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Seven-day working in hospitals is a priority of health research and policy, in the UK and internationally. Research suggests that patients receive poorer care if admitted or treated outside conventional working hours. Several possible causes for an ‘out of hours effect’ are proposed but there are likely to be many relevant factors associated with out of hours working.
This study aims to analyse organisation and provision of 24/7 stroke care in all eight Hyperacute Stroke Units (HASUs) in London. It is using qualitative and quantitative methods to evaluate how time of admission to hospital and contextual factors influence quality of care provided and clinical outcomes at different times of the day and week.
In doing so, this research will identify lessons about the development, provision, effects and cost of 24/7 stroke care in the London HASU system, in order to support high quality 24/7 care in acute stroke and other healthcare settings.
Principal Investigator: Dr Robert Simister
Project Staff:
Professor Martin Brown, UCL
Mr Adrian Capp, UCLH NHS Foundation Trust
Professor Naomi Fulop: UCL
Dr Hans Rolf Jager, UCL
Dr Dianne Playford, UCL
Dr Angus Ramsay, UCL
Professor Anthony Rudd, King's College London
Researchers
Dr Georgia Black, UCL
Dr Mariya Melnychuk, UCL
Funder: NIHR Health Services and Delivery Research Programme
Start Date: 2014
Duration: 6 years
Contact: angus.ramsay@ucl.ac.uk