What is it about?
Marginal changes in NHS workload respond to the number of deaths, especially in the winter. Deaths are linked to workload via the nearness to death effect in which around half of a person's lifetime acute admissions occur in the last year of life, and more specifically in the last 6 months of life. Evidence is presented to show that on/off switching in the months before winter may regulate winter deaths.
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Why is it important?
If switch-on in a location can be determined before the winter then plans can be put in place for the likely higher end-of-life related workload in the coming winter.
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This page is a summary of: NHS winter workload and on/off switching of deaths, Journal of Paramedic Practice, April 2019, Mark Allen Group,
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