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Consultants may be seeing many new patients since 1991

EDITOR,--David Armstrong and Mick Nicoll show that the average number of new patients seen by a consultant has declined steadily from 1680 in 1949 to 618 in 1991.1 They conclude that the “inefficiencies” in the health service are due mainly to the declining productivity in the hospital sector rather than in general practice and even suggest that consultants might have attempted to divert attention away from their declining workload in outpatient clinics …