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EDITOR
The Department of Health has published a consultation document
on the NHS clinical excellence scheme.1 This highlights the relatively few awards given to some specialties, to female doctors,
and to doctors from ethnic minorities and the disproportionately large
number of awards to honorary or academic consultants. Altogether 9% of
the consultants hold posts as honorary consultants, but they hold 39%
of the awards.1
Although well deserved, these awards were perhaps achieved because of
the greater opportunities that these consultants had and the bias in
favour of academic achievements: even outstanding contributions to
patient care and service to the NHS were considered less worthy of the
higher awards. Discrimination is said to account for the differences
between the sexes and ethnic differences, but, despite statistics
suggesting this, data are inadequate to justify this
conclusion.2 Awards committees were urged to rectify these
discrepancies while still making their nominations entirely on
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