Views & Reviews From the Frontline

Increasing NHS productivity: working 9 to 5.20

BMJ 2010; 341 doi: (Published 16 September 2010) Cite this as: BMJ 2010;341:c5030
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    The NHS is trying to save money. There have been many suggestions, like cutting numbers of pin-striped management consultants and petty, jobsworth bureaucrats—nice easy scapegoats that make us all feel better. But time is money. We doctors are all busy, running at 110% and clamouring for ever more resources. The NHS needs to look at time management. Could a time and motion study, with clip boarded observers, be the answer? This would be pointless, because we would run around like headless chickens during the study period, claiming to be always busy. In truth …

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