Private practice should mirror the NHS

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7150.82a (Published 04 July 1998) Cite this as: BMJ 1998;317:82

Fee structure for anaesthetists in private practice needs overhaul

  1. R E Atkinson, Chairman.
  1. Independent Practice Committee, Association of Anaesthetists of Great Britain and Ireland, London WC1B 3RA
  2. Private Practice Committee, BMA, London WC1H 9HP

    EDITOR—I agree with Machin's statement that “It is a point of principle that private practice should mirror the NHS.”1 Equality between consultants has been recognised with identical status and remuneration since the inception of the NHS. The advent of day surgery has resulted in the duties of consultant surgeons and anaesthetists becoming identical with regard to preoperative assessment, intraoperative management, and postoperative care; if anything, the anaesthetist has greater involvement on the day, as the surgeon has already seen the patient in the outpatient clinic. In private practice the surgeon charges a fee for this consultation. …

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