Abstract

I wonder how many royal college presidents have ever been in the UNISON building on the Euston Road? I suspect I may have been the first when I went there recently to address their medical secretaries' group and to take part in a panel discussion. The loss of consultant surgeons' personal secretaries that has occurred in many NHS hospitals over the last ten years is deplorable. It is a common event when a hospital moves to a new site or a new building that individual office accommodation for consultants and their secretaries is forgotten or even worse, that many of the tasks are outsourced abroad.

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