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- W148871869 abstract "Editor—In its statement that the European working time directive should be implemented for doctors in training without simultaneously increasing numbers of doctors,1 the Department of Health is revealing a tacit acceptance of lower standards of care for patients. Its recommended alternatives to increasing medical staffing serve only to make the reduction in hours affordable.Over the past 10 years, since the first initiative to reduce junior doctors' hours of duty, medical cover on wards has been progressively reduced and the standards of care provided have consequently declined, particularly postoperatively. Consequently problems are detected late, sometimes when corrective action is no longer possible.The merit of reducing further the hours of work is for debate elsewhere, but if it is believed to be necessary it is folly to suggest that it can be done without replacing the doctors taken from the wards with others of equal standing. A football team playing with only 10 men is not the same effective unit as the full side. It may make do, by extra effort, for a short while, but it will not be able to sustain performance throughout the season.The statement of the chairperson of the junior doctors' negotiating committee, that hospital mergers may be inevitable to produce the critical mass of doctors required to ensure patient safety, suggests humble expectations. We should surely be offering more to hospital patients than basic safety." @default.
- W148871869 created "2016-06-24" @default.
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- W148871869 date "2003-04-26" @default.
- W148871869 modified "2023-09-25" @default.
- W148871869 title "EU working time directive" @default.
- W148871869 cites W1993299984 @default.
- W148871869 doi "https://doi.org/10.1136/bmj.326.7395.929/a" @default.
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