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Weekend new patient reviews in psychiatry: evaluation of activity over 3 months

  • Michael Rutherford (a1) and Mark Potter (a1)
Abstract
Aims and method

South West London and St George's Mental Health NHS Trust developed a system of weekend new patient reviews by higher trainees to provide senior medical input 7 days a week. To evaluate the effectiveness of these reviews, the notes for all patients admitted over 3 months were examined. The mean length of stay for patients before and after the introduction of the weekend new patient reviews were compared via unpaired t-test.

Results

A total of 88 patients were seen: 84.4% of patients were seen within 24 h of admission. Higher trainees instituted some changes in 78.9% of patients. The most frequent action was to modify medication, in 47.8%. The average length of stay after the introduction of weekend reviews was not significantly different.

Clinical implications

Weekend reviews of newly admitted patients by higher trainees is a feasible method for providing senior input to patients admitted out of hours.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Michael Rutherford (michael.rutherford@swlstg-tr.nhs.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Academy of Medical Royal Colleges. Seven Day Consultant Present Care: Implementation Considerations. Academy of Medical Royal Colleges, 2013.
2 Keynejad, R, Holt, C, Rao, R. 7 day services and psychiatry. Lancet Psychiatry 2016; 3: 197–9.
3 Bailey, S, Thorpe, L, Smith, G. Whole-Person Care: From Rhetoric to Reality. Achieving Parity between Mental and Physical Health (Occasional Paper OP88). Royal College of Psychiatrists, 2013.
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BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
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Weekend new patient reviews in psychiatry: evaluation of activity over 3 months

  • Michael Rutherford (a1) and Mark Potter (a1)
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