NHS

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...

Making prescribing a reality: the next steps in practice

‘The Commission considered and discussed feedback from the ad hoc group on the proposals for Independent Prescribing for Paramedics […] In conclusion, the Commission endorsed the ad hoc group's...

Is now the winter of our discontent? Exploring seasonal pressure on the NHS

The leading cause of winter pressure is difficult to pinpoint, and can vary from year to year. However, there are a number of recurring contributing factors. While most health problems are not caused...

NICE: Advanced paramedics to ease pressures on A&E?

In order to make these recommendations, the guideline committee investigated whether enhancing the competencies of paramedics resulted in a reduction in hospital admissions and demand for emergency...

Anticipated NHS demand in 2017/18

On this occasion, deaths (all-cause mortality) are used as an indicator of end-of-life related demand. Each additional death seems to be associated with around 10 additional medical admissions...

The mandate for change or the emperor's new clothing?

Every year in accordance with section 13A(1) of the National Health Service Act 2006 (c.41), as amended by the Health and Social Care Act 2012 (c.7), the Secretary of State must publish a mandate...

Exploring trends in demand for urgent care

‘It is the sheer magnitude of these events which is driving growth rather than the underlying background growth due to demographic change, and slow incremental increase in the use of emergency...