Medical teams could be rewarded with bonuses for successful operations under a plan being considered by the UK's largest hospital trust.
What the fuck? These people are to be rewarded for doing their job properly?
Medical teams are already rewarded for successful operations: it's a really novel sort of reward called "a salary". It's a reward similar to what most of the rest of us get; the difference is that if we in the private sector aren't "successful" then we get something called "the sack".
Of course, this is not a government initiative: it is a unilateral move by Imperial College Healthcare Trust, and therein, I think, lies the motivation. A motivation not entirely dissimilar to a little bit of American history.
With the 2nd world war raging in the 1940's, labor was in short supply, and the government imposed wage controls. To deal with this situation, employers begun to offer health insurance as a fringe benefit to attract more workers.
Indeed. And in the NHS, we effectively have wage controls, through the (insanity that is the) National Pay Deal.
And so Imperial College Healthcare Trust is attempting to attract the best labour through finge benefits, just as US employers did with healthcare insurance. Ironically, in this case, the fringe benefits are being offered to the healthcare workers themselves.
I still wonder where they think that the money is going to come from though; are they going to pay everyone for every operation undertaken? And will these bonuses count towards the employees' final pension payout? And what fringe benefits will Imperial offer once every other trust starts doing the same thing?
It's time to remove the NHS providers from state control. Oh, and forcing PCTs to split into Commissioning and Provider arms (as they are having to do) is not going to do the trick...