Clinical management. Where medicine meets management. Growing pains.
Commissioning arrangements are not working for tertiary paediatric sub-specialties, such as paediatric nephrology. Staff shortages are leaving nephrology centres vulnerable to total breakdown. More trained nephrologists are becoming available, but trusts do not have the funding to take them on.
Taylor
Mark
M
Birmingham Children's Hospital.
D002648:Child; D006297:Health Services Accessibility; D006776:Hospitals, Pediatric / Q000191:economics; D006779:Hospitals, Public / Q000191:economics; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D008505:Medical Staff, Hospital / Q000600:supply & distribution; D009398:Nephrology / Q000193:education; D035583:Rare Diseases; D006113:United Kingdom; D000078329:Workforce