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We have reported on the impact of centralised respiratory specialty services on consultant job plans and sister hospital demand.1 This required 1.68 programmed activities (PA) (4 hours' consultant work = 1 PA)/week consultant time for a 622-bed teaching hospital serving 250 000, equating to 370 beds/PA/week with mostly (91%) genuine referrals and suspected lung cancer (19.4%) being the commonest reason.1 Since this report, we have also examined the workforce implications of the centralised hospital specialty respiratory opinion consultant-led service, a 678-bed teaching hospital serving 250 000.
Specialty referrals over a 9-month …
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