Letters

Consultant contracts

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6959.960a (Published 08 October 1994) Cite this as: BMJ 1994;309:960
  1. G Rich
  1. Jackson Hole Group, PO Box 350, Teton Village, WY 83025, USA.

    EDITOR, - Robert W Clarke and Carl Gray, in reviewing forms of consultant contract, concentrated on structure and expected remuneration rather than proper incentives to improve the health of the population and the health of the organisation.1 While Jane Smith and Jenny Simpson claim that the NHS is not ready for performance related pay,2 incentives for both managers and clinicians clearly need to be more closely aligned to ensure the effective delivery of health care.

    The use of fee for service contracts is fraught …

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