title: Anaesthesia clinical directors in the United Kingdom: organisation, objectives and support needs.
abstract: A postal survey of all 269 acute hospital trusts identified in the United Kingdom was carried out to study the work of Clinical Directors of anaesthesia. Initial responses from 163 Clinical Directors and 129 completed questionnaires were analysed. Four main areas of concern revealed by the survey were contracts and objectives, funding of managerial sessions, access to information and perceived need for support. Most Clinical Directors had no job description and most had no formal written objectives, despite a substantial body of advice that these should be provided. There was generally substantial underfunding of managerial hours compared with those actually worked and approximately 20% of Clinical Directors surveyed had no funding for managerial duties. Clinical Directors' ratings of the information available to assist their decision making were also a cause of concern. Clinical Directors perceived that they need better networking, more training particularly on human resource management and improved management information.
authors.affiliation: Senior Research Fellow in Anaesthesia, Public Health Medicine, University Department of Anaesthesia, Manchester Royal Infirmary, Oxford Road, UK.
authors.forename: G M
authors.initials: GM
authors.lastname: Thoms
authors.forename: G A
authors.initials: GA
authors.lastname: McHugh
authors.forename: B J
authors.initials: BJ
authors.lastname: Pollard
authors.forename: J
authors.initials: J
authors.lastname: Moore
mesh_terms: D000328:Adult; D000761:Anesthesia Department, Hospital / Q000191:economics / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D002017:Budgets; D003625:Data Collection; D004502:Education, Medical, Continuing; D005260:Female; D006779:Hospitals, Public / Q000458:organization & administration; D006801:Humans; D007255:Information Services / Q000592:standards; D007325:Institutional Practice / Q000706:statistics & numerical data; D007587:Job Description; D008297:Male; D008875:Middle Aged; D009937:Organizational Objectives; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D008486:Physician Executives / Q000193:education / Q000523:psychology / Q000706:statistics & numerical data*; D006113:United Kingdom; D000078329:Workforce