Identification-tooling as a capacity substitute

The longitudinal record

1. 2026-07 · Provisional

   When specialist time is the scarce resource, coding, screening and triage tools function as a capacity multiplier by allowing non-specialist staff to correctly route patients to the specialists who remain — but only if identification triggers continuous specialist relationship rather than becoming a documentation end-point in itself.

   EvidenceTraining posts committed, allocation undecided: this month's central workforce tension

2. 2026-08 · Provisional

   Reconfirmed this period: a paramedic-delivered structured end-of-life conversation protocol is among the non-specialist-led protocols this month's evidence flow associates with outcome shifts of a scale usually associated with specialist input. This month's Monthly review also describes physiotherapist-delivered and neurologist-led protocols producing comparable shifts this period, but no citable source for these specific studies was available to this register at time of writing; status is therefore held at provisional pending fuller citation reconciliation, rather than promoted on partially-verified evidence.

   EvidenceParamedic-delivered end-of-life protocol linked to far fewer emergency visits and more home deaths, Finnish cohort finds