Supporting DeliverySeven Day Services Improvement Programme Dr Janet WilliamsonDirector of National ImprovementProgrammes, NHS Improving Quality

How can we take on the extraordinary challenge of integrating services into a seamless, consistent, high quality seven day service?Fiona Carey, Cancer & Patient Representative

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So what are we trying to deliver?

Spread what we know

Develop models to take us further

Enrol every provider

Build a momentum for change

Engage the public

Commission the best

See local change happen

The next three to five years improvement programme - dedicated support, dedicated investment

Pockets of England Moving at scaleand pace

Levels of Service Provision

Level 0 - Five days a week, Monday to Friday 9am to 5pm, (8 hours service).Level 1 - Services limited to one department or a service that is beginning to deliver some services beyond the 8am to 6pm Monday to Friday service.Level 2 - Services that are delivered seven days per week, but not always offering the full range of services that are delivered on week days.Level 3 - A whole service approach to seven 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 group.Level 4 - A whole system approach to seven day service delivery by integrating the requirements for elements of seven day services across more than one specialty.

Underpinning principle

Pathway of care

Whole system

Many interdependencies

Not one solution

Context specific

BE AMBITIOUS AND NOTCONSTRAINEDBY THE PASTPatients NHS England AGM 2013

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Collaboration, Commitment and Courage

Seven Day Whole System - Communities of Practice

I was lucky. Shouldn’t everyone of us have the best chance possible, no matter what time of the day or day of the week it is?

‘‘Rodney Partington, Patient Representative ”