Abstract
Nearly two thirds of consultants appointed in Scotland in the past year were employed on contracts with only one supporting professional activity (SPA) a week to nine direct clinical care programmed activities, an approach that the BMA says is “hamstringing” the most senior staff in the NHS. A total of 63% (147 of 235) of the consultants appointed between December 2010 and December 2011 at the 12 health boards in Scotland that responded to a freedom of information request were on 9:1 contracts. Three boards only employed consultants on 9:1 contracts. Nearly half (44%) of those appointed on a 9:1 contract were newly qualified consultants who had received their certificate of …
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