"This review explored the extent to which services across London were reliably safe throughout twenty-four hour periods and at weekends by considering the availability of key staff, namely consultants, as well as the necessary therapeutic and diagnostic support systems. It considered evidence from the literature with regard to the impact on outcomes for patients treated out-of-hours. It also examined hospital episodes statistics (HES) data in relation to mortality in London."
Adult emergency services: acute medicine and emergency general surgery: case for change
NHS London
September 2011
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