Intended for healthcare professionals

Rapid response to:

Observations The future of health care

Why innovation matters today

BMJ 2009; 339 doi: (Published 22 July 2009) Cite this as: BMJ 2009;339:b2970

Rapid Response:

Innovation in Clinical Practice in NHS setting

I congratulate Lord Darzi on his efforts for NHS and this
thought provoking article.

I am a surgeon working in NHS for about 20 years. I am very
keen on innovation and improvement of service and better
patient care.

I have come up with several new innovative new surgical
techniques which simplify some complex medical issues and
also reduce patients suffering and prolonged hospital stay.
The frustration that I have faced is that its very difficult
to share these on a common forum with other surgeons. One is
left to present the techniques on National and International
forums. This is done but is time consuming and expansive.
In NHS its extremely difficult to achieve excellence and
innovation in current system, as we have tried to chase the
targets in what ever manner possible.

The core issues hindering innovation and excellence are;

1. Unrealistic targets without appropriate resources.

2. Inappropriate uses of available resources in NHS.

3. No clear and "fast track/supportive/ Non red tape"
pathways to promote innovation.

4. Non availability of National "Think Tank/ Forum" to
evaluate, develop and incorporate and promote these ideas.

Surgeons need more operating time than what they have
at present. Probably more than 10,000 hours in ten years to
achieve the level of a "Genius" in surgery!

I am in no doubt the British surgeons can once again lead
the world if provided with the right environment and

Competing interests:
None declared

Competing interests: No competing interests

26 July 2009
Dr Amir Nisar
Consultant General and Laparoscopic Surgeon
Maidstone Hospital, Kent, England