Appendix A: Neurology in the United Kingdom---Numbers of Clinical Neurologists and Trainees

In mid-1995 there were 250 Consultant Neurologists in the United Kingdom, a population ratio of 1:233 600. (Page S67). 2. Hitherto the Association of British Neurologists has regarded 1:200 000 as an appropriate target. Daily experience suggests that this target is too low and the considerable increase in the number of new consultant posts in recent times suggests the same. 3. The number of Consultant Neurologists that are actually required in the United Kingdom can be calculated. This document illustrates the methodology that has been employed. 4. The calculations (pages S67-S70) take account of the following: 5. It has been concluded (page S71) that the ideal number of Consultant Neurologists that are required is approximately 1:100 000. 6. If this expansion in consultant numbers is to be realised within a reasonable timescale, then there has to be an expansion in the number of trainees in neurology (pages S71-S72). 7. Overall, it is concluded that there is a national shortage of Consultant Neurologists and that a considerable increase in numbers is required. To service this increase, there must be more trainees. ### Outline of the problem and a summary of the solution In the middle of 1995 there …