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Thanks for directing us towards Rob's blog, which reveals this to be a rather flaky bit of self promotion for his consultancy practice.

This is an important issue which he manages to trivialise by looking at small numbers. By setting his threshold for consideration at specialities with only 50 cases per month, he is looking at specialities where the clock may have stopped for genuine reasons for 5 or 6 patients. Use of quartelry rather than monthly figures for small specialities would increase the chance of producing robust figures.

Rob should treat HSJ readers, and NHS trusts, with a bit more respect. He doesn't stand much chance of getting consultancy work from my organisation if this is the standard of work he churns out!