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M Harley

Publications and source records attributed to M Harley.

11 recordsLinked to original sources

Waiting lists. Bone of contention.

The number of orthopaedic consultants has increased by 78 per cent since 1984, but average waiting time has hardly changed. Orthopaedics is one of the greatest problem areas for waiting lists although workloads have fallen by about a fifth in the past five years. An extra 85,000 orthopaedic patients will have to be admitted over the next five years if the government is to eliminate waits of more than six months. Consultants oppose the expansion of the staff grades. Specialist centres may have to be established to deal with the backlog.

Ambulatory Surgical Procedures↗

Consultant work patterns. Blade runners.

An analysis of the work of 182 consultant orthopaedic surgeons in two English regions found they averaged seven hours a week operating. A fifth were working below the minimum operating hours recommended by the British Orthopaedic Association. Orthopaedic teams are now seeing fewer outpatients and inpatients than 10 years ago, despite a 50 per cent increase in the number of consultants. The current situation raises serious concerns about appropriate use of specialists' time and operating theatres. Trusts should not appoint any more consultant orthopaedic surgeons until those they have operate for a minimum of eight hours a week.

Consultants↗

The anatomy of large inpatient waiting lists.

A survey of 31,224 patients on 33 of the largest inpatient surgical waiting lists in Wales and the West Midlands was undertaken in 1986. 19% of the patients were older than 64 years and over 90% lived within their district of treatment or in an adjacent district. Patients awaiting operations for hernia, varicose veins, arthroscopy, cataract, tonsils and adenoids, or sterilisation made up 45% of the lists. 45% of patients had already waited over a year for treatment, and it was evident that many of the lists had not been properly reviewed.

Aged↗