Local pay will harm care, warns BMA

BMJ 1994; 309 doi: (Published 10 September 1994) Cite this as: BMJ 1994;309:625
  1. L Beecham

    Hospital doctors in Britain have reiterated their strong opposition to locally determined pay because they believe that it is incompatible with the concept of a truly national health service. They will continue to oppose any moves to amend their terms of service to introduce local pay, to lobby members of parliament, and to draw the public's attention to the potential effects on patients' care of varying pay rates around Britain.

    In its last report the doctors' and dentists' review body said that it expected to see a shift to local deliberations over pay for doctors, and the NHS Executive has said that it wants to talk to everyone, including the British Medical Association, about how to make local pay work. But the BMA believes that the system would be costly, time wasting, inequitable, and divisive. It has advised members of local negotiating committees in NHS trusts not to start discussions on local pay before any agreement has been reached centrally.

    Many members of local …

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