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		</div><p><a href="http://londonglossy.com/wp-content/uploads/2011/01/row-over-nhs-consultants-overtime.jpg"><img class="alignnone size-full" title="Some consultants are making more than 100,000 pounds a year in overtime from the NHS" src="http://londonglossy.com/wp-content/uploads/2011/01/min-row-over-nhs-consultants-overtime.jpg" alt="Some consultants are making more than 100,000 pounds a year in overtime from the NHS"/></a></p>
<p>Poor planning has been blamed after figures suggested that some consultants are making more than £100,000 a year in overtime from the NHS.</p>
<p>Consultants warned that the situation is likely to get worse under Government plans to commercialise the healthcare system.</p>
<p>Documents seen by the BBC reveal that senior doctors frequently earn about £600 for four extra hours of work, on top of their salary and bonuses.</p>
<p>Basic pay for consultants in England stands at almost £90,000 a year on average, paying for 10 four-hour blocks (full-time) a week.</p>
<p>Those consultants who do private work are also obliged to do an extra four-hour session paid at their basic rate if their NHS trust needs them. Any extra work beyond that attracts a higher rate, with many trusts paying between £500 and £700 for four-hour sessions, the documents show.</p>
<p>The rates are set by individual health trusts so there is no national picture of how much overtime is costing.</p>
<p>Dr Ian Wilson, deputy chairman of the BMA&#8217;s Consultants Committee, said: &#8220;These kinds of numbers sound alarming but are acknowledged to be acceptable and will only be after consultants have done a considerable amount of work above their contracts and for free. It&#8217;s usually hard-pressed specialists being asked who are already overstretched, and the vast majority of consultants never ever do a Waiting List Initiative.</p>
<p>&#8220;The fact is that this happens because trusts can&#8217;t plan for the future &#8211; a situation which will get much worse as the Government&#8217;s NHS White Paper seeks to marketise healthcare even more &#8211; and so have to bring in extra help as a quick fix when things get desperate.</p>
<p>&#8220;We hear of many cases where consultants are pressurised to do this extra work much against their will and in spite of the figures being bandied about. We&#8217;d much rather a healthcare system which is transparent, open and fairly regulated, without the pressures of commercial models which make this kind of thing inevitable.&#8221;</p>
<p>A spokeswoman for the Department of Health said: &#8220;We expect the NHS to increase productivity and improve health outcomes &#8211; this includes making effective use of consultants&#8217; time. Consultants and managers should work together to ensure that clinicians&#8217; time is planned cost effectively whilst delivering high-quality patient care.&#8221;</p>
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