Document Detail


Analysis of consultants' NHS and private incomes in England in 2003/4.
MedLine Citation:
PMID:  18591691     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Consultants employed by the NHS in England are allowed to undertake private practice to supplement their NHS income. Until the introduction of a new contract from October 2003, those employed on full-time contracts were allowed to earn private incomes no greater than 10% of their NHS income. In this paper we investigate the magnitude and determinants of consultants' NHS and private incomes. DESIGN: Quantitative analysis of financial data. SETTING: A unique, anonymized, non-disclosive dataset derived from tax returns for a sample of 24,407 consultants (92.3% of the total) in England for the financial year 2003/4. MAIN OUTCOME METHODS: The conditional mean total, NHS and private incomes earned by age group, type of contract, specialty and region of place of work. RESULTS: The mean annual total, NHS and private incomes across all consultants in 2003/4 were pound 110,773, pound 76,628 and pound 34,144, respectively. Incomes varied by age, type of contract, specialty and region of place of work. The ratio of mean private to NHS income for consultants employed on a full-time contract was 0.26. The mean private income across specialties ranged from pound 5,144 (for paediatric neurology) to pound 142,723 (plastic surgery). There was a positive association between mean private income and NHS waiting lists across specialties. CONCLUSIONS: Consultants employed on full-time contracts on average exceeded the limits on private income stipulated by the 10% rule. Specialty is a more important determinant of income than the region in which the consultant works. Further work is required to explore the association between mean private income and waiting lists.
Authors:
Stephen Morris; Bob Elliott; Ada Ma; Alex McConnachie; Nigel Rice; Diane Skåtun; Matt Sutton
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Royal Society of Medicine     Volume:  101     ISSN:  0141-0768     ISO Abbreviation:  J R Soc Med     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-01     Completed Date:  2008-09-04     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7802879     Medline TA:  J R Soc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  372-80     Citation Subset:  IM    
Affiliation:
Health Economics Research Group, Brunel University UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Economics, Medical*
England
Humans
Medical Staff, Hospital / economics*,  statistics & numerical data
Medicine / statistics & numerical data
Middle Aged
Private Practice / economics*,  statistics & numerical data
Salaries and Fringe Benefits / statistics & numerical data*
Specialization*
State Medicine / economics*,  statistics & numerical data
Time Factors
Waiting Lists
Workload / economics*,  statistics & numerical data
Grant Support
ID/Acronym/Agency:
//Department of Health
Comments/Corrections
Comment In:
J R Soc Med. 2008 Sep;101(9):434   [PMID:  18779240 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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