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Performance related pay Management could limit amount of work done

BMJ 1994; 308 doi: (Published 25 June 1994) Cite this as: BMJ 1994;308:1713
  1. E Field
  1. Brook General Hospital, London SE18 4LW
  2. Box 9134, Aramco, Dhahran 31311, Saudi Arabia

    EDITOR, - I read that Mrs Bottomley has communicated with the BMA concerning performance related pay.1 As a surgeon, I wish to express my disapproval. At present doctors are paid a salary that bears no relation to the amount of work performed. Furthermore, compared with the salaries of other professions of equal standing and responsibility this is a meagre amount, compensated only by volunteer private practice. I do not wish to divide the profession but should be interested to compare NHS surgical and medical workloads, which are rewarded by equal NHS salaries.

    One argument states that you should be paid only for work that you do: this is one of the principles of private practice. In the NHS as it is now run, however, a different principle applies that is, you will be paid for work that you are allowed to do. The management - under the financial control of commissioners (forget fundholders for a moment) - can limit the amount of work a surgeon does …

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