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Scarlett McNally: Changing surgery to support women surgeons

I sometimes worry that I’ve made things worse for the women surgeons of the future. I went through surgical training when things were very different. We operated all night if there were operations to do, but this meant that patients, staff, and organisations had to accept me as a surgeon otherwise, operations wouldn’t happen. It’s frustrating when doctors today are taken out of theatre to complete administrative tasks when they could be operating. My weekend shifts used to be Friday morning to Monday evening, but I was given a bed on site, whereas registrars today have to work punishing consecutive 12.5 hour shifts, with long commutes, causing damaging fatigue.1 In my first orthopaedic job in the early 1990s, I remember being mortified when my consultant assumed …

Scarlett McNally: The NHS at 75—let s celebrate it and preserve it for the future

Scarlett McNally: The NHS at 75—let s celebrate it and preserve it for the future
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Scarlett McNally: Simplifying teamworking and upskilling in the NHS

We’re in the middle of a healthcare workforce crisis. We also have an increasingly unfit and ageing population with multiple comorbidities, on record waiting lists. We expend huge resources on fixing conditions that should have been preventable. Can a better way of working help tackle these crises? Many doctors and senior clinicians spend over half their time on administrative or similar tasks that could be delegated to other team members,1 while often being too busy to ensure that patients’ basic health is optimised. The issue is that they have no one to delegate to. Doctors, nurses, allied health professionals, and pharmacists require degree level qualification and hone their clinical judgment and specialised skills with lifelong learning and experience. But not every healthcare worker …

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