Rodney P Jones

Statistical Advisor, Healthcare Analysis & Forecasting, Leominster, UK

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Will the winter of 2019/20 have unusually high service demand? Part 2: Strategy

While the ageing population has been increasing health service demand over many years, we need to understand how the less well recognised role of nearness to death may have been acting to influence...

A need for transparency and evidence-based discussion

So how have NHS England (NHSE) and NHS Improvement (NHSI) responded to these innovative ideas? As far as I can determine, they haven't. In fact, no one from either organisation has ever talked with me...

NHS winter workload and on/off switching of deaths

To this end, Figure 1 presents a calculation of excess winter mortality (EWM) for England and three local authorities in Berkshire. EWM is defined as the average deaths in the 4 months from December...

End-of-life demand is highly volatile and shows unexpected trends

NHS demand is therefore highly sensitive to the volatility in deaths. The sad fact is that deaths are highly volatile and that the magnitude of this volatility is location-specific (Jones, 2012). This...

Ignorance isn't bliss: behind the unequal distribution of end-of-life demand and cost

Clearly, some areas have more deaths than others, and Figure 1 shows the distribution of deaths per 1000 population across local government areas in the UK. Data are for 2017 and are from the Office...

The nearness to death effect and why NHS pressures are going to intensify

So, what have deaths to do with capacity pressures? There is a very simple answer: the nearness to death effect. The nearness to death effect has been documented for around four decades and shows that...