During daytime hours heart surgery is more often performed by junior doctors and at night only 17 percent is carried out by junior physicians. Still, the quality of care is still very closely related to a senior physician seeing the patient. Also contributing is the fact that 1 in 10 patients were considered poorly assessed and private hospitals faired better than those of the NHS, with failing to provide written information to patients about their procedures.
In the US, unless it is an emergency, most procedures are done during the day hours, so this is a turn about from how hospitals function here. On one other note, the managers of failing hospitals also face being replaced with folks from private firms and the payoffs are starting to diminish. Some will still continue to be promoted from the NHS, but employees of private industry are now being considered as well for replacements. BD
Operations are now safest when carried out at night, according to a major investigation into deaths following heart surgery. After decades in which the NHS has fought to reduce risks outside normal working hours, heart patients now get better care after 6pm and before 8am.
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