Performance Pay Remuneration for Consultants in the NHS: is the Current System Fair and Fit for Purpose?

Rodwin M.A. Financial incentives for doctors: Have their place but need to be evaluated and used to promote appropriate goals [Editorial]. BMJ 2004; 328: 1328–9

Davies I.T. The National Health Service Consultants’ Distinction Award Scheme—history and personal critique. Proc R Coll Physicians Edinb 1998; 28: 517–34

Department of Health. Rewarding Commitment and Excellence in the NHS. Consultation document. Proposals for a new consultant reward scheme. February 2001: 18

Smith J. , Simpson J. Locally determined performance pay—Better levers exist for improving performance in a health service with disparate values. BMJ 1994; 309: 495–6

NHS Consultants Offer Solution to Pay Dispute. The Independent, 5 February 2003

Government Sets Out Proposals For Future Contract For NHS Consultants. 21 February 2001. Available at http://www.wales.nhs.uk/pressnotices/w01191.htm

Available at http://www.doh.gov.uk/nhsclinicalexcellenceawardscheme/awardscheme.pdf

Available at http://195.224.49.93/docs%5Cpublications%5C34.pdf

Cutler T. , Waine B. Incentivizing the poor relation: ‘performance’ and the pay of public-sector ‘senior managers’. Competition & Change 2005; 9: 75–87

Dowling R. , Richardson R. Evaluating performance-related pay for managers in the National Health Service. Int J Human Resource Manag 1997; 8: 348–66

Harrington H.J. Performance improvement: was W. Edwards Deming wrong? TQM Magazine 1998; 10: 230–7

Griffin R.P. Why doesn't performance pay work? Health Manpower Management 1992; 18: 31–3

Alimo-Metcalfe B. The poverty of PRP. Health Service Journal 1994; 104: 22–4

Bourne S. , Bruggen P. Distinction awards for England and Wales 1977: observations and a look ahead. BMJ 1979; March: 638–9

Bourne S. , Bruggen P. Reviewing the distinction awards system in England and Wales, 1978 and 1979. BMJ 1981; 282: 1005–7

Bruggen P. , Bourne S. Further examination of the distinction awards system in England and Wales. BMJ 1976; 28: 536–7

Bruggen P. , Bourne S. Third examination of the distinction awards system in England and Wales. BMJ 1977; 12: 462–3

Bruggen P. , Bourne S. Secrecy and distinction. BMJ 1987; 295: 393

Bruggen P. , Bourne S. The distinction awards system in England and Wales 1980. BMJ 1982; 284: 1577–80

Hansard. 27 January 1998: Column 1997

Streetly A. Women consultants and merit awards. BMJ 1994; 308: 1712

Tait A. , Platt M.J. Women consultants, their background and training: some myths explored. Med Educ 1995; 29: 372–6

Lester E. Sex distribution of distinction awards. BMJ 1980; 280: 198

Beecham L. Women consultants lag behind in merit awards. BMJ 1994; 308: 1106

See for example the ACDA Annual Report 2001. Available at www.doh.gov.uk/acda/annual.htm

Esmail A. , Everington S. , Doyle H. Racial discrimination in the allocation of distinction awards? Analysis of list of award holders by type of award, specialty and region. BMJ 1998; 316: 193–5

Advisory Committee on Distinction Awards. Annual Report. March 1998: 9

Warden J. NHS to come under Race Relations Act. BMJ 1998; 318: 625

Department of Health. Rewarding Commitment and Excellence in the NHS. Consultation document. Proposals for a new consultant reward scheme, February 2001. Available at www.doh.gov.uk/nhsclinicalexcellenceawardscheme/

Available at www.doh.gov.uk/nhsclinicalexcellenceawardscheme/awardscheme.pdf

Medic Race case settled. No details over Bay Trust agreed terms. Herald Express 11 February 1999: 1. Section: Courts, Industrial Tribunal

Surgeons settle racism claim. ‘Two Asian surgeons yesterday settled a dispute with Plymouth Hospitals NHS Trust after claiming racial discrimination over the allocation of financial merit awards’. Western Morning News 15 January 2000

Available at http://www.positive-equality.co.uk/downloads/section2_case6.doc (accessed 24/01/06)

Esmail A. , Abel P. , Everington S. Discrimination in the discretionary points award scheme: comparison of white with non-white consultants and men with women. BMJ 2003; 326: 687–8

Lambert T.W. , Goldacre M.J. , Vallance E , Mallick N. Characteristics of consultants who hold distinction awards in England and Wales: database analysis with particular reference to sex and ethnicity. BMJ 2004; 328: 1347–52

Kohn A. Why incentive plans cannot work. Harvard Business Review 1993; September/October: 54–63

The Economist. 18 January 1992

Quoted in Griffin R.P. Why doesn't performance pay work? Health Manpower Management 1992; 18: 31–3

Kessler I. Remuneration systems. In Bach S. , Sisson K. (eds). Personnel Management in Britain: A Comprehensive Guide to Theory and Practice. Oxford: Blackwell Publishers, 2000

Lawler D.D. Merit pay: fact or fiction? Management Review 1981; April: 50–3

Gilman G.W. The Characteristics of Performance Related Pay Schemes. Working Paper No.59. Canterbury Business School, March 2004

Boyce J. , Morris T. Performance related pay for hospital doctors—So much for sticks, what about some carrots? BMJ 1992; 18: 131–2

Demming W.E. The New Economics for Industry, Government, Education. MIT Center for Advanced Engineering Study, 1994

Waite M.L. , Stites-Doe S. Removing performance appraisal and merit pay in the name of quality. An empirical study of employees’ reactions. J Qual Manag 2000; 5: 187–206

Pfeffer J. Six dangerous myths about pay. Harvard Business Review 1998; May/June

Lawler E.E. Rewarding Excellence. Pay strategies for the New Economy. Jossey-Bass Publishers, 2000: 37

Gomez-Mejia L. , Balkin D. The effectiveness of individual and aggregate compensation strategies in an R&D setting. Industrial Relations 1989; 28: 431–45

Reilly P. New approaches in reward: Their relevance to the public sector. Public Money and Management 2003; October: 245–52

John Lewis makes £252m and gives staff eight weeks’ pay bonus. Guardian 10 March 2006

Reilly P. , Phillipson J. , Smith P. Team-based pay in the United Kingdom. Compensation & Benefits Review 2005; July/August: 54–60

Berwick D.M. The toxicity of pay for performance. Quality Management in Health Care 1995; 4: 27–33

Interview with Peter Bruggen and Sandy Bourne. 10 July 2002

McHale M. The merit awards game. Public Finance 1999; September: 16–8