title: The role of Clinical Support Workers in reducing junior doctors' hours and improving quality of patient care.
abstract: OBJECTIVE
  The aim of the study was to see if the introduction of Clinical Support Workers (CSWs) at a teaching hospital could reduce the medical work intensity for junior doctors without compromising the quality of patient care.
  
  
  BACKGROUND
  The 'New Deal' and 'European Working Time Directive' have prompted hospitals to take a close look at junior doctors' hours and work intensity in order to make posts compliant. Following the Department of Health's publication 'reducing junior doctors' hours', it was felt that certain clinical duties could be shared with nursing staff.
  
  
  METHODS
  Two audits were undertaken 8 months apart. The first was to determine the areas where the introduction of CSW would make the biggest impact. The second was to determine if this impact had had an effect on the intensity of work carried out by the junior doctors.
  
  
  RESULTS
  The CSW greatly reduced the number of cannulations and venepunctures performed by the doctors without any compromise to patient care.
  
  
  CONCLUSIONS
  This study shows that other allied health professionals can be trained to carry out certain tasks that previously were only performed by doctors. This not only reduces the impact on junior doctors' hours but can also improve patient care, with fewer delays encountered when patients are waiting for a procedure.
authors.affiliation: Oncology, Weston Park Hospital, Sheffield, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Herbertson
authors.forename: Adrian
authors.initials: A
authors.lastname: Blundell
authors.forename: Christine
authors.initials: C
authors.lastname: Bowman
mesh_terms: D000488:Allied Health Personnel / Q000706:statistics & numerical data*; D006739:Hospital Administration; D006801:Humans; D008330:Management Audit; D010820:Physicians; D011787:Quality of Health Care; D013222:State Medicine; D006113:United Kingdom; D016526:Workload