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On Page 82 it says "Our re-analysis of the Audit Commission data indicated that the proportion of nurses at a lower grade improved waiting times. Our own modelling process did not find this, but did find that nursing sickness is an important factor." On Page 86 concluding remarks it states....... This study provides strong evidence from multiple perspectives that, after controlling for case-mix and size of department, time lost to nursing sickness, non-pay spend and lead clinician management style are factors likely to affect waiting times. Regards Ray McGlone Lancaster ........... where our case - mix has just altered now that Kendal does not have acute medicine. ----- Original Message ----- From: "Dunn Matthew Dr. (RJC) A & E - SwarkHosp-TR" <[log in to unmask]> To: <[log in to unmask]> Sent: Sunday, October 05, 2008 3:44 AM Subject: Re: reducing costs improving income I'd agree that the clinics are an effective income generator: from the PCT's point of view the tariff is lower than any other specialty's tariff. On cost saving (this may not be popular), one point in the paper, "What are the organisational factors that influence waiting times in Emergency Departments?" from SCHARR (on http://www.sdo.nihr.ac.uk/files/project/49-final-report.pdf ) is that a lower proportion of higher graded nursing staff can be associated with a reduction in waiting times. SIFT money I'm not so sure about: it buys consultant sessions, but the sessions need to be delivered so it is more cost neutral. Matt Dunn Did you know South Warwickshire General Hospitals NHS Trust is applying to become an NHS Foundation Trust? You can find out more about our application and/or apply for Membership at http://www.warwickhospital.nhs.uk/foundationtrust/default.aspx or by calling our Foundation Trust Office on free phone 0800 085 2471. This email has been scanned for viruses by NAI GS6, however we are unable to accept responsibility for any damage caused by the contents. The opinions expressed in this email represent the views of the sender, not South Warwickshire General Hospitals NHS Trust unless explicity stated. If you have received this email in error please notify the sender. The information contained in this email may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed.