Do inpatient records reflect a ‘seven day NHS?’

Introduction: To comply with NHS standards, suitable consultants must clinically assess all emergency hospital admissions within 14hours. Furthermore, consultant led handovers and ward rounds should occur daily with outcomes clearly documented. Patients should be actively involved in shared decision-making and be provided clear information to make informed choices. At Queen Victoria Hospital, like many UK trusts, paper inpatient records are utilised to document clinical information. This creates significant variability in standardisation of documentation. (Source: The British Journal of Oral and Maxillofacial Surgery)

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