The Health service journal
The most recent articles from:
Health Serv J
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Many NHS consultants are working more than their contracted hours. Diaries kept by 32 consultants in one trust revealed an average working week of 50 hours. A pilot scheme rescheduling the work patterns in a haematology department to include a rest day has reduced the number of hours worked. The scheme is popular with consultants and could be transferable to other teams.
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Acute hospitals have suffered at least 15 years of neglect. Little attention has been given to the key role of support services. The structure of trusts hinders the development of clinical networks. The way consultants are employed hampers their involvement in the modernization agenda.