Title:
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DEPARTMENT OF HEALTH
MANAGING NHS HOSPITAL CONSULTANTS, ELEVENTH REPORT OF SESSION 2013-14, REPORT, TOGETHER WITH FORMAL MINUTES, ORAL AND WRITTEN EVIDENCE |
By: |
Great Britain: Parliament: House of Commons: Committee of Public Accounts, Margaret Hodge |
Format: |
Paperback |
List price:
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£11.00 |
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ISBN 10: |
0215059824 |
ISBN 13: |
9780215059826 |
Publisher: |
TSO |
Pub. date: |
2 July, 2013 |
Series: |
House of Commons Papers |
Pages: |
48 |
Synopsis: |
A new contract which increased consultants' pay by between 24% and 28% failed to halt a continuing decline in productivity. Many of the improvements envisaged by the Department were achieved but that's because its objectives were absurdly unambitious. The contract allows consultants to refuse to work during evenings and weekends. Some trusts even pay up to GBP200 an hour for additional work which is done at weekends. Furthermore, seventeen per cent of consultants have not had an appraisal in the last year and nearly half of trusts do not assess whether consultants have met the objectives in their job plans. Pay progression for consultants is linked to years in the job rather than how well they are performing. And Clinical Excellence Awards, costing GBP500 million a year and aimed at rewarding consultants whose performance is over and above what is normally expected, are held by 60 per cent of consultants. A proper culture of performance management for consultants and other NHS staff must be implemented if we are to avoid incidents of poor performance.Despite the increased pay, there is still a shortage of consultants in some parts of the country, in hospitals in deprived areas and in specialities such as geriatric medicine. This makes some trusts reliant on locum consultants, who provide less continuity of care for patients as well as being more expensive for the NHS. The Department must consider measures to attract consultants to such areas and specialities without financially disadvantaging the organizations concerned |
Publication: |
UK |
Imprint: |
TSO |
Returns: |
Non-returnable |