Abstract
In 2018, for the first time, the Royal College of Physicians (RCP) published guidance on safe medical staffing requirements.1 This included a benchmark of the number of hours required to provide care to medical inpatients from different tiers of clinicians. This led us, within North Bristol Trust’s (NBT) medical division to ask the question – do we have enough doctors? Of note, in calculating the benchmark, the RCP guidance does not account for additional activities undertaken by Tier 1 clinicians, for example clinic requirements, and Tier 2 clinicians allocated to the ward, were estimated to be available 70% of the time, …
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