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The weekend effect—how strong is the evidence?

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2781 (Published 19 May 2016) Cite this as: BMJ 2016;353:i2781

Re: The weekend effect—how strong is the evidence?

We wonder if a large part of what is missing in this debate is the interplay between social care, primary care and hospitals out of hours.

Those who experience a social care crisis out of hours can be admitted to hospital inappropriately. The popular assumption is that the government have underfunded social care to the point where there is no room for alternatives.

This is especially relevant in a speciality like psychiatry where placement breakdowns may result in people coming into emergency departments.

We need to include social care and primary care in the debate about what a 7 day service would or should look like.

Preventing admissions by increasing out of hospital options may be a better way of reducing pressures in hospital.

Competing interests: No competing interests

20 May 2016
Kuljit S Bhogal
ST6 Psychiatrist in Learning Disabilities
Dr Rajnish Attavar
Wallingford