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Mistakes will be cut out if more social workers stay on frontline

On a Wednesday, Dr Jones's ward round begins promptly at two o'clock. As a hospital paediatrician, he covers several wards and often has a clutch of medical students in tow. But he was no Sir Lancelot Spratt - in the old Doctor in the House films - creating a tidal wave as he rushed through his wards, leaving fear and humiliation in his bulky wake.

About two months ago, Dr Jones asked his medical students to meet him at 1.30pm in the hospital day room, where the more ambulant of the children he was treating gathered to play. Dr Jones, however, did not turn up until two o'clock.

When he did so, he found his medical students totally absorbed, playing on all fours with the children. Dolls were being put to bed, no doubt to be healed, Lego houses had been built, and colouring or drawing books were all over the floor. The purpose had been fulfilled. Future doctors and a cross-section of the children they will meet had achieved some equality and medical students were beginning to learn the importance of real communication – not at the end of a bed, but on all fours on a reasonably antiseptic hospital floor.

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