Letters Quality of care economics

The blind leading the disempowered

BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b4067 (Published 05 October 2009) Cite this as: BMJ 2009;339:b4067
  1. Peter J Mahaffey, consultant surgeon1
  1. 1Bedford Hospital, Bedford MK42 9DJ
  1. peter.mahaffey{at}bedfordhospital.nhs.uk

    Senior jobbing clinicians running their day to day services are best placed to identify cost issues and the sources of clinical failings. But their voices are rarely heard. They feel disempowered, swept along on a sea of management directives, protocols, primary care trust demands, short staffing, European Working Time Directive constraints, and much …

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