[smartdoctor] sestre gube 2 i pol miliona sati na tjedan-ispunjavajući papire
- From: "BARI" <bari.sita@xxxxxxxxxxx>
- To: <smartdoctor@xxxxxxxxxxxxx>
- Date: Tue, 13 Jan 2015 21:00:42 +0100
NHS doctors spend 10 hours a week on bureaucracy
NHS doctors and nurses spend up to 10 hours a week on bureaucracy - a third
of which is unneccesary, a Government review has found.
More than three quarters of nurses said the time spent completing paperwork
prevented them from attending to patients. Photo: ALAMY
<http://www.telegraph.co.uk/journalists/laura-donnelly/> Laura Donnelly
By Laura Donnelly <http://www.telegraph.co.uk/journalists/laura-donnelly/> ,
Health Correspondent
3:00PM GMT 20 Nov 2013
The report suggests that more than £1 billion a year is spent by the health
service collecting and checking data, with 70 per cent of staff saying the
burden of paperwork has risen in the past five years.
The review by the NHS Confederation, which represents health service
managers, said duplication and poor use of technology meant staff were
wasting their time completing bureaucractic processes.
Clinical staff interviewed for the review said they spent up to 10 hours a
week collecting or checking data - more than a quarter of their average week
- and that more than one third of the work was neither useful nor relevant
to patient care.
Around one quarter of the bureaucratic demands came from national bodies,
such as regulators and NHS England, with the rest coming from NHS trusts or
other organisations.
The review suggests the recent reorganisation of the NHS, with 150 primary
care trusts replaced by 210 clinical commissioning groups, could have
increased the amount of bureaucracy in the system, although the changes were
designed to streamline the way the service is run.
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· NHS reforms will lead to 'tsunami of bureaucracy': NHS leader
<http://www.telegraph.co.uk/health/healthnews/9492288/NHS-reforms-will-lead-
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23 Aug 2012
· Spending on NHS bureaucracy up 50 per cent
<http://www.telegraph.co.uk/health/healthnews/6890335/Spending-on-NHS-bureau
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It describes “a lack of clarity of roles and responsibilities, resulting in
duplicated requests”.
It follows a study by the Royal College of Nursing (RCN) which found the
amount of time nurses spent away from patients, on non-essential paperwork,
has doubled, with 2.5 million hours lost a week.
More than three quarters of nurses said the time spent completing paperwork
prevented them from attending to patients.
In the new report, NHS managers said they spent more time writing plans to
improve services than making improvements.
One said: “Action plans are required for everything, often the same actions
are in numerous plans, therefore duplicating work. So much time is spent
writing the action plans, detracting from time to actually complete the
actions.”
Earlier this year, a national review of patient safety said the NHS
regulatory system was “bewildering in its complexity and prone to both
overlaps of remit and gaps between different agencies”.
The new review, commissioned by the Department of Health, calls for
regulators to reduce their demands for information, and calls on ministers
to tighten the rules on data requests, to ensure a more streamlined system.
Dr Peter Carter, General Secretary of the RCN said it was “vital” for the
NHS to tackle duplication and free up staff so they could devote more time
to patient care.
He said: “Tackling this burden requires smarter systems, proper admin
support, well designed technology and better data sharing. Without these
improvements, many nurses tell us they struggle to maintain patient care due
to low staffing levels and the burden of national and local bureaucracy.”
Dr Karen Castille, NHS Confederation associate director, said: “In a modern
health service, the collection and analysis of data must be timely, accurate
and useful, and not out of proportion to the benefit it brings to patients
and staff.
“In our detailed research, clinical staff reported that they spend between
two and 10 hours each week dealing with data. It is critical that we ensure
this is not wasted time by extracting every ounce of value from it and
turning it into helpful information that can be used to improve care.”
A Department for Health spokesman said: "Good information about how well
services are doing is essential, but needless paperwork is not. Doctors and
nurses went into their professions to help patients, not number-crunch or
box tick.
"That is exactly why we commissioned this review, so we could identify the
causes of unnecessary bureaucratic burden on doctors and nurses and take
action so they can spend more time caring for patients.
"We have already taken big steps forward in tackling red tape in the NHS. A
million pounds has been saved from cutting unnecessary pieces of data
gathering and we are also focusing on increasing the use of technology to
save staff time, with a £100 million nursing technology fund and a billion
pound investment in technology to improve patient care."
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