Quote:
Originally Posted by TheDaddy
And it's simply wrong but what does that matter when it can be used to bolster an argument and I think you'll find it wasn't how recent it was that appealed but who wrote it.
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This new report is meant to have removed the lower levels of sickness during the week. The original DID account for that as I QUOTED.
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Some of this was because patients admitted at weekends are likely to be sicker, given that less hospital treatment is planned for this period.
...
When these figures were adjusted, to account for patients’ higher levels of sickness, there was still a relative difference of up to 15 per cent.
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A difference of 15% even when variations taken account of, doesn't matter? We are talking about MORE deaths.
The report came out AFTER negotiations had started.
The Royal College of Surgeons says there is a "weekend effect", as would probably the BMA before these negotiations.
And guess what I've found from BMA website Oct 2013.
Quote:
As such, the BMA has
welcomed the establishment of the Seven Day Forum by NHS England Medical
Director Prof Sir Bruce Keogh in December 2012, and looks forward to the Forum’s
findings
...
Quality
Evidence shows hospitals are not delivering equally high standards of care to
patients at night and at weekends compared to during normal working hours.
There is also evidence of higher mortality rates for hospital patients admitted at
the weekend. The Hospital Standardised Mortality Ratio (HSMR), which indicates
whether mortality rates are higher than would be expected for each hospital, is
produced annually by Dr Foster Intelligence and published in the Dr Foster Hospital
Guide. The 2012 Guide, Fit for the Future?, found that mortality rates for patients
admitted at weekends are higher than for those admitted on weekdays and that
higher levels of senior medical staffing at weekends are associated with lower
mortality rates.
...
The BMA position
Fundamentally, the BMA believes that NHS care should be of the same high quality
across seven days. The RCP and AoMRC quality standards for the care of acutely ill
patients set out a clear aspiration of what should be achieved in all NHS hospitals,
but it is clear that there are significant resource implications that require close
examination.
In order to achieve this, the BMA stands ready to work with all stakeholders to
achieve a clear understanding of what working patterns will be required, especially
for hospital consultants, as well as the resource implications. We will support GPs
taking part in the recently announced pilots that aim to extend access, although we
remain concerned that the current workforce is stretched trying to provide high
quality care within current access arrangements. We must ensure that the pilot is
used to assess the most cost effective way of improving patient outcomes by
extending access to general practice.
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So how come the BMA suddenly disagree with all that?
