Nationally determined pay could result in high marginal costs

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7038.1102c (Published 27 April 1996) Cite this as: BMJ 1996;312:1102
  1. Paul Flower
  1. Senior registrar in child psychiatry Child and Family Consultation Service, Royal London Hospital, London E1 1BB

    EDITOR,—As a former economist, I found James Buchan's editorial on the shortages of nurses evocative of the difficulties in recruiting staff to operate buses during the 1970s.1 While planning the number of nurses that will be needed clearly poses greater challenges because of the more substantial training required, some important similarities remain. Lessons learnt in London Transport may have current relevance for the development of pay and staffing policies in the …

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