Alternative models of organisation are needed

摘要: Anyone considering a fundamental rethink of the role consultants risks exposing tensions in medical profession that have characterised development practice since 18th century. That tense story was one beds and money, power domination. Rethinking must now take into account relationship between their specialist colleagues general practitioners; examine distribution work junior doctors; relate contribution consultant as to other health professionals. After half century national service by equity access care, we urgently need debate roles those who it doing so focus primarily on needs patients. Consultants are senior doctors hospital community services NHS. We discuss here clinical specialties service. All patients seen nominally looked after consultant. This is consultant's primary role, but there others. While training, all for In theory, most trainers educational supervisors. often has organisational responsibilities ranging from managing firm director. Many consultants—not just with academic appointments—take part research teach undergraduates. Consultants allegiances outwith hospitals royal colleges or specialty associations, some considerable these groups. So rethinking means unravelling complex package makes up job. The central consideration any change should be provided—and therefore employing organisation. Here consider only parts consultants' …