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Rheumatology Advance Access originally published online on April 18, 2006
Rheumatology 2006 45(11):1416-1421; doi:10.1093/rheumatology/kel129
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Developments in rheumatology consultant manpower provision: the BSR/arc Workforce Register 2003–05

M. J. Harrison, K. D. Morley1 and D. P. M. Symmons

arc Epidemiology Unit, The University of Manchester 1Clinical Affairs Committee, The British Society for Rheumatology, UK.

Correspondence to: Deborah P. M. Symmons, Professor of Rheumatology and Musculoskeletal Epidemiology, arc Epidemiology Unit, Stopford Building, The University of Manchester, Oxford Road, Manchester M13 9PT, UK. E-mail: Deborah.Symmons{at}manchester.ac.uk

Objectives. To summarize the changes and continuing inequalities in rheumatology service provision in the UK between 2001 and 2005.

Methods. Questionnaires about demographics and workload were sent to all consultants on the BSR/arc Workforce Register in January 2003 and 2005.

Results. A total of 94% of 506 consultants responded in 2003 and 89% of 542 in 2005. About 19% of the consultants practice rheumatology with acute medicine. Levels of optimal provision exceed 60% in England and Wales, but are below 50% in Scotland and Northern Ireland. The levels of provision in London are substantially higher than anywhere else. The median number of hours worked per week has increased from 35.2 in 2003 to 41 in 2005.

Conclusions. Rheumatology continues to expand. There is inequality with better provision in England (especially London) and Wales than Scotland and Northern Ireland. Patterns of nurse and Senior House Officer (SHO) provision correlate with consultant numbers. Thus, the catalyst for improved service is consultant expansion.

KEY WORDS: Rheumatology workforce, Healthcare delivery, Service provision


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M. J. Harrison, C. Deighton, and D. P. M. Symmons
An update on UK rheumatology consultant workforce provision: the BSR/ARC Workforce Register 2005-07: assessing the impact of recent changes in NHS provision
Rheumatology, July 1, 2008; 47(7): 1065 - 1069.
[Abstract] [Full Text] [PDF]


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