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Hospital admissions are up by 47% and mortality at weekends has increased by 10%.
8 For example, higher hospital mortality at weekends may be associated with lower numbers of senior staff available outside of the normal working week.
Gould and colleagues analysed administrative data from 1.6 million live births between 1995 and 1997 in the United States and found raised levels of neonatal mortality at weekends.
To investigate this further, we also analysed differences in the rate of immediate neonatal death (on the day of birth), which also showed significantly raised mortality at weekends (adjusted odds ratio 1.09, 95% confidence interval 1.03 to 1.15).
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We have now had eight independent studies in the last five years identifying higher mortality rates at weekends as a key challenge to be addressed.
Prof Bruce Keogh, NHS England's medical director has said there is a need for seven-day care because mortality rates at weekends are higher when doctors are working unsupported.
There is a wealth of research into higher mortality rates at weekends.
Moreover, aggregated hospital data in each country showed higher 30-day crude mortality rates at weekends compared with weekdays, with the exception of the six Australian hospitals, which showed a consistent rate (3.6%) across the whole week.
We have seen that across the globe there are higher levels of mortality at the weekend in hospitals.
The health secretary would do well to refer to these figures, instead of those he repeatedly misquotes relating to excess deaths and stroke mortality at the weekend.
The health secretary, Jeremy Hunt, has said he wants to change junior doctors' contracts to enable a seven-day week NHS, with the stated aim of reducing mortality at the weekend.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com