Views And Reviews

Nurses join the BMA over local performance pay

BMJ 1994; 309 doi: (Published 05 November 1994) Cite this as: BMJ 1994;309:1236
  1. L Beecham

    The secretary of the Royal College of Nursing and the chairman of the BMA council have signed a joint letter to their members urging them to make known their views on local performance pay. Ms Christine Hancock and Dr Sandy Macara say that “a patchwork of locally determined pay proposals is no substitute for a national pay award.” They believe that there would be a deterioration in the quality of patient care and that the financially successful hospitals would be able to attract the best staff.

    They point out that independent evidence shows that performance related pay demotivates staff, undermines morale, and is unfair; that local performance pay will not lead to higher NHS standards; and that the review body system is fair, cost effective, and has succeeded in preventing disputes.

    The letter urges doctors and nurses to speak publicly in local newspapers and other media, or through a press conference, a public meeting, or a joint letter; to make their views known to their member of parliament; and to arrange a joint meeting with the chairperson of the local trust.

    * The National Association of Health Authorities and Trusts says that it regrets the statement by the BMA and RCN. “If NHS trusts are to improve their efficiency and introduce more flexible working arrangements it is essential that they manage their pay determination and reward locally,” the association's director, Mr Philip Hunt, said. And the NHS Trust Federation hopes that the review bodies will announce a zero or …

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