1. AHP 7-day working
United Lincolnshire Hospitals Trust

2. Which (AHP) services have adopted 7-day working?
Stroke Unit 2012 Jan.
Orthopaedics 2013 Sept/Oct.
Medical/Surgical 2014 May.

3. What were the drivers for this change?
Stroke Unit- Commissioned service with an expectation of 5 day (45min) Standard 7. Initial local thoughts that would be a 7 day contact expectation. Expectation that assess patient within 24hrs of admission.
Orthopaedic- Enhanced recovery programme, reduced mortality figures.
Medical/Surgical - Keogh reduction in mortality figures. Trust moving one site to seven day working Lincoln selected initially with all sites moving.

4. What were the staff engagement processes used during this change?
Consultation with all staff groups , contract change.
Opportunity for 1:1’s frequently asked questions
Each speciality met with team leads to discuss potential issues
Delivered to staff
Met again to discuss implementation allow time for feedback
Review after implementation with key members / representation of team

5. Were AHPs involved in leading this change?
Yes in conjunction with Human Resources

6. How well have AHPs adapted to this change?
Have some adapted differently than others?
Occupational Therapy have struggled due to small numbers of staff.
Prior to implementation:
1:1’s individual consulted re personal circumstances
Grief cycle
Fears:
Stress – no evidence
Leadership - more static posts
Quality- no increase in complaints
Prioritisation- may have some impact
Supervision- no evidence
Childcare at weekends

8. How well have AHPs adapted to this change?
Have some adapted differently than others?
After implementation:
Benefits realised re use of days off to reduce annual leave used in school holidays.
Ability to access amenities in the week

9. Are partnership changes/agreements in place with Local Authority services to support ULH 7-day working patterns? No
As trust moves in this direction then talks with other providers to join up this work.

10. Were pilot projects used in the first instance
Were pilot projects used in the first instance? If so, how long did they run for and how were they evaluated?
Pilot in Grantham Orthopaedics

11. What is working well and not so well?
Positive:
Forced teams to improve communication
Forced teams to work together to cover rota’s
Clearer SOP’s in place
Manager rota
Challenges:
Reduced workforce in the week
Prioritisation of patients
Annual leave/ sickness impacts
More difficult to track individuals

12. What outcome measures/metrics are being used to evidence impact on service delivery/patient experience?
Patient satisfaction surveys
Staff stress survey
Quality ward audits

13. What are the future plans for 7-day working at UHL ….?
All Trust services to become 7/7 this financial year.