- The BMJ Today: Read our daily selectionof new articles, blogs, responses, audio, and video to appear online
- The BMJ iPad app brings you the best of print and online, including live links to the latest news, blogs, video, and podcasts. Get the BMJ iPad app.
- Our online table of contents is updated at least twice each day. Read all articles published in the last 7 days.
Recent rapid responses
Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on bmj.com. Although a selection of rapid responses will be included as edited readers' letters in the weekly print issue of the BMJ, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window.
Displaying 1-1 out of 1 published
2 January 2012
Dr Lota's finding that registrars discharge patient less often from outpatient clinics fits in with common sense and the observations of most GP's. Assuming that the pattern he finds is a general one across the nhs - savings could be made by reducing the numbers of patients seen by registrars in outpatient clinics, assuming the patients are not seen instead by specialist nurses - who virtually never discharge patients!
However, surely it is the PCT's that bear the cost, not the trust. The £108 tariff represents income to the trust, and if the registrar is free then this becomes a surplus. Trust managers are not stupid, so this situation is likely to continue as long as the internal market continues.
It is also worth remembering that as well as costs to the taxpayer, the patient may have to take time off work, and that visits to distant outpatient clinics generates carbon emissions.
Competing interests: I am a taxpayer
bridge street surgery, brigg n lincs
Click to like: