Intended for healthcare professionals

Letters Consultants’ accepted pay offer

The end of local clinical excellence awards

BMJ 2024; 385 doi: https://doi.org/10.1136/bmj.q1032 (Published 14 May 2024) Cite this as: BMJ 2024;385:q1032
  1. Nick Murphy, consultant in intensive care medicine and assistant medical director, honorary reader1 2,
  2. Mark Exworthy, professor of health policy management2,
  3. Julia Gauly, assistant professor in health science research3,
  4. Jo Parsons, assistant professor in health science research3,
  5. Katlyn Green, final year medical student2
  1. 1University Hospitals Birmingham, Birmingham, UK
  2. 2University of Birmingham, Birmingham, UK
  3. 3University of Warwick, Coventry, UK
  1. nick.murphy{at}uhb.nhs.uk

The news that consultants have accepted the government’s pay offer marks an important moment in British health policy, signalling the end of local clinical excellence awards (LCEAs) in England and Wales.1

The NHS has had a form of performance related pay for consultants since its inception. The 2003 consultant contract included the provision of locally administered awards for the delivery of “clinical excellence.” It was meant to reward activity “over and above” basic …

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