This document discusses the challenges of implementing 7-day services in the East Midlands region from the perspective of the Chief Executive of Chesterfield Royal NHS Foundation Trust. It provides details of Chesterfield's experience with 7-day services initiatives through their work with HFMA, the East Midlands Senate, and collaborative programs. It also summarizes the results of HFMA costing analysis which found that meeting all 7-day standards would require a gross investment of £3.8 million but could result in £1.7 million in savings from reduced lengths of stay. Local schemes at Chesterfield focusing on areas like acute re-ablement and transitional care wards have already achieved over half a day per medical admission.