A Guide to Job Planning for Consultant Urologists
Kieran J O'Flynn, President of BAUS
18 November 2016
15 years have passed since BAUS published "A Quality Urological Service for Patients in the New Millennium" with guidelines on workload, workforce and standards of care in urology. Delivery of urological care has been transformed in the interim, largely due to changes in the socio-political environment allied to advances in medical care.
I am pleased that BAUS can now make available "A Guide to Job Planning for Consultant Urologists" which represents the culmination of a year’s work by BAUS Trustees, Council and interested urologists looking at the oft vexed issue of job planning and service delivery.
The British Isles remain under-resourced with respect to urologists. We currently have approximately 1000 urologists in practice and, allied with an expanding elderly population and increasing public expectation, there are significant pressures on clinicians to deliver high quality care.
The dynamic of many patient consultations has changed with the clarification of the regulations in relation to consent by the UK Supreme Court (Montgomery vs Lanarkshire Health Board in 2015). Patients rightly expect that their surgeon will carefully discuss their condition with them in sufficient detail. Good consultations will inevitably take time, and this is reflected in the suggested time allocations for outpatient consultations and consent.
Public expectations have also changed with respect to the delivery of emergency care, and this area is covered in some detail, recognising that there are significant constraints affecting the delivery of care. Surgeons are expected to take part in the publication of their outcomes (for example the Consultant Outcomes Publication project in England), and adequate time should be made available in job planning to allow this to happen.
BAUS is a charity with the central aim of promoting the highest standards of practice in urology for the benefit of patients. Our job planning document aims to support urologists in this aspiration. Urologists are a precious resource and I hope that you will find this document useful in working with management to fulfill these aims, while maintaining an appropriate work-life balance.
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