Intended for healthcare professionals

Letters The firm

The firm: extended surgical teams improve training and patient care

BMJ 2019; 366 doi: (Published 17 September 2019) Cite this as: BMJ 2019;366:l5499
  1. Bill Allum, council member,
  2. Ian Eardley, council member,
  3. Derek Alderson, president,
  4. Neil Mortensen, vice president
  1. Royal College of Surgeons of England, London WC2A 3PE, UK
  1. neil.mortensen{at}

Rimmer asks whether bringing back the firm could improve teamwork and morale.1 Considerable evidence shows that working in a multidisciplinary team improves patient experience, safety, productivity, and the working lives of all involved.

In 2016 the Royal College of Surgeons of England assessed the contribution of the extended surgical team,2 which includes both medically and non-medically …

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