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Home > Society and Social Sciences > Politics and government > Central / national / federal government > Pay modernisation: a new contract for NHS consultants in England(2006-07 335 House of Commons Papers)
Pay modernisation: a new contract for NHS consultants in England(2006-07 335 House of Commons Papers)

Pay modernisation: a new contract for NHS consultants in England(2006-07 335 House of Commons Papers)


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About the Book

The new contract for consultants was agreed in 2003 and widely implemented by April 2004. It was needed to increase the size and commitment of the consultant workforce if it was to deliver the NHS reform agenda and comply with the requirements of the European Working Time Directive to reduce consultants' hours. By the end of March 2006, the Department had spent £715 million on the new consultant contract (27 per cent more than the original estimate of £565 million), partly because the government had underestimated the amount of work consultants did. In September 2005, approximately 32,000 consultants worked for the NHS in England, primarily within NHS acute and mental health hospitals, accounting for £3.8 billion of expenditure in the NHS in England in 2005-06. The NAO conclude that the contract is not yet delivering the full value for money to the NHS and patients that was expected. The contract has helped to align consultants' pay levels with their contribution to the NHS, but some consultants are actually working the same if not fewer hours for more money. There is little evidence that ways of working have been changed, and few trusts have used job planning as a lever for improving participation or productivity. The contract has delivered some benefits in management of consultant time, prevention of an increase in private practice, securing extra work at plain-time and increasing participation. The contract has the capacity to provide some new levers for further enhancing management control. There is scope for the NHS trusts to make much more of the opportunity presented by the annual renegotiation of job plans to devise a set of agreed job plans that will deliver more efficient and effective services to patients.


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Product Details
  • ISBN-13: 9780102944549
  • Publisher: TSO
  • Publisher Imprint: Stationery Office Books
  • Height: 300 mm
  • No of Pages: 52
  • Sub Title: a new contract for NHS consultants in England
  • ISBN-10: 0102944547
  • Publisher Date: 19 Apr 2007
  • Binding: Paperback
  • Language: English
  • Series Title: 2006-07 335 House of Commons Papers


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