Intended for healthcare professionals

Letters Need for new perspective on time

Fatigue risks from working in the NHS

BMJ 2024; 387 doi: https://doi.org/10.1136/bmj.q2539 (Published 20 November 2024) Cite this as: BMJ 2024;387:q2539
  1. Bernadette Dalton, consultant occupational health physician
  1. Kendal, UK
  1. mbdalton49{at}gmail.com

I agree with Moreno that society needs a new perspective on time.1 A 24 h workforce is “productivity driven,” a functional necessity embedded in NHS practice. It follows that irregular sleep schedules and sleep deficiency are controlled by commercial actors.2 Seeking to affect policies at all levels of governance, through systems, practices, and pathways,3 commercial determinants influence …

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