title: Agenda for change. Bitter pill.
abstract: The government's proposal to produce a holistic pay system for the NHS has been limited by the separate settlement for consultants. The new system must balance management needs for local flexibility and unions' desire to sustain national pay. The introduction of foundation hospitals and overseas clinical teams will have implications for the implementation of the new pay system.
authors.affiliation: Queen Margaret University College, Edinburgh.
authors.forename: James
authors.initials: J
authors.lastname: Buchan
mesh_terms: D006282:Health Personnel / Q000191:economics*; D008505:Medical Staff, Hospital / Q000191:economics; D017008:Negotiating; D009936:Organizational Innovation; D012456:Salaries and Fringe Benefits / Q000331:legislation & jurisprudence*; D012922:Social Change; D013222:State Medicine / Q000191:economics* / Q000331:legislation & jurisprudence; D006113:United Kingdom