A ridiculous proposition. Sprained ankles do not need a Consultant. In fact, playing Devil's advocate very firmly I could easily make a
case for a single Consultant running each department with a negligible clinical workload. The work would then be done by staff grades
and associate specialists who would supervise a smaller number of SHOs.
So an average 40,000 unit would have 1 Consultant with zip on-call. There would be 6 staff grades/ associate specialists on a
career-long shift system and 5 or 6 SHOs who always had cover doing 6 month jobs for experience. There would be a comparatively
small number of SpR jobs and they would feed into the career shop floor workers as well as the comparatively rare Consultant.
As I said, playing Devil's advocate - but it is a perfectly feasible proposition.
Best wishes,
Rowley Cottingham
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