Intended for healthcare professionals

Career Focus


BMJ 1999; 318 doi: (Published 27 February 1999) Cite this as: BMJ 1999;318:S3b-7183

Among many modernisations, New Labour has the consultant contract firmly in its sights (Health Services Journal 1999;11 Feb:20-2). Essentially unchanged since the inception of the health service in 1948, the split between public and private work looks increasingly anomalous, but resolving it could be messy: most consultants actually exceed their contracted hours for the NHS for pay that fares poorly in international comparisons. Greater transparency using “work-sensitive contracts” may be among the solutions.