Allen Hutchinson

Understanding Doctors’ Performance addresses possible reasons why doctors under-perform, covering specific areas such as education and training, physical and mental health, workload, personality, organisational culture, drug and alcohol misuse, and cognitive impairment. It draws together evidence and describes the factors (apart from clinical competence) that adversely affect performance and how they can be prevented, identified, assessed and addressed. This practical and easy to read book is invaluable for NHS managers, medical directors, chief executives and board members, along with directors of human resources in healthcare and healthcare professionals interested in the assessment of performance or the management of underperformance.

Examines how evidence-based medicine can be applied in general practice, and how its benefits can be realized in the form of effective treatments. It argues for rational rationing, using clinical effectiveness to exclude ineffective measures.