Working Environment

This section provides practical guidance on the structures, facilities and support consultants should reasonably expect, and the role consultants can play in identifying and addressing deficiencies that affect patient care or their ability to work effectively.

Leading and managing a T&O department image

Leading and managing a T&O department

Well-organised T&O departments are fundamental to delivering safe, effective and sustainable patient care. Understanding departmental leadership structures, management responsibilities and the roles undertaken by consultant colleagues enables consultants to contribute effectively to service delivery, clinical governance and ongoing dept development.

Beds, facilities and patient flow image

Beds, facilities and patient flow

There have been major changes in hospital infrastructure and in clinical areas over the past two decades along with changes in ways of working. Much of this has been driven to maximise the use of beds (reducing bed numbers) and minimising patient’s time in hospital.

Operating Theatre Faciliites image

Operating Theatre Faciliites

Adequate theatre capacity for both elective and trauma orthopaedic surgery is essential. Insufficient theatre capacity and staffing for emergency and trauma cases can contribute to delays in treatment and disruption or cancellation of planned surgical activity.

Administration Support and Office Arrangements image

Administration Support and Office Arrangements

Adequate administrative support is essential for the efficient delivery of trauma and orthopaedic services and the effective working of consultant orthopaedic surgeons.