The consultant contract: Marriage or divorce?

Peter Noble, Peter Selby, Denis Kobzev, Edward Hillhouse

    Research output: Contribution to journalArticlepeer-review


    At the birth of the new millennium Britain's Labour government published a 10-year plan for modernising the National Health Service (NHS), placing great emphasis on new ways of working. As part of this process, and following extensive negotiation, general practitioners and hospital consultants were offered new contracts in 2003. This process highlighted the issues academic clinicians and managers face in dealing with the tensions inherent in delivering the tripartite mission of teaching, research and clinical service. Following a retrospective review of clinical academic appraisals, this paper considers new strategies for strengthening the relationship across the university and NHS interface and how this novel and strategic approach might be adopted in future health policy. These findings can be helpful for both UK colleagues and for a broader international audience by providing a pragmatic approach to increasing collaboration across the higher education and health service sectors.
    Original languageEnglish
    Pages (from-to)585-588
    Number of pages4
    JournalClinical Medicine, Journal of the Royal College of Physicians of London
    Issue number6
    Publication statusPublished - Nov 2005


    • Clinical academic medicine
    • Consultant contract
    • University and health service collaboration


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