The government's reforms of contracts and pay for NHS staff are designed not just to pay staff more but also to secure changes in working patterns and productivity that translate into benefits for patients. This paper assesses the impact of the new consultant contract in England. Its findings are based ...
The author reports on a workshop addressing future clinical staffing in different trust settings: the general acute hospital trust; the combined acute and community trust; the community/priority services health care trust; and the teaching hospital trust.
This paper discusses the role of a senior medical doctor on the board of NHS trusts who has to advise the board on medical matters and to lead the doctors within the organisation. The authors reflect on the views of medical directors who have discussed these issues with the authors ...