ArticleBMJ open2023
Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- Characteristics of Patient Complaints in a Large Tertiary Hospital in China: A Longitudinal Analysis from 2022 to 2024.Healthcare (Basel, Switzerland) · 2026Article
- Uncovering the role of preventive health services utilization in protecting older adults from heat-related depressive risks.BMC geriatrics · 2026Article
- How hot is too hot for people? A review of empirical models of perceptual, physiological and functional limits of human heat tolerance.Experimental physiology · 2026Review
- Inclusion of climate change and planetary health in masters of public health curricula in the UK.European journal of public health · 2025Article
- Why extreme heat weather is a global health emergency: a retrospective analysis.International journal of emergency medicine · 2025Article
- A qualitative study on utilization of vulnerability assessment tool for heatwave-related health adaptation intervention in Australia.Health promotion international · 2025Article
- Lethal Heat and Humidity Events.Annual review of environment and resources · 2025Article
- Carbon footprint of the Chinese healthcare service: An environmentally extended input-output analysis.PLoS medicine · 2025Article
- Lessons learnt from the 2021 Pacific Northwest heat dome: a qualitative study of western Washington's healthcare community response.BMJ open · 2025Article
- Imperatives and co-benefits of research into climate change and neurological disease.Nature reviews. Neurology · 2025Review
- A Retrospective Analysis of Patient Feedback in a Major Regional General Hospital: Trends and Insights into Healthcare Experience.Journal of patient experience · 2025Article
- Social determinants of heat-related mortality in England: a time-stratified case-crossover study using primary care records.BMJ public health · 2025Article
- Identification of individual-level clinical factors associated with increased risk of death during heatwaves: a time-stratified case-crossover study using national primary care records in England.BMJ public health · 2024Article
- Rapid review of the impacts of climate change on the health system workforce and implications for action.The journal of climate change and healthReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo critically assess the impacts of very hot weather on (i) frontline staff in hospitals in England and (ii) on healthcare delivery and patient safety. STUDY
designA qualitative study design using key informant semi-structured interviews, preinterview survey and thematic analysis.
settingEngland.
participants14 health professionals in the National Health Service (clinicians and non-clinicians, including facilities managers and emergency preparedness, resilience and response professionals).
resultsHot weather in 2019 caused significant disruption to health services, facilities and equipment, staff and patient discomfort, and an acute increase in hospital admissions. Levels of awareness varied between clinical and non-clinical staff of the Heatwave Plan for England, Heat-Health Alerts and associated guidance. Response to heatwaves was affected by competing priorities and tensions including infection control, electric fan usage and patient safety.
conclusionsHealthcare delivery staff experience difficulty in managing heat risks in hospitals. Priority should be given to workforce development and strategic, long-term planning, prevention and investment to enable staff to prepare and respond, as well as to improve health system resilience to current and future heat-health risks. Further research with a wider, larger cohort is required to develop the evidence base on the impacts, including the costs of those impacts, and to assess the effectiveness and feasibility of interventions. Forming a national picture of health system resilience to heatwaves will support national adaptation planning for health, in addition to informing strategic prevention and effective emergency response.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.