First, there are not enough beds to put the patients in. Secondly, there are significant problems with retention and recruitment of appropriately qualified theatre personnel. Thirdly, it is doubtful that there would be sufficient numbers of anaesthetists to cover the sessions and finally, there are not enough surgeons to go round.
There is no doubt that it makes sense to make more efficient use of a very expensive facility - a notion that might be expanded to the development of "twilight" clinics or more extensive weekend working. To pursue this path, however, without addressing the need for extra resources is short- sighted in the extreme.
GRAEME URWIN, FRCS
Consultant Urological Surgeon