Views & Reviews Starting Out

Bureaucracy holds the NHS back

BMJ 2013; 347 doi: (Published 26 July 2013) Cite this as: BMJ 2013;347:f4624
  1. Kinesh Patel, junior doctor, London
  1. kinesh_patel{at}

You’re all slackers! No, it’s not the junior doctors I have in my crosshairs. This time it’s you consultants. Judging from the vitriol published in the newspapers recently about how much less work you all do than your predecessors, it would seem as if you’re all on a voluntary go-slow. Is this a possible reason for the failure to increase productivity in the NHS?

The problem is that these days everything takes more time than before. Take inserting a cannula, for example, one of the most routine tasks performed in hospitals. A decade ago it was just quick …

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