Table 1 List of NHS Foundation Trusts included in the Healthcare Financial Management Association costing analysis, indicating services already available on a seven day basis, services invested in 2013/2014, and the potential costs of further investment in providing seven day care
NHS Trust | Already invested prior to 2013 | Invested 2013/2014 | Potential additional cost/year | Requiring additional investment |
|---|---|---|---|---|
AUH [4] | Major trauma centre – 24/7 radiology and related trauma support services; seven day a week specialist stroke nurse service | Recruitment of two additional Critical Care Unit consultants (but not in post yet) | £5.8 million | 23 additional consultants, diagnostics, therapies, pharmacy, and nursing |
C&W [5] | Met most clinical standards in all specialties due to previous NHS London audits | 24/7 paediatric consultant cover | £0.4 million | 3 additional consultants |
Pilot project in A&E & medicine with 6 additional consultants and support services (diagnostics, therapies, pharmacy) | None reported | £3.7 million | 24 additional consultants, therapies, nursing | |
CD&D [9] | Little investment at assessment – not detailed | Increased Adult Mental Health Liaison services for A&E/ Medical Admissions Units 0800–2200 7 days a week | £6.5 million | 15 additional consultants, diagnostics, therapies, nursing |
DCH [41] | Paediatrics | None reported | £2.1 million | 8 additional consultants, therapies, pharmacy, nursing |
GSTT [6] | Already achieved in general medicine & vascular surgery | Improvements in specialist therapy assessment team coverage | – | – |
Increased consultant coverage in A&E (0800–2400) Emergency Assessment Unit, medical and surgical wards (0800–2000) seven days a week, increased specialist radiology 0800–2400 | Opening of major trauma centre/ “emergency village” with consultant-led care (16 additional consultants) until 8 pm, therapies & pharmacy until 5 pm, seven days a week, 24/7 radiology and pathology, increasing engagement from all departments | £3.2 million | 9 additional specialist consultants | |
WW&L [42] | Some investment at assessment – not detailed | None reported | £3.5 million | 10 additional consultants, diagnostics, therapies, pharmacy, nursing |