Non-consultant career grade doctors: past, present and future.
نویسنده
چکیده
There is still uncertainty and confusion over which grades of doctor are encompassed by the title ‘nonconsultant career grade doctors’ (NCCG). They are staff grade doctors and the more senior associate specialists. Also included are doctors working in the community, previously called clinical medical officers (CMOs) and senior clinical medical officers (SCMOs), although doctors in these groups should all be re-graded as staff grade or associate specialists in the near future. In addition some trust grade doctors, working in non-standard posts, at levels above the senior house officer (SHO) grade are also NCCGs. NCCGs are variously referred to as senior doctors, or increasingly as middle grades, with little understanding of the wide range of experience and competencies gained in these posts. NCCGs make a large contribution to the NHS. They spend 90–100% of their time on direct clinical care and form 25% of medical staff outside those in the training grades. In accident and emergency departments, 50% of non-training staff are NCCGs and in general medicine the figure is 80% (Tables 1 and 2).1 Although at present doctors in our grades have specific concerns, the NHS as a whole is undergoing immense change and it is far from clear where NCCG doctors will fit into the future secondary care and community career structures. Currently proposed changes for NCCG doctors must be considered within this wider context.
منابع مشابه
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عنوان ژورنال:
- Clinical medicine
دوره 6 4 شماره
صفحات -
تاریخ انتشار 2002