am-8pm)

s?

37 38

What is your average access time for routine inpatient diagnostic imaging?

WeekdayWeekend out-of-hours: - X-rayWeekend day time(8am-8pm)hours

41 42 43

NHS Improving Quality defines four levels in the achievement of seven day working. Which level best describes the hospital’s current status FOR ALL SERVICES?

Please provide the individuals (roles) who have helped complete this survey

The survey must be signed off by either the Medical Director or Chief Executive. Signed: Medical Director / Chief Executive Notes

Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Chris PalinLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Chris Palin, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Guy Rooney Associate Medical Director (MD is on leaveLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Mr Keith A Godfrey Medical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv MDLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Jugnu MahajanLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sAndrew Foster - 05-08-13 Q38/39 Info Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sAlastair TurnbullLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sRichard JenkinsLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Barbara CrosseLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Alastair TurnbullLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wKaren James, Acting CE University Hospital of South MancLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sProf Clive Kay, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr David ThrossellLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical DirectorLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wMr R C PearsonLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMr R C PearsonLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJim Mackey, CEOLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMike Pinkerton, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr J Catania (Medical Director)Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sChief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJim Mackey, CEOLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sIan Harvey. Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Jeremy Rushmer Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMr John Saxby - Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMr John Saxby - Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJohn Saxby - Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMr Rob Gillies, Executive Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJohn Saxby - Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Chris Brookes - Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sRichard Jenkins - Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sApproved by Dr George Thompson Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Barbara CrosseLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sAlan Rodgers, Medical Director GMC 2633664Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sMike Pinkerton, Chief ExecutiveLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Jeremy RushmerLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Steve RyanLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Steve RyanLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Medical DirectorLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wDr Ian Abbs, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sSimon Holmes, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr. Mark Pugh, Executive Medical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Dr Andrew J Catto Exec Medical Director GMC 3313617Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sAndrew Liles, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sSir Jonathan Michael, Chief ExecutiveLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Colin Close MDLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sChris BurtonLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sInterim Chief Medical Officer - Amr MohsenLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Phillip Barnes, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sEvan Moore MDLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr T M Craft, MDLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sChris Burton MDLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sStephen Conroy Interim CEOLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sPaul SigstonLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMatthew KershawLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr G A Francis, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sIan Martin MDLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sN GALLEGOS Medical DirectorLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wAnnette SchreinerLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJohn Lowes Medial DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sPaul O'ConnorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Neil Doverty Chief Operating Officer for CEOLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Roger Stedman, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sTracey Fletcher, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr M Stockwell, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMark HalliwellLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sAveril DongworthLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMeghana Pandit CMOLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sRos Given-Wilson Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr M Stockwell, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sAveril DongworthLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sKevin Baber - COOLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJane McCue, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr G Smith-LaingLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sAlfa Sa'aduLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJane McCue, Medical DirectorLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wMichael Marrinan - Executive Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMark Patten Med DirLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDR R H Mallinson {Medical Director)Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sJames Rimmer, Acting Chief ExecutiveLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wDr. Keith McNeilLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wDr A ChiltonLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Michael van der Watt Trust Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sKevin Hardy, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr. R FentonLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Mr Ian MitchellLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJonathan Fielden, Medical Director Medicine BoardLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sChief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sHisham Abdel-RahmanLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJane Linsell, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sSir Jonathan Michael, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Celia Skinner, Medical DirectorLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wAndrew MorrisLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJ R RandallLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sStephen Fowlie, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Steve RyanLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sStephen Fowlie, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDERMOT O'RIORDAN/STEPHEN GRAVESLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMr Mark Hackett - Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Matthew KershawLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sSean MacDonnell Medical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Medical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Christine Allen, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Loveland Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDarren Grayson, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sPaula Clark, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Mary Armitage Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sAndrew Arnold, Medical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Karl Simkins - Director of Finance / Deputy CEO (on behalf Level 1 – Services limited to one department or a service that is beginning to deliver some serv Paul SigstonLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr C Tibbs, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sSonia Swart MD and Interim CEOLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJane Wilson Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sP.S Williams (MD)Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sChief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sChief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sChief Executive - Anna DugdaleLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week days Level 1 – Services limited to one department or a service that is beginning to deliver some services beyond the 8am – 6pm Monday to Friday serviceLevel 1 – Services limited to one department or a service that is beginning to deliver some services beyond the 8am – 6pm Monday to Friday serviceLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wChief Executive - Glen BurleyLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Medical Director - Paul LearLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical Director - Des HoldenLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sMedical Director - Philip Barnes Level 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Jonathan Odum, Medical DirectorLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Deputy Chief ExecutiveLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Deputy Chief ExecutiveLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Deputy Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDeputy Chief Executive/Chief Operating OfficerLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sRory ShawLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week daysLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Mr Ian MitchellLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJohn Adler, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sJohn Adler, Chief Executive

John Adler, Chief ExecutiveLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sChief ExecutiveLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wDr Andrew Bishop, Medical DirectorLevel 3 – A whole service approach to 7 day service delivery that requires several elements to wDr Andrew Bishop, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week daysLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week daysLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sIan Gell, Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Paul Stevens, Trust Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Paul Stevens, Trust Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of sDr Paul Stevens, Trust Medical DirectorLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week daysLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week daysLevel 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week daysLevel 1 – Services limited to one department or a service that is beginning to deliver some serv Patricia Wright

5. On average, how many hours is there an on-take consultant emergency general surgeon on-site each day? (info should be obtainable from a typical job plan)

2 3 4 5 6 7 8 9 10 11 12 13 14 >14Weekday 0% 0% 1% 0% 1% 0% 4% 4% 30% 12% 36% 5% 5% 2%Weekend 1% 7% 18% 10% 21% 7% 13% 3% 11% 1% 5% 1% 1% 0%

Average number of hours an on-take consultant emergency general surgeon is on-site each dayWeekday 11Weekend 6

0%5%

10%15%20%25%30%35%40%

2 3 4 5 6 7 8 9 10 11 12 13 14 >14

Percen

tage

of hospitals

Average number of hours on‐take surgeon is on‐site each day

Weekday Weekend

0

2

4

6

8

10

12

Weekday Weekend

Hou

rs

Average number of hours an on‐take consultant emergency general surgeon is on‐site each day

9. How often would acute emergency general surgey patients usually be reviewed by a consultant?

Less frequently than once daily Once daily Twice Daily More Frequen Continuous consultant coverWeekday 1% 47% 36% 5% 12%Weekend 4% 72% 19% 1% 4%

0%10%20%30%40%50%60%70%80%

Less frequently than oncedaily

Once daily Twice Daily More Frequent Continuous consultantcover

Percen

tage

 of h

ospitals

Frequency surgical patients are reviewed by a consultant

Weekday Weekend

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Weekday

Weekend

Percentage of Hospitals

Continuous consultant cover More Frequent Twice Daily Once daily Less frequently than once daily

100% 90-100% 75-90% 50-75% 25-50% 0-25%Weekday 33% 27% 20% 10% 5% 0%Weekend 18% 28% 19% 21% 7% 1%

10. are all emergency surgery admissions reviewed by a consultant within 12 hours of the decision to admit or within 14 hours of the time of arrival at thehospital? Is this based on an approximation or formal data collection?

0%

5%

10%

15%

20%

25%

30%

35%

100% 90‐100% 75‐90% 50‐75% 25‐50% 0‐25%

Percen

tage

 of h

ospitals

Percentage of surgical patients reviewed by a consultant within 12 hours

Weekday Weekend

Weekend

100%

90‐100%

75‐90%

50‐75%

25‐50%

0‐25%

Weekday

100%

90‐100%

75‐90%

50‐75%

25‐50%

0‐25%

Yes NoWeekday 82% 18%Weekend 71% 29%

11. are surgical consultant staffing levels sufficient to enable all patients to be seen within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Weekday Weekend

Yes

No

Yes No Once a day Twice a day Three times a day Four times a dayWeekday 67% 1% 7% 77% 3% 0%Weekend 67% 1% 14% 73% 1% 0%

12. is there a structured process for medical handover of acute emergency surgical patients? If yes, how many times per day?

0%10%20%30%40%50%60%70%80%90%100%

Yes No Once aday

Twice aday

Threetimes aday

Four timesa day

Weekday

Weekend

100% 90-100% 80-90% 0-80%4% 43% 39% 14%

16. What proportion of emergency cases are operated on the day that surgery was originally planned?

Theatre capacity 90%Surgeon availability/capacity 4%Anaesthetist availability/capacity 3%Delays in pre-operative preparation 3%

17. If not all emergency cases have surgery undertaken on the day surgery was originally planned, what are the principle reasons for this?

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14Weekday 1% 1% 0% 1% 1% 0% 1% 1% 5% 3% 11% 5% 39% 13% 16%Weekend 3% 0% 1% 3% 3% 3% 10% 4% 16% 9% 9% 1% 24% 3% 7%

Average number of hours admitting medical consultant is on AMU each dayWeekday 12Weekend 9.2

WeekWeekend0 1% 3%1 1% 0%2 0% 1%3 1% 3%4 1% 3%5 0% 3%6 1% 10%7 1% 4%8 5% 16%9 3% 9%

10 11% 9%11 5% 1%12 39% 24%13 13% 3%14 16% 7%

18. on average, for how many hours is there a dedicated admitting medical consultant on the acute medicine unit each day? (info should be available from a typical job plan)

0

2

4

6

8

10

12

14

Weekday Weekend

Hou

rs

Average number of hours admitting medical consultant is on AMU each day

0%5%

10%15%20%25%30%35%40%45%

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14

Perc

enta

ge o

f Hos

pita

ls

Hours

Weekday

Weekend

100% 90-100% 75-90% 50-75% 25-50% 0-25%Weekday 21% 42% 28% 7% 1% 0%Weekend 16% 38% 28% 15% 3% 0%

20. are all emergency medical admissions reviewed by the admitting medical consultant or appropriate specialty consultant within 12 hours of the decision to admit or within 14 hours of the time of arrival at the hospital? Is this based on approximation or formal data collection?

0%5%

10%15%20%25%30%35%40%45%

100% 90‐100% 75‐90% 50‐75% 25‐50% 0‐25%% emergency medical admissions reviewed by admitting consultant 

within 12 hours of admission or 14 hours from arrival

Weekday Weekend Weekday100%90-100%75-90%50-75%25-50%0-25%

Weekend100%90-100%75-90%50-75%25-50%0-25%

Yes No Once a day Twice a day Three times a day Four times a dayWeekday 77% 1% 15% 64% 14% 2%Weekend 75% 3% 16% 71% 7% 0%

22. Is there a structured process for medical handover of acute medical patients? If yes, how many times per day?

0%10%20%30%40%50%60%70%80%90%100%

Yes No Once aday

Twice aday

Threetimes aday

Four timesa day

Weekday

Weekend

24. how often would each patient on the acute medical unit usually be reviewed by a consultant?

Less frequently than once daily Once daily Twice daily More frequent Continuous consultant coverWeekday 3% 52% 17% 4% 25%Weekend 23% 52% 9% 3% 15%

0%

10%

20%

30%

40%

50%

60%

Less frequently than oncedaily

Once daily Twice daily More frequent Continuous consultant cover

Weekday Weekend

Weekday

Less frequently thanonce daily

Once daily

Twice daily

More frequent

Weekend

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Weekday

Weekend

Percentage of Hospitals

Less frequently than once daily Once daily Twice daily More frequent Continuous consultant cover

25. is a multi-disciplinary team (MDT) present on the acute medical unit to review patients each day?

Yes Sometimes NoWeekday 87% 11% 3%Weekend 47% 24% 29%

Weekend

Yes

Sometimes

No

Weekday

Yes

Sometimes

No

26. Which of the following professionals are present on the acute medical unit to p Number of professions available for MDT review on AMU

Weekday Weekend Weekday Weekend Weekday Weekend WeekdayWeekend WeekdayWeekend Weekday Weekend 1 2 3 4 5 6 0 Weekdays 100% 99% 95% 91% 77% 48%

132 71 126 56 129 66 150 144 151 143 85 29 3 Weekend 98% 96% 66% 45% 30% 6%12 27 11 13 11 14 0 0 0 1 14 15

8 50 15 77 11 65 1 5 0 5 51 101

WD WE WD WE WD WE WD WE WD WE WD WE

Always 87% 48% 83% 38% 85% 46% 99% 97% 100% 96% 57% 20%Sometimes 8% 18% 7% 9% 7% 10% 0% 0% 0% 1% 9% 10%Never 5% 34% 10% 53% 7% 45% 1% 3% 0% 3% 34% 70%

Physiotherapy

Physiotherapy OT Pharmacy Medical

PharmacyOccupational

Nursing Social care

Social careNursingMedical

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

WD WE WD WE WD WE WD WE WD WE WD WE

Physiotherapy Occupationaltherapy

Pharmacy Medical Nursing Social care

Perc

enta

ge o

f Hos

pita

ls

Always Sometimes Never

0%10%20%30%40%50%60%70%80%90%

100%

1 2 3 4 5 6

Perc

enta

ge o

f Hos

pita

ls

No. of MDT professions available

MDT members include: Medical; Nursing; Physiotherapy; Occupational therapy; Pharmacy; Social Care

Weekdays

Weekend

WD WE WD WE WD WE WD WE

12 3 2 4 2 2 2 5 111 2 1 0 0 1 0 0 010 7 0 9 2 6 2 3 3

9 5 2 5 2 9 0 1 08 58 22 56 21 46 10 25 57 9 3 8 4 12 1 4 06 5 4 2 3 9 7 4 15 11 6 8 5 11 6 2 04 11 17 11 17 22 24 10 103 7 2 5 4 4 7 4 12 15 13 16 6 10 13 17 81 15 23 22 18 10 18 30 160 4 52 5 63 5 62 46 104

PhysiotherapyOccupational

Therapy Pharmacy Social care

27. On average how many hours is a member of each profession in the MDT present on the acute medicine unit each day?

0%10%20%30%40%50%60%70%80%90%

100%

WD WE WD WE WD WE WD WE

Physiotherapy OccupationalTherapy

Pharmacy Social care

12 11 10 9 8 7 6 5 4 3 2 1 0

ElectiveOnce Twice Three times Four times Daily

Weekday 14% 21% 20% 6% 39%Weekend 61% 11% 0% 0% 28%

Specialty inpatientsOnce Twice Three times Four times Daily

Weekday 10% 22% 18% 7% 43%Weekend 55% 11% 1% 0% 32%

Downstream wardsOnce Twice Three times Four times Daily

Weekday 11% 28% 23% 6% 30%Weekend 66% 9% 2% 0% 24%

31. How many times during the week / weekend are inpatients outside the acute medical/surgical

33. Is patient experience data routinely collected from patients admitted as an emergency?

Yes NoAcute medical unit 88% 12%Acute surgical unit 91% 9%

Acute surgical unit

Yes

No

Acute surgical unit

Yes

No

34. Is there same day access to intermediate care services to facilitate early discharge? Is equipment available if required?

Yes No SometimesWeekday 109 22 19Weekend 67 60 23

Weekend

Yes

No

Sometimes

Weekday

Yes

No

Sometimes

Yes No99% 1%

35. Do you encounter barriers to discharging patients at the weekend? If so, what are they? (e.g. social care availability, GP availability)

36. do you have rapid access - within 1 hour - to the following services where appropriate for emergencies arising in in-patients?

X-ray Ultrasound CT MRI Interventional Radiology Interventional Endoscopy EchocardiographyWeekday day time(8am-8pm) 99% 93% 98% 76% 68% 79% 76%Weekday out of hours 98% 68% 97% 25% 44% 59% 30%Weekend day time(8am-8pm) 99% 83% 99% 46% 46% 65% 35%Weekend out of hours 98% 68% 97% 27% 45% 57% 30%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

X‐ray

Ultrasound

CT

MRI

Interventional Radiology

InterventionalEndoscopy

Echocardiography

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Weekday daytime

(8am-8pm)

Weekday out ofhours

Weekend daytime

(8am-8pm)

Weekend out ofhours

Perc

enta

ge o

f hos

pita

ls

X-rayUltrasoundCTMRIInterventional RadiologyInterventional EndoscopyEchocardiography

X-ray Ultrasound CT MRI EchocardiographyWeekday day time(8am-8pm) 70% 89% 95% 83% 56%Weekday out of hours 45% 63% 86% 36% 19%Weekend day time(8am-8pm) 56% 76% 89% 48% 23%Weekend out of hours 45% 59% 85% 34% 18%

37. Do you have immediate consultant reporting for all the following rapid access services?

0%

20%

40%

60%

80%

100%

120%

Weekday day time(8am‐8pm)

Weekday out ofhours

Weekend day time(8am‐8pm)

Weekend out ofhours

40. NHS Improving Quality defines four levels in the achievement of seven day working. Which level best describes the hospital’s current status for URGENT AND EMERGENCY CARE SERVICES?

NHS IQ Level NHS IQ LevelLevel 1 – Services limited to one department or a service that is beginning to deliver some services beyond the 8am – 6pm Monday to Friday service Level 1Level 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week days Level 2Level 3 – A whole service approach to 7 day service delivery that requires several elements to work together in order to facilitate clinical decision making or treatment, often covering more than one work force grou Level 3Level 4 – A whole system approach to 7 day service delivery by integrating the requirements for elements of 7 day services across more than one specialty Level 4

41. NHS Improving Quality defines four levels in the achievement of seven day working. Which level best describes the hospital’s current status FOR ALL SERVICES?

NHS IQ Level NHS IQ LevelLevel 1 – Services limited to one department or a service that is beginning to deliver some services beyond the 8am – 6pm Monday to Friday service Level 1Level 2 – Services that are delivered 7 days per week, but not always offering the full range of services that are delivered on week days Level 2Level 3 – A whole service approach to 7 day service delivery that requires several elements to work together in order to facilitate clinical decision making or treatment, often covering more than one work force grou Level 3Level 4 – A whole system approach to 7 day service delivery by integrating the requirements for elements of 7 day services across more than one specialty Level 4

NHS IQ 7 Day Working Level

Level 1

Level 2

Level 3

Level 4

NHS IQ 7 Day Working Level

Level 1

Level 2

Level 3

Level 4