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This study found that the 'weekend effect' was not caused by a lack of consultants in hospitals at weekends but was associated with factors in the community preceding hospital admission.

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Julian Bion 1,*, Cassie Aldridge 1, Chris Beet 2, Amunpreet Boyal 3, Yen-Fu Chen 4, Michael Clancy 5, Alan Girling 6, Timothy Hofer 7, Joanne Lord 8, Russell Mannion 9, Peter Rees 10, Chris Roseveare 11, Louise Rowan 1, Gavin Rudge 6, Jianxia Sun 12, Elizabeth Sutton 13, Carolyn Tarrant 13, Mark Temple 14, Sam Watson 6, Janet Willars 13, Richard Lilford 6

1 University Department of Anaesthesia & Critical Care, University of Birmingham, Birmingham, UK
2 Intensive Care Medicine, Royal Derby Hospital NHS Trust, Derby, UK
3 Research & Development, Queen Elizabeth Hospital Birmingham, Birmingham, UK
4 Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK
5 Emergency Medicine, University of Southampton, Southampton, UK
6 Institute of Applied Health Research, University of Birmingham, Birmingham, UK
7 Institute for Health Policy and Innovation, University of Michigan, Ann Arbor, MI, USA
8 Southampton Health Technology Assessments Centre, University of Southampton, Southampton, UK
9 Health Services Management Centre, University of Birmingham, Birmingham, UK
10 Patient & Lay Committee, Academy of Medical Royal Colleges, London, UK
11 General Internal Medicine, Southern Health NHS Foundation Trust, Southampton, UK
12 Informatics, Queen Elizabeth Hospital Birmingham, Birmingham, UK
13 Health Sciences, University of Leicester, Leicester, UK
14 Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, UK
* Corresponding author Email: j.f.bion@bham.ac.uk

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