Analysis of the bureaucratic unsolicited mountainous paper heap (BUMPH) that general practitioners received in 1994BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7021.1705 (Published 23 December 1995) Cite this as: BMJ 1995;311:1705
- Damian Kenny, general practitionera
Objectives: To record and analyse the bureaucratic unsolicited mountainous paper heap (BUMPH) received by general practitioners; to make some suggestions for coping with the ensuing workload.
Design: Daily record of all BUMPH landing on the desk of a general practitioner in one year.
Setting: Mixed practice with one full time and two job sharing principals.
Results: 5100 pages of BUMPH arrived during the year. The most prolific source of origin was health authorities (1549 pages). Fridays, Mondays, and the day after a holiday were the days BUMPH was most frequently seen.
Conclusions: BUMPH is a major source of workload. One way of avoiding it is not to work on the day after a day off.