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Letters Debate on weekend working

Whether the NHS works at weekends as it does in the week is a question of cost effectiveness

BMJ 2013; 346 doi: (Published 28 March 2013) Cite this as: BMJ 2013;346:f1861
  1. Fiona Lecky, clinical professor of emergency medicine1
  1. 1University of Sheffield/Salford Royal Hospitals NHS Trust, Health Services Research, School of Health and Related Research, University of Sheffield, Sheffield S1 4DA, UK
  1. f.e.lecky{at}

I agree that the increase in mortality out of hours is an association and not necessarily an indictment of current out of hours hospital services.1 We analysed this association in trauma cases some years ago, using robust adjustment of data from the Trauma …

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