BMJ 1994;309:960 (8 October)

Letters

Locally determined performance related pay

EDITOR, - The NHS has now existed for 46 years. Thus no medical staff currently employed as consultants have experienced employment in any other service in Britain. For this reason they cannot know anything of the anxiety that was experienced by specialists employed in hospitals run by local authorities before the introduction of the NHS. As a retired consultant who was one of these specialists, I well recall the general anxiety that the status or pay scale for consultants in the NHS would differentiate adversely between the specialties and that doctors not working in surgery or medicine would be offered contracts of inferior quality.

One of the most constructive actions of the then minister of health, Aneurin Bevan, was to unify conditions of employment and pay across all the specialties and to make the basic pay scale independent of the place of employment. This enabled the development of truly consultant . . . [Full text of this article]


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Relevant Article

Locally determined performance related pay
J Smith and J Simpson
BMJ 1994 309: 495-496. [Extract] [Full Text]

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