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Department of Health manpower management and personnel departments have had their workload increased in applying the new administrative measures recently introduced to monitor the situation in hospitals. Considers a case study, North West Thames Regional Health Authority,where the Regional Medical Manpower Manager has developed a computer system to embrace these changes, which include junior doctors′ hours,distinction and merit awards for consultants, study leave, training and ongoing education for doctors. Comments on the greater efficiency and accuracy achieved as a result and the potential spin‐off benefits for other health authorities.

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