BMJ  2006;332:974 (22 April), doi:10.1136/bmj.332.7547.974

Letter

Pay for efficiency, not simply more work

The first 150 words of the full text of this article appear below.

EDITOR—General practitioners have just agreed a paycut (no uplift on our global sum, out of which we will have to fund extra activity under new targets set for us, as well as the generously awarded pay increases for our staff). Consultants were awarded an equally generous pay increase over the past two years, which did not relate to performance.1

We now have twice as many consultants as we had 10 years ago, and the numbers are rising. Junior staff can barely be counted, yet there are no efficiency savings here. The number of general practitioners has remained static, and where we have branched out into other services, such as prisons, this has delivered massive savings. Locally, the three prisons used to have one senior medical officer and three medical officers, they now get 12 general practitioner sessions and within a year have chronic disease management clinics and systematic . . . [Full text of this article]

Gert Martin Kaiser, general practitioner

Medina Health Care, Newport PO30 4EU sirlancelotspratt@madasafish.com


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Article

Joint public-private initiative aims to boost public health in India
Ganapati Mudur
BMJ 2006 332: 813. [Extract] [Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

But the bulk is done by junior staff
Jeevan P Marasinghe
bmj.com, 25 Apr 2006 [Full text]
Access jobs at BMJ Careers
Whats new online at Student BMJ