#7dayservices: join the conversation today – Nigel Acheson

As NHS England South prepares to hold a series of events on 7-Day Services, Regional medical Director Nigel Acheson looks at the challenges facing the health and social care community:

“Eight days a week is not enough to show I care” – little did the Beatles know their iconic hit over 50 years ago would open-up the conversation on how to revolutionise the health professionals’ approach to providing the highest quality of care for patients, albeit for just the 7 days.

And they were right. There seem not enough days in the week for the health and social care community to do everything we want; making the best of the 7 days available is crucial for patient care.

The starting point for me is Simon Stevens view on 7 day services, which makes clear that we need to stop treating people as a collection of health problems and regard patient choices as the means by which services are shaped.

An example of this principle is one of the key findings from the Keogh Review. Mortality rates were higher for emergency patients, particularly at night and at weekends and for patients in general medicine, critical care and geriatric medicine. The underlying issues are complex and require a “whole system” approach to address them.

The compelling case for change to provide the highest quality of care for patients every day of the week has been made – it cannot be right for the quality of patient care to be dictated by the day of their admission to hospital.

The key questions are:

  • How can we meet the challenge of providing high quality care, seven days a week?
  • What will it mean for our local health community?
  • What support is available to help us improve access to appropriate seven day services for our local population?

During March, NHS England South and NHS Improving Quality is holding four sub-regional engagement events with representatives invited from across the NHS, local councils and pharmacies to begin answering these questions.

Health professionals will tell us how they can be supported and listen to others about their preparation for this ambitious change.

The events take place between 10am -4pm on: 4 March, South West, Taunton , 11 March, South Central, Reading, 17 March, South East, Crawley, 25 March, Wessex, Southampton

The conversation also takes place in blog posts – starting with this one – where comments are encouraged about what you see as the challenges, solutions and best practice. Think you can fit your comment into 140 characters? We’ll be watching Twitter for ideas using #7dayservices

It’s now over to you.

I’m looking forward to engaging with as many people as possible on the challenges ahead for 7-day Services, whether at the events, in response to my blog posts, or via Twitter. So ending as I started, with the title of another famous Beatles track, “We Can Work It Out.”

  • Do you need service support to adapt to the challenges of 7 day services? Contact NHS Improving Quality in the South of England at

Mr Nigel Acheson MD PGCert (Patient Safety and Risk Management) FRCOG, Regional Medical Director (South), NHS England.

Covering the South Region of England, with a population of 13.4 million, Nigel supports delivery of the NHS England objective to improve patient outcomes.

Developed from the NHS Constitution and the NHS Mandate, the aim is to deliver effective, safe care which results in a positive experience for patients – to prevent illness where possible, enhance the lives for those living with long term conditions and improve the quality of care for those suffering a period of illness or injury.

Nigel is also a Consultant Gynaecological Oncologist, who worked previously in the Gynaecological Cancer Centre at the Royal Devon and Exeter Hospital in Exeter.

With an active interest in both patient safety and improvement strategies, Nigel was a National Advisor and Clinical Lead to the Department of Health’s Enhanced Recovery Partnership Programme to improve the care for patients undergoing surgery prior to his appointment to NHS England.

Nigel was formerly the Medical Director for the Peninsula Cancer Network in the South West of England. In this role he supported the provision and development of high quality, safe cancer cervices across the Peninsula.

Occasionally we invite guest bloggers to write posts for NHS England. Those posts are marked as authored by “Guest blogs”.

Leave a Reply

Your email address will not be published.


  1. Jo Jackson says:

    I am really not clear about what Is being suggested here.are we asking
    GPs: to be available 24/7?
    Consultants: resident at night and weekends ALONG with trainees as supernumerary? Or that they will just be the resident doctor on call on their own? Currently most systems have 3 tiers with one at home. Now we will have 3 tiers resident?
    Will they deliver elective work ie OP and Surgery 24/7 or just for emergency care?
    have the actual proposals been written down anywhere in plain English rather than rhetoric?

  2. Nigel Acheson says:

    Hi, Declan. Thanks for the response. I absolutely agree with what you are saying here. The events taking place across the South region will stimulate discussion around the contribution that Primary Care can make and offer the opportunity for people to share examples of where this is already being done. Tickets for the four events are going fast with the first in Taunton on Wednesday 4 March – so please book as soon as you can. Thanks, Nigel.

  3. Deacon Harle says:

    Other primary care health workers are used to working over the weekend. Pharmacists. Optometrists. Nurses. Etc

    The answer isn’t growing more GPs or extending GP hours

    The answer is remembering the rest of the primary care health team.