On Sunday, September 27, 1998 10:31 PM, Jeff Green
[SMTP:[log in to unmask]] wrote:
> Dare to think about change. What is wrong with a system of surgeries open
> all hours, salaried doctors working shifts, with higher rates of pay for
> working late, bank holidays etc?
>
In principle there is nothing wrong with it. However you are talking to
doctors whose total experience of 'open all hours' means that whoever is
doing the day shift does the night as well. Our contracts are for 24 hour
cover even though we use COOPs etc for out of hours cover. A&E is about the
only department that has properly run shifts with each doctor only
responsible for a few hours of the day.
Patients of course would loose continuity of care but then maybe we place
too much emphasis on that aspect of our care. It may be more a want than a
need.
Stuart
Stuart Skeates
GP and Course Organiser
Romsey, Hants
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