Intended for healthcare professionals

Feature 24/7 NHS

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

Evidence not needed

I read that the data is open to varying interpretation and note confusion from the prime minister down in respect of 'seven day working'. The requirements of scheduled and unscheduled care are the same only in terms of the quality of service that should be offered to patients and the former self-evidently does not have to be provided 'out of hours'. The need to ensure a consistent high standard of unscheduled care 24/7 across the NHS is bleeding obvious and should be a given. We need to ensure this by effecting a rejjig and reclassification of medical care and think a little outside the box in terms of how we might use other health professionals.

Competing interests: No competing interests

20 May 2016
Alfred P J Lake
Consultant in Pain Medicine
Abergele Hospital
Abergele, Conwy LL22 8DP