Increasing specialist intensity at weekends to improve outcomes for patients undergoing emergency hospital admission: the HiSLAC two-phase mixed-methods study

Bion, Julian; Aldridge, Cassie; Beet, Chris; Boyal, Amunpreet; Chen, Yen-Fu; Clancy, Michael; Girling, Alan; Hofer, Timothy; Lord, Joanne; Mannion, Russell; Rees, Peter; Roseveare, Chris; Rowan, Louise; Rudge, Gavin; Sun, Jianxia; Sutton, Elizabeth; Tarrant, Carolyn; Temple, Mark; Watson, Sam; Willars, Janet; Lilford, Richard

doi:10.3310/hsdr09130

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This study found that the 'weekend effect' was not caused by a lack of consultants in hospitals at weekends but was associated with factors in the community preceding hospital admission.

Julian Bion , Cassie Aldridge , Chris Beet , Amunpreet Boyal , Yen-Fu Chen , Michael Clancy , Alan Girling , Timothy Hofer , Joanne Lord , Russell Mannion , Peter Rees , Chris Roseveare , Louise Rowan , Gavin Rudge , Jianxia Sun , Elizabeth Sutton , Carolyn Tarrant , Mark Temple , Sam Watson , Janet Willars & Richard Lilford .

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Julian Bion ^1,^*, Cassie Aldridge ¹, Chris Beet ², Amunpreet Boyal ³, Yen-Fu Chen ⁴, Michael Clancy ⁵, Alan Girling ⁶, Timothy Hofer ⁷, Joanne Lord ⁸, Russell Mannion ⁹, Peter Rees ¹⁰, Chris Roseveare ¹¹, Louise Rowan ¹, Gavin Rudge ⁶, Jianxia Sun ¹², Elizabeth Sutton ¹³, Carolyn Tarrant ¹³, Mark Temple ¹⁴, Sam Watson ⁶, Janet Willars ¹³, Richard Lilford ⁶

¹ University Department of Anaesthesia & Critical Care, University of Birmingham, Birmingham, UK
² Intensive Care Medicine, Royal Derby Hospital NHS Trust, Derby, UK
³ Research & Development, Queen Elizabeth Hospital Birmingham, Birmingham, UK
⁴ Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK
⁵ Emergency Medicine, University of Southampton, Southampton, UK
⁶ Institute of Applied Health Research, University of Birmingham, Birmingham, UK
⁷ Institute for Health Policy and Innovation, University of Michigan, Ann Arbor, MI, USA
⁸ Southampton Health Technology Assessments Centre, University of Southampton, Southampton, UK
⁹ Health Services Management Centre, University of Birmingham, Birmingham, UK
¹⁰ Patient & Lay Committee, Academy of Medical Royal Colleges, London, UK
¹¹ General Internal Medicine, Southern Health NHS Foundation Trust, Southampton, UK
¹² Informatics, Queen Elizabeth Hospital Birmingham, Birmingham, UK
¹³ Health Sciences, University of Leicester, Leicester, UK
¹⁴ Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, UK
^* Corresponding author Email: j.f.bion@bham.ac.uk

Declared competing interests of authors: Yen-Fu Chen reports a grant from the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) West Midlands during the conduct of the study. Michael Clancy reports grants from the NHS during the conduct of the study. Joanne Lord is a member of the National Institute for Health Research (NIHR) Evidence Synthesis Programme Advisory Group (2017–present) and was a member of the NIHR Stakeholder Advisory Group (2015–20).

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